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Press Release

EMBARGOED FOR RELEASE UNTIL 4 PM ET, March 14, 2018

Physically Fit Women Nearly 90 Percent Less Likely to Develop Dementia

MINNEAPOLIS -

Women with high physical fitness at middle age were nearly 90 percent less likely to develop dementia decades later, compared to women who were moderately fit, according to a study published the March 14, 2018, online issue of , the medical journal of the 好色先生. The study measured the women鈥檚 cardiovascular fitness based on an exercise test. When the highly fit women did develop dementia, they developed the disease an average of 11 years later than women who were moderately fit, or at age 90 instead of age 79. 鈥淭hese findings are exciting because it鈥檚 possible that improving people鈥檚 cardiovascular fitness in middle age could delay or even prevent them from developing dementia,鈥 said study author Helena H枚rder, PhD, of the University of Gothenburg in Gothenburg, Sweden. 鈥淗owever, this study does not show cause and effect between cardiovascular fitness and dementia, it only shows an association. More research is needed to see if improved fitness could have a positive effect on the risk of dementia and also to look at when during a lifetime a high fitness level is most important.鈥 For the study, 191 women with an average age of 50 took a bicycle exercise test until they were exhausted to measure their peak cardiovascular capacity. The average peak workload was measured at 103 watts. A total of 40 women met the criteria for a high fitness level, or 120 watts or higher. A total of 92 women were in the medium fitness category; and 59 women were in the low fitness category, defined as a peak workload of 80 watts or less, or having their exercise tests stopped because of high blood pressure, chest pain or other cardiovascular problems. Over the next 44 years, the women were tested for dementia six times. During that time, 44 of the women developed dementia. Five percent of the highly fit women developed dementia, compared to 25 percent of moderately fit women and 32 percent of the women with low fitness. The highly fit women were 88 percent less likely to develop dementia than the moderately fit women.

Fitness level on test Dementia risk
High
5%
Medium 25%
Low 32%
Could not finish test 45%
Among the women who had to stop the exercise test due to problems, 45 percent developed dementia decades later. 鈥淭his indicates that negative cardiovascular processes may be happening in midlife that could increase the risk of dementia much later in life,鈥 H枚rder said. Limitations of the study include the relatively small number of women involved, all of whom were from Sweden, so the results may not be applicable to other populations, H枚rder said. Also, the women鈥檚 fitness level was measured only once, so any changes in fitness over time were not captured. The study was supported by the Swedish Forte Center on Aging and Health, the Swedish Research Council for Health, Working Life and Welfare, Alzheimer鈥檚 Association Stephanie B. Overstreet Scholars, Alzheimer鈥檚 Association Zenith Award, Sahlgrenska University Hospital, Bank of Sweden Tercentary Foundation, Swedish Brain Power and several Swedish foundations. To learn more about dementia, visit www.aan.com/patients.

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