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The Association Between Weight Status, Weight History, Physical Activity, and Cognitive Task Performance

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Abstract

Purpose

Physical activity has been shown to attenuate the association between overweight/obesity and deleterious cardiovascular health-related outcomes, with emerging work also taking the duration of overweight/obesity into consideration. No previous work, however, has explored the interrelationships between physical activity, obesity, and obesity duration in the context of cognitive task performance, which was the purpose of this study.

Method

Data from the 1999–2002 National Health and Nutrition Examination Survey were used (N = 2322 adults 60–85 yrs). Physical activity was assessed via self-report, with body mass index (BMI) directly measured. Participants were classified into one of eight mutually exclusive groups: (0) normal weight now and 10 years ago and active now (n = 195), (1) normal weight and 10 years ago and inactive now (n = 265), (2) normal weight now but not 10 years ago and active now (n = 46), (3) normal weight now but not 10 years ago and inactive now (n = 123), (4) overweight/obese now but not 10 years ago and active now (n = 117), (5) overweight/obese now but not 10 years ago and inactive now (n = 168), (6) overweight/obese now and 10 years ago and active now (n = 435), and (7) overweight/obese now and 10 years ago and inactive now (n = 973). The digit symbol substitution test (DSST) was employed to assess cognitive task performance.

Results

After adjustments, only individuals who were inactive (groups 1, 3, 5, and 7) had significantly lower cognitive task performance.

Conclusion

Being inactive, regardless of weight classification and duration of overweight/obesity, was inversely associated with cognitive task performance in this national sample of older adults.

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References

  1. Miller AA, Spencer SJ. Obesity and neuroinflammation: a pathway to cognitive impairment. Brain Behav Immun. 2014;42:10–21.

    Article  CAS  PubMed  Google Scholar 

  2. Poirier P, Giles TD, Bray GA, Hong Y, Stern JS, Pi-Sunyer FX, et al. Obesity and cardiovascular disease: pathophysiology, evaluation, and effect of weight loss: an update of the 1997 American Heart Association Scientific Statement on Obesity and Heart Disease from the Obesity Committee of the Council on Nutrition, Physical Activity, and Metabolism. Circulation. 2006;113(6):898–918.

    Article  PubMed  Google Scholar 

  3. Luppino FS, de Wit LM, Bouvy PF, Stijnen T, Cuijpers P, Penninx BW, et al. Overweight, obesity, and depression: a systematic review and meta-analysis of longitudinal studies. Arch Gen Psychiatry. 2010;67(3):220–9.

    Article  PubMed  Google Scholar 

  4. Loprinzi PD. Application of the "Fat-but-Fit" paradigm in predicting 10-yr risk for an atherosclerotic cardiovascular disease (ASCVD) event using the pooled cohort risk equations among US adults. Int J Cardiol. 2016;202:297–9.

    Article  PubMed  Google Scholar 

  5. Loprinzi P, Smit E, Lee H, Crespo C, Andersen R, Blair SN. The "fit but fat" paradigm addressed using accelerometer-determined physical activity data. N Am J Med Sci. 2014;6(7):295–301.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Blair SN, Brodney S. Effects of physical inactivity and obesity on morbidity and mortality: current evidence and research issues. Med Sci Sports Exerc. 1999;31(11 Suppl):S646–62.

    Article  CAS  PubMed  Google Scholar 

  7. McAuley PA, Blair SN. Obesity paradoxes. J Sports Sci. 2011;29(8):773–82.

    Article  PubMed  Google Scholar 

  8. Lee CD, Jackson AS, Blair SN. US weight guidelines: is it also important to consider cardiorespiratory fitness? Int J Obes Relat Metab Disord. 1998;22(Suppl 2):S2–7.

    PubMed  Google Scholar 

  9. Dankel SJ, Loenneke JP, Loprinzi PD. The impact of overweight/obesity duration on the association between physical activity and cardiovascular disease risk: an application of the "fat but fit" paradigm. Int J Cardiol. 2015;201:88–9.

    Article  PubMed  Google Scholar 

  10. Dankel SJ, Loenneke JP, Loprinzi PD. Does the fat-but-fit paradigm hold true for all-cause mortality when considering the duration of overweight/obesity? Analyzing the WATCH (Weight, Activity and Time Contributes to Health) paradigm. Prev Med. 2016;83:37–40.

    Article  PubMed  Google Scholar 

  11. Dankel SJ, Loenneke JP, Loprinzi PD. The WATCH (Weight Activity and Time Contributes to Health) paradigm and quality of life: the impact of overweight/obesity duration on the association between physical activity and health-related quality of life. Int J Clin Pract. 2016;70(5):409–15.

    Article  CAS  PubMed  Google Scholar 

  12. Dankel SJ, Loenneke JP, Loprinzi PD. Mild depressive symptoms among Americans in relation to physical activity, current overweight/obesity, and self-reported history of overweight/obesity. Int J Behav Med, 2016;23(5):553–560

  13. Loprinzi PD, Kane CJ. Exercise and cognitive function: a randomized controlled trial examining acute exercise and free-living physical activity and sedentary effects. Mayo Clin Proc. 2015;90(4):450–60.

    Article  PubMed  Google Scholar 

  14. Pontifex MB, Hillman CH, Fernhall B, Thompson KM, Valentini TA. The effect of acute aerobic and resistance exercise on working memory. Med Sci Sports Exerc. 2009;41(4):927–34.

    Article  PubMed  Google Scholar 

  15. Ratey JJ, Loehr JE. The positive impact of physical activity on cognition during adulthood: a review of underlying mechanisms, evidence and recommendations. Rev Neurosci. 2011;22(2):171–85.

    Article  PubMed  Google Scholar 

  16. Cotman CW, Berchtold NC, Christie LA. Exercise builds brain health: key roles of growth factor cascades and inflammation. Trends Neurosci. 2007;30(9):464–72.

    Article  CAS  PubMed  Google Scholar 

  17. Farmer J, Zhao X, van Praag H, Wodtke K, Gage FH, Christie BR. Effects of voluntary exercise on synaptic plasticity and gene expression in the dentate gyrus of adult male Sprague-Dawley rats in vivo. Neuroscience. 2004;124(1):71–9.

    Article  CAS  PubMed  Google Scholar 

  18. van Praag H. Exercise and the brain: something to chew on. Trends Neurosci. 2009;32(5):283–90.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Loprinzi PD. Epidemiological investigation of muscle-strengthening activities and cognitive function among older adults. Chronic Illn. 2016;12(2):157–62.

    Article  PubMed  Google Scholar 

  20. Hamer M, Chida Y. Physical activity and risk of neurodegenerative disease: a systematic review of prospective evidence. Psychol Med. 2009;39(1):3–11.

    Article  CAS  PubMed  Google Scholar 

  21. Loprinzi PD, Herod SM, Walker JF, Cardinal BJ, Mahoney SE, Kane C. Development of a conceptual model for smoking cessation: physical activity, neurocognition, and executive functioning. Res Q Exerc Sport. 2015;86(4):338–46.

    Article  PubMed  Google Scholar 

  22. Loprinzi PD. The effects of free-living physical activity on mortality after congestive heart failure diagnosis. Int J Cardiol. 2016;203:598–9.

    Article  PubMed  Google Scholar 

  23. Prickett C, Brennan L, Stolwyk R. Examining the relationship between obesity and cognitive function: a systematic literature review. Obes Res Clin Pract. 2015;9(2):93–113.

    Article  PubMed  Google Scholar 

  24. Wechsler D. Manual for the Wechsler adult intelligence scale-revised. New York: The Psychological Corporation; 1981.

    Google Scholar 

  25. Vilkki J, Holst P. Mental programming after frontal lobe lesions: results on digit symbol performance with self-selected goals. Cortex. 1991;27(2):203–11.

    Article  CAS  PubMed  Google Scholar 

  26. Parkin AJ, Java RI. Deterioration of frontal lobe function in normal aging: influences of fluid intelligence versus perceptual speed. Neuropsychology. 1999;13(4):539–45.

    Article  CAS  PubMed  Google Scholar 

  27. Loprinzi PD. Dose-response association of moderate-to-vigorous physical activity with cardiovascular biomarkers and all-cause mortality: considerations by individual sports, exercise and recreational physical activities. Prev Med. 2015;81:73–7.

    Article  PubMed  Google Scholar 

  28. United States Department of Health and Human Services. Physical Activity Guidelines for Americans. Available at: https://health.gov/paguidelines/.

  29. Loprinzi PD, Ramulu PY. Objectively measured physical activity and inflammatory markers among US adults with diabetes: implications for attenuating disease progression. Mayo Clin Proc. 2013;88(9):942–51.

    Article  PubMed  Google Scholar 

  30. Centers for Disease Control and Prevention. National Health and Nutrition Examination Survey, 2010. Overview of NHANES Survey Design and Weights. Available at: http://www.cdc.gov/nchs/tutorials/environmental/orientation/sample_design/ .

  31. National health and nutrition examination survey: specifying weighting parameters. Available at: http://www.cdc.gov/nchs/tutorials/NHANES/SurveyDesign/Weighting/OverviewKey.htm#base_weight .

  32. National health and nutrition examination survey. Using Stata to account for complex survey design. Available at: http://www.cdc.gov/nchs/tutorials/nhanes/stata_tips.htm .

  33. Kuo HK, Jones RN, Milberg WP, Tennstedt S, Talbot L, Morris JN, et al. Cognitive function in normal-weight, overweight, and obese older adults: an analysis of the advanced cognitive training for independent and vital elderly cohort. J Am Geriatr Soc. 2006;54(1):97–103.

    Article  PubMed  PubMed Central  Google Scholar 

  34. Gow AJ, Bastin ME, Munoz Maniega S, Valdes Hernandez MC, Morris Z, Murray C, et al. Neuroprotective lifestyles and the aging brain: activity, atrophy, and white matter integrity. Neurology. 2012;79(17):1802–8.

    Article  PubMed  Google Scholar 

  35. Banks WA, Kastin AJ, Broadwell RD. Passage of cytokines across the blood-brain barrier. Neuroimmunomodulation. 1995;2(4):241–8.

    Article  CAS  PubMed  Google Scholar 

  36. Yaffe K, Haan M, Blackwell T, Cherkasova E, Whitmer RA, West N. Metabolic syndrome and cognitive decline in elderly Latinos: findings from the Sacramento Area Latino Study of Aging study. J Am Geriatr Soc. 2007;55(5):758–62.

    Article  PubMed  Google Scholar 

  37. Yaffe K, Kanaya A, Lindquist K, Simonsick EM, Harris T, Shorr RI, et al. The metabolic syndrome, inflammation, and risk of cognitive decline. JAMA. 2004;292(18):2237–42.

    Article  CAS  PubMed  Google Scholar 

  38. Tong L, Balazs R, Soiampornkul R, Thangnipon W, Cotman CW. Interleukin-1 beta impairs brain derived neurotrophic factor-induced signal transduction. Neurobiol Aging. 2008;29(9):1380–93.

    Article  CAS  PubMed  Google Scholar 

  39. Troy LM, Hunter DJ, Manson JE, Colditz GA, Stampfer MJ, Willett WC. The validity of recalled weight among younger women. Int J Obes Relat Metab Disord. 1995;19(8):570–2.

    CAS  PubMed  Google Scholar 

  40. Telama R. Tracking of physical activity from childhood to adulthood: a review. Obes Facts. 2009;2(3):187–95.

    Article  PubMed  Google Scholar 

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Correspondence to Paul D. Loprinzi.

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No funding was used to prepare this manuscript.

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The authors declare that they have no conflict of interest.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

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Cite this article

Edwards, M.K., Dankel, S.J., Loenneke, J.P. et al. The Association Between Weight Status, Weight History, Physical Activity, and Cognitive Task Performance. Int.J. Behav. Med. 24, 473–479 (2017). https://doi.org/10.1007/s12529-016-9621-4

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  • DOI: https://doi.org/10.1007/s12529-016-9621-4

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