Effects of Multi-Component Exercise and Retraining after Detraining on Functional Fitness and Cognitive Function in Elder People with Mild Dementia

Song

et al. 2021

CIA

Purpose Information and communication technology (ICT)-based training devices for older adults’ care related to dementia are being developed to enhance older adults’ cognitive functions. Older adults who require bicycle training devices can improve muscle strength and balance of lower limbs by continuously contracting and relaxing lower-limb muscles and improving cognitive function to prevent dementia. This study was conducted to investigate the effects of an ICT-based multicomponent program on body composition and cognitive function in older adults. Patients and Methods In a randomized controlled intervention test on 20 people over the age of 60 (exercise group: n = 10; control: n = 10), the multicomponent program was applied to the exercise group twice per week, once per day for 12 weeks, at 30 min per session, whereas the control group was advised to maintain their usual daily activities. Results Comparing body composition changes and cognitive function changes before and after intervention exhibited statistically significant differences in skeletal muscle mass ( P =0.01) and modified Alzheimer’s disease assessment scale–cognitive score ( P =0.01) between the two groups. Conclusion It can be difficult to be engaged in a simple repetitive exercise program. Therefore, to meet older adults’ interests and expectations, a customized ICT-based multicomponent program, which can improve body composition and cognitive function in older adults and is believed to help prevent dementia, is recommended. Trial Registration UMIN000042129 ( https://www.umin.ac.jp/english/ ).

Section: Discussionmentioning

confidence: 99%

Effects of ICT-Based Multicomponent Program on Body Composition and Cognitive Function in Older Adults: A Randomized Controlled Clinical Study

Song

et al. 2021

CIA

Japan Journal Nursing Sci

“…Research showing an improvement of cognitive function through dual tasks of exercise and cognition (Kim & Kim, ) was also conducted with older adults with mild cognitive impairments before they reached dementia. On the other hand, both the application of circulatory task‐oriented exercise (Jung & Kim, ) and aerobic and strength exercise (Hong, ) to dementia patients did not support a cognitive function improvement effect. In this study, both the experimental and control groups showed lower cognitive function scores after the intervention than before, indicating that the cognitive decline of dementia patients is irreversible and attempts to enhance cognitive function through exercise may be inadequate.…”

Section: Discussionmentioning

confidence: 92%

“…Even though older adults with dementia show positive physical and cognitive effects through exercise, these effects tend to disappear when exercise stops. This makes constant participation crucial (Hong, 2014), but it is rare that older adults complete their prescribed physical exercise (Kruger, Buchner, & Prohaska, 2009). Therefore, this study followed the exercise intensity and frequency (60 minutes once weekly for 8 weeks) laid out by Kitazawa et al (2015), which considered the physical characteristics of older adults.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, exercise is included as a non-pharmaceutical intervention in hospitals and rehabilitation centers for dementia patients (Littbrand et al, 2011). Moreover, various studies have been conducted to confirm the efficacy of single-task exercise programs such as "Otago Exercise," which includes retraining mild dementia patients in muscular strength and balance (Lee et al, 2011), exercise integrating aerobic and strength workouts (Hong, 2014), and circular task-oriented exercise (Jung & Kim, 2014). However, preceding research has shown that rather than single-task exercise, dual-task training (Kim & Kim, 2015) or multiple-task training, in which two or more tasks are performed simultaneously and continuously (Yokokawa et al, 2015) may be more effective for older adults with various problems, because performing multiple tasks shows extensive brain activation and prefrontal lobe stimulation compared to single-task performance (Al-Yahya et al, 2016).…”

mentioning

confidence: 99%

See 1 more Smart Citation

Effects of Fumanet exercise on Korean older adults with mild dementia

Lee

Joung

Shin

2019

Aim: This study aimed to examine the effects of Fumanet exercise on cognitive function, walking ability, and depression in older adults with mild dementia. Methods: A quasi-experimental pre-and post-test design with a non-equivalent control group was used. Participants were 45 patients with mild dementia (experimental group = 22, control group = 23). In the experimental group, Fumanet exercise was performed 60 minutes per day, once per week for 8 weeks. Data were analyzed using descriptive statistics, t test, Chi-square, Fisher's exact test, and twoway repeated measures analysis of variance. Results: Gait ability in the experimental group was significantly improved compared with the control group (F = 9.08, P = .004). There were no significant differences in cognitive function or depression between the experimental and control groups. Although the intervention did not show a reduction in depression, participants exhibited a high participation rate and brighter mood with increasing sessions. Conclusions: It was confirmed that Fumanet exercise is an effective nursing intervention to improve gait ability among older adults with mild dementia.

“…6,7 In one study, after 24 weeks of a multicomponent exercise intervention on older adults with dementia, physical function measures, such as lower-limb muscle strength, brachialmuscle strength, lower-limb flexibility, balance, dynamic balance, and mobility, improved significantly. 8 Physical strength has been proved to enhance morphological changes in the brain by promoting cardiovascular and neurotransmitter functions that maintain or improve cognitive function. 9 Furthermore, lower-limb muscle strengthening and balance-ability exercises are essential to reduce the risk of fractures caused by falls among older adults.…”

Section: Introductionmentioning

confidence: 99%

Effects of ICT‐Based Multicomponent Program on Body Composition and Cognitive Function in Older Adults: A Randomized Controlled Clinical Study

Chang

Tak

et al. 2022

Alzheimer's & Dementia

Information and communication technology (ICT)-based training devices for older adults' care related to dementia are being developed to enhance older adults' cognitive functions. Older adults who require bicycle training devices can improve muscle strength and balance of lower limbs by continuously contracting and relaxing lower-limb muscles and improving cognitive function to prevent dementia. This study was conducted to investigate the effects of an ICT-based multicomponent program on body composition and cognitive function in older adults.Patients and Methods: In a randomized controlled intervention test on 20 people over the age of 60 (exercise group: n = 10; control: n = 10), the multicomponent program was applied to the exercise group twice per week, once per day for 12 weeks, at 30 min per session, whereas the control group was advised to maintain their usual daily activities. Results: Comparing body composition changes and cognitive function changes before and after intervention exhibited statistically significant differences in skeletal muscle mass (P=0.01) and modified Alzheimer's disease assessment scale-cognitive score (P=0.01) between the two groups. Conclusion: It can be difficult to be engaged in a simple repetitive exercise program. Therefore, to meet older adults' interests and expectations, a customized ICT-based multicomponent program, which can improve body composition and cognitive function in older adults and is believed to help prevent dementia, is recommended. Trial Registration: UMIN000042129 (https://www.umin.ac.jp/english/).