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How much TV you watch as a young adult may affect midlife cognitive function

Watching a lot of TV and having a low physical activity level as a young adult were associated with worse cognitive function 25 years later in midlife, according to an article published online by JAMA Psychiatry. The researchers* examined associations between 25-year patterns of television viewing and physical activity and midlife cognition in a study of 3,247 adults (ages 18 to 30), using a questionnaire to assess television viewing and physical activity during repeated visits over 25 years.

Cognitive function was evaluated at year 25 using three tests that assessed processing speed, executive function and verbal memory.

Participants with high television viewing (more than three hours per day for more than two-thirds of the visits) during 25 years were more likely to have poor cognitive performance on some of the tests. Low physical activity (measured as units based on time and intensity) during 25 years was associated with poor performance on one of the tests. The odds of poor cognitive performance were almost two times higher for adults with both high television viewing and low physical activity.

These behaviors were associated with slower processing speed and worse executive function but not with verbal memory. Participants with the least active patterns of behavior (both low physical activity and high television viewing time) were the most likely to have poor cognitive function. … Individuals with both low physical activity and high sedentary behavior may represent a critical target group, the study concludes.

The authors acknowledge a few limitations, including possible selection bias and that physical activity and TV viewing were self-reported. (Also, correlation does not imply causation.)

* Tina D. Hoang, M.S.P.H., of the Northern California Institute for Research and Education at the Veterans Affairs Medical Center, San Francisco, Kristine Yaffe, M.D., of the University of California, San Francisco, and coauthors.