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Leisure Activities and the Risk of Dementia: A Systematic Review and Meta-analysis. | LitMetric

Leisure Activities and the Risk of Dementia: A Systematic Review and Meta-analysis.

Neurology

From the Peking University Sixth Hospital (S.S., L.S., Y.S., X.H., A.Z., J.Q., X.S., J.D., L.L.), Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital); Peking-Tsinghua Center for Life Sciences and PKU-IDG/McGovern Institute for Brain Research (Y.Z., L.L.), Peking University, Beijing; and National Institute on Drug Dependence and Beijing Key Laboratory of Drug Dependence (J.S., Y.B.), Peking University, China.

Published: October 2022

Background And Objectives: Leisure activities are major components of modifiable and healthy lifestyles and are proposed to help prevent the development of dementia. This study aimed to assess the effects of different types of leisure activities, including cognitive, physical, and social activities, on the incidence of all-cause dementia (ACD), Alzheimer disease (AD), and vascular dementia (VD).

Methods: We performed a systematic review and meta-analysis of the Cochrane, PubMed, Embase, and Web of Science databases to identify longitudinal studies that examined associations between leisure activities and dementia. Relative risks (RRs) and 95% CIs were pooled using random-effects meta-analysis. Subgroup analyses were used to estimate potential effect modifiers. The study was registered with PROSPERO (CRD42019116857).

Results: A total of 38 longitudinal studies, with 2,154,818 participants at baseline, 74,700 ACD cases, 2,848 AD cases, and 1,423 VD cases during follow-up, were included in the meta-analysis. The subgroup analyses showed that physical (RR 0.83, 95% CI 0.78-0.88), cognitive (RR 0.77; 95% CI 0.68-0.87), and social (RR 0.93; 95% CI 0.87-0.99) activities were associated with a decreased incidence of ACD. In addition, physical (RR 0.87; 95% CI 0.78-0.96) and cognitive (RR 0.66; 95% CI 0.52-0.85) activities were related to a reduced risk of AD. Physical activity (RR 0.67; 95% CI 0.53-0.85) was associated with a lower incidence of VD.

Discussion: Our findings suggest that leisure activities are inversely associated with a risk of ACD, AD, and VD.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9559944PMC
http://dx.doi.org/10.1212/WNL.0000000000200929DOI Listing

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