4.5 Article

Traumatic Brain Injury Modifies the Relationship Between Physical Activity and Global and Cognitive Health: Results From the Barcelona Brain Health Initiative

Journal

FRONTIERS IN BEHAVIORAL NEUROSCIENCE
Volume 13, Issue -, Pages -

Publisher

FRONTIERS MEDIA SA
DOI: 10.3389/fnbeh.2019.00135

Keywords

physical activity; cognition; global health; traumatic brain injury; health-related quality of life

Funding

  1. Sidney R. Baer Jr. Foundation
  2. National Institutes of Health (NIH) [R01MH100186, R01HD069776, R01NS073601, R21 NS082870, R21 MH099196, R21 NS085491, R21 HD07616]
  3. Football Players Health Study at Harvard University
  4. Harvard Catalyst \ The Harvard Clinical and Translational Science Center (NCRR)
  5. Harvard Catalyst \ The Harvard Clinical and Translational Science Center (NCATS NIH) [UL1 RR025758]
  6. Obra Social La Caixa [LCF/PR/PR16/11110004]
  7. Abertis foundation
  8. Institut Guttmann

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Physical activity has many health benefits for individuals with and without history of brain injury. Here, we evaluated in a large cohort study the impact of physical activity on global and cognitive health as measured by the PROMIS global health and NeuroQoL cognitive function questionnaires. A nested case control study assessed the influence of a history of traumatic brain injury (TBI) on the effects of physical activity since underlying pathophysiology and barriers to physical activity in individuals with TBI may mean the effects of physical activity on perceived health outcomes differ compared to the general population. Those with a history of TBI (n = 81) had significantly lower Global health (beta = -1.66, p = 0.010) and NeuroQoL cognitive function (beta = -2.65, p = 0.006) compared to healthy adults (n = 405). A similar proportion of individuals in both groups reported being active compared to being insufficiently active (chi(2)((1)) = 0.519 p = 0.471). Furthermore, the effect of physical activity on global health (beta = 0.061, p = 0.076) and particularly for NeuroQoL (beta = 0.159, p = 0.002) was greater in those with a history of TBI. Individuals with a history of TBI can adhere to a physically active lifestyle, and if so, that is associated with higher global and cognitive health perceptions. Adhering to a physically active lifestyle is non-trivial, particularly for individuals with TBI, and therefore adapted strategies to increase participation in physical activity is critical for the promotion of public health.

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