The impact of exercise, sleep, and diet on neurocognitive recovery from mild traumatic brain injury in older adults: A narrative review

Document Type

Journal Article

Publication Title

Ageing Research Reviews

Volume

68

Publisher

Elsevier

School

School of Medical and Health Sciences

RAS ID

39753

Funders

Funding information : https://doi.org/10.1016/j.arr.2021.101322 National Health and Medical Research Council

Grant Number

NHMRC Number : APP11964162, GNT1197315

Comments

Markovic, S. J., Fitzgerald, M., Peiffer, J. J., Scott, B. R., Rainey-Smith, S. R., Sohrabi, H. R., & Brown, B. M. (2021). The impact of exercise, sleep, and diet on neurocognitive recovery from mild traumatic brain injury in older adults: A narrative review. Ageing Research Reviews, 68, article 101322. https://doi.org/10.1016/j.arr.2021.101322

Abstract

Mild traumatic brain injury (mTBI) accounts for a large majority of traumatic brain injuries sustained globally each year. Older adults, who are already susceptible to age-related declines to neurocognitive health, appear to be at an increased risk of both sustaining an mTBI and experiencing slower or impaired recovery. There is also growing evidence that mTBI is a potential risk factor for accelerated cognitive decline and neurodegeneration. Lifestyle-based interventions are gaining prominence as a cost-effective means of maintaining cognition and brain health with age. Consequently, inter-individual variations in exercise, sleep, and dietary patterns could influence the trajectory of post-mTBI neurocognitive recovery, particularly in older adults. This review synthesises the current animal and human literature centred on the mechanisms through which lifestyle-related habits and behaviours could influence acute and longer-term neurocognitive functioning following mTBI. Numerous neuroprotective processes which are impacted by lifestyle factors have been established in animal models of TBI. However, the literature is characterised by a lack of translation to human samples and limited appraisal of the interaction between ageing and brain injury. Further research is needed to better establish the therapeutic utility of applying lifestyle-based modifications to improve post-mTBI neurocognitive outcomes in older adults.

DOI

10.1016/j.arr.2021.101322

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