Associations between activity fragmentation and subjective memory complaints in middle-aged and older adults

Journal article


del Pozo Cruz, Borja and del Pozo-Cruz, Jesus. (2021). Associations between activity fragmentation and subjective memory complaints in middle-aged and older adults. Experimental Gerontology. 148, p. Article 111288. https://doi.org/10.1016/j.exger.2021.111288
Authorsdel Pozo Cruz, Borja and del Pozo-Cruz, Jesus
Abstract

Introduction
Subjective memory complaints (SMC) are often considered a clinical marker of mild cognitive impairment and dementia and could manifest as shortening of activity bouts throughout the day causing daily activity to accumulate in a more fragmented pattern. In the current study we explored the association between activity fragmentation and SMC in middle-aged and older adults.

Methods
We used data from 3820 participants in the National Health and Nutrition Examination Survey (2003–2006) with valid accelerometer SMC data. The analyses were conducted in 2020. To calculate activity fragmentation, an active-to-sedentary transition probability was calculated as the number of physical activity bouts (i.e., consecutive minutes registering 100+ counts/min) divided by the total sum of minutes spent in physical activity. A multivariable ordinal logistic regression model was conducted to examine the association between activity fragmentation (scaled) and SMC (yes/no).

Results
Higher activity fragmentation was associated with an increased likelihood of self-reported SMC in the study population (Odd Ratio [95% Confidence Interval] = 1.335 [1.067, 1.669]; Average Marginal Effect [95%CI] = 0.029 [0.006, 0.052]; p-value = 0.021). This association was independent of total physical activity volume.

Conclusions
The findings provide support that studying fragmented activity patterns can be useful in identifying those at risk for SMC, over and above total volume of physical activity. Future longitudinal studies are required to establish causality and the temporal order of the observed association. Nevertheless, activity fragmentation in middle-aged and older adults may reflect pre-clinical signs of future neurodegenerative processes indicating potential targets for modification through intervention.

Year2021
JournalExperimental Gerontology
Journal citation148, p. Article 111288
PublisherElsevier Inc.
ISSN0531-5565
Digital Object Identifier (DOI)https://doi.org/10.1016/j.exger.2021.111288
Scopus EID2-s2.0-85102607471
Research or scholarlyResearch
Page range1-4
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online02 Mar 2021
Publication process dates
Accepted15 Feb 2021
Deposited09 Nov 2021
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del Pozo Cruz, Borja, del Pozo-Cruz, Jesús, Adsuar, Jose C., Parraca, Jose A. and Gusi, Narcis. (2013). Reanalysis of a tailored web-based exercise programme for office workers with sub-acute low back pain: Assessing the stage of change in behaviour. Psychology, Health & Medicine. 18(6), pp. 687 - 697. https://doi.org/10.1080/13548506.2013.765019
A primary care–based randomized controlled trial of 12-week whole-body vibration for balance improvement in type 2 diabetes mellitus
del Pozo-Cruz, Jesús, Alfonso-Rosa, Rosa M., Ugia, José L., McVeigh, Joseph G., del Pozo-Cruz, Borja and Sañudo, Borja. (2013). A primary care–based randomized controlled trial of 12-week whole-body vibration for balance improvement in type 2 diabetes mellitus. Archives of Physical Medicine and Rehabilitation. 94(11), pp. 2112 - 2118. https://doi.org/10.1016/j.apmr.2013.05.030
Whole body vibration training improves leg blood flow and adiposity in patients with type 2 diabetes mellitus
Sañudo, Borja, Alfonso-Rosa, Rosa M., del Pozo-Cruz, Borja, del Pozo-Cruz, Jesús, Galiano, Delfín and Figueroa, Arturo. (2013). Whole body vibration training improves leg blood flow and adiposity in patients with type 2 diabetes mellitus. European Journal of Applied Physiology. 113(9), pp. 2245 - 2252. https://doi.org/10.1007/s00421-013-2654-3
Musculoskeletal fitness and health-related quality of life characteristics among sedentary office workers affected by sub-acute, non-specific low back pain: A cross-sectional study
del Pozo Cruz, Borja, Gusi, Narcis, Adsuar, Jose C., del Pozo-Cruz, Jesús, Parraca, Jose A. and Hernandez-Mocholí, M.. (2013). Musculoskeletal fitness and health-related quality of life characteristics among sedentary office workers affected by sub-acute, non-specific low back pain: A cross-sectional study. Physiotherapy. 99(3), pp. 194 - 200. https://doi.org/10.1016/j.physio.2012.06.006
Using whole-body vibration training in patients affected with common neurological diseases: A systematic literature review
del Pozo-Cruz, Borja, Adsuar, Jose C., Parraca, Jose A., del Pozo-Cruz, Jesús, Olivares, Pedro R. and Gusi, Narcis. (2012). Using whole-body vibration training in patients affected with common neurological diseases: A systematic literature review. Journal of Alternative & Complementary Medicine. 18(1), pp. 29 - 41. https://doi.org/10.1089/acm.2010.0691
An occupational, internet-based intervention to prevent chronicity in subacute lower back pain: A randomized controlled trial
del Pozo Cruz, Borja, Parraca, Jose A., del Pozo-Cruz, Jesús, Adsuar, Jose C., Hill, Jonathan C. and Gusi, Narcis. (2012). An occupational, internet-based intervention to prevent chronicity in subacute lower back pain: A randomized controlled trial. Journal of Rehabilitation Medicine. 44(7), pp. 581 - 587. https://doi.org/10.2340/16501977-0988
A Web-Based Intervention to Improve and Prevent low back pain among office workers: A randomized controlled trial
del Pozo Cruz, Borja, Adsuar, Jose C., Parraca, Jose A., del Pozo-Cruz, Jesus, Moreno, Antonio and Gusi, Narcis. (2012). A Web-Based Intervention to Improve and Prevent low back pain among office workers: A randomized controlled trial. Journal of Orthopaedic and Sports Physical Therapy. 42(10), pp. 831 - 841. https://doi.org/10.2519/jospt.2012.3980
Balance training reduces fear of falling and improves dynamic balance and isometric strength in institutionalised older people: A randomised trial
Gusi, Narcis, Adsuar, Jose Carmelo, Corzo, Héctor, del Pozo Cruz, Borja, Olivares, Pedro R. and Parraca, Jose A.. (2012). Balance training reduces fear of falling and improves dynamic balance and isometric strength in institutionalised older people: A randomised trial. Journal of Physiotherapy. 58(2), pp. 97 - 104. https://doi.org/10.1016/S1836-9553(12)70089-9
Whole body vibration improves the single-leg stance static balance in women with fibromyalgia: a randomized controlled trial
Adsuar, Jose C., del Pozo Cruz, Borja, Parraca, Jose A., Olivares, Pedro R. and Gusi, Narcis. (2012). Whole body vibration improves the single-leg stance static balance in women with fibromyalgia: a randomized controlled trial. The Journal of Sports Medicine and Physical Fitness. 52(1), pp. 85 - 91.
Test-retest reliability of isometric and isokinetic knee extension and flexion in patients with fibromyalgia: Evaluation of the smallest real difference
Adsuar, Jose C., Olivares, Pedro R., del Pozo-Cruz, Borja, Parraca, Jose A. and Gusi, Narcis. (2011). Test-retest reliability of isometric and isokinetic knee extension and flexion in patients with fibromyalgia: Evaluation of the smallest real difference. Archives of Physical Medicine and Rehabilitation. 92(10), pp. 1646 - 1651. https://doi.org/10.1016/j.apmr.2011.04.017
Tilting whole body vibration improves quality of life in women with fibromyalgia: A randomized controlled trial
Olivares, Pedro R., Gusi, Narcis, Parraca, Jose A., Adsuar, Jose C. and del Pozo-Cruz, Borja. (2011). Tilting whole body vibration improves quality of life in women with fibromyalgia: A randomized controlled trial. Journal of Alternative & Complementary Medicine. 17(8), pp. 723 - 728. https://doi.org/10.1089/acm.2010.0296
The Spanish version of the "STarT Back Screening Tool" (SBST) in different subgroups
Gusi, Narcís, del Pozo-Cruz, Borja, Olivares, Pedro R., Hernández-Mocholi, Miguel and Hill, Jonathan C.. (2011). The Spanish version of the "STarT Back Screening Tool" (SBST) in different subgroups. Atención Primaria. 43(7), pp. 356 - 361. https://doi.org/10.1016/j.aprim.2010.05.019
Effects of whole body vibration therapy on main outcome measures for chronic non-specific low back pain: A single-blind randomized controlled trial
del Pozo-Cruz, Borja, Hernández Mocholí, Miguel A., Adsuar, Jose C., Parraca, Jose A., Muro, Inmaculada and Gusi, Narcis. (2011). Effects of whole body vibration therapy on main outcome measures for chronic non-specific low back pain: A single-blind randomized controlled trial. Journal of Rehabilitation Medicine. 43(8), pp. 689 - 694. https://doi.org/10.2340/16501977-0830