Abstract
The current study examines the role of social contact intensity, cognitive activity, and depressive symptoms as within- and between-person mediators for the relationships between physical activity and cognitive functioning. All three types of mediators were considered simultaneously using multilevel structural equations modeling with longitudinal data. The sample consisted of 470 adults ranging from 79.37 to 97.92 years of age (M = 83.4; SD = 3.2) at the first occasion. Between-person differences in cognitive activity mediated the relationship between physical activity and cognitive functioning, such that individuals who participated in more physical activities, on average, engaged in more cognitive activities and, in turn, showed better cognitive functioning. Mediation of between-person associations between physical activity and memory through social contact intensity was also significant. At the within-person level, only cognitive activity mediated the relationship between physical activity and change in cognition; however, the indirect effect was small. Depressive symptomatology was not found to significantly mediate within- or between-person effects on cognitive change. Our findings highlight the implications of physical activity participation for the prevention of cognitive decline and the importance of meditational processes at the between-person level. Physical activity can provide older adults with an avenue to make new friendships and engage in more cognitive activities which, in turn, attenuates cognitive decline.
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Albert M, Jones K, Savage C, Berkman L, Seeman T, Blazer D (1995) Predictors of cognitive change in older persons. Psychol Aging 10:578–589. doi:10.1037//0882-7974.10.4.578
American Psychiatric Association (1987) Diagnostic and statistical manual of mental disorders (DSM-III-R). Author, Washington DC
Arbuckle TY, Gold DP, Andres D, Schwartzman A (1992) The role of psychosocial context, age, and intelligence in memory performance of older men. Psychol Aging 7:25–36. doi:10.1037//0882-7974.7.1.25
Barnes LL, Mendes de Leon CF, Wilson RS, Bienias JL, Evans DA (2004) Social resources and cognitive decline in a population of older African Americans and whites. Neurology 63:2322–2326
Bassuk SS, Berkman LF, Wypij D (1998) Depressive symptomatology and incident cognitive decline in an elderly community sample. Arch Gen Psychiatr 55(12):1073–1081
Bassuk SS, Glass TA, Berkman LF (1999) Social disengagement and incident cognitive decline in community-dwelling elderly persons. Ann Intern Med 131:165–173
Bennett DA, Schneider JA, Tang Y, Arnold SE, Wilson RS (2006) The effect of social networks on the relation between Alzheimer’s disease pathology and level of cognitive function in old people: a longitudinal cohort study. Lancet Neurol 5(5):406–412. doi:10.1016/S1474-4422(06)70417-3
Bielak AAM (2010) How can we not ‘lose it’ if we still don’t understand how to ‘use it’? Unanswered questions about the influence of activity participation on cognitive performance in older age—A mini-review. Gerontology 56:507–519. doi:10.1159/000264918
Bielak AAM, Hughes TF, Small B, Dixon RA (2007) It’s never too late to engage in lifestyle activities: Significant concurrent but not change relationships between lifestyle activities and cognitive speed. J Gerontol B 62B:331. doi:10.1093/geronb/62.6.P331
Bielak AAM, Anstey KJ, Christensen H, Windsor TD (2012) Activity engagement is related to level, but not change in cognitive ability across adulthood. Psychol Aging 27:219. doi:10.1037/a0024667
Brissette I, Cohen S, Seemen TE (2000) Measuring social integration and social networks. In: Cohen S, Underwood LG, Gottlieb BH (eds) Social support measurement and intervention. Oxford University Press, New York, pp 53–85
Brown CL, Gibbons LE, Kennison RF, Robitaille A, Lindwall M, Mitchell MA et al (2012) Social activity and cognitive functioning over time: a coordinated analysis of four longitudinal studies. J Aging Res. doi:10.1155/2012/287438
Busse AL, Gil G, Santarém JM, Filho WJ (2009) Physical activity and cognition in the elderly: a review. Dement Neuropsychol 3:204–208
Cederlof R, Lorich U (1978) The Swedish twin registry. In: Nance WE, Allen G, Parisi P (eds) Twin research: biology and epidemiology. Alan R Riss, New York, pp 189–195
Chen P (1999) The temporal relationship between depressive symptoms and dementia: a community-based prospective study. Arch Gen Psychiatr 56:261–266. doi:10.1001/archpsyc.56.3.261
Chodosh J, Kado DM, Seeman TE, Karlamangla AS (2007) Depressive symptoms as a predictor of cognitive decline: MacArthur studies of successful aging. Am J Geriat Psychiatr 15:406–415. doi:10.1097/01.JGP.0b013e31802c0c63
Chogahara M, Cousins SO, Wankel LM (1998) Social influences on physical activity in older adults: a review. J Aging Phys Act 6:1–17
Cohen J (1988) Statistical power analysis for the behavioral sciences, 2nd edn. Acedemic Press, New York
Colcombe S, Kramer AF (2003) Fitness effects on the cognitive function of older adults: a meta-analytic study. Psychol Sci 14:125–130. doi:10.1111/1467-9280.t01-1-01430
Colcombe SJ, Erickson KI, Scalf PE, Kim JS, Prakash R, Mcauley E, Kramer AF (2006) Aerobic exercise training increases brain volume in aging humans. J Gerontol A 61:1166–1170
Cole DA, Maxwell SE (2003) Testing mediational models with longitudinal data: myths and tips in the use of structural equation modeling. J Abnorm Psychol 112:558–577
Comijs HC, Jonker C, Beekman AT, Deeg DJ (2001) The association between depressive symptoms and cognitive decline. Int J Geriatr Psychiatr 16(4):361–367
Dotson VM, Resnick SM, Zonderman AB (2008) Differential association of concurrent, baseline, and average depressive symptoms with cognitive decline in older adults. Am J Geriat Psychiatr 16:318–330
Dufouil C, Fuhrer R, Dartigues JF, Alpérovitch A (1996) Longitudinal analysis of the association between depressive symptomatology and cognitive deterioration. Am J Epidemiol 144:634–641. doi:10.1093/oxfordjournals.aje.a008974
Dureman I, Salde H (1959) Psykometriska och experimental-psykologiska metoderfor klinisk tillampning. Almqvist & Wiksell, Uppsala
Etnier JL, Nowell PM, Landers DM, Sibley BA (2006) A meta-regression to examine the relationship between aerobic fitness and cognitive performance. Brain Res Rev 52:119–130. doi:10.1016/j.brainresrev.2006.01.002
Ferrer E, Salthouse TA, McArdle JJ, Stewart WF, Schwartz BS (2005) Multivariate modeling of age and practice in longitudinal studies of cognitive abilities. Psychol Aging 20:412–422
Fratiglioni L, Wang H-X, Ericsson K, Maytan M, Winblad B (2000) Influence of social network on occurrence of dementia: a community-based longitudinal study. Lancet 355(9212):1315–1319. doi:10.1016/S0140-6736(00)02113-9
Gallucci M, Antuono P, Ongaro F, Forloni PL (2009) Physical activity, socialization and reading in the elderly over the age of seventy: what is the relation with cognitive decline? Evidence from “The Treviso Longeva (TRELONG) study”. Arch Gerontol Geriatr 48:284–286. doi:10.1016/j.archger.2008.02.006
Ghisletta P, Bickel J-F, Lovden M (2006) Does activity engagement protect against cognitive decline in old age? Methodological and analytical considerations. J Gerontol B 61B:253. doi:10.1093/geronb/61.5.P253
Haynie DA, Berg S, Johansson B, Gatz M, Zarit SH (2001) Symptoms of depression in the oldest old. J Gerontol B 56:111–118. doi:10.1093/geronb/56.2.P111
Henderson AS, Korten AE, Jacomb PA, Mackinnon AJ (1997) The course of depression in the elderly: a longitudinal community-based study in Australia. Psychol Med 27:119–129. doi:10.1017/S0033291796004199
Hertzog C, Hultsch DF, Dixon RA (1999) On the problem of detecting effects of lifestyle on cognitive change in adulthood: reply to Pushkar et al. 1999. Psychol Aging 14:528. doi:10.1037//0882-7974.14.3.528
Hofer S, Sliwinski MJ (2001) Understanding ageing: an evaluation of research designs for assessing the interdependence of ageing-related changes. Gerontology 47:341–352. doi:10.1159/000052825
Hofer S, Flaherty BP, Hoffman L (2006) Cross-sectional analysis of time-dependent data: problems of mean-induced association in age-heterogeneous samples and an alternative method based on sequential narrow age-cohorts. Multivar Behav Res 41:165–187. doi:10.1207/s15327906mbr4102_4
Hoffman L, Stawski R (2009) Persons as contexts: evaluating between-person and within-person effects in longitudinal analysis. Res Hum Dev 6:97–100. doi:10.1080/15427600902911189
Hughes TF, Andel R, Small B, Borenstein AR, Mortimer JA (2008) The association between social resources and cognitive change in older adults: evidence from the Charlotte county healthy aging study. J Gerontol B 63B:241. doi:10.1093/geronb/63.4.P241
Hultsch DF, Hammer M, Small BJ (1993) Age differences in cognitive performance in later life: relationships to self-reported health and activity life style. J Gerontol B 48:P1–P11
Hultsch D, Hertzog C, Small B, Dixon R (1999) Use it or lose it: engaged lifestyle as a buffer of cognitive decline in aging? Psychol Aging 14:245–263. doi:10.1037//0882-7974.14.2.245
Jajodia A, Borders A (2011) Memory predicts changes in depressive symptoms in older adults: a bidirectional longitudinal analysis. J Gerontol B 66:571–581. doi:10.1093/geronb/gbr035
Johansson B, Zarit SH, Berg S (1992) Changes in cognitive functioning of the oldest old. J Gerontol 47:75–80. doi:10.1093/geronj/47.2.P75
Johansson B, Hofer SM, Allaire JC, Maldonado-Molina M, Piccinin AM, Berg S et al (2004) Change in memory and cognitive functioning in the oldest-old: the effects of proximity to death in genetically related individuals over a six-year period. Psychol Aging 19:145–156
Jonsson CO, Molander L (1964) Manual till CVB-skalen (Manual of the CVB scales). Psykologi Forlaget, Stockholm
Jorm AF (2001) History of depression as a risk factor for dementia: an update review. Aust NZ J Psychiatr 35:776. doi:10.1046/j.1440-1614.2001.00967.x
Khatri P, Blumenthal JA, Babyak MA, Craighead WE, Herman S, Baldewicz T, Madden DJ, Doraiswamy M, Waugh R, Krishnan KR (2001) Effects of exercise training on cognitive functioning among depressed older men and females. J Aging Phys Act 9:43–57
Kramer A, Colcombe S, McAuley E, Eriksen K, Scalf P, Jerome G et al (2003) Enhancing brain and cognitive function of older adults through fitness training. J Mol Neurosci 20:213–221. doi:10.1385/JMN:20:3:213
Kramer AF, Erickson KI, Colcombe SJ (2006) Exercise, cognition, and the aging brain. J Appl Physiol 101:1237–1242. doi:10.1152/japplphysiol.00500.2006
Lindenberger U, Pötter U (1998) The complex nature of unique and shared effects in hierarchical linear regression: consequences for cross-sectional developmental research. Psychol Methods 3:218–230. doi:10.1037//1082-989X.3.2.218
Lindwall M, Cimino CR, Gibbons LE, Mitchell MB, Benitez A, Brown CL et al (2012) Dynamic associations of change in physical activity and change in cognitive function: coordinated analyses of four longitudinal studies. J Aging Res 2012:12. doi:10.1155/2012/493598
Lövdèn M, Ghisletta P, Lindenberger U (2005) Social participation attenuates decline in perceptual speed in old and very old age. Psychol Aging 20:423–434. doi:10.1037/0882-7974.20.3.423
Mackinnon A, Christensen H, Hofer SM, Korten AE (2003) Use it and still lose it? The association between activity and cognitive performance established using latent growth techniques in a community sample. Aging Neuropsychol C 10:215–229. doi:10.1076/anec.10.3.215.16451
Maxwell SE, Cole DA (2007) Bias in cross-sectional analyses of longitudinal mediation. Psychol Methods 12:23–44. doi:10.1037/1082-989X.12.1.23
Maxwell SE, Cole DA, Mitchell MA (2011) Bias in cross-sectional analyses of longitudinal mediation: partial and complete mediation under an autoregressive model. Multivar Behav Res 46:816–841. doi:10.1080/00273171.2011.606716
McArdle JJ (2001) A latent difference score approach to longitudinal dynamic structural equation analyses. In: Cudeck R, DuToit S, Sörbom D (eds) Structural equation modeling: present and future. Sci Softw Int, Lincolnwood, pp 342–380
McArdle JJ, Hamagami F (2001) Latent difference score structural models for linear dynamic analyses with incomplete longitudinal data. In: Collins LM, Sayer AJ (eds) New methods for the analysis of change. American Psychological Association, Washington DC, pp 139–175
McClearn GE, Johansson B, Berg S, Ahern F, Nesselroade J, Pedersen N et al (1997) Substantial genetic influence on cognitive abilities in twins 80+ years old. Science. doi:10.1126/science.276.5318.1560
McKhann G, Drachman D, Folstein M, Katzman R, Price D, Stadlan EM (1984) Clinical diagnosis of Alzheimer’s disease: report of the NINCDS-ADRDA Work Group under the auspices of Department of Health and Human Services Task Force on Alzheimer’s Disease. Neurology 34:939–944
Mehta PD, Neale MC (2005) People are variables too: multilevel structural equation modeling. Psychol Methods 10:259–284. doi:10.1037/1082-989X.10.3.259
Miller DI, Taler V, Davidson PSR, Messier C (2012) Measuring the impact of exercise on cognitive aging: methodological issues. Neurobiol Aging 33:622. doi:10.1016/j.neurobiolaging.2011.02.020
Mitchell MA, Cimino CR, Benitez A, Brown CL, Gibbons LE, Kennison RF et al (2012) Cognitively stimulating activities: effects on cognition across four studies with up to 21 years of longitudinal data. J Aging Res. doi:10.1155/2012/461592
Morgan K, Bath PA (1998) Customary physical activity and psychological wellbeing: a longitudinal study. Age Ageing 27:35–40. doi:10.1093/ageing/27.suppl_3.35
Muthén BO, Asparouho T (2008) Growth mixture modeling: Analysis with non-Gaussian random effects. In: Fitzmaurice G, Davidia M, Verbeke G, Molenberghs G (eds) Longitudinal data analysis. Chapman & Hall/CRC Press, Boca Raton, pp 143–165
Muthén LK, Muthén BO (1998–2010) Mplus user’s guide. (6th edn) Muthén & Muthén, Los Angeles
Muthén LK, Muthén BO (1998–2011). Mplus (Version 6.11) (Computer software). Muthén & Muthén, Los Angeles
Neubauer AB, Wahl H-W, Bickel H (2013) Depressive symptoms as predictor of dementia versus continuous cognitive decline: a 3-year prospective study. Eur J Ageing 10(1):37–48
Newson RS, Kemps EB (2005) General lifestyle activities as a predictor of current cognition and cognitive change in older adults: a cross-sectional and longitudinal examination. J Gerontol B 60:113–120. doi:10.1093/geronb/60.3.P113
Nigg CR, Burbank PM, Padula C, Dufresne R, Rossi JS, Velicer WF, Laforge RG, Prochaska JO (1999) Stages of change across ten health risk behaviors for older adults. Gerontologist 39(4):473–482
Oswald W, Gunzelmann T, Rupprecht R, Hagen B (2006) Differential effects of single versus combined cognitive and physical training with older adults: the SimA study in a 5-year perspective. Eur J Ageing 3:179–192
Preacher KJ, Kelley K (2011) Effect size measure for mediation models: quantitative strategies for communicating indirect effects. Psychol Methods 16:93–115. doi:10.1037/a0022658
Preacher KJ, Zyphur MJ, Zhang Z (2010) A general multilevel SEM framework for assessing multilevel mediation. Psychol Methods 15:209–233. doi:10.1037/a0020141
Radloff LS (1977) The CES-D scale. Appl Psych Meas 1:385–401. doi:10.1177/014662167700100306
Roman GC, Tatemichi TK, Erkinjuntti T, Cummings JL, Masdeu JC, Garcia JH, Hofman A (1993) Vascular dementia: diagnostic criteria for research studies. Report of the NINDS-AIREN International Workshop. Neurology 43:250–260
Sachs-Ericsson N, Joiner T, Plant EA, Blazer DG (2005) The influence of depression on cognitive decline in community-dwelling elderly persons. Am J Geriat Psychiatr 13:402–408. doi:10.1176/appi.ajgp.13.5.402
Schooler C, mulatu S (2001) The reciprocal effects of leisure time activities and intellectual function in older people: a longitudinal analysis. Psychol Aging 16:466. doi:10.1037//0882-7974.16.3.466
Schooler C, Mulatu MS, Oates G (1999) The continuing effects of substantively complex work on the intellectual functioning of older workers. Psychol Aging 14:483–506. doi:10.1037//0882-7974.14.3.483
Seeman T, McAvay G, Merrill S, Albert M (1996) Self-efficacy beliefs and change in cognitive performance: MacArthur studies of successful aging. Psychol Aging 11:538–551. doi:10.1037//0882-7974.11.3.538
Selig JP, Preacher KJ (2008) Monte Carlo method for assessing mediation: an interactive tool for creating confidence intervals for indirect effects (Computer software)
Singer JD, Willett JB (2003) Applied longitudinal data analysis: modeling change and event occurrence. Oxford University Press, New York. doi:10.1093/acprof:oso/9780195152968.001.0001
Sliwinski M, Buschke H (1997) Processing speed and memory in aging and dementia. J Gerontol 52B:308–318
Sliwinski M, Lipton RB, Buschke H, Stewart WF (1996) The effect of preclinical dementia on estimates of normal cognitive function in aging. J Gerontol 51B:217–225
Small B, Dixon RA, McArdle JJ, Grimm KJ (2012) Do changes in lifestyle engagement moderate cognitive decline in normal aging? Evidence from the Victoria longitudinal study. Neuropsychology 26:144–155. doi:10.1037/a0026579
Stapleton LM (2006) An assessment of practical solutions for structural equation modeling with complex sample data. Struct Equ Modeling 13:28–58. doi:10.1207/s15328007sem1301_2
Strawbridge WJ, Deleger Sp, Roberts RE, Kaplan GA (2002) Physical activity reduces the risk of subsequent depression for older adults. Am J Epidemiol 156:328–334. doi:10.1093/aje/kwf047
Sturman M, Morris M, Mendes de Leon C, Bienias J, Wilson R, Evans D (2005) Physical activity, cognitive activity, and cognitive decline in a biracial community population. Arch Neurol 62:1750–1754. doi:10.1001/archneur.62.11.1750
Tucker M, Reicks M (2002) Exercise as a gateway behavior for healthful eating among older adults: an exploratory study. J Nutr Educ Behav 34(Suppl 1):S14–S19. doi:10.1016/S1499-4046(06)60306-0
United Nations Department of Economic and Social Affairs Population Division (2013) World population ageing 2013. United Nations publication. ST/ESA/SER.A/348
van Gelder BM, Tijhuis MA, Kalmijn S, Giampaoli S, Nissinen A, Kromhout D (2004) Physical activity in relation to cognitive decline in elderly men: the FINE Study. Neurology 63:2316–2321. doi:10.1212/01.WNL.0000147474.29994.35
Vance DE, Wadley VG, Ball KK, Roenker DL, Rizzo M (2005) The effects of physical activity and sedentary behavior on cognitive health in older adults. J Aging Phys Act 13(3):294–313
Wechsler D (1945) A standardized memory scale for clinical use. J Psychol 19:87–95. doi:10.1080/00223980.1945.9917223
Wechsler D (1981) Wechsler adult intelligence scale-revised. The Psychological Corporation, New York
Wechsler D (1991) Manual for the Wechsler adult intelligence-scale revised. Psychological Corporation, New York
Yaffe K, Blackwell T, Gore R, Sands L, Reus V, Browner WS (1999) Depressive symptoms and cognitive decline in nondemented elderly women: a prospective study. Arch Gen Psychiatr 56:425–430. doi:10.1001/archpsyc.56.5.425
Zelinski EM, Gilewski MJ (2003) Effects of demographic and health variables on Rasch scaled cognitive scores. J Aging Health 15:435–464. doi:10.1177/0898264303253499
Zhang Z, Zyphur MJ, Preacher KJ (2009) Testing multilevel mediation using hierarchical linear models. Org Res Methods 12:695–719. doi:10.1177/1094428108327450
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This research was supported by NIH Grant AG026453. The OCTO-Twin study was funded by the National Institute on Aging at the National Institutes of Health (Grant number AG08861), The Swedish Council for Working Life and Social Research, The Adlerbertska Foundation, The Hjalmar Svensson Foundation, The Knut and Alice Wallenberg Foundation, The Wenner-Gren Foundations, and The Wilhelm and Martina Lundgrens Foundation, and the Swedish Brain Power Consortium.
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Robitaille, A., Muniz, G., Lindwall, M. et al. Physical activity and cognitive functioning in the oldest old: within- and between-person cognitive activity and psychosocial mediators. Eur J Ageing 11, 333–347 (2014). https://doi.org/10.1007/s10433-014-0314-z
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DOI: https://doi.org/10.1007/s10433-014-0314-z