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Moderate exercise linked to lower dementia risk

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  • Even small amounts of moderate to vigorous physical activity-just 35 minutes per week-can reduce dementia risk by up to 60%, with greater benefits seen at higher activity levels.
  • All forms of physical activity, including aerobic exercise, resistance training, household chores, and leisure activities, contribute to lowering the risk of cognitive decline and dementia.
  • Lifelong and sustained engagement in physical activity, especially before age 50, helps maintain brain health and delays the onset of dementia, but starting at any age still provides significant protective effects.

[WORLD] As populations age worldwide, the question of how to maintain health and independence into later life has never been more urgent. New research offers encouraging news: moderate physical activity-even in small doses-can dramatically reduce the risk of dementia and support overall well-being, according to leading experts and recent large-scale studies.

Essential Findings: Exercise and Dementia Risk

A growing body of evidence shows that engaging in moderate to vigorous physical activity (MVPA) is one of the most effective lifestyle strategies to lower the risk of cognitive decline and dementia. Notably, a landmark study led by Johns Hopkins University researchers analyzed data from nearly 90,000 adults with a median age of 63. The findings were striking: just 35 minutes of MVPA per week was associated with a 41% reduction in dementia risk compared to no activity.

The benefits increased with more activity. Participants who exercised between 35 and 70 minutes per week saw their risk drop by 60%, while those reaching 140 minutes or more per week enjoyed a 69% reduction in risk.

“Our findings suggest that increasing physical activity, even as little as five minutes per day, can reduce dementia risk in older adults,” said Dr. Amal Wanigatunga, lead author and assistant professor at the Johns Hopkins Bloomberg School of Public Health.

How Moderate Exercise Supports Brain Health

Experts believe MVPA triggers a range of biological processes that help slow cognitive decline and may even enhance cognition. Activities that qualify as moderate include brisk walking, cycling, gardening, swimming, and dancing. Vigorous activities-such as jogging, aerobic dance, or cycling uphill-produce greater increases in heart and breathing rates.

Physical activity is thought to improve blood flow to the brain, reduce inflammation, promote the growth of new brain cells, and support the health of existing neurons. These mechanisms are believed to underlie the observed reductions in dementia risk.

No Age Limit: It’s Never Too Late to Start

One of the most hopeful messages from recent studies is that benefits accrue even for those who begin exercising later in life. The research included participants in their 50s, 60s, and beyond, with similar reductions in dementia risk across age groups. Even individuals living with frailty or multiple long-term conditions saw meaningful improvements in brain health with just a few minutes of daily exercise.

Fitness Matters-Even for Those at Genetic Risk

A separate study published in the British Journal of Sports Medicine found that high cardiorespiratory fitness (CRF)-a measure of how well the heart, lungs, and muscles supply oxygen during activity-reduced dementia risk by 40%, even among individuals with a genetic predisposition to the disease. This underscores the power of lifestyle interventions to offset inherited risk factors.

Practical Tips: Incorporating Activity Into Daily Life

Health authorities recommend at least 150 minutes of moderate activity per week for adults, but the latest research supports a “some-is-better-than-none” approach. For those new to exercise or living with health challenges, even five minutes of movement a day can make a difference.

Examples of accessible activities:

  • Brisk walking in the neighborhood or local park
  • Gardening or light yard work
  • Swimming or water aerobics
  • Dancing to favorite music
  • Household chores such as vacuuming or mopping

For those able to do more, increasing the duration or intensity of activity can yield greater benefits. Experts advise consulting with healthcare professionals before beginning a new exercise regimen, especially for individuals with existing health conditions.

Language Matters: Respectful Communication About Aging

When discussing health in later life, experts urge the use of respectful, person-centered language. Terms like “older adults” or “people living with dementia” are preferred over outdated or potentially stigmatizing labels. Avoiding assumptions about the abilities or experiences of older people is essential for fair and accurate reporting.

The Broader Picture: Exercise as Preventive Medicine

With no cure currently available for dementia, prevention is paramount. Physical inactivity is a major modifiable risk factor, and exercise offers an inexpensive, accessible, and effective strategy to maintain cognitive function and overall health. The benefits extend beyond the brain, supporting heart health, mobility, and emotional well-being.

For the general public, especially adults approaching or beyond midlife, the message is clear: moderate physical activity is a powerful tool for healthy aging. Whether it’s a brisk walk, a swim, or a dance around the living room, every bit counts. As research continues to underscore, it’s never too late-or too little-to start moving for a healthier future.


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