Systematic review and meta‐analysis on population attributable fraction for physical inactivity to dementia

Author:

Feter Natan1ORCID,Leite Jayne S.2,da Silva Luísa Silveira3,Cassuriaga Júlia4,de Paula Danilo1,Lopes Gabriela Wünsch1,Hallal Pedro Rodrigues Curi5,Lee I‐Min6,Rombaldi Airton José4

Affiliation:

1. Post Graduate Program in Epidemiology Universidade Federal do Rio Grande do Sul Porto Alegre Rio Grande do Sul Brazil

2. Post Graduate Program in Health Sciences Universidade Federal do Rio Grande do Sul Porto Alegre Rio Grande do Sul Brazil

3. Post Graduate Program in Epidemiology Universidade Federal de Pelotas Pelotas Rio Grande do Sul Brazil

4. Postgraduate Program in Physical Education Universidade Federal de Pelotas Pelotas Rio Grande do Sul Brazil

5. Department of Kinesiology and Community Health University of Illinois Urbana‐Champaign Illinois USA

6. Division of Preventive Medicine, Brigham & Women's Hospital, Harvard Medical School; and Department of Epidemiology Harvard T.H. Chan School of Public Health Boston Massachusetts USA

Abstract

AbstractINTRODUCTIONThe number of cases of dementia attributable to physical inactivity remains unclear due to heterogeneity in physical inactivity definitions and statistical approaches used.METHODSStudies that used population‐based samples to estimate the population attributable fraction (PAF) of physical inactivity for dementia were included in this review. Weighted PAFs were adjusted for communality among the risk factors (i.e., inactive persons may also share other risk factors) analyzed. Values were reported as percentage (%) of cases of dementia attributable to physical inactivity.RESULTSWe included 22 studies. The overall impact of physical inactivity, defined by any criteria, on dementia ranged from 6.6% (95% CI: 3.6%, 9.6%; weighted) to 16.6% (95% CI: 14.4%, 18.9%; unweighted). Studies using the WHO criterion for physical inactivity estimated a higher unweighted impact (β = 7.3%; 95% CI: 2.0%, 12.6%) than studies using other criteria.DISCUSSIONConservatively, one in 15 cases of dementia may be attributable to physical inactivity, defined by any criteria.

Funder

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior

Publisher

Wiley

Subject

Psychiatry and Mental health,Cellular and Molecular Neuroscience,Geriatrics and Gerontology,Neurology (clinical),Developmental Neuroscience,Health Policy,Epidemiology

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