P2-587: A 12-WEEK PHYSICAL EXERCISE INTERVENTION TO PREVENT COGNITIVE DECLINE AND DISABILITY IN KOREAN AT-RISK ELDERLY PEOPLE: A PILOT STUDY

2019 ◽  
Vol 15 ◽  
pp. P848-P848
Author(s):  
Sun Min Lee ◽  
Hong Sun Song ◽  
Muncheong Choi ◽  
Hye mi Kwon ◽  
Seong Hye Choi ◽  
...  
2020 ◽  
Vol 9 (10) ◽  
pp. 3135
Author(s):  
Sun Min Lee ◽  
Hong-sun Song ◽  
Buong-O Chun ◽  
Muncheong Choi ◽  
Kyunghwa Sun ◽  
...  

There is a need for measures that can prevent the onset of dementia in the rapidly aging population. Reportedly, sustained physical exercise can prevent cognitive decline and disability. This study aimed to assess the feasibility of a 12-week physical exercise intervention (PEI) for delay of cognitive decline and disability in the at-risk elderly population in Korea. Twenty-six participants (aged 67.9 ± 3.6 years, 84.6% female) at risk of dementia were assigned to facility-based PEI (n = 15) or home-based PEI (n = 11). The PEI program consisted of muscle strength training, aerobic exercise, balance, and stretching using portable aids. Feasibility was assessed by retention and adherence rates. Physical fitness/cognitive function were compared before and after the PEI. Retention and adherence rates were 86.7% and 88.3%, respectively, for facility-based PEI and 81.8% and 62.3% for home-based PEI. No intervention-related adverse events were reported. Leg strength/endurance and cardiopulmonary endurance were improved in both groups: 30 s sit-to-stand test (facility-based, p = 0.002; home-based, p = 0.002) and 2 -min stationary march (facility-based, p = 0.001; home-based, p = 0.022). Cognitive function was improved only after facility-based PEI (Alzheimer’s Disease Assessment Scale-cognitive total score, p = 0.009; story memory test on Literacy Independent Cognitive Assessment, p = 0.026). We found that, whereas our PEI is feasible, the home-based program needs supplementation to improve adherence.


2020 ◽  
Vol 78 (4) ◽  
pp. 1493-1507
Author(s):  
Masayuki Satoh ◽  
Jun-ichi Ogawa ◽  
Tomoko Tokita ◽  
Yoshimi Matsumoto ◽  
Koji Nakao ◽  
...  

Background: We previously reported the enhanced effects of physical exercise when combined with music (ExM) on cognitive function in community-dwelling normal elderly people compared to exercise alone. Following that study, participants voluntarily continued the ExM classes for 5 years. Objective: To identify the effects of a 5-year ExM intervention on cognitive function in normal elderly people. Methods: Fifty-four subjects continued the ExM classes once a week for 5 years (ExM group). Thirty-three subjects retired from the ExM class during the 5 years (Retired group). Twenty-one subjects never participated in any intervention over the 5 years (No-exercise group). Cognitive function and ADLs were assessed using neuropsychological batteries and the functional independence measure (FIM), respectively. The voxel-based specific regional analysis system for Alzheimer’s disease (VSRAD) was used to investigate medial temporal lobe atrophy. Results: Analyses of the raw scores after the 5-year intervention showed significant differences between the ExM and No-exercise groups in their MMSE scores, Raven’s colored progressive matrices (RCPM) time, logical memory (LM)-I, as well as the total and physical exercise sub-scores of the FIM. Analysis of subjects aged 70– 79 years at the beginning of this project showed significantly quicker performance on the RCPM in the ExM compared to No-exercise groups. The correlation coefficients between the total number of ExM sessions attended and the degree of changes in physical, neuropsychological, and VSRAD scores were significant for RCPM performance time and LM-I scores. Conclusion: Long-term ExM intervention reinforces multifaceted cognitive function in normal elderly people, and is especially beneficial for psychomotor speed.


2019 ◽  
Vol 27 (4) ◽  
pp. 452-465
Author(s):  
Karim Korchi ◽  
Frédéric Noé ◽  
Noëlle Bru ◽  
Thierry Paillard

Increasing somatosensory information from the foot by exercising barefoot can potentially optimize the effectiveness of physical exercise interventions on falls prevention in the older adults. This pilot study was then undertaken to explore the effects of increased somatosensory information from the foot by exercising barefoot on balance, gait, and plantar cutaneous sensitivity in institutionalized older adults involved in multimodal exercise intervention. Participants were assigned to three groups: a control group which did not perform any physical exercise and two groups in which they were involved in a multimodal exercise program performed barefoot or shod. Postural, gait, and plantar cutaneous sensitivity parameters were collected. The results showed that the exercise program produced larger effects on balance and plantar cutaneous sensitivity when exercises were performed barefoot, without any noticeable effect on gait. Hence, barefoot exercising could be a relevant means to optimize the fall-prevention exercise programs in institutionalized older adults.


2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Ellen JI. van Dongen ◽  
Joanne N. Leerlooijer ◽  
Jan M. Steijns ◽  
Michael Tieland ◽  
Lisette CPGM. de Groot ◽  
...  

2018 ◽  
Vol 30 (1) ◽  
pp. 145-149 ◽  
Author(s):  
Kohei Maruya ◽  
Hiroaki Fujita ◽  
Tomoyuki Arai ◽  
Toshiki Hosoi ◽  
Kennichi Ogiwara ◽  
...  

2018 ◽  
Vol 21 (6) ◽  
pp. 711-717
Author(s):  
Cássia Cassol Damo ◽  
Marlene Doring ◽  
Ana Luisa Sant’Anna Alves ◽  
Marilene Rodrigues Portella

Abstract Objective : to evaluate the risk of malnutrition and associated factors in institutionalized elderly persons. Method : a cross-sectional study was carried out with elderly persons living in long-term care facilities in the municipal regions of Passo Fundo (Rio Grande do Sul) and Carazinho (Rio Grande do Sul) in 2017. A standardized, pre-codified questionnaire with sociodemographic variables was used, along with anthropometric data and the Mini Nutritional Assessment. Cognitive decline and non-intentional weight loss were also evaluated. The qualitative variables were presented in terms of univariate frequencies and the quantitative variables were described through measures of central tendency and dispersion. In order to verify the association between the categorical variables, the Pearson’s correlation coefficient, Chi-Squared test and the Fisher Exact test were applied, and in the crude and adjusted analysis the Poisson regression was used with robust variance. The level of significance was 5%. Results : a total of 399 elderly people were included, of whom 69.9% were female, 54.5% were aged 80 years or older and 88.4% were white. Of these elderly people, 61.7% lived in non-profit facilities. In the evaluation of nutritional status, 26.6% of the elderly were found to be malnourished, 48.1% were at risk of malnutrition and 25.3% had normal nutritional status. The highest prevalence ratio of at risk of malnutrition/malnutrition was with cognitive decline and unintentional weight loss (p<0.001). Conclusion : through the results, identifying nutritional status and the characteristics associated with the risk of malnutrition contribute to effective evaluation and nutritional monitoring, assisting in the prevention of diseases related to this condition.


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