Distinct effects of acute exercise and breaks in sitting on working memory and executive function in older adults: A three-arm, randomised cross-over trial to evaluate the effects of exercise with and without breaks in sitting on cognition

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

  • Michael J. Wheeler
  • Daniel J. Green
  • Kathryn A. Ellis
  • Ester Cerin
  • Ilkka Heinonen
  • Louise H. Naylor
  • Robyn Larsen
  • Patrik Wennberg
  • Boraxbekk, Carl-Johan Oskar
  • Jaye Lewis
  • Nina Eikelis
  • Nicola T. Lautenschlager
  • Bronwyn A Kingwell
  • Gavin Lambert
  • Neville Owen
  • David W Dunstan

Background Sedentary behaviour is associated with impaired cognition, whereas exercise can acutely improve cognition. Objective We compared the effects of a morning bout of moderate-intensity exercise, with and without subsequent light-intensity walking breaks from sitting, on cognition in older adults. Methods Sedentary overweight/obese older adults with normal cognitive function (n=67, 67±7 years, 31.2±4.1 kg/m 2) completed three conditions (6-day washout): SIT (sitting): uninterrupted sitting (8 hours, control); EX+SIT (exercise + sitting): sitting (1 hour), moderate-intensity walking (30 min), uninterrupted sitting (6.5 hours); and EX+BR (exercise + breaks): sitting (1 hour), moderate-intensity walking (30 min), sitting interrupted every 30 min with 3 min of light-intensity walking (6.5 hours). Cognitive testing (Cogstate) was completed at four time points assessing psychomotor function, attention, executive function, visual learning and working memory. Serum brain-derived neurotrophic growth factor (BDNF) was assessed at six time points. The 8-hour net area under the curve (AUC) was calculated for each outcome. Results Working memory net AUC z-score·hour (95% CI) was improved in EX+BR with a z-score of +28 (-26 to +81), relative to SIT, -25 (-79 to +29, p=0.04 vs EX+BR). Executive function net AUC was improved in EX+SIT, -8 (- 71 to +55), relative to SIT, -80 (-142 to -17, p=0.03 vs EX+SIT). Serum BDNF net AUC ng/mL·hour (95% CI) was increased in both EX+SIT, +171 (-449 to +791, p=0.03 vs SIT), and EX+BR, +139 (-481 to +759, p=0.045 vs SIT), relative to SIT, -227 (-851 to +396). Conclusion A morning bout of moderate-intensity exercise improves serum BDNF and working memory or executive function in older adults, depending on whether or not subsequent sitting is also interrupted with intermittent light-intensity walking. Trial registration number ACTRN12614000737639.

OriginalsprogEngelsk
TidsskriftBritish Journal of Sports Medicine
Vol/bind54
Udgave nummer13
Sider (fra-til)776-781
Antal sider6
ISSN0306-3674
DOI
StatusUdgivet - 2020
Eksternt udgivetJa

Bibliografisk note

Funding Information:
Funding This work was funded by a project grant from the National Health and Medical Research Council of Australia (1062338) and supported in part by the Victorian Government’s OIS Program. MJW is supported by The University of Western Australia and the Baker Heart and Diabetes Institute. DJG is supported by an NHMRC Principal Research Fellowship (APP1080914). EC is supported by an ARC Future Fellowship (ARC FT140100085). IH is supported by the University of Turku, Hospital District of Southwest Finland and the Juho Vainio Foundation. DD is supported by an NHMRC Senior Research Fellowship (NHMRC APP1078360). GL is supported by an NHMRC Senior Research Fellowship (APP1042492). The laboratory of GL has recently received research funding from Medtronic, Abbott (formerly Solvay) Pharmaceuticals, Servier Australia and Allergan. GL has acted as a consultant for Medtronic.

Publisher Copyright:
© Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.

ID: 332185048