Protect your brain health with physical fitness. According to a study published in the online issue of the Journal of Neurology, women with higher physical fitness in their middle ages were nearly 90% less likely to develop dementia until decades after their less active piers.

When the highly fit women did develop dementia, they developed the disease an average of 11 years later than women who were moderately fit, or at age 90 instead of age 79.

“These findings are exciting because it’s possible that improving people’s cardiovascular fitness in middle age could delay or even prevent them from developing dementia,” said study author Helena Hörder, PhD, of the University of Gothenburg in Gothenburg, Sweden. “However, this study does not show cause and effect between cardiovascular fitness and dementia; it only shows an association. More research is needed to see if improved fitness could have a positive effect on the risk of dementia and also to look at when during a lifetime a high fitness level is most important.”

The study measured the women’s cardiovascular fitness based on an exercise test. 191 women who were an average age of 50  years of age took a simple bicycle exercise test until they were exhausted to measure their peak cardiovascular capacity. The average peak workload was measured at 103 watts.

A total of 40 women met the criteria for high fitness, or 120 watts or higher; 92 women were in the medium-fitness category; and 59 women were in the low-fitness category. For women with low fitness, peak workload was 80 watts or less, or the exercise tests had to stop because of high blood pressure, chest pain or other cardiovascular problems.

The long term study over a period of 44 years, tested the women for dementia a further six times. During that time, 44 of the women developed the disease. Five percent of the highly fit women developed dementia, compared with 25% of moderately fit women and 32% of the women with low fitness. The highly fit women were 88% less likely to develop dementia than the moderately fit women.


Fitness Level on Test
Dementia Risk
Dementia Risk
High 5%
Medium 25%
Low 32%
Could not finish test 45%


Among the women who had to stop the exercise test because of problems, 45% developed dementia decades later. “This indicates that negative cardiovascular processes may be happening in midlife that could increase the risk of dementia much later in life,” Hörder said.

Limitations of the study include the relatively small number of women involved, all of whom were from Sweden, so the results may not be applicable to other populations, Hörder said. Also, each woman’s fitness level was measured only once, so any changes in fitness over time were not captured.

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