Association of Cognition in Physically Active and In-Active Young Adults

Abstract

Objective: To discuss the intriguing connection between physical exercise and cognitive abilities in both genders.

Study design: It is a cross sectional study.

Place and duration of study: A Six-month study was carried out in Zohra Institute Health sciences, Rawalpindi. (from March 2022 to September 2022)

Material and Methods: A sample size of 382 participants was selected in accordance with inclusion criteria the subjects selected were aged between 18-40 years with graduation. The subjects with injury, neurological deficit and co-morbid condition were excluded. Self- administered questionnaires2,3,4 were added to this study using the IPAQ, MOCA, and MMSE. IPAQ-SF aided in identifying the differences between physically active and inactive individuals. MOCA and MMSE were used to identify the level of Cognition.5

Results: A total of 382 (mean 29.19) healthy young adult participants were selected within the age limit of 18 to 40 years (52.1% male and 47.9% female). IPAQ was used to initially screen out physically active and inactive individuals. The frequency of low grade physically active individuals was 40 (10.5%), for moderately active individuals it was 54(14.1%) and 288(75.4%) individuals were deemed to be highly active. A cut-off score of 26 used to identify cognitive function for MOCA and MMSE questionnaires. According to MOCA 249 (19.6%) individuals had normal cognition, 58(15.2%) individuals had moderate cognition and 75(65.2%) individuals had low cognition. The results obtained from MMSE showed that 234(61.3%) individuals had no cognitive decline, 120 (31.4%) individuals had mild cognitive impairment and 28(7.3%) individuals had severe cognitive impairment. The correlation between IPAQ and MOCA depicted highly significant results whereas the correlation (0.000) between IPAQ and MMSE is less significant (>0.005)

Conclusion: This study found that people who engage in physical activity have normal levels of cognition and quick thinking abilities, whereas inactive individuals have a decline in cognitive functioning and delay response to challenges.

Keywords: Mini Mental state examination, Montreal Cognitive Assessment, International Physical Activity Questionnaire short form , Cognition, Physically Active, Physically Inactive, Exercise

PDF

References

Shabbir, Muhammad Shahid, et al. "Identification of cognition level in physically active and inactive young adults." Pakistan Journal of Physical Therapy (PJPT) (2022).

Hobson J. The montreal cognitive assessment (MoCA). Occupational Medicine. 2015 Dec 1;65(9):764-5.

Mitchell AJ. The Mini-Mental State Examination (MMSE): an update on its diagnostic validity for cognitive disorders. Cognitive screening instruments: A practical approach. 2013:15-46.

Lee PH, Macfarlane DJ, Lam TH, Stewart SM. Validity of the international physical activity questionnaire short form (IPAQ-SF): A systematic review. International journal of behavioral nutrition and physical activity. 2011 Dec;8(1):1-1.

Hoops S, Nazem S, Siderowf AD, Duda JE, Xie SX, Stern MB, Weintraub D. Validity of the MoCA and MMSE in the detection of MCI and dementia in Parkinson disease. Neurology. 2009 Nov 24;73(21):1738-45.

Aguirre-Loaiza, H., Arenas, J., Arias, I., Franco-Jímenez, A., Barbosa-Granados, S., Ramos-Bermúdez, S., ... & García-Mas, A. (2019). Effect of acute physical exercise on executive functions and emotional recognition: Analysis of moderate to high intensity in young adults. Frontiers in Psychology, 10, 2774.

Aichberger, M. C., et al. "Effect of physical inactivity on cognitive performance after 2.5 years of follow-up: Longitudinal results from the Survey of Health, Aging, and Retirement (SHARE)."

Basso, J. C., & Suzuki, W. A. (2017). The effects of acute exercise on mood, cognition, neurophysiology, and neurochemical pathways: A review. Brain Plasticity, 2(2), 127-152.

Debert, C. T., Benson, B. W., & Dukelow, S. (2013). Montreal cognitive assessment (MoCA): baseline evaluation of cognition in the athletic population. British Journal of Sports Medicine, 47(5), e1-e1

Pastuszak A, Lisowski K, Lewandowska J, Buśko K. Level of physical activity of physical education students according to criteria of the IPAQ questionnaire and the recommendation of WHO experts. Biomedical Human Kinetics. 2014 Jan 1;6(1).

Effects of acute bouts of exercise on cognition. Acta psychologica, 112(3), 297-324.

Erickson, K. I., and Arthur F. Kramer. "Aerobic exercise effects on cognitive and neural plasticity in older adults." British journal of sports medicine 43.1 (2009): 22-24.

Griffin, É. W., Mullally, S., Foley, C., Warmington, S. A., O'Mara, S. M., & Kelly, Á. M. (2011). Aerobic exercise improves hippocampal function and increases BDNF in the serum of young adult males. Physiology & behavior, 104(5), 934-941.

Rai, R. H., Asif, M., & Malhotra, N. (2018). Reliability of International Physical Activity Questionnaire–Short Form IPAQ-SF for Young Adults in India. European Journal of Physical Education and Sport Science.

Shabbir, Muhammad Shahid, et al. "Identification of cognition level in physically active and inactive young adults." Pakistan Journal of Physical Therapy (PJPT) (2022).

Gomez-Pinilla, F., & Hillman, C. (2013). The influence of exercise on cognitive abilities. Comprehensive Physiology, 3(1), 403.

Guiney, H., Lucas, S. J., Cotter, J. D., & Machado, L. (2015). Evidence cerebral blood-flow regulation mediates exercise–cognition links in healthy young adults. Neuropsychology, 29(1), 1.

Jia, X., Wang, Z., Huang, F., Su, C., Du, W., Jiang, H., ... & Zhang, B. (2021). A comparison of the Mini-Mental State Examination (MMSE) with the Montreal Cognitive Assessment (MoCA) for mild cognitive impairment screening in Chinese middle-aged and older population: a cross-sectional study. BMC psychiatry, 21(1), 1-13.

Rai, R. H., Asif, M., & Malhotra, N. (2018). Reliability of International Physical Activity Questionnaire–Short Form IPAQ-SF for Young Adults in India. European Journal of Physical Education and Sport Science.

Hobson, J. (2015). The montreal cognitive assessment (MoCA). Occupational Medicine, 65(9), 764-765.

Kumar, A., Saraswathi, I., Sembulingam, P., & Sembulingam, K. (2015). Impact of perceived stress on cognitive ability and physical performance in young adults. World journal of pharmaceutical research, 4, 1620-1632.

Erickson, Kirk I., Charles H. Hillman, and Arthur F. Kramer. "Physical activity, brain, and cognition." Current opinion in behavioral sciences 4 (2015): 27-32.

Ludyga, S., Gerber, M., Brand, S., Pühse, U., & Colledge, F. (2018). Effects of aerobic exercise on cognitive performance among young adults in a higher education setting. Research quarterly for exercise and sport, 89(2), 164-172.

Rathore, A., & Lom, B. (2017). The effects of chronic and acute physical activity on working memory performance in healthy participants: a systematic review with meta-analysis of randomized controlled trials. Systematic reviews, 6(1), 1-16.

Suwabe, K., Hyodo, K., Byun, K., Ochi, G., Fukuie, T., Shimizu, T., ... & Soya, H. (2017). Aerobic fitness associates with mnemonic discrimination as a mediator of physical activity effects: evidence for memory flexibility in young adults. Scientific reports, 7(1), 1-10.

Rezab, S. (2015). Exercise and cognition in young adults

Stern, Y., MacKay-Brandt, A., Lee, S., McKinley, P., McIntyre, K., Razlighi, Q., ... & Sloan, R. P. (2019). Effect of aerobic exercise on cognition in younger adults: A randomized clinical trial. Neurology, 92(9), e905-e916

Szturm, T., Maharjan, P., Marotta, J. J., Shay, B., Shrestha, S., & Sakhalkar, V. (2013). The interacting effect of cognitive and motor task demands on performance of gait, balance and cognition in young adults. Gait & posture, 38(4), 596-602.

Shah, S., Shah, S., & Chauhan, S. (2020). Relationship between physical activity and cognition among young adults. Physiotherapy-The Journal of Indian Association of Physiotherapists, 14(1), 41.

Vieira, I. S., Ferrugem, S. C. R., Reyes, A. N., Branco, J. C., Mondin, T. C., de Azevedo Cardoso, T., ... & Moreira, F. P. (2021). Effects of depression and excess body weight on cognition and functioning in young adults: A population-based study. Journal of Affective Disorders, 282, 401-406.

Weuve, Jennifer, et al. "Physical activity, including walking, and cognitive function in older women." Jama 292.12 (2004): 1454-1461

Creative Commons License

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Copyright (c) 2023 Humda Niaz, Zuha Zahir Sayeda, Dr Muhammad Shahid Shabbir, Aniza Shahid, Noor Fatima