Exercise interventions for maintaining cognitive function in cognitively healthy people in late life

Forbes, Scott C.; Forbes, Dorothy; Forbes, Sean C.; Blake, Catherine; Chong, Lee Yee; Thiessen, Emily J; Rutjes, Anne W S; Little, Jonathan P.

doi:10.1002/14651858.cd011704

Cited by 12 publications

(4 citation statements)

References 83 publications

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“…Only the affective support showed significant relationships with intrapsychic factors and gerotranscendence, although with little predictive power. These results are in agreement with those found by Christensen et al (2003), and Forbes et al (2015) in predicting welfare and successful aging, and those of Khazaee-pool et al (2015) predicting physical health and active aging. With regard to social support, the results of this study suggest that social relations are not a direct indicator of successful aging, as also proposed Prakash, Voss, Erickson, and Kramer (2015).…”

Section: Discussionsupporting

confidence: 93%

“…A physically active lifestyle throughout the life cycle is more beneficial than sedentary lifestyle for both mental well-being as well as for physical well-being (Cesari et al, 2015). In older people, regular physical activity is important for increasing or preserving aspects of physical function, for mental health (Bherer, 2015; Christensen et al, 2003; Forbes et al, 2015), as well as for improving social relations, and consequently maintaining independent living, basic capacity of people to care for themselves and perform daily activities with higher performance levels (Howie, Troutman-Jordan, & Newman, 2014).…”

mentioning

confidence: 99%

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Contributions of Psychosocial Factors and Physical Activity to Successful Aging

2018

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The aim of this study was twofold: (a) To validate a successful aging model in a Spanish older adult's sample, and (b) to predict successful aging from psychosocial factors and physical activity. Participants were 725 Spanish older people, of whom 478 were women and 247 men, aged between 55 and 100 years. Of these, 501 were physically active and 197 persons did not practice physical activity. The sample was collected in three areas: Sport centers, day centers and public areas of several Spanish towns. Factorial validity of the Successful Aging Inventory was studied by confirmatory factor analysis, and four multiple regressions to predict each of the dimensions of successful aging (functional performance, intrapsychic factors, gerotranscendence, and spirituality) were estimated. The model of successful aging in Spanish elderly through the Successful Aging Inventory was adequate. The four multiple regressions predicted highly successful aging, with effect sizes of: R2 = .037 for spirituality; .267 for functional performance; .531 for intrapsychic factors; and .356 for gerotrascendece. A main conclusion derived from the results is that older people who do exercise achieve better aging. Another point is that aspects of health and life satisfaction are directly related to better aging while social aspects influence indirectly.

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Section: Discussionsupporting

confidence: 93%

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confidence: 99%

Contributions of Psychosocial Factors and Physical Activity to Successful Aging

2018

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“…Age is a risk factor for cognitive degeneration which can affect balance in older adults 29,30 . TILDA uses the Mini Mental State Examination (MMSE) 31 , a 30-item scale measuring attention, concentration, memory, language, visio-constructional skills, calculations, and orientation which provides a summary score for each participant.…”

Section: Cognitive Systemmentioning

confidence: 99%

Changes in physical activity predict changes in a comprehensive model of balance in older community-dwelling adults. A longitudinal analysis of the TILDA study

McMullan¹,

Bunting²,

McDonough³

et al. 2019

JFSF

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sectional studies (26 studies) making conclusions regarding causality difficult 14 .The other significant challenge in this area is that balance assessment is complex. Contemporary balance theory proposes that comprehensive balance assessment should incorporate the assessment of neuromuscular, cognitive, and sensory body systems to accurately assess balance and effectively reduce falls [15][16][17][18][19] . Functional measures of balance Abstract Objective: Falls due to poor balance can cause injury, disability, and death in older adults. The relationship between free-living physical activity (PA) and balance over time is poorly understood. The aim of this study is to explore the association between PA and balance in older adults over time. Methods: Using two waves of data from the TILDA study (n=8,504 participants) a structural equation model was used to identify a composite measure of balance that incorporated measures of Timed Up and Go; handgrip strength; Mini Mental State Exam; vision; hearing; and steadiness. The patterns of change in PA and balance were then compared over time (controlling for covariates). Results:The results showed that one extra metabolic equivalent of task (MET) minute of PA improves balance by 4% over one week (Est=-0.10, SE=0.12), and by 5% cumulatively over two years (Est=-0.13, SE=0.02). Medication, alcohol consumption, sex, age, fear of falling, education, pain, and problems performing activities of daily living (ADL) were risk factors for balance. Conclusion: This study provides a novel and robust model that should guide comprehensive balance assessment. PA promotion should engage older adults in more free-living PA that may be more relevant to them.

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“…Exercise interventions requiring balance, and Tai Chi in particular, are effective in preventing falls ( Forbes et al, 2015 ; Gillespie et al, 2012 ). However, adherence to such interventions remains a challenge for older adults living with dementia ( Burton et al, 2015 ).…”

Section: Introductionmentioning

confidence: 99%

People living with dementia and their family carers’ adherence to home-based Tai Chi practice

et al. 2020

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Objectives The aim of this study was to understand what influenced people living with dementia and their family carers’ adherence to the home-based component of a Tai Chi exercise intervention. Method Dyads, of people living with dementia and their family carers, who participated in the intervention arm of the Tai Chi for people living with dementia trial, were invited to join weekly Tai Chi classes for 20 weeks and practice at home. Semi-structured dyadic home interviews were conducted on average after 16 weeks of classes. The views of 15 dyads with a range of home practice adherence were sought in semi-structured interviews. The interviews were analysed using an inductive thematic approach. Results Most participants found time to practise Tai Chi at home and practised for 18 hours on average. Amongst the barriers to adherence were participants’ competing commitments and a booklet not sufficiently conveying the Tai Chi movements. Hence, a video or DVD was requested by participants. Facilitators of their adherence to the home-based component of the intervention were their enjoyment of the practice and the development of a habit, which was supported by their commitment to the study and their willingness to benefit from Tai Chi. Conclusion Enjoyment and perceived benefits had a great impact on participants living with dementia and their carers’ adherence to home-based Tai Chi practice. However, difficulties to perceive the Tai Chi movements through images might be hindering sustained participation. Hence, alternative aids such as videos and DVDs should be explored to facilitate adherence.

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Exercise interventions for maintaining cognitive function in cognitively healthy people in late life

Cited by 12 publications

References 83 publications

Contributions of Psychosocial Factors and Physical Activity to Successful Aging

Contributions of Psychosocial Factors and Physical Activity to Successful Aging

Changes in physical activity predict changes in a comprehensive model of balance in older community-dwelling adults. A longitudinal analysis of the TILDA study

People living with dementia and their family carers’ adherence to home-based Tai Chi practice

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