Publication: Passive Measures of Physical Activity and Cadence as Early Indicators of Cognitive Impairment: Observational Study
Authors: Huitong Ding, Stefaniya Brown, David R Paquette, Taylor A Orwig, Nicole Spartano, Honghuang Lin Abstract Background: Emerging research shows regular physical activity reduces cognitive decline risk, but most studies rely on self-reported measures, which are limited by recall bias, subjectivity, and a lack of continuous monitoring capability. Objective: This study aimed to explore passive physical activity measures as early indicators of cognitive impairment by examining their association with cognitive impairment incidence and neuropsychological (NP) test performance. Methods: We included participants from the Framingham Heart Study (FHS), a community-based cohort with longitudinal cognitive impairment surveillance. Participants wore an Actical accelerometer for at least 3 days, excluding bathing. Thirty physical activity measures were grouped into intensity-specific durations, step and cadence summaries, and peak cadence. Cox proportional hazard models were applied to assess their associations with incident…