Greater Daily Activity Research Articles

Linking Older Adults’ Daily Activities With Well-Being and Cognition: Examining Moderators and Mediators

Increasingly more studies are showing that daily activities can be beneficial to wellbeing and cognitive abilities of older adults, but discussions about through which psychological mechanisms daily activities are associated with wellbeing and cognitive health have been scarce. This symposium, including three ambulatory assessment studies and one cross-sectional study, presents emerging theoretical hypotheses and recent empirical findings on this matter. Specifically, with 5-6 days of observations from 313 older adults, Brown and colleagues show that greater daily activity diversity is related to older adults’ higher overall cognitive functioning (executive functioning, memory, and crystallized intelligence). Hueluer and colleagues examine the moderating role of interaction modality on the relation of daily social interactions with wellbeing using data from 116 older adults over 21 days. Their results show that more face-to-face interactions — but not telephone or digital interactions — are associated with higher positive affect and lower loneliness. With data from 153 older adults over 15 days, Luo and colleagues show the mediating effect of positive affect in the association between momentary working memory performance and subsequent social activity engagement. Sharifian and colleagues show the mediating effects of solitary-cognitive activities in the association between depressive symptoms and global cognition, using cross-sectional data from 453 older adults, and also examine the moderating role of race. Finally, Tom Hess will serve as a discussant and provide an integrative discussion of the papers, informed by his extensive work on daily activities, motivation, and aging.

Switching up How You Get in Your Steps: Daily Activity Diversity and Cognitive Functioning

Active lifestyles are related to better cognitive health. More work is needed, however, to examine whether participating in a variety of daily activities (i.e., activity diversity) has unique importance beyond amount of activity. The current study examined associations between daily activity diversity and cognitive functioning among community-dwelling older adults (N = 313, ages 65-90). Participants completed a cognitive battery, then responded to ecological momentary assessments of their participation in 10 common activity types (e.g., exercise, chores, social visits, volunteering) every 3 hours for 5-6 days, and wore accelerometers to track daily step counts and duration of activity. Multiple regression models revealed that greater daily activity diversity related to higher overall cognitive functioning, executive functioning, memory, and crystallized intelligence. These associations remained significant after adjusting for step count and duration of activity. Findings suggest daily activity diversity has unique importance beyond sheer amount of activity for cognitive health in later adulthood.

The Effect of Hand Dominance on Patient-Reported Outcomes of Carpal Tunnel Release in Patients with Bilateral Carpal Tunnel Syndrome.

There is a paucity of studies in published literature that examines the effect of hand dominance on the resolution of symptoms following a carpal tunnel release. The objective of this study is to examine the effect of hand dominance on the resolution of symptoms following surgical decompression in patients with severe and moderate carpal tunnel syndrome. Bilateral carpal tunnel release (total 90 open and 84 endoscopic) was performed on 87 patients (11 males, 76 females) presenting with bilateral severe or moderate carpal tunnel syndrome of equal severity. Patient-reported outcome of resolution of symptoms were recorded, with patients followed up until complete resolution of symptoms or last recorded consultation (mean follow-up duration 11.4 months, range 3.1 to 32.4 months). In patients with bilateral severe carpal tunnel syndrome, a larger proportion of non-dominant hand (75.4%) achieved complete resolution compared to dominant hand (72.1%), and did so at a statistically shorter time (mean: 52.3 days) than the dominant hand (mean: 81.0 days). However, there was no statistically significant difference between proportion of patients and time taken before complete resolution of symptoms between dominant and non-dominant hand in patients with bilateral moderate carpal tunnel syndrome. Symptoms in the non-dominant hand resolved faster after carpal tunnel release in patients with severe carpal tunnel syndrome. We postulate that greater daily activity by the dominant hand compared to the non-dominant hand may be a contributing factor to its slower rate of symptoms resolution post-surgically in patients with bilateral severe carpal tunnel syndrome. This effect of hand dominance is not evident in post-surgical patients with moderate carpal tunnel syndrome.

Design for movement: linking non-work travel and activity level to local urban design dimensions

With the arising sustainability issues related to both the natural and built environments along with health issues as a result of reduced activity, active modes of travel such as walking and bicycling are being investigated to increase their use to combat such issues in Australian cities. This study through an advanced behavioural modelling approach on four typical suburbs of metropolitan Adelaide, Australia confirms that urban design generally have a modest but sometimes statistically significant effect on modal choices. Well-connected streets, and close proximity to jobs and key functions were shown to induce non-motorised travel. Other exogenous environmental factors such as population density, street quality, and the level of public transport had little influences. From a urban design and planning policy perspective, this suggests that greater daily activity and consequent health and environmental benefits might accrue from designing human-scale, walkable communities that appeal to the preference of different social groups vs investment in master-planned communities in the hope of swaying travel behaviour. That is, pedestrian-friendly places suited to the taste preferences of socio-demographic groups might induce more physical activity over the long run through the process of residential self-selection than overt efforts to create fully planned, attractive and quality landscapes all over suburbia.