EFFECTS OF THE TIME-OF-DAY (MORNING VS. AFTERNOON) OF IMPLEMENTING A COMBINED PHYSICAL AND COGNITIVE EXERCISE PROGRAM ON COGNITIVE FUNCTIONS AND MOOD OF OLDER ADULTS: A RANDOMIZED CONTROLLED STUDY

2020 ◽  
pp. 595-599
Author(s):  
T. Takahashi ◽  
T. Haitani ◽  
F. Tanaka ◽  
T. Yamagishi ◽  
Y. Kawakami ◽  
...  
Keyword(s):  
Older Adults ◽  
Cognitive Functions ◽  
Exercise Program ◽  
Time Of Day ◽  
Cognitive Status ◽  
Waiting List ◽  
Controlled Study ◽  
Control Group ◽  
Short Version ◽  
Cognitive Exercise

Изучали влияние времени выполнения комбинированной программы физических и когнитивных упражнений на мышление и настроение пожилых людей. Случайным образом были распределены 17 участников (8 мужчин, 9 женщин в возрасте 73,24±3,75 года) в утреннюю группу (AM Group), 18 (8 мужчин, 10 женщин в возрасте 73,11±4,84 года) - в дневную группу (PM Group). Они завершили 12-недельную программу упражнений с заданиями утром или днем соответственно. Контрольная группа состояла из 12 участников (6 мужчин, 6 женщин в возрасте 73,25±5,93 года). Когнитивные функции и настроение участников оценивали до и после программы с помощью нейробиевиорального обследования когнитивного статуса и короткой версии профиля состояний настроения. В результате, программа упражнений, выполненная во второй половине дня, давала лучший эффект, чем утренняя. Кроме того, программа, выполненная во второй половине дня, имела тенденцию уменьшать гнев, враждебность и усталость. Однако, несмотря на рандомизацию, была неоднородность между группами. Поэтому мы предлагаем провести более строго контролируемое исследование с использованием крупной выборки для проверки этих результатов. This study examined the effects of the time of conducting a combined physical and cognitive exercise program on cognitive functions and the mood of older adults. We randomly assigned 17 participants (8 men, 9 women, age 73,24±3,75) to the morning group (AM Group), 18 (8 men, 10 women, age 73,11±4,84) to the afternoon group (PM Group), and they completed a 12-week, dual-task exercise program in the morning or the afternoon, respectively. Moreover, the waiting-list control group consisted of 12 participants (6 men, 6 women, age 73,25±5,93). The cognitive functions and the mood of the participants were assessed before and after the program by using the Neurobehavioral Cognitive Status Examination, and the short version of the Profi le of Mood States, respectively. As a result, the exercise program conducted in the afternoon had broader effects on cognitive functions (increased Repetition and Memory) than in the morning (increased Repetition), or the waiting-list control group (increased Judgment). Moreover, the program in the afternoon tended to reduce Anger-Hostility, and Fatigue. In conclusion, conducting the exercise program in the afternoon might be more effective for improving cognitive functions and the mood of older adults than in the morning. However, there was heterogeneity between the groups despite the randomization. Therefore, we suggest conducting a more rigorously controlled study using a larger sample to validate these findings.

scholarly journals Effect of 3-Months Home-Based Exercise Program on Changes of Cognitive Functioning in Older Adults Living in Old People’s Home

2016 ◽  
Vol 56 (1) ◽  
pp. 16-29 ◽  
Author(s):  
Dagmar Nemček ◽  
Alexander Simon
Keyword(s):  
Older Adults ◽  
Cognitive Functioning ◽  
Cognitive Functions ◽  
Cognitive Rehabilitation ◽  
Exercise Program ◽  
Cognitive Stimulation ◽  
Rank Test ◽  
Control Group ◽  
Home Based ◽  
And Control

SummaryThe aim of the study was to determine the effect of regular participation in home-based exercise programme on cognitive functioning changes in institutionalised older adults. Two groups of participants were recruited for the study: experimental (n = 17) in mean age 76 ± 5.6 years, who participated in home-based exercise program and control (n = 14) in mean age 80 ± 4.2 years. The standardised Stroop Color-Word Test-Victoria version (VST) was used to measure the level of cognitive functions. Group differences were analyzed with Mann-Whitney U-test for independent samples and for differences between pre-measurements and post-measurements on experimental and control group we used non-parametric Wilcoxon Signed - Rank Test. The level of significance was α < 0.05. Application of 3-months home-based exercise program significantly improved the cognitive functions only in one (Word condition; p<0.01) from three VST conditions in institutionalised older adults. That’s why we recommend longer participation in home-based exercise program, at least 6- months, with combination of various types of cognitive interventions, like concepts of cognitive training, cognitive rehabilitation, and cognitive stimulation to improve cognitive functioning in older adults living in old peoples’ homes.

scholarly journals Using Sensor Graphs for Monitoring the Effect on the Performance of the OTAGO Exercise Program in Older Adults

Sensors ◽  
2022 ◽  
Vol 22 (2) ◽  
pp. 493
Author(s):  
Björn Friedrich ◽  
Carolin Lübbe ◽  
Enno-Edzard Steen ◽  
Jürgen Martin Bauer ◽  
Andreas Hein
Keyword(s):  
Older Adults ◽  
Pilot Study ◽  
Exercise Program ◽  
Exercise Programme ◽  
Control Group ◽  
Motion Sensors ◽  
Surrogate Variable ◽  
Physical Sensor ◽  
The Difference ◽  
Positive Effect

The OTAGO exercise programme is effective in decreasing the risk for falls of older adults. This research investigated if there is an indication that the OTAGO exercise programme has a positive effect on the capacity and as well as on the performance in mobility. We used the data of the 10-months observational OTAGO pilot study with 15 (m = 1, f = 14) (pre-)frail participants aged 84.60 y (SD: 5.57 y). Motion sensors were installed in the flats of the participants and used to monitor their activity as a surrogate variable for performance. We derived a weighted directed multigraph from the physical sensor network, subtracted the weights of one day from a baseline, and used the difference in percent to quantify the change in performance. Least squares was used to compute the overall progress of the intervention (n = 9) and the control group (n = 6). In accordance with previous studies, we found indication for a positive effect of the OTAGO program on the capacity in both groups. Moreover, we found indication that the OTAGO program reduces the decline in performance of older adults in daily living. However, it is too early to conclude causalities from our findings because the data was collected during a pilot study.

scholarly journals EFFECT ASSESSMENT OF A COGNITIVE TRAINING PLATFORM IN HEALTHY OLDER ADULTS

2017 ◽  
Vol 5 ◽  
pp. 1032-1035
Author(s):  
Antonia Yaneva ◽  
Nonka Mateva
Keyword(s):  
Older Adults ◽  
Cognitive Training ◽  
Cognitive Functions ◽  
Cognitive Status ◽  
Post Intervention ◽  
Healthy Older Adults ◽  
Computerized Cognitive Training ◽  
Negative Results ◽  
Healthy Elderly ◽  
Traditional Programs

Cognitive interventions, especially cognitive training, may improve cognitive functions in healthy older adults. Computerized cognitive training platforms offer several advantages over traditional programs for cognitive training and stimulation. The focus of this article is the methodology of the studies that apply a particular online training program. We investigate the effectiveness of several studies for cognitive training in healthy elderly people and evaluate reported outcomes and potential bias and what factors determine, influence or contribute to the positive or negative results. The post-intervention scores demonstrate that computerized cognitive training may enhance some cognitive functions and the overall cognitive status but there is need for additional research to prove its effectiveness.

scholarly journals Home-based, square-stepping exercise program among older adults with multiple sclerosis: results of a feasibility randomized controlled study

2018 ◽  
Vol 73 ◽  
pp. 136-144 ◽  
Author(s):  
Emerson Sebastião ◽  
Edward McAuley ◽  
Ryosuke Shigematsu ◽  
Brynn C. Adamson ◽  
Rachel E. Bollaert ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Older Adults ◽  
Exercise Program ◽  
Randomized Controlled Study ◽  
Controlled Study ◽  
Randomized Controlled ◽  
Home Based ◽  
Stepping Exercise

Visual art therapy and cognition: Effects on people with mild cognitive impairment and low education level

2021 ◽  
Author(s):  
Golden M Masika ◽  
Doris S F Yu ◽  
Polly W C Li ◽  
Diana T F Lee ◽  
Azan Nyundo
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Art Therapy ◽  
Cognitive Functions ◽  
Functional Ability ◽  
Visual Art ◽  
Intervention Group ◽  
Mental Wellbeing ◽  
Control Group ◽  
Low Education

Abstract Objectives The aim of this study was to examine the effects of visual art therapy (VAT) on cognition, psychological and functional ability of people with mild cognitive impairment (MCI) and low education. Method A single-blinded randomized controlled trial was conducted among 127 older adults with MCI, mean age 73.6 years and level of education in years, (median (range)) = 0 (0 – 9). The intervention group received 12 VAT sessions over six weeks. The control group received six health education sessions. The outcomes measures at baseline, immediately after intervention, at three-months and six-month follow up included global cognitive functions, depression, mental wellbeing and instrumental activities of daily living functions. Results The intervention group demonstrated greater improvement than the control group in global cognition (β =2.56, (95% CI =1.16, 3.97), p&lt; .001, standardized mean difference (SMD) = 0.75), and depression (β =-2.01, (95% CI =-3.09, -0.93), p&lt; .001, SMD = -0.93) immediately post intervention. The effects on cognitive functions were sustained at three and six-months follow ups. The differential effect of VAT on mental wellbeing and functional ability compared to health education were undetectable. Discussion Visual art therapy can improve cognitive functions and mood status of older adults with MCI who have no or low education.

The Effect of Theory-lead Intervention for Knee Osteoarthritis in Older Adults: A Cluster Randomized Trial

2020 ◽  
Author(s):  
Limin Wang ◽  
Hongbo Chen ◽  
Han Lu ◽  
Yunlin Wang ◽  
Congying Liu ◽  
...  
Keyword(s):  
Older Adults ◽  
Knee Osteoarthritis ◽  
Transtheoretical Model ◽  
Intervention Group ◽  
Exercise Program ◽  
Exercise Adherence ◽  
Cluster Randomized Trial ◽  
Knee Function ◽  
Control Group ◽  
Cluster Randomized

Abstract Background: Knee osteoarthritis (KOA) is a common joint disease in people over 60 years old. Exercise therapy is one of the most effective non-pharmacological treatments for KOA, but low exercise adherence needs to be improved. The present study aimed to evaluate the effect of the transtheoretical model-lead home exercise intervention (TTM-HEI) program on exercise adherence, KOA symptoms and knee function in older adults with KOA. Methods: A two-arm, superiority, assessor-blinded, cluster randomized trial was conducted. Community-dwelling older adults with KOA were recruited from 14 community centers in Beijing, China via print and social media advertisements from April to October 2018. The intervention was a two-stage and 24-week transtheoretical model-based exercise program, and the control group underwent a same length but non-theory-based exercise program. Exercise adherence was measured by an 11-point numerical self-rating scale at weeks 4, 12, 24, 36, and 48 after the program started. KOA symptoms (pain intensity and joint stiffness) and knee function (lower limb muscle strength and balance) were measured at baseline, week 24, and week 48. Latent growth model (GLM), repeated measures ANOVA and independent t-test were the main statistical tests.Results: A total of 189 older adults (intervention group: n = 103, control group: n = 86) were enrolled. Differences of any outcome measures at baseline were not significant between groups. The growth rate of exercise adherence in the intervention group increased 2.175 units compared with the control group (unstandardized coefficient of slope on group B2 = 2.175, p < 0.001), and the intervention program maintained participants’ exercise adherence with 5.56 (SD = 1.00) compared with 3.16 (SD = 1.31) in the control group at week 48. In addition, TTM-HEI program showed significant effects on relieving KOA symptoms and improving knee function.Conclusion: The TTM-HEI could improve the participants’ exercise adherence, knee osteoarthritis symptoms and knee function over time.

scholarly journals Cognitive cooperation groups mediated by computers and internet present significant improvement of cognitive status in older adults with memory complaints: a controlled prospective study

2017 ◽  
Vol 75 (4) ◽  
pp. 228-233 ◽  
Author(s):  
Rodrigo de Rosso Krug ◽  
Anna Quialheiro Abreu da Silva ◽  
Ione Jayce Ceola Schneider ◽  
Luiz Roberto Ramos ◽  
Eleonora d’Orsi ◽  
...  
Keyword(s):  
Older Adults ◽  
Intervention Group ◽  
Vascular Diseases ◽  
Cognitive Status ◽  
The Internet ◽  
Control Group ◽  
Memory Complaints ◽  
Positive Variation ◽  
Memory Clinics ◽  
With Memory

ABSTRACT Objective To estimate the effect of participating in cognitive cooperation groups, mediated by computers and the internet, on the Mini-Mental State Examination (MMSE) percent variation of outpatients with memory complaints attending two memory clinics. Methods A prospective controlled intervention study carried out from 2006 to 2013 with 293 elders. The intervention group (n = 160) attended a cognitive cooperation group (20 sessions of 1.5 hours each). The control group (n = 133) received routine medical care. Outcome was the percent variation in the MMSE. Control variables included gender, age, marital status, schooling, hypertension, diabetes, dyslipidaemia, hypothyroidism, depression, vascular diseases, polymedication, use of benzodiazepines, exposure to tobacco, sedentary lifestyle, obesity and functional capacity. The final model was obtained by multivariate linear regression. Results The intervention group obtained an independent positive variation of 24.39% (CI 95% = 14.86/33.91) in the MMSE compared to the control group. Conclusion The results suggested that cognitive cooperation groups, mediated by computers and the internet, are associated with cognitive status improvement of older adults in memory clinics.

scholarly journals Determinants of participation in a post-hospitalization physical exercise program for older adults

2020 ◽  
Author(s):  
Miriam Urquiza ◽  
Iñaki Echeverria ◽  
Ariadna Besga ◽  
Maria Amasene ◽  
Idoia Labayen ◽  
...  
Keyword(s):  
Older Adults ◽  
Physical Exercise ◽  
Nutritional Status ◽  
Physical Function ◽  
Multivariate Regression ◽  
Older Patients ◽  
Exercise Program ◽  
Cognitive Status ◽  
Exercise Interventions ◽  
Poor Nutritional Status

Abstract BACKGROUND: Older patients often experience a decline in physical function and cognitive status after hospitalization. Although interventions involving physical exercise are effective in improving functional performance, participation in physical exercise interventions among older individuals is low. We aimed to identify factors that contribute to exercise refusal among post-hospitalized older patients.METHODS: A cross-sectional study of recruitment data from a randomized controlled trial was conducted involving 495 hospitalized people ≥70 years old. Sociodemographic and clinical data were obtained from the Basque Public Health System database. We determined physical function with the Short Physical Performance Battery (SPPB), nutritional status with the Mini-Nutritional Assessment, frailty according to the Fried phenotype criteria, and cognitive function with the Short Portable Mental Status Questionnaire (SPMSQ). Student’s t, Mann-Whitney U, or chi-squared tests were applied for bivariate analysis. Parameters significantly associated with participation were introduced in a logistic multivariate regression model.RESULTS: Among the analyzed patients, 88.8% declined participation in the physical exercise program. Multivariate regression revealed that older age (OR: 1.13; 95% CI: 1.07 - 1.19), poor nutritional status (OR: 0.81; 95% CI: 0.69 - 0.95), and reduced home accessibility (OR: 0.27; 95% CI: 0.08 - 0.94) were predictors of participation refusal. Moreover, patients who declined participation had worse performance on the SPPB (P < 0.05) and its tests of balance, leg strength, and walking speed (P < 0.05). No differences were found between groups in other variables. CONCLUSIONS: This study confirms low participation of older adults in a post-hospitalization physical exercise program. Non-participation was associated with increased age, poor nutritional status, and reduced home accessibility. Our findings support the need for intervention design that accounts for these factors to increase older patient participation in beneficial exercise programs.TRIAL REGISTRATION: ACTRN12619000093189 (retrospectively registered): Registered January 22, 2019.

scholarly journals El efecto de un programa de ejercicios basado en Pilates sobre el estado de ánimo en adultos mayores Mexicanos (Effects of a Pilates-based exercise program on mood states in older adults in Mexico)

Retos ◽  
2016 ◽  
pp. 106-109
Author(s):  
Mario Alberto Villarreal Ángeles ◽  
José Moncada Jiménez ◽  
Jesús José Gallegos Sanchez ◽  
Francisco Ruiz-Juan
Keyword(s):  
Older Adults ◽  
Emotional Health ◽  
Exercise Program ◽  
The Elderly ◽  
Mood States ◽  
Control Group ◽  
Profile Of Mood States ◽  
Fitness Program ◽  
Post Test ◽  
Pilates Method

El propósito del estudio fue determinar el efecto de un programa de acondicionamiento físico basado en el método Pilates sobre variables del estado de ánimo en adultos mayores del Estado de Durango, México. Se diseñó un estudio experimental con un grupo control (GC) y un grupo experimental (GE) y mediciones iniciales (pre-test) y finales (post-test). Participaron 10 adultos mayores en cada grupo, cuyas edades estaban entre los 60 y 80 años. La duración del programa fue de 12 semanas, con 3 sesiones por semana de 50 min cada una. Para evaluar el estado de ánimo se utilizó el Profile of Mood States (POMS). Los datos se analizaron por medio de ANOVA de 2 x 2. Se encontró una interacción significativa entre mediciones y grupos en las dimensiones de tensión (p = 0.001), cólera (p = 0.030), fatiga (p= 0.002) y el puntaje total (p ≤ 0.0001). No se encontró una interacción significativa en la dimensión de depresión (p = 0.065) ni vigor (p = 0.125). Un programa de acondicionamiento físico de 12 semanas basado en el método Pilates mejora algunas variables del estado de ánimo, las cuales pueden ser relevantes para el logro de la buena salud emocional en el adulto mayor.Abstract. The purpose of the study was to determine the effect of a Pilates-based fitness program on mood variables in older adults from Durango State, Mexico. An experimental design study was designed with a control group (CG), experimental group (EG), initial (pre-test), and final (post-test) measurements. Ten older adults participated in each group, whose ages were between 60 and 80 years. The program duration was 12 weeks with three sessions per week, each of 50 min. The Profile of Mood States (POMS) was used to assess mood. Data were analyzed by 2 x 2 ANOVA. Significant interactions between measurements and experimental groups were found for tension (p = 0.001), anger (p = 0.030), fatigue (p = 0.002) and the total score (p ≤ 0.0001). No significant interactions were found for depression (p = 0.065) and vigor (p = 0.125). A 12 week fitness program based on the Pilates method improved some but not all mood variables, which may be relevant to the achievement of good emotional health in the elderly.

scholarly journals Beneficial Influence of Mindfulness Training Promoted by Text Messages on Self-Reported Aerobic Physical Activity in Older Adults: A Randomized Controlled Study

2020 ◽  
Vol 28 (3) ◽  
pp. 406-414
Author(s):  
Nicolas Robin ◽  
Lucette Toussaint ◽  
Stéphane Sinnapah ◽  
Olivier Hue ◽  
Guillaume R. Coudevylle
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Positive Impact ◽  
Text Message ◽  
Text Messages ◽  
Mindfulness Training ◽  
Controlled Study ◽  
Control Group ◽  
Physical And Mental Health ◽  
Experimental Conditions

Inactivity is known to have harmful effects on the physical and mental health of older adults. This study used a randomized, parallel trial design to evaluate whether daily text prompts to practice mindfulness would have a positive impact on the time that adults aged 50 years or older spend in aerobic physical activity. The participants were recruited from a certified fitness center and divided into mindfulness and control groups. For 4 weeks, they were exposed to the experimental conditions, with or without the morning text message. In the morning message condition, the mindfulness groups received a text message with the instruction to practice audio-guided mindfulness for 10 min, and the control group received a placebo message. The participants practicing mindfulness reported significantly more weekly minutes of aerobic physical activity and higher intrinsic motivation than the control participants. Mindfulness training was effective at increasing aerobic physical activity duration and might complement physical activity programs.

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