Physical Activity is Associated with Better Neurocognitive and Everyday Functioning Among Older Adults with HIV Disease.

TitlePhysical Activity is Associated with Better Neurocognitive and Everyday Functioning Among Older Adults with HIV Disease.
Publication TypeJournal Article
Year of Publication2015
AuthorsFazeli, PL, Marquine, MJ, Dufour, C, Henry, BL, Montoya, JL, Gouaux, B, Moore, RC, Letendre, S, Woods, SPaul, Grant, I, Jeste, DV, Moore, D
Corporate AuthorsHNRP Group
JournalAIDS Behav
Volume19
Issue8
Pagination1470-7
Date Published2015 Aug
ISSN1573-3254
KeywordsActivities of Daily Living, Aged, Aging, CHARTER, Cognition Disorders, Cross-Sectional Studies, Exercise, Female, HIV Infections, Humans, Internal, Longitudinal Studies, Male, Middle Aged, Motor Activity, Neuropsychological Tests, Surveys and Questionnaires
Abstract

We examined the association between physical activity (PA), neurocognitive impairment (NCI), and instrumental activities of daily living (IADLs) among older HIV+ persons. One hundred older HIV+ adults completed the International Physical Activity Questionnaire, a neurocognitive battery, and IADL scale. Higher levels of moderate PA were associated with lower odds of NCI (p = 0.01), even when covariates were modeled. The association between moderate PA and NCI was driven by executive function (p = 0.04). Higher levels of moderate PA were also associated with lower odds of IADL Dependence (p = 0.03), although this fell to a trend (p = 0.08) when including covariates. Follow-up analysis showed those with both NCI and IADL Dependence had lower moderate PA than those with neither (p = 0.03). While these cross-sectional findings suggest PA is associated with better neurocognitive and everyday functioning in older HIV+ adults, longitudinal studies utilizing objective PA methods are needed to evaluate directionality and mechanisms.

DOI10.1007/s10461-015-1024-z
Alternate JournalAIDS Behav
PubMed ID25731660
PubMed Central IDPMC4527965
Grant ListK99 AG048762 / AG / NIA NIH HHS / United States
U24 MH100929 / MH / NIMH NIH HHS / United States
1K99 AG048762-01 / AG / NIA NIH HHS / United States
K24 MH097673 / MH / NIMH NIH HHS / United States
K23 MH105297 / MH / NIMH NIH HHS / United States
P50 DA026306 / DA / NIDA NIH HHS / United States
U01 MH083500 / MH / NIMH NIH HHS / United States
K24 DA040550 / DA / NIDA NIH HHS / United States
HHSN271201000030C / MH / NIMH NIH HHS / United States
U24 MH100928 / MH / NIMH NIH HHS / United States
R25 MH081482 / MH / NIMH NIH HHS / United States
HHSN271201000036C / MH / NIMH NIH HHS / United States
R24 MH059745 / MH / NIMH NIH HHS / United States
R24MH59745 / MH / NIMH NIH HHS / United States
TL1 TR001443 / TR / NCATS NIH HHS / United States
P30MH062512 / MH / NIMH NIH HHS / United States
R01MH099987 / MH / NIMH NIH HHS / United States
R25MH081482 / MH / NIMH NIH HHS / United States
L30 MH104725 / MH / NIMH NIH HHS / United States
L30 AG045921 / AG / NIA NIH HHS / United States
P30 MH062512 / MH / NIMH NIH HHS / United States
U01MH083506 / MH / NIMH NIH HHS / United States
U01 MH083506 / MH / NIMH NIH HHS / United States
P50DA026306 / DA / NIDA NIH HHS / United States
L30-AG045921 / AG / NIA NIH HHS / United States
N01 MH022005 / MH / NIMH NIH HHS / United States
R01 MH099987 / MH / NIMH NIH HHS / United States