Journal of Cachexia, Sarcopenia and Muscle

Better physical performance linked to weaker age–thinking link

A cross-sectional analysis of 920 adults aged 60–85 at high dementia risk found the association was weaker at higher walking speed, grip strength and leg power.

Figure 1. Johnson–Neyman plots delineating gait speed, handgrip strength and peak leg muscle power values where increasing age significantly associates to worse executive function (red area) and values where…
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Figure 1. Johnson–Neyman plots delineating gait speed, handgrip strength and peak leg muscle power values where increasing age significantly associates to worse executive…Johnson–Neyman plots delineating gait speed, handgrip strength and peak leg muscle power values where increasing age significantly associates to worse executive function (red area) and values where this association becomes nonsignificant (blue area).Reparaz-Escudero et al.
Cross-sectional study of 920 peoplePopulations
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Researchers conducted a cross-sectional observational analysis of 920 community-dwelling older adults aged 60–85 at high dementia risk. They measured executive function, the mental skills used to manage attention and behaviour, with two tests. They also measured walking speed, handgrip strength and peak leg muscle power.

Higher physical performance was associated with a weaker relationship between age and executive function. This held after accounting for sex, socioeconomic status, depressive symptoms, heart and metabolic conditions, body mass index and smoking. The association was most consistent for walking speed, but its pattern differed by sex and by the executive-function test.

Why it matters

Executive function supports independence in later life. The study bears on whether maintaining physical performance might help preserve these skills as people age.

Caveats

This cross-sectional analysis captured one point in time, so it could not show whether maintaining physical performance preserves executive function. The findings may not apply to older adults without elevated dementia risk.

From the paper

Participants

A total of 920 older adults were included, with a mean (SD) age of 69.5 (6.1) years and 48.4% women.

Results, 3.1 Participants

Result

Higher gait speed (β = −0.067, 95% CI = −0.128 to −0.006, p < 0.05), handgrip strength (β = −0.019, 95% CI = −0.036 to −0.001, p < 0.05) and peak leg muscle power (β = −0.002, 95% CI = −0.003 to −0.000, p < 0.05) significantly moderated the association between age and executive function.

Results, 3.3.2 Stroop Interference Score

Harms

JN analyses indicated that the adverse effect of age on executive performance was statistically detectable below a gait speed of 1.59 m/s, becoming nonsignificant above this value, which was reached by 14.0% of males (Figure 2).

Results, 3.4.2 Males

Limitation

First, the cross-sectional design is inherently prone to bias and cannot establish causality, making these findings hypothesis-generating.

4 Discussion

Quoted word for word from the full text on onlinelibrary.wiley.com.