Effect of a Combined Exercise and Cognitive Activity Intervention on Cognitive Function in Community-dwelling Older Adults: A Pilot Randomized Controlled Trial.

Physical therapy research Pub Date : 2021-02-24 eCollection Date: 2021-01-01 DOI:10.1298/ptr.E10057

Shunsuke Murata, Rei Ono, Hisafumi Yasuda, Rumi Tanemura, Yoshiaki Kido, Hisatomo Kowa

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引用次数: 3

Abstract

Objective: The purpose of this study is to investigate the effect of an intervention combining exercise and cognitive activity on cognitive function in healthy older adults.

Methods: This pilot randomized controlled trial recruited 33 eligible, healthy communitydwelling older adults (mean age, 77.1 years old; women, 51.5%), who were divided into intervention and waitlist control groups. The intervention group was engaged weekly in a group activity comprising exercise and discussions of homework, which included reading aloud, simple arithmetic, and simple activities, like spotting differences, for cognitive stimulation. They were also required to complete cognitive activity homework twice a week. The waitlist control group received no intervention. The main outcomes were cognitive function assessed using the Mini-Mental State Examination, delayed recall score on the Logical Memory IIA of the Wechsler Memory Scale Revised, Trail Making Test, and digit symbol substitution test.

Results: According to the results, Mini-Mental State Examination scores were maintained in the intervention group but declined in the control group [Mean change in outcomes in control group (95% confidence interval): -1.68 (-2.89 to -0.48)]. Additional mean change in outcomes in intervention group were found [1.68 (0.02 to 3.35)].

Conclusions: Interventions combining exercise and cognitive activity can be helpful for preserving cognitive function in healthy older adults.

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运动和认知活动联合干预对社区老年人认知功能的影响:一项随机对照试验。

目的:本研究的目的是探讨运动与认知活动相结合的干预对健康老年人认知功能的影响。方法:本试点随机对照试验招募33名符合条件的健康社区老年人(平均年龄77.1岁;女性(51.5%)，她们被分为干预组和候补组。干预组每周参加一个小组活动，包括练习和讨论家庭作业，其中包括大声朗读，简单的算术，以及简单的活动，如发现差异，以促进认知。他们还被要求每周完成两次认知活动作业。等候名单控制组没有接受任何干预。主要结果为认知功能评估，采用迷你精神状态测试，韦氏记忆量表修订后的逻辑记忆IIA延迟回忆评分，轨迹测试和数字符号替代测试。结果:结果显示，干预组基本维持精神状态检查得分，对照组得分下降[对照组结果平均变化(95%可信区间):-1.68(-2.89 ~ -0.48)]。干预组结果平均变化[1.68(0.02 ~ 3.35)]。结论:运动与认知活动相结合的干预措施有助于保持健康老年人的认知功能。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Physical therapy research

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