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Updated: Feb 27, 2026

Using a Real-Time Locating System to Measure Walking Activity Associated with Wandering Behaviors Among Institutionalized Older Adults
Published on: February 8, 2019
Long-term changes in time spent walking and subsequent cognitive and structural brain changes in older adults
John R Best1, Caterina Rosano2, Howard J Aizenstein3
1Djavad Mowafaghian Centre for Brain Health, University of British Columbia, Vancouver, British Columbia, Canada; Department of Physical Therapy, University of British Columbia, Vancouver, British Columbia, Canada; Centre for Hip Health and Mobility, Vancouver Coastal Health Research Institute, Vancouver, British Columbia, Canada.
Maintaining physical activity (PA) over time is crucial for older adults. Consistent walking helps preserve brain structure and cognitive function, offering neural protection during aging.
Area of Science:
- Neuroscience
- Gerontology
- Public Health
Background:
- Previous research links higher physical activity (PA) in older adults to better cognition and brain health.
- The long-term impact of sustained physical activity on cognitive and structural brain changes in aging is not well understood.
Purpose of the Study:
- To investigate how maintaining physical activity (PA) over a decade affects cognitive performance and brain structure in well-functioning older adults.
- To determine if sustained PA predicts future changes in cognition and neuroimaging markers.
Main Methods:
- Longitudinal study of 141 older adults (70-79 years) over 13 years.
- Annual self-reported walking time (PA) assessed from year 1 to 10.
- Magnetic resonance imaging (MRI) using diffusion tensor imaging (DTI) at years 10 and 13.
Main Results:
- Better maintenance of walking time predicted less hippocampal volume reduction and smaller increases in gray matter mean diffusivity and white matter axial diffusivity.
- Sustained PA was associated with maintained general cognitive performance.
- PA levels at specific time points (baseline, year 10) or short-term changes were less predictive than long-term maintenance.
Conclusions:
- The maintenance of physical activity over extended aging periods is a significant factor in cognitive and neural protection.
- Sustained engagement in activities like walking may buffer age-related decline in brain structure and function.
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