The level of physical activity as an intervening factor in the cognitive state of primary care older adults

Oliveira, Daniel Vicentini de; Oliveira, Veridiane Brigato de; Caruzo, Géssica Aline; Ferreira, Áurea Gonçalves; Nascimento, José Roberto Andrade do; Cunha, Paolo Marcello da; Cavaglieri, Cláudia Regina

doi:10.1590/1413-812320182411.29762017

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ARTICLE • Ciênc. saúde coletiva 24 (11) • Nov 2019 • https://doi.org/10.1590/1413-812320182411.29762017 copy

The level of physical activity as an intervening factor in the cognitive state of primary care older adults

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

This study proposed to evaluate the level of physical activity and the cognitive state of elderly users of Primary Care Facilities (UBS) of the Municipality of Maringá, State of Paraná, Brazil. This is a descriptive, cross-sectional, epidemiological study with 654 elderly men and women UBS users. A sociodemographic questionnaire, the Mini Mental State Examination (MMSE) and the short version of the International Physical Activity Questionnaire (IPAQ) were employed. Data was analyzed using the Kolmogorov-Smirnov, Chi-square, Kruskal-Wallis and Mann-Whitney “U” tests, with a significance level of p<0.05. However, they evidenced a high score in temporal orientation (Md = 5.0), spatial orientation (Md = 5.0), immediate memory (Md = 3.0), recall (Md = 3.0) and language (Md = 8.0). When comparing the mental state according to the level of physical activity of the elderly, we observed that very active/active individuals had better attention and calculation (p = 0.036), recall (p = 0.001) and general cognitive status (p = 0.002) against irregularly active and sedentary elderly. Adequate levels of physical activity may be related to better scores of cognitive functions of elderly subjects.

Key words
Motor activity; Cognition; Gerontology; Health promotion

Variables	Md	Q1-Q3
Physical activity
Walking days	3.0	2.0-6.0
Min. of walking p/day	40.0	20.0-90.0
Min. of walking p/week	140.0	60.0-420.0
Days of moderate activity	1.0	0.0-3.0
Min. of moderate activity p/day	20.0	0.0-60.0
Min. of moderate activity p/week	30.0	0.0-180.0
Days of vigorous activity	0.0	0.0-0.0
Min. of vigorous activity p/day	0.0	0.0-0.0
Min. of vigorous activity p/week	0.0	0.0-0.0
Mental state
Temporal orientation	5.0	5.0-5.0
Spatial orientation	5.0	5.0-5.0
Immediate memory	3.0	3.0-3.0
Attention and calculation	2.0	1.0-4.0
Recall (memory)	3.0	2.0-3.0
Speech	8.0	7.0-8.0
General cognitive state	25.0	23.0-27.0

Variables	Level of physical activity			P
	Very active/active	Irregularly active	Sedentary
	Md (Q1;Q3)	Md (Q1;Q3)	Md (Q1;Q3)
Temporal orientation	5.0 (5.0-5.0)	5.0 (5.0-5.0)	5.0 (5.0-5.0)	0.130
Spatial orientation	5.0 (5.0-5.0)	5.0 (5.0-5.0)	5.0 (5.0-5.0)	0.180
Immediate memory	3.0 (3.0-3.0)	3.0 (3.0-3.0)	3.0 (3.0-3.0)	0.853
Attention and calculation	3.0 (1.0-5.0)a	2.0 (0.3-4.0)	2.0 (0.5-3.0)	0.036^* * Significant difference: p < 0.05 - Kruskal-Wallis test - between: a) Very active/Active and Sedentary; b) Very active/Active and Irregularly active and Sedentary; c) Very active/Active and Irregularly active and Sedentary.
Recall (memory)	3.0 (2.0-3.0)b	2.0 (0.3-4.0)	2.0 (0.5-3.0)	0.001^* * Significant difference: p < 0.05 - Kruskal-Wallis test - between: a) Very active/Active and Sedentary; b) Very active/Active and Irregularly active and Sedentary; c) Very active/Active and Irregularly active and Sedentary.
Speech	8.0 (7.0-8.0)	8.0 (6.0-8.0)	8.0 (7.0-8.0)	0.676
General cognitive state	25.0 (23.0-28.0)c	24.5 (22.0-26.0)	24.0 (22.0-25.0)	0.002^* * Significant difference: p < 0.05 - Kruskal-Wallis test - between: a) Very active/Active and Sedentary; b) Very active/Active and Irregularly active and Sedentary; c) Very active/Active and Irregularly active and Sedentary.

Variables	Level of physical activity									Mental state
Variables	1	2	3	4	5	6	7	8	9	10	11	12	13	14	15	16
1.		0.56^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.	0.77^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.	0.23^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.	0.14^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.	0.18^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.	-0.06	-0.08	-0.07	0.13^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.	0.07	0.08	0.12^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.	0.20^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.	0.11^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.	0.20^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.
2.			0.89^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.	0.26^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.	0.31^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.	0.28^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.	0.02	0.01	0.01	0.04	-0.07	0.10	0.16^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.	0.26^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.	-0.01	0.16^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.
3.				0.26^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.	0.26^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.	0.30^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.	0.02	0.01	0.01	0.06	-0.04	0.10	0.16^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.	0.25^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.	0.04	0.19^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.
4.					0.86^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.	0.93^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.	0.47^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.	0.47^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.	0.47^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.	0.08	-0.06	-0.02	0.05	0.16^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.	-0.05	0.06
5.						0.94^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.	0.50^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.	0.53^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.	0.53^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.	0.05	-0.09	-0.01	0.06	0.16^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.	-0.07	0.06
6.							0.51^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.	0.53^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.	0.53^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.	0.06	-0.08	-0.01	0.06	0.14^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.	-0.02	0.07
7.								0.98^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.	0.98^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.	0.02	-0.17^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.	-0.03	-0.02	0.04	-0.02	-0.05
8.									0.99^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.	0.02	-0.16^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.	-0.02	-0.01	0.04	-0.01	-0.04
9.										0.01	-0.16^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.	-0.02	-0.01	0.04	-0.01	-0.04
10.											0.20^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.	0.08	0.13^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.	0.12^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.	0.07	0.30^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.
11.												0.09	0.08	-0.06	0.16^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.	0.28^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.
12.													0.15^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.	0.12^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.	0.22^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.	0.27^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.
13.														0.06	0.27^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.	0.83^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.
14.															-0.03	0.32^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.
15.																0.53^* * Significant Correlation - p < 0.05. Note: 1. Walking days; 2. Min. of walking p/day; 3. Min. of walking p/week; 4. Days of moderate activity; 5. Min. of moderate activity p/day; 6. Min. of moderate activity p/week; 7. Days of vigorous activity; 8. Min. of vigorous activity p/day; 9. Min. of vigorous activity p/week; 10. Temporal orientation; 11. Spatial orientation; 12. Immediate memory; 13. Attention and calculation; 14. Recall (memory); 15. Speech; 16. General cognitive state.
16.

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[1] Collaborations

DV Oliveira participated in the general orientation of the study, data collection and data analysis. VB Oliveira, GA Caruzo participated in the data collection and writing of the article. AG Ferreira participated in the writing of the article. PMC Fabro and JRA Nascimento Júnior participated in the data analysis. CR Cavaglieri participated in the general orientation of the study and data analysis.