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Weekend exercise just as good for preventing dementia as daily workouts

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Weekend exercise just as good for preventing dementia as daily workouts
Group of older friends relaxing after exercising

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BOGOTÁ, Colombia — Are you too busy to exercise during the week? Scientists have good news: weekend workouts may be just as effective at protecting your brain health as regular exercise Monday through Friday.

The study, which tracked over 10,000 adults for 16 years, found that “weekend warriors” who exercised just once or twice per week had a 25% lower risk of developing mild dementia compared to those who didn’t exercise at all. This reduction in risk was similar to – and even slightly better than – the 11% lower risk seen in people who exercised three or more times per week.

This discovery could be particularly meaningful for busy working adults who struggle to find time for regular exercise. The research suggests that cramming your weekly physical activity into the weekend could still provide significant protection for your brain as you age.

“To the best of our knowledge, the present study is the first prospective cohort study to show that the weekend warrior physical activity pattern and the regularly active physical activity pattern are associated with similar reductions in the risk of mild dementia,” the study authors, led by Dr. Gary O’Donovan from the University of the Andes, in a media release.

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The study, published in the British Journal of Sports Medicine, is the first of its kind in Latin America to examine how exercise patterns affect dementia risk. While previous research has shown that physical activity can help prevent cognitive decline, most studies have been conducted in wealthy nations in Europe and North America.

The researchers followed 10,033 adults in Mexico City with an average age of 51. At the start of the study, participants were asked about their exercise habits and divided into three groups: those who didn’t exercise, “weekend warriors” who exercised once or twice weekly, and regularly active people who exercised three or more times weekly.

Seniors, older adults enjoying exercise class at gymSeniors, older adults enjoying exercise class at gym
“Weekend warriors” who exercised just once or twice per week had a 25% lower risk of developing mild dementia. (© LIGHTFIELD STUDIOS – stock.adobe.com)

After 16 years, participants took a standard cognitive test called the Mini Mental State Examination (MMSE) to assess their mental function. The results showed that both weekend warriors and regular exercisers performed better on the cognitive tests compared to non-exercisers.

Perhaps most striking was the finding that if all middle-aged adults exercised at least once or twice per week, about 13% of mild dementia cases might be prevented. In Mexico alone, where dementia costs nearly $3.8 billion annually, this could translate to savings of about $378 million per year.

The findings are particularly relevant given that dementia cases are expected to surge from 57 million globally in 2019 to 153 million by 2050. In Latin America, the number of people living with dementia is predicted to triple by 2050.

Paper Summary

Methodology

The researchers recruited participants through door-to-door interviews in two districts of Mexico City. They collected detailed information about exercise habits, education, income, blood pressure, smoking, body mass index, sleep patterns, diet, and alcohol consumption. Sixteen years later, they assessed cognitive function using the Mini Mental State Examination, which tests various aspects of mental ability, including memory, attention, and language skills.

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Key Results

The average cognitive test score was 24.5 for non-exercisers, compared to 25.8 for weekend warriors and 25.6 for regular exercisers. When defining mild dementia as a score of 22 or lower, 26% of non-exercisers met this criterion, compared to only 14% of weekend warriors and 18.5% of regular exercisers. These benefits were similar for both men and women.

Study Limitations

Exercise habits were self-reported rather than measured objectively with devices like fitness trackers. Additionally, the cognitive test used can screen for dementia but isn’t a clinical diagnosis. The study also couldn’t account for physical activity from daily tasks like walking for transportation, which is common in Latin American cities.

Discussion & Takeaways

The study suggests that exercise’s brain-protective effects might work through several mechanisms, including increasing brain-derived neurotrophic factor (a protein that supports brain cell growth) and improving brain plasticity. The findings are particularly relevant for cities like Mexico City, which closes 50 kilometers of roads to vehicles every Sunday for their “Ciclovía Recreativa” program, allowing around 80,000 people to walk, run, or cycle safely.

Funding & Disclosures

The study was approved by the Mexican Ministry of Health, the Mexican National Council of Science and Technology, and the Central Oxford Research Ethics Committee. The data came from the Mexico City Prospective Study, which makes its data available for open-access requests through Oxford University’s Clinical Trial Service Unit.

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The Amazon Spring Sale is nearly here! These are the early deals I’m shopping this weekend

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The Amazon Spring Sale is nearly here! These are the early deals I’m shopping this weekend

Amazon’s Big Spring Sale starts on March 25, but discounts are already going live on some of my favorite products.

I’ve rounded up some of the best items I have tested over the past few years, or looked for suitable alternatives where this wasn’t possible.

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Coast mother uses endurance training to combat postpartum depression

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Coast mother uses endurance training to combat postpartum depression

BILOXI, Miss. (WLOX) – People feel called to exercise for many reasons — whether it be weight loss, heart health, or recreation. But for one woman on the Coast, it’s fueling her quest to be the best mother she can be.

Bridgette Hamlett is a safety worker at Chevron, a volunteer firefighter, a mother and an endurance athlete.

Hamlett was a college softball player, but her dedication to endurance training did not come until after the birth of her second child.

“One day, I was just doing a CrossFit workout post-partum. I was a couple of months postpartum, and it just hit me: ‘This workout really sucks.’ I just thought about that deeper, and I just came up with the choice to learn to be okay with being uncomfortable,” Hamlett said.

Mental health and fitness

Hamlett said exercise helped boost her mental health after the birth of her second child.

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“After my second son, I did have postpartum depression, and I was very fortunate to have a husband that did pay attention to me and was able to notice the signs, but I think that if I didn’t have my workout community and I wasn’t working out the way that I was, it could have went a lot worse,” Hamlett said.

According to the Mississippi State Department of Health, based on 2021 data, nearly 21% of women in the state reported symptoms of postpartum depression.

Hamlett is encouraging new mothers to take up fitness.

“Pregnancy in itself is kind of rough. So, I think staying active while pregnant is the biggest tip I can give anyone,” Hamlett said. “It gave me an outlet and a way to feel refreshed when I started getting really anxious about things. It is 100% the best medicine for that.”

Hamlett still feels the call to challenge herself, hoping to teach her kids valuable lessons in the process.

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“Constantly, in my mind I’m thinking, ‘Man, if I quit, then I show them it’s okay to quit, and if I keep going, I show them that hard work does pay off,’” Hamlett said. “I just want to show my kids that it is okay to be uncomfortable, and that’s just life.”

Hamlett has her eyes set on the Clash Endurance Duathlon, prepping for over 20 miles of running and biking.

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Varying your exercise routine could add years to your life | CNN

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Varying your exercise routine could add years to your life | CNN

Editor’s note:  Before beginning any new exercise program, consult your doctor. Stop immediately if you experience pain.

Interested in boosting your longevity? All you may have to do is vary your exercise. Switching between activities such as walking, swimming, yoga, gardening and pickleball could result in a whopping 19% decrease in your chance of death from all causes, according to recent research.

“A 19% decrease is a big deal,” said Dr. James Voos, chief of orthopedics at University Hospitals in Westlake, Ohio, who was not involved in the study. “When you look at the literature, anything that has that significant of a response should encourage us to take a look at our habits.”

An international team of scientists pored over data from two large cohort studies involving more than 110,000 people whose physical activity was assessed over 30 years. The findings, published in the journal BMJ Medicine in January, showed that those who had the largest variety in their physical activity lived the longest.

Engaging in many different forms of movement could also be more beneficial than doing the same activity for a longer amount of time, the researchers found.

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“That was the most surprising part of the study,” said Dr. Han Han, one of the study’s two first authors and a postdoctoral research fellow at the Harvard T.H. Chan School of Public Health in Boston. “We’re usually thinking more about the quantity of exercise. These results add a new dimension to the existing evidence in this field.”

Adults should be getting at least 150 minutes of moderate-intensity exercise every week, according to the Physical Activity Guidelines for Americans, published by the US Department of Health and Human Services. The guidelines also advise adults to do muscle-strengthening activities of moderate or greater intensity at least twice per week, and note that varying your exercises can prevent overuse injuries.

“Engaging in a variety of exercises is definitely beneficial,” Voos said. “Your body needs different ranges of motion, strength and stability, and cross-training lets your body see all of those different movements each week.”

This is especially true for children. Sports medicine experts have long encouraged kids to play multiple sports and not to specialize in one at a young age. A raft of data on the topic shows children who specialize in a sport when young have an increased risk of injury, while those who don’t specialize tend to be healthier, are less bored with exercise and enjoy greater sports achievements when they are older.

But adults and even professional athletes need to vary their routines, too. Voos, who is also head team physician for the Cleveland Browns, said NFL football players at training camp might do a lot of conditioning one day, then work on flexibility and balance the next, then move onto strength training, all of which is intermixed with playing football.

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“So even at the highest levels, our athletes are exposing their bodies to different motions,” Voos said.

Another plus to shaking things up with your exercise routine, especially if you prefer one activity, is that it helps prevent the plateau effect. The plateau effect is a period of time when progress in your favored sport stops, because your body has become very efficient at the movements. To overcome such pauses, you need to change your movement routine and stimulate your body in different ways.

While changing up your exercise is important for many reasons, experts don’t have specific recommendations for how many different exercises you need to do each week or month to achieve the most benefit. But it’s important to work all of your muscle groups each week, if possible, to strengthen them all.

This doesn’t mean you have to run to the gym every day so you can alternate between the treadmill, rowing machine and weights. If you like walking, for example, use trekking poles every other day to give your arms some exercise. Or alternate cycling with digging in the garden.

Keep in mind even simple exercises done at work or home are beneficial, too.

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“Do squats at your desk or push-ups on the wall,” Voos said. “Take a break and walk around the parking lot. Contract your abs while sitting to improve your core strength, which is important for balance. It doesn’t have to be the most sophisticated thing. Anything you can sneak in is great.”

Pumped up about creating a new exercise regimen that might help extend your longevity? Remember it’s also crucial to your health to incorporate rest days into your program. Much as varying your workouts can help prevent overuse injuries and boredom, regular rest days will enhance your overall health. It’s during these rest days, experts say, that your body repairs tissues and refills energy stores, among other crucial functions.

But rest days don’t mean laying on the couch all day. It’s best to be active, perhaps by incorporating some gentle stretching throughout the day.

“Just keep your body moving,” Voos said.

Melanie Radzicki McManus is a freelance writer who specializes in hiking, travel and fitness.

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