Exercise Caution: Prolonged Sedentary Behavior Could Accelerate Brain Aging, Elevating Dementia Risk

by Tatsuya Nakamura
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dementia risk in sedentary behavior

Recent scientific findings indicate that individuals aged 60 or older who are sedentary for more than 10 hours per day face a heightened risk of dementia. The research utilized data from the U.K. Biobank and discovered that the specific pattern of sedentary activity throughout the day is less crucial than the overall daily duration. This research emphasizes the importance of further studies to establish causality and to examine the potential for physical activity to reduce the risk of dementia.

According to a new study conducted by scientists from the University of Southern California and the University of Arizona, seniors who regularly engage in inactive behaviors, such as sitting while watching television or driving, are at an increased risk of developing dementia.

The researchers found that adults who engage in sedentary behaviors for more than 10 hours per day face a significantly increased risk of dementia. This is particularly noteworthy given that the average American is sedentary for approximately 9.5 hours each day.

The study, released on September 12 in the Journal of the American Medical Association (JAMA), also concluded that the manner in which sedentary time is accumulated throughout the day is less important than the total duration of sedentary activity. Study author David Raichlen stated that the total amount of time spent in sedentary activities was similarly correlated with dementia risk, whether the time was accumulated in lengthy spans or scattered throughout the day.

Research Methodology and Results

David Raichlen, a professor of biological sciences and anthropology at the USC Dornsife College of Letters, Arts and Sciences, explained, “We were curious to see if breaking up long periods of sitting with brief moments of standing or walking had any bearing on dementia risk. What we found was that the total sedentary time was the most significant factor, rather than the length of individual sedentary periods.”

For the research, data from the U.K. Biobank, an extensive biomedical database encompassing participants from across the United Kingdom, was analyzed to explore potential associations between sedentary behavior and dementia risk.

As part of a U.K. Biobank sub-study, over 100,000 adults consented to wearing accelerometers, wrist devices that measure movement, 24 hours a day for one week. From this subset, approximately 50,000 adults aged 60 and above, who did not have a pre-existing diagnosis of dementia, were selected for closer examination.

Advanced machine-learning algorithms were employed to sift through the substantial amount of accelerometer data, categorizing behaviors based on varying levels of physical activity. The machine-learning techniques enabled the researchers to differentiate between various types of activities, including sedentary behavior and sleep.

After an average follow-up duration of six years, 414 cases of dementia were identified through hospital inpatient records and death registries. The researchers then adjusted their statistical models to account for demographic variables (e.g., age, sex, education, race/ethnicity, pre-existing conditions) and lifestyle factors (e.g., physical activity, diet, smoking, alcohol use, self-reported mental health).

Key Conclusions

While excessive amounts of sedentary behavior were associated with elevated dementia risk, the researchers also discovered that moderate levels of sedentary behavior were not linked with increased dementia risk. Gene Alexander, a study author and professor at the Evelyn F. McKnight Brain Institute at the University of Arizona, stated, “It was intriguing to find that dementia risk significantly escalates after 10 hours of daily sedentary activity, irrespective of how the sedentary time is accumulated. However, sedentary behavior up to 10 hours did not show an increased risk.”

David Raichlen added that these findings should offer some comfort to individuals in professions requiring prolonged sitting, provided they manage their overall daily sedentary time.

The current study is a continuation of their previous work, which investigated the impact of specific types of sedentary behavior, like watching television, on dementia risk. “This latest investigation is part of our broader initiative to comprehend the effects of sedentary behavior on brain health through diverse lenses. Wearable accelerometers furnish an objective metric of the time people allocate to sedentary activities, complementing our previous research,” said Raichlen.

The authors emphasized that additional research is needed to definitively establish causality and to determine whether physical activity can offset the risk of dementia.

The study was financially supported by grants P30AG072980, P30AG019610, R56AG067200, R01AG064587, and R01AG072445 from the National Institutes of Health, as well as funding from the state of Arizona, the Arizona Department of Health Services, and the McKnight Brain Research Foundation. The content of the study is exclusively the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

Frequently Asked Questions (FAQs) about dementia risk in sedentary behavior

What is the main focus of the research study discussed in the article?

The main focus of the research study is to investigate the correlation between sedentary behavior and the risk of dementia in individuals aged 60 and older. The study uses data from the U.K. Biobank and analyses how prolonged periods of inactivity may elevate dementia risk.

Who conducted the research?

The research was conducted by scientists from the University of Southern California and the University of Arizona. It was published in the Journal of the American Medical Association (JAMA).

What data source was used for this study?

The study utilized data from the U.K. Biobank, a large-scale biomedical database that encompasses participants from across the United Kingdom.

What age group is particularly at risk according to the study?

According to the study, individuals aged 60 and older are particularly at risk of developing dementia if they engage in sedentary behavior for more than 10 hours per day.

How was sedentary behavior measured in the study?

The study employed accelerometers, wrist-worn devices that measure movement, to objectively gauge the sedentary behavior of the participants. Advanced machine-learning algorithms were used to analyze the accelerometer data.

Does the pattern of sedentary behavior throughout the day matter?

The study found that the pattern of sedentary behavior throughout the day is less significant than the total duration of sedentary activity. What matters most is the overall amount of time spent inactive.

Is physical activity a potential mitigating factor for dementia risk?

The study calls for further research to establish whether physical activity can mitigate the risk of developing dementia, but it does not provide a conclusive answer on this matter.

What were the key conclusions of the study?

The key conclusions are that adults aged 60 and older who are sedentary for more than 10 hours per day face a significantly increased risk of developing dementia. However, moderate levels of sedentary behavior, up to around 10 hours, were not associated with increased dementia risk.

Who funded the research?

The study was financially supported by grants from the National Institutes of Health and additional funding from the state of Arizona, the Arizona Department of Health Services, and the McKnight Brain Research Foundation.

Does the study establish causality between sedentary behavior and dementia risk?

The study does not establish causality but strongly emphasizes the need for further research to investigate this aspect and to explore the mitigating effects of physical activity.

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