Associations of Physical Activity with Driving-Related Cognitive Abilities in Older Drivers: An Exploratory Study

Marmeleira, José; Ferreira, Inês S.; Melo, Filipe; Godinho, Mário

doi:10.2466/10.06.25.pms.115.5.521-533

Cited by 20 publications

(7 citation statements)

References 49 publications

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“…Similarly, professionally supervised exercise training three times per week significantly lessened depression in PLWHIV [ 63 ]. Our findings show that depression scores dropped consistently immediately following exercise and during the 3 months rest from structured physical activity, suggesting that depression may be an independent modulator of QoL amongst individuals with HAND, similar to other studies [ 64 , 65 ]. Therefore, interventions aimed at alleviating depression symptoms amongst persons with HAND may improve their QoL.…”

Section: Discussionsupporting

confidence: 91%

Effects of aerobic exercise on quality of life of people with HIV-associated neurocognitive disorder on antiretroviral therapy: a randomised controlled trial

et al. 2022

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Background HIV-associated neurocognitive disorder (HAND) negatively impacts quality of life (QoL) of people living with HIV who are on antiretroviral therapy (ART). Behavioural intervention adjunct to ART may improve QoL of people with HAND. We determine the effect of a 12-week aerobic exercise programme on QoL in people with HAND who were receiving ART. Trial design This was a parallel-group, randomised controlled trial with concealed allocation and intention-to-treat analysis. Methods We identified 73 participants diagnosed with HAND. Participants were sampled from an earlier study that examined the prevalence of HAND according to the Frascati criteria. Participants were randomised and allocated to an intervention of 12-weeks of aerobic exercise, comprising three 20–60 min sessions per week of moderate-intensity aerobic exercise using a cycle ergometer. The primary outcome was QoL, which was evaluated using the World Health Quality of Life Questionnaire (WHOQoL)-BREF. Results Participants in the exercise (n = 39) and control (n = 35) groups had similar sociodemographic characteristics (p > 0.05). Following the 12-week aerobic exercise programme, participants in the exercise group had improved physical (p < 0.001), psychological (p = 0.008) and environmental (p = 0.001) domains of the QoL (p = 0.001) and overall QoL (p = 0.001) relative to the control group. Similarly, participants in the exercise group had lower depression scores than participants in the control group. Depression scores in the exercise group were still lower 3 months post-intervention (p = 0.007). Only the improvements in physical (p = 0.02) and psychological (p = 0.007) domains of QoL were sustained at 3 months post-intervention. Conclusions Aerobic exercise improves the QoL of people with HAND. To ensure sustained benefits, people with HAND may need to engage in long-term physical exercise. Trial registration The trial is registered with the PAN African Trial Registry (PACTR). Date: 01/09/2020, ID: PACTR202009483415745

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Section: Discussionsupporting

confidence: 91%

Effects of aerobic exercise on quality of life of people with HIV-associated neurocognitive disorder on antiretroviral therapy: a randomised controlled trial

et al. 2022

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“…Specifically, more vigorous PA led to better performance on the Useful Field of View test (widely used to assess peripheral vision). Other studies conducted with older participants [86,71,89] also reported an association between PA and better scores on the Useful Field of View test. The two latter studies [71,89] did not evaluate the PA itself, but used questionnaires to collect information about the participants' PA.…”

Section: Visuospatial Attentionmentioning

confidence: 80%

Does physical exercise improve perceptual skills and visuospatial attention in older adults? A review

Muiños

Ballesteros

2018

Eur Rev Aging Phys Act

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Neuroimaging studies suggest that when the brain ages, more areas are involved to perform a task in order to obtain the same results. This, together with the increase in crystalized intelligence and wisdom, is usually considered as a compensatory strategy. Research has demonstrated that physical activity might also act as a strategy and be one of the main factors that can slow down age-related perceptual and cognitive decline. Research also suggests that different types of physical exercise and sport lead to different changes in perceptual and cognitive skills as well as in several areas of the brain, especially those involving multiple domains, such as exergaming, dance or some sports. This review summarizes the findings of recent studies with older adults investigating the brain and cognitive benefits of different forms of physical exercise. Visuospatial attention, which plays a critical role in our daily lives, especially for older adults, is a central part of this analysis.

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“…8,9 Indeed, studies have directly suggested that physical activity may be necessary to preserve driving-related cognitive abilities. 10,11 Perhaps of greatest importance, physical activity improves musculoskeletal fitness and energy levels, 12,13 which may have a more immediate effect on driving responsiveness. In fact, in many studies working to develop and evaluate screening tests, physical activity has been tested as a marker for both physical and cognitive driving readiness.…”

Section: Introductionmentioning

confidence: 99%

Relationship Between Physical Activity and Motor Vehicle Crashes Among Older Adult Drivers

Talwar

Mielenz

Hill

et al. 2019

J Prim Care Community Health

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Background: There are approximately 42 million licensed drivers aged 65 years or older in the United States, who face unique age-related risks while driving. While physical activity affects several chronic conditions thought to be associated with motor vehicle crashes (MVCs), it is unclear if increased physical activity leads to fewer MVCs. This study explores whether self-reported vigorous and moderate physical activity is associated with MVCs in the previous year. Methods: Using cross-sectional data from the LongROAD study, a large multisite prospective cohort study of 2990 older adult drivers, we examined variables related to physical activity and performed a multivariate regression analysis to examine the association of physical activity health behaviors with self-reported MVCs. Results: Overall, 41.2% of participants reported vigorous and 69.6% of participants reported moderate exercise at least once per week. Eleven percent of participants reported at least 1 MVC in the previous year. Neither vigorous nor moderate physical activity was significantly associated with self-reported MVCs in the previous year. Select variables that were significantly associated with self-reported MVC included self-reported unsafe driving practices (odds ratio [OR] 1.55, confidence interval [CI] 1.05-2.29), and fall in the past 12 months (OR 1.46, CI 1.14-1.85). Conclusions: We were unable to detect a significant association between self-reported physical activity and MVCs in the past year among this group of older drivers. Use of objective measures of activity may better clarify this relationship.

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Associations of Physical Activity with Driving-Related Cognitive Abilities in Older Drivers: An Exploratory Study

Cited by 20 publications

References 49 publications

Effects of aerobic exercise on quality of life of people with HIV-associated neurocognitive disorder on antiretroviral therapy: a randomised controlled trial

Effects of aerobic exercise on quality of life of people with HIV-associated neurocognitive disorder on antiretroviral therapy: a randomised controlled trial

Does physical exercise improve perceptual skills and visuospatial attention in older adults? A review

Relationship Between Physical Activity and Motor Vehicle Crashes Among Older Adult Drivers

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