A Bidirectional Relationship between Executive Function and Health Behavior: Evidence, Implications, and Future Directions.
A Bidirectional Relationship between Executive Function and Health Behavior: Evidence, Implications, and Future Directions.
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DOI：
10.3389/fnins.2016.00386
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发表时间：
2016
影响因子：
4.3
通讯作者：
Daly M
中科院分区：
文献类型：
--
作者：
Allan JL;McMinn D;Daly M
身体活跃的生活方式和其他增进健康的行为在保持老年执行功能方面发挥着重要作用。相反，新的研究表明，执行功能促进了广泛的健康行为，包括体育活动和减少脂肪食物，烟草和酒精消费的参与。他们通过支持意志、计划、表现监控和抑制来实现这一点，这些都是制定意图和克服从事健康损害行为的冲动所必需的。在这里，我们首先关注的证据表明，健康促进行为可以诱导执行功能的改善。然后，我们将重点转移到将执行功能与促进健康行为的一致表现和避免健康风险行为联系起来的研究结果。我们认为，执行功能，健康行为和疾病过程是相互依存的。特别是，我们认为，可能存在一个积极的反馈回路，健康行为引起的执行功能的变化，促进随后的健康增强行为，这反过来又有助于维持有效的执行功能和良好的健康。最后，我们概述了这种相互关系的干预策略，研究设计的影响，以及健康老龄化的研究。
Physically active lifestyles and other health-enhancing behaviors play an important role in preserving executive function into old age. Conversely, emerging research suggests that executive functions facilitate participation in a broad range of healthy behaviors including physical activity and reduced fatty food, tobacco, and alcohol consumption. They do this by supporting the volition, planning, performance monitoring, and inhibition necessary to enact intentions and override urges to engage in health damaging behavior. Here, we focus firstly on evidence suggesting that health-enhancing behaviors can induce improvements in executive function. We then switch our focus to findings linking executive function to the consistent performance of health-promoting behaviors and the avoidance of health risk behaviors. We suggest that executive function, health behavior, and disease processes are interdependent. In particular, we argue that a positive feedback loop may exist whereby health behavior-induced changes in executive function foster subsequent health-enhancing behaviors, which in turn help sustain efficient executive functions and good health. We conclude by outlining the implications of this reciprocal relationship for intervention strategies, the design of research studies, and the study of healthy aging.