The authors arrived at their conclusion by following 639 men & women, average 75yo w/just 10yrs of education. The participants were assessed annually for 3yrs. Physical activity decreased the risk of cognitive impairment (by 36%), dementia (by 39%) & vascular dementia (by 58%) regardless of age, education, MRI findings, stroke & diabetes.
Of course you want to know what (minimal) amount of physical activity led to this protective benefit: just 30 minutes at least 3 days/week as recommended by the American Heart Association. While this study is still not the ideal randomized, double blind, placebo controlled trial used to prove cause & effect, it's certainly strong enough (and consistent w/previous studies) to get you off your couch! So don't just sit there, do something!
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