European Review of Aging and Physical Activity最新文献

{"title":"Correction to: Bone mineral density in elite masters athletes: the effect of body composition and long-term exercise.","authors":"Anna Kopiczko, Jakub Grzegorz Adamczyk, Karol Gryko, Marek Popowczak","doi":"10.1186/s11556-021-00267-9","DOIUrl":"https://doi.org/10.1186/s11556-021-00267-9","url":null,"abstract":"","PeriodicalId":50477,"journal":{"name":"European Review of Aging and Physical Activity","volume":null,"pages":null},"PeriodicalIF":6.3,"publicationDate":"2021-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s11556-021-00267-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39146062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The MIPAM trial - motivational interviewing and physical activity monitoring to enhance the daily level of physical activity among older adults - a randomized controlled trial.","authors":"Rasmus Tolstrup Larsen,&nbsp;Christoffer Bruun Korfitsen,&nbsp;Camilla Keller,&nbsp;Jan Christensen,&nbsp;Henning Boje Andersen,&nbsp;Carsten Juhl,&nbsp;Henning Langberg","doi":"10.1186/s11556-021-00269-7","DOIUrl":"https://doi.org/10.1186/s11556-021-00269-7","url":null,"abstract":"<p><strong>Background: </strong>One in four older adults in Denmark and almost half of the very old above 75 do not meet the World Health Organization's recommendations for a minimum of physical activity (PA). A cost-efficient and effective way to increase focus on and motivation for daily walking might be to use Physical Activity Monitors (PAMs) in combination with behavioural change intervention. Thus, the objective of this randomized controlled study was to investigate the effect of Motivational Interviewing (MI) as an add-on intervention to a PAM-based intervention measured in community-dwelling older adults.</p><p><strong>Methods: </strong>This two-arm parallel group randomized controlled effectiveness trial compared a 12-weeks PAM-based intervention with additional MI (PAM+MI group) with a PAM-based intervention alone (PAM group). The primary outcome, average daily step count, was analysed with a linear regression model, adjusted for sex and baseline daily step count. Following the intention-to-treat principle, multiple imputation based on baseline step count, sex and age was performed.</p><p><strong>Results: </strong>In total, 38 participants were randomized to the PAM intervention and 32 to the PAM+MI intervention arm. During the intervention period, PAM+MI participants walked on average 909 more steps per day than PAM participants, however insignificant (95%CI: - 71; 1889) and reported 2.3 points less on the UCLA Loneliness Scale (95%CI: - 4.5; - 1.24).</p><p><strong>Conclusion: </strong>The use of MI, in addition to a PAM-based intervention among older adults in PA promoting interventions hold a potential clinically relevant effect on physical activity and should thus be investigated further with adequately powered RCTs.</p><p><strong>Trial registration: </strong>This study was pre-registered in the clinicaltrials.gov database with identifier: NCT03906162 .</p>","PeriodicalId":50477,"journal":{"name":"European Review of Aging and Physical Activity","volume":null,"pages":null},"PeriodicalIF":6.3,"publicationDate":"2021-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s11556-021-00269-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39145247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Saving lives through life-threatening measures? The COVID-19 paradox of infection prevention in long-term care facilities.","authors":"Ansgar Thiel,&nbsp;Dorothee Altmeier,&nbsp;Annika Frahsa,&nbsp;Gerhard W Eschweiler,&nbsp;Andreas Nieß,&nbsp;Gorden Sudeck","doi":"10.1186/s11556-021-00265-x","DOIUrl":"https://doi.org/10.1186/s11556-021-00265-x","url":null,"abstract":"<p><p>The current SARS Cov-2 infection control measures have paradoxical effects. On the one hand, the lockdown measures help to protect vulnerable populations in particular. On the other hand, these measures inevitably have the effect that those who are to be protected not only become socially isolated and are exposed to enormous psychological stress, but also break down physically due to inactivity. Thus, the activation that is omitted in the lockdown is not compensated by external reference groups, which also indicates that important conditions for healthy ageing are not given in long-term care facilities.</p>","PeriodicalId":50477,"journal":{"name":"European Review of Aging and Physical Activity","volume":null,"pages":null},"PeriodicalIF":6.3,"publicationDate":"2021-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s11556-021-00265-x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39093597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of an individually tailored home-based exercise rogramme for pre-frail older adults, driven by a tablet application and mobility monitoring: a pilot study.","authors":"Hilde A E Geraedts,&nbsp;Hidde Dijkstra,&nbsp;Wei Zhang,&nbsp;Francisco Ibarra,&nbsp;Iman Khaghani Far,&nbsp;Wiebren Zijlstra,&nbsp;Martin Stevens","doi":"10.1186/s11556-021-00264-y","DOIUrl":"https://doi.org/10.1186/s11556-021-00264-y","url":null,"abstract":"<p><strong>Objectives: </strong>To gain first insight into the effectiveness of a home-based exercise programme for pre-frail older adults with independent use of novel ICT technology.</p><p><strong>Methods: </strong>A pilot study. Forty pre-frail older adults joined a six-month home-based exercise programme using a tablet PC for exercise administration and feedback, and a necklace-worn motion sensor for daily physical activity registration. Participants received weekly telephone supervision during the first 3 months and exercised independently without supervision from a coach during the last 3 months. Functional performance and daily physical activity were assessed at baseline, after three and 6 months.</p><p><strong>Results: </strong>Twenty-one participants completed the programme. Overall, functional performance showed positive results varying from (very) small to large effects (Cohen's d 0.04-0.81), mainly during the supervised part of the intervention. Regarding daily physical activity, a slight improvement with (very) small effects (Cohen's d 0.07-0.38), was observed for both self-reported and objectively measured physical activity during the supervised period. However, during the unsupervised period this pattern only continued for self-reported physical activity.</p><p><strong>Conclusion: </strong>This pilot study showed positive results varying from (very) small to large effects in levels and maintenance of functional performance and daily physical activity, especially during the supervised first 3 months. Remote supervision seems to importantly affect effectiveness of a home-based exercise programme. Effectiveness of the programme and the exact contribution of its components should be further quantified in a randomized controlled trial.</p><p><strong>Practice implications: </strong>Home-based exercising using novel technology may be promising for functional performance and physical activity improvement in (pre-frail) older adults.</p><p><strong>Trial registration: </strong>Netherlands Trial Register (NTR); trial number NL4049 . The study was prospectively registered (registration date 14/11/2013).</p>","PeriodicalId":50477,"journal":{"name":"European Review of Aging and Physical Activity","volume":null,"pages":null},"PeriodicalIF":6.3,"publicationDate":"2021-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s11556-021-00264-y","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39093598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Change of physical activity parameters of hip and pelvic fracture patients during inpatient rehabilitation and after discharge: analysis of global and in-depth parameters.","authors":"Karin Kampe,&nbsp;Klaus Pfeiffer,&nbsp;Ulrich Lindemann,&nbsp;Daniel Schoene,&nbsp;Kristin Taraldsen,&nbsp;Kilian Rapp,&nbsp;Clemens Becker,&nbsp;Jochen Klenk","doi":"10.1186/s11556-021-00261-1","DOIUrl":"https://doi.org/10.1186/s11556-021-00261-1","url":null,"abstract":"<p><strong>Background: </strong>A growing number of older adults suffer hip and pelvic fractures leading to hospital admission. They often result in reduced physical activity (PA) and impaired mobility. PA can be objectively measured with body-worn sensors. Usually, global cumulative PA parameters are analysed, such as walking duration, upright-time and number of steps. These traditional parameters mix different domains of PA, such as physical capacity (PC), behaviour and living environment. We examined the change of global cumulative PA measures during rehabilitation and after discharge in patients with hip or pelvic fracture and whether more 'in-depth' PA parameters, such as walking interval length, variability of interval length and sit-to-stand transitions and their changes during rehabilitation and 3 months after discharge might better reflect the above mentioned three clinically relevant domains of PA.</p><p><strong>Methods: </strong>This study is a secondary data analysis of a randomised controlled trial to improve PA and fall-related self-efficacy in hip or pelvic fracture patients (≥60 years) with concerns about falling. Changes of accelerometer-measured global cumulative and in-depth PA parameters (activPAL3) were analysed in an observational design before and after discharge combining both groups. For comparison, the same analyses were applied to the traditional PC measures gait speed and 5-chair-rise.</p><p><strong>Results: </strong>Seventy-five percent of the 111 study participants were female (mean age: 82.5 (SD = 6.76) years. Daily walking duration, upright time and number of steps as aspects of global PA increased during inpatient rehabilitation as well as afterwards. The in-depth PA parameters showed differing patterns. While the total number of walking bouts increased similarly, the number of longer walking bouts decreased by 50% after discharge. This pattern was also seen for the average walking interval length, which increased by 2.34 s (95% confidence interval (CI): 0.68; 4.00) during inpatient rehabilitation and decreased afterwards below baseline level (- 4.19 s (95% CI: - 5.56; - 2.82)). The traditional PC measures showed similar patterns to the in-depth PA parameters with improvements during rehabilitation, but not at home.</p><p><strong>Conclusion: </strong>Our findings suggest that the in-depth PA parameters add further information to the global cumulative PA parameters. Whereas global cumulative PA parameters improved significantly during inpatient rehabilitation and after discharge, in-depth PA parameters as well as PC did not continuously improve at home. In contrast to global cumulative PA parameters the in-depth parameters seem to reflect contextual factors such as the build environment and aspects of PC, which are traditionally assessed by clinical PC measures. These in combination with digital mobility measures can help clinicians to assess the health status of fragility fracture patients, individually tailor the","PeriodicalId":50477,"journal":{"name":"European Review of Aging and Physical Activity","volume":null,"pages":null},"PeriodicalIF":6.3,"publicationDate":"2021-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s11556-021-00261-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39085327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of low back pain on balance performance in elderly people: a systematic review and meta-analysis.","authors":"Le Ge,&nbsp;Chuhuai Wang,&nbsp;Haohan Zhou,&nbsp;Qiuhua Yu,&nbsp;Xin Li","doi":"10.1186/s11556-021-00263-z","DOIUrl":"https://doi.org/10.1186/s11556-021-00263-z","url":null,"abstract":"<p><strong>Background: </strong>Research suggests that individuals with low back pain (LBP) may have poorer motor control compared to their healthy counterparts. However, the sample population of almost 90% of related articles are young and middle-aged people. There is still a lack of a systematic review about the balance performance of elderly people with low back pain. This study aimed to conduct a systematic review and meta-analysis to understand the effects of LBP on balance performance in elderly people.</p><p><strong>Methods: </strong>This systematic review and meta-analysis included a comprehensive search of PubMed, Embase, and Cochrane Library databases for full-text articles published before January 2020. We included the articles that 1) investigated the elderly people with LBP; 2) assessed balance performance with any quantifiable clinical assessment or measurement tool and during static or dynamic activity; 3) were original research. Two independent reviewers screened the relevant articles, and disagreements were resolved by a third reviewer.</p><p><strong>Results: </strong>Thirteen case-control studies comparing balance performance parameters between LBP and healthy subjects were included. The experimental group (LBP group) was associated with significantly larger area of centre of pressure movement (P < 0.001), higher velocity of centre of pressure sway in the anteroposterior and mediolateral directions (P = 0.01 and P = 0.02, respectively), longer path length in the anteroposterior direction (P < 0.001), slower walking speed (P = 0.05), and longer timed up and go test time (P = 0.004) than the control group.</p><p><strong>Conclusion: </strong>The results showed that balance performance was impaired in elderly people with LBP. We should pay more attention to the balance control of elderly people with LBP.</p>","PeriodicalId":50477,"journal":{"name":"European Review of Aging and Physical Activity","volume":null,"pages":null},"PeriodicalIF":6.3,"publicationDate":"2021-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s11556-021-00263-z","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39062699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bone mineral density in elite masters athletes: the effect of body composition and long-term exercise.","authors":"Anna Kopiczko,&nbsp;Jakub Grzegorz Adamczyk,&nbsp;Karol Gryko,&nbsp;Marek Popowczak","doi":"10.1186/s11556-021-00262-0","DOIUrl":"https://doi.org/10.1186/s11556-021-00262-0","url":null,"abstract":"<p><strong>Background: </strong>The purpose of the study was to examine how bone mineral density (BMD) is related to body composition depending on the practiced sport (endurance, speed-power, throwing sports) in participants of the World Masters Athletics Championship.</p><p><strong>Methods: </strong>Dual-energy X-ray absorptiometry (DXA) was used to determine BMD and bone mass (BMC). Body composition was analyzed by means of the JAWON Medical X-scan analyzer using bioelectrical impedance methods. Percentage body fat (%BF), body fat mass (BFM), lean body mass (LBM), total body water (TBW), soft lean mass (SLM), intracellular water (ICW), and extracellular water (ECW) were evaluated.</p><p><strong>Results: </strong>Among men, the most important variables affecting the BMD norm were LBM (OR = 32.578; p = 0.023), ECW (OR = 0.003; p = 0.016) and ICW (OR = 0.011; p = 0.031), in the distal part and SLM (OR = 5.008; p = 0.020) and ICW (0.354, p = 0.008) in the proximal part. In women, the most important predictors of normal BMD were ICW (OR = 10.174; p = 0.003) and LBM (OR = 0.470; p = 0.020) in the distal part and ICW (OR = 5.254; p = 0.038) in the proximal part.</p><p><strong>Conclusion: </strong>The representatives of strength based events had the most advantageous BMD levels. The condition of bone tissue evaluated by BMC and BMD of the forearm in masters athletes was strongly determined by the level of lean body components and the type of sports training associated with the track and field event. In the most important predictors of the BMD norm were also hydration components ECW and ICW. However, this relationship requires more research on the nature and mechanisms of these interactions.</p>","PeriodicalId":50477,"journal":{"name":"European Review of Aging and Physical Activity","volume":null,"pages":null},"PeriodicalIF":6.3,"publicationDate":"2021-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s11556-021-00262-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39037459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long-term participation in community group exercise improves lower extremity muscle strength and delays age-related declines in walking speed and physical function in older adults.","authors":"Chisato Hayashi,&nbsp;Soshiro Ogata,&nbsp;Tadashi Okano,&nbsp;Hiromitsu Toyoda,&nbsp;Sonoe Mashino","doi":"10.1186/s11556-021-00260-2","DOIUrl":"https://doi.org/10.1186/s11556-021-00260-2","url":null,"abstract":"<p><strong>Background: </strong>The effects of group exercise on the physical function of community-dwelling older adults remain unclear. The changes in lower extremity muscle strength, timed up and go (TUG) time, and the motor fitness scale (MFS), over time, among older adults who expressed a willingness to participate in community-based physical exercise groups, were determined using multilevel modelling.</p><p><strong>Methods: </strong>We analyzed data of 2407 older adults between April 2010 and December 2019 from the registry of physical tests of community-based physical exercise groups. We conducted a retrospective cohort study to assess the effect of physical exercise on lower extremity muscle strength, TUG time, and MFS scores. The durations of the exercises were evaluated by frequency of physical test's participate.</p><p><strong>Results: </strong>A deterioration in lower extremity muscle strength was found in the short-term participant group only. However, in the mid-term and long-term participation groups, lower extremity muscle strength showed a trend of improvement. The TUG time and the MFS score were negatively correlated with increasing age in both groups divided by the duration of participation. However, there was a slower rate of deterioration in the long-term participation group.</p><p><strong>Discussion: </strong>Lower extremity muscle strength, TUG time, and MFS scores decline with increasing age and there were differences in the slope of deterioration that depended on the duration of participation in community-based group exercise.</p><p><strong>Conclusion: </strong>Participation in group exercise improved lower extremity muscle strength, TUG time, and MFS scores of older adults living in a community. The positive effects of group exercise were dependent on long-term participation.</p>","PeriodicalId":50477,"journal":{"name":"European Review of Aging and Physical Activity","volume":null,"pages":null},"PeriodicalIF":6.3,"publicationDate":"2021-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s11556-021-00260-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39043916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physical activity, resilience, emotions, moods, and weight control of older adults during the COVID-19 global crisis.","authors":"Sima Zach,&nbsp;Aviva Zeev,&nbsp;Miki Ophir,&nbsp;Sigal Eilat-Adar","doi":"10.1186/s11556-021-00258-w","DOIUrl":"https://doi.org/10.1186/s11556-021-00258-w","url":null,"abstract":"<p><strong>Background: </strong>The main purpose of the research was to examine the differences between adults in the age group 70+ and two other age groups (45-59 and 60-69), concerning their healthy and active lifestyle. The death toll of the current COVID-19 pandemic is strongly biased toward the elderly. However, some studies of crises suggest that older adults tend to perceive events as less stressful than do younger people. Therefore, we examined healthy behavior in populations at risk according to the age cutoff-points used by the Ministry of Health at the time of vaccination, and divided the participants into three age groups (45-59, 60-69, and 70+) following health organizations' recommendations.</p><p><strong>Methods: </strong>Participants were 1202 people, 381 males and 821 females, aged 45-90. A survey comprised of six parts was used: Demographic background, the International Physical Activity Questionnaire-short version, Positive and Negative Affect Schedule - PANAS, the Connor and Davidson Resilience Scale, a questionnaire for measuring depressive moods, and questions regarding weight change, based on the Israeli National Health and Nutrition (MABAT) survey. Data were collected in Israel during the first complete lockdown. The questionnaire was distributed via e-mail, WhatsApp, Twitter, and Facebook using a snowball sampling method.</p><p><strong>Results: </strong>Resilience and negative feelings and depression symptoms were higher in age group 45-59 compared to 70+ year-old participants, and the depression symptoms score was also higher among participants aged 45-59 compared to ages 60-69. Physical activity was associated with higher resilience, fewer depression symptoms, and fewer negative emotions. Regarding gender and psychological variables, no differences were found. During the time of lockdown, weight change was not prevalent and sleeping hours increased.</p><p><strong>Conclusion: </strong>In adults at 70+, the physical activity level, physical activity before and during the lockdown, emotions, sleeping hours, and weight change were similar to the other adult groups that were examined (45-59 and 60-69). However, in the older adults groups (70+ and 60-69), resilience and depression symptoms were lower than in the youngest age group.</p>","PeriodicalId":50477,"journal":{"name":"European Review of Aging and Physical Activity","volume":null,"pages":null},"PeriodicalIF":6.3,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s11556-021-00258-w","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25419085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A randomized controlled trial into the cognitive effects of a computer-tailored physical activity intervention in older adults with chronic disease(s).","authors":"Esmee Volders,&nbsp;Renate H M de Groot,&nbsp;Juul M J Coumans,&nbsp;Catherine A W Bolman,&nbsp;Lilian Lechner","doi":"10.1186/s11556-021-00259-9","DOIUrl":"https://doi.org/10.1186/s11556-021-00259-9","url":null,"abstract":"<p><strong>Background: </strong>Cognitive functioning (CF) is important for wellbeing and an independent life. However, older adults with chronic diseases are at a higher risk of poorer CF levels. Although, research suggests that physical activity (PA) could play an essential role in maintaining good CF, older adults with chronic diseases have low levels of PA. PA interventions to prevent cognitive decline for this specific group exist. Yet, until now these interventions focused on a single specific chronic disease. Active Plus is a proven effective computer-tailored PA stimulating intervention focused on increasing PA in daily life for the older adult population suffering from a broad range of chronic diseases. This study tests the cognitive effects of Active Plus in older adults with chronic diseases.</p><p><strong>Methods: </strong>In this RCT older adults with at least one chronic disease (≥65 years) were allocated to the intervention group (N = 260, mean age = 74.2) or waiting list control group (N = 325, mean age = 74.5). In total, intervention group participants received three times computer-tailored PA stimulating advice within four months (i.e., at baseline, after two months, and after three to four months). The online and print delivered advice were tailored to the specific needs and wishes of the participant and focused on incorporating PA in daily life. Baseline and follow-up measurements of the CF verbal memory (Verbal Learning Test), shifting (Trailmaking Test), inhibition (Stop-signal Task) and processing speed (Letter Digit Substitution Test) were assessed after six and 12 months. Intervention effects were analyzed with multilevel linear mixed-effects models adjusted for the clustered design and confounding variables.</p><p><strong>Results: </strong>The dropout rate was 19.1% after 6 months and 25.1% after 12 months. Although both conditions improved on all verbal memory outcomes after 6 months, and all CF outcomes except inhibition after 12 months, no intervention effects were found, not even in subgroups (p > .05).</p><p><strong>Conclusions: </strong>To our knowledge this is the first study to test the cognitive effects of a computer-tailored PA stimulating intervention in older adults suffering from a broad range of chronic diseases. The effects of the Active Plus intervention were not strong enough to improve CF or prevent cognitive decline. A blended approach, in which this computer-tailored intervention is combined with a face-to-face PA intervention and / or cognitive training, might be a good suggestion to increase the effects of Active Plus on PA and CF in older adults with chronic diseases.</p><p><strong>Trial registration: </strong>Netherlands Trial Register NL6005; Date of Registration 03-21-2017; https://www.trialregister.nl/trial/6005.</p>","PeriodicalId":50477,"journal":{"name":"European Review of Aging and Physical Activity","volume":null,"pages":null},"PeriodicalIF":6.3,"publicationDate":"2021-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7908734/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25405848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}