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The Relation of Having Experienced a Fall in the Past to Lower Cognitive Functioning in Old Age Is Mediated via Less Physical Activity Engagement as Cognitive Reserve Contributor

2022Journal article Open access
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dc.contributor.authorIhle, Andreas
dc.contributor.authorGouveia, Élvio R.
dc.contributor.authorGouveia, Bruna R.
dc.contributor.authorMarques, Adilson
dc.contributor.authorMarconcin, Priscila
dc.contributor.authorNascimento, Marcelo de Maio
dc.contributor.authorHaas, Maximilian
dc.contributor.authorJurema, Jefferson
dc.contributor.authorTinôco, Maria A.
dc.contributor.authorKliegel, Matthias
dc.date.accessioned2023-07-13T14:53:10Z
dc.date.available2023-07-13T14:53:10Z
dc.date.issued2022
dc.description.abstractSimple Summary: Experiencing a fall in old age represents a critical life event affecting physical and cognitive health and the ability to engage in physical activities and exercise. This is crucial since physical activity engagement contributes to the accumulation of the so-called cognitive reserve relevant for maintaining cognitive health at old age. The goal of our study was to investigate whether the relationship between having experienced a fall and lower cognitive functioning can be explained by hampered physical activity engagement. Confirming this idea, our findings demonstrated that experiencing a fall at an older age hinders sufficient physical activity engagement and thereby impedes cognitive reserve accumulation, resulting in lower cognitive functioning outcomes. Consequently, our study suggests that at old age, the prevention of falls and related accidents is not only crucial to avoid injuries and preserve physical health, but it is also essential for maintaining one’s ability to engage in physical activities and exercises and, consequently, for preserving cognitive health in later life. Abstract: Physical activity and exercise contribute to the accumulation of cognitive reserve, which is instrumental for preserving cognitive health in old age. In a large sample of 701 older adults (mean age = 70.36 years), we investigated whether the relationship between having experienced a fall in the past and lower performance in cognitive functioning was mediated via less physical activity engagement as a cognitive reserve contributor. General cognition was assessed using the mini-mental state examination (MMSE), long-term memory using a word-pair delayed recall test and working memory using a backward digit-span test. In face-to-face interviews, individuals reported information on falls during the past 12 months and their habitual physical activity engagement. Our analyses demonstrated that the relationship between having experienced a fall in the past and lower performance in the cognitive functioning measures was partly mediated (by 16.3% for general cognition, 30.6% for ong-term memory, and 33.1% for working memory, respectively) via less physical activity engagement. In conclusion, we suggest as a core bio-psychological mechanism that experiencing a fall at an older age is a critical life event that hinders sufficient physical activity engagement and thereby impedes cognitive reserve build-up, resulting in lower cognitive functioning outcomes.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationIhle, A.; Gouveia, É.R.; Gouveia, B.R.; Marques, A.; Marconcin, P.; Nascimento, M.d.M.; Haas, M.; Jurema, J.; Tinôco, M.A.; Kliegel, M. The Relation of Having Experienced a Fall in the Past to Lower Cognitive Functioning in Old Age Is Mediated via Less Physical Activity Engagement as Cognitive Reserve Contributor. Biology 2022, 11, 1754. https://doi.org/10.3390/ biology11121754pt_PT
dc.identifier.doi10.3390/biology11121754pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.13/5274
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherMDPIpt_PT
dc.relationLaboratory of Robotics and Engineering Systems
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectPhysical activitypt_PT
dc.subjectExercisept_PT
dc.subjectFallspt_PT
dc.subjectMental healthpt_PT
dc.subjectCognitive performancept_PT
dc.subjectCognitive abilitiespt_PT
dc.subjectCognitive reservept_PT
dc.subjectOld agept_PT
dc.subjectLife eventspt_PT
dc.subject.pt_PT
dc.subjectFaculdade de Ciências Sociaispt_PT
dc.titleThe Relation of Having Experienced a Fall in the Past to Lower Cognitive Functioning in Old Age Is Mediated via Less Physical Activity Engagement as Cognitive Reserve Contributorpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.awardTitleLaboratory of Robotics and Engineering Systems
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/UIDB%2F50009%2F2020/PT
oaire.citation.issue12pt_PT
oaire.citation.startPage1754pt_PT
oaire.citation.titleBiologypt_PT
oaire.citation.volume11pt_PT
oaire.fundingStream6817 - DCRRNI ID
person.familyNameIhle
person.familyNameGouveia
person.familyNameGouveia
person.familyNameMarques
person.familyNameMarconcin
person.familyNamede Maio Nascimento
person.familyNameHaas
person.familyNameJurema
person.familyNameTinôco
person.familyNameKliegel
person.givenNameAndreas
person.givenNameÉlvio Rúbio
person.givenNameBruna
person.givenNameAdilson
person.givenNamePriscila
person.givenNameMarcelo
person.givenNameMaximilian
person.givenNameJefferson
person.givenNameMaria Antonieta
person.givenNameMatthias
person.identifier.ciencia-id3B10-8BDF-0D67
person.identifier.ciencia-idE212-42B7-575E
person.identifier.ciencia-id5F18-F9C3-11CB
person.identifier.ciencia-id001D-427D-31C5
person.identifier.ciencia-idA81F-6BDE-2E54
person.identifier.orcid0000-0001-9845-5190
person.identifier.orcid0000-0003-0927-692X
person.identifier.orcid0000-0001-7706-190X
person.identifier.orcid0000-0001-9850-7771
person.identifier.orcid0000-0002-1295-0826
person.identifier.orcid0000-0002-3577-3439
person.identifier.orcid0000-0001-7237-9767
person.identifier.orcid0000-0002-2369-4557
person.identifier.orcid0000-0002-8570-8213
person.identifier.orcid0000-0002-2001-2522
person.identifier.ridB-3793-2016
person.identifier.ridK-4529-2014
person.identifier.scopus-author-id56090521600
person.identifier.scopus-author-id55082567000
person.identifier.scopus-author-id6603740686
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
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