Daily Physical Activity Patterns as a Window on Cognitive Diagnosis in the Baltimore Longitudinal Study of Aging (BLSA)


Journal article


A. Wanigatunga, Fangyu Liu, Hang Wang, Jacek K. Urbanek, Y. An, A. Spira, Ryan J. Dougherty, Q. Tian, A. Moghekar, L. Ferrucci, E. Simonsick, S. Resnick, J. Schrack
Journal of Alzheimer's Disease, 2022

Semantic Scholar DOI PubMed
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APA   Click to copy
Wanigatunga, A., Liu, F., Wang, H., Urbanek, J. K., An, Y., Spira, A., … Schrack, J. (2022). Daily Physical Activity Patterns as a Window on Cognitive Diagnosis in the Baltimore Longitudinal Study of Aging (BLSA). Journal of Alzheimer's Disease.


Chicago/Turabian   Click to copy
Wanigatunga, A., Fangyu Liu, Hang Wang, Jacek K. Urbanek, Y. An, A. Spira, Ryan J. Dougherty, et al. “Daily Physical Activity Patterns as a Window on Cognitive Diagnosis in the Baltimore Longitudinal Study of Aging (BLSA).” Journal of Alzheimer's Disease (2022).


MLA   Click to copy
Wanigatunga, A., et al. “Daily Physical Activity Patterns as a Window on Cognitive Diagnosis in the Baltimore Longitudinal Study of Aging (BLSA).” Journal of Alzheimer's Disease, 2022.


BibTeX   Click to copy

@article{a2022a,
  title = {Daily Physical Activity Patterns as a Window on Cognitive Diagnosis in the Baltimore Longitudinal Study of Aging (BLSA)},
  year = {2022},
  journal = {Journal of Alzheimer's Disease},
  author = {Wanigatunga, A. and Liu, Fangyu and Wang, Hang and Urbanek, Jacek K. and An, Y. and Spira, A. and Dougherty, Ryan J. and Tian, Q. and Moghekar, A. and Ferrucci, L. and Simonsick, E. and Resnick, S. and Schrack, J.}
}

Abstract

Background: Gradual disengagement from daily physical activity (PA) could signal present or emerging mild cognitive impairment (MCI) or Alzheimer’s disease (AD). Objective: This study examined whether accelerometry-derived patterns of everyday movement differ by cognitive diagnosis in participants of the Baltimore Longitudinal Study of Aging (BLSA). Methods: Activity patterns, overall and by time-of-day, were cross-sectionally compared between participants with adjudicated normal cognition (n = 549) and MCI/AD diagnoses (n = 36; 5 participants [14%] living with AD) using covariate-adjusted regression models. Results: Compared to those with normal cognition, those with MCI/AD had 2.1% higher activity fragmentation (SE = 1.0%, p = 0.036) but similar mean total activity counts/day (p = 0.075) and minutes/day spent active (p = 0.174). Time-of-day analyses show MCI/AD participants had lower activity counts and minutes spent active during waking hours (6:00 am–5:59 pm; p < 0.01 for all). Also, they had lower activity fragmentation from 12:00–5:59 am (p < 0.001), but higher fragmentation from 12:00–5:59 pm (p = 0.026). Conclusion: Differences in the timing and patterns of physical activity throughout the day linked to MCI/AD diagnoses warrant further investigation into potential clinical utility.



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