The effect of cognitive training in older adults: be aware of CRUNCH

Fu, Li; Kessels, Roy P. C.; Maes, J.H.R.

doi:10.1080/13825585.2019.1708251

Cited by 13 publications

(8 citation statements)

References 36 publications

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“…These results indicate that our intervention had a beneficial effect in maintaining attention abilities, providing support for its potential effectiveness in preventing cognitive decline in these domains. Our findings are consistent with gerontology studies, in which cognitive training and/or physical exercise training improved or preserved some, although not all, cognitive domains [ 29 – 31 ]. In a study with older adults, cognitive training showed a potential positive effect on executive function and other cognitive domains [ 30 ].…”

Section: Discussionsupporting

confidence: 92%

Twelve weeks of combined physical and cognitive intradialytic training preserves alertness and improves gait speed: a randomized controlled trial

Bogataj,

Pajek,

Mesarič

et al. 2023

Aging Clin Exp Res

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Background Hemodialysis (HD) patients often experience cognitive deficits and reduced mobility. While studies have shown promising results of physical and/or cognitive training in older adults, their effects in HD patients remain understudied. Aims This study aimed to evaluate the impact of a 12-week intradialytic training program combining cognitive training with physical exercise on attention domains and spontaneous gait speed (SGS) in HD patients. Methods Forty-four HD patients were randomly assigned to either intradialytic cognitive and physical exercise training (EXP group; n = 22) or a standard care control group (CON group; n = 22). The EXP group performed intradialytic cycling and tablet-based cognitive training three days per week for 12 weeks. The primary outcome of the study was performance on the computerized test battery ‘Test of Attentional Performance.’ Secondary study outcome was patient mobility assessed by the four-meter SGS. Outcomes were assessed pre- and post-intervention. Results Significant group x time interaction was observed in alertness (F(1,41) = 6.15, p = 0.017) and SGS (F(1,41) = 18.33, p < 0.001) in favor of the EXP group. Within-group analysis revealed a significant pre–post decline in the CON group in alertness test (−26.7 s; p = 0.04) and an improvement of SGS in EXP group (+ 0.07 s; p < 0.001). Discussion This original study demonstrated that a combined physical and cognitive intradialytic training intervention led to improvements in SGS and preservation in alertness compared to a deterioration in the CON group. Conclusion Findings suggest that the intervention may serve as an effective tool to prevent the physical and cognitive decline in this patient population.

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Section: Discussionsupporting

confidence: 92%

Twelve weeks of combined physical and cognitive intradialytic training preserves alertness and improves gait speed: a randomized controlled trial

Bogataj,

Pajek,

Mesarič

et al. 2023

Aging Clin Exp Res

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“…Nevertheless, while it may be difficult to extrapolate the results from this small sample to the wider PD population, including those with more severe motor and CIs, this is also likely to represent the target demographic who may derive the most benefit from CT. In support of this, recent research supports that older adults with higher baseline cognitive function are more likely to benefit from CT than those who are already impaired (the so-called magnification effect) ( Mohlman et al, 2011 ; Fu et al, 2020 ).…”

Section: Discussionmentioning

confidence: 88%

Development and Co-design of NeuroOrb: A Novel “Serious Gaming” System Targeting Cognitive Impairment in Parkinson’s Disease

Guglietti

Hobbs

Wesson

et al. 2022

Front. Aging Neurosci.

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Whilst Parkinson’s disease (PD) is typically thought of as a motor disease, a significant number of individuals also experience cognitive impairment (CI), ranging from mild-CI to dementia. One technique that may prove effective in delaying the onset of CI in PD is cognitive training (CT); however, evidence to date is variable. This may be due to the implementation of CT in this population, with the motor impairments of PD potentially hampering the ability to use standard equipment, such as pen-and-paper or a computer mouse. This may, in turn, promote negative attitudes toward the CT paradigm, which may correlate with poorer outcomes. Consequently, optimizing a system for the delivery of CT in the PD population may improve the accessibility of and engagement with the CT paradigm, subsequently leading to better outcomes. To achieve this, the NeuroOrb Gaming System was designed, coupling a novel accessible controller, specifically developed for use with people with motor impairments, with a “Serious Games” software suite, custom-designed to target the cognitive domains typically affected in PD. The aim of the current study was to evaluate the usability of the NeuroOrb through a reiterative co-design process, in order to optimize the system for future use in clinical trials of CT in individuals with PD. Individuals with PD (n = 13; mean age = 68.15 years; mean disease duration = 8 years) were recruited from the community and participated in three co-design loops. After implementation of key stakeholder feedback to make significant modifications to the system, system usability was improved and participant attitudes toward the NeuroOrb were very positive. Taken together, this provides rationale for moving forward with a future clinical trial investigating the utility of the NeuroOrb as a tool to deliver CT in PD.

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“…Evidence suggests that combined cognitive and motor training may lead to cognitive enhancement and improve the elderly’s independence. On the other hand, these exercises can lead to increased self-confidence, relaxation, and functional facilitation in the individual (Fu et al 2020 ; Joubert AND Chainay 2018 ). On the other hand, in quarantine conditions, it is recommended that sports activities be performed individually; this may prevent people from unnecessary gatherings (Qian and Jiang 2020 ).…”

Section: Introductionmentioning

confidence: 99%

Comparing the effect of individual and group cognitive-motor training on reconstructing subjective well-being and quality of life in older males, recovered from the COVID-19

2023

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While the message emanating from physiological and psychological research has extolled the general advantages of exercise in physical and cognitive health, the social distancing and the impossibility of group exercises have revealed more complex conditions. Therefore, we performed an experimental study comparing the effect of individual and group cognitive-motor training on reconstructing subjective well-being (SWB) and quality of life (QOL) in older males who recovered from COVID-19. The study's design is a single-blind, randomized controlled trial (RCT). The participants, 36 older men (65–80 yrs.) recovering from COVID-19, were randomly divided into (1) Group A (cognitive-motor training, G-CMT); (2) Group B (individual cognitive-motor training, I-CMT); and (3) Group C (control). Both training interventions involved performing a training protocol (cognitive-motor training) twice a week for four weeks. The outcomes included an assessment of the SWB and QOL of participants by SWB scale and world health organization QOL scale at baseline and two weeks after interventions. Except for the effect of age and number of children variables on QOL, other demographic variables had no significant effect on the results of SWB or WHOQOL of participants ( P > 0.05). The SWB results in G-CMT were better than I-CMT and control groups in emotional and social well-being domains. Also, WHOQOL test results in G-CMT were better than control groups in domains of psychological and social relationships, whereas I-CMT performed better than G-CMT and control groups in domains of cognitive well-being, physical health, and environment. The results revealed that the mean test scores of SWB and WHOQOL in G-CMT and I-CMT were better than the control group ( P ≤ 0.001). The positive effects of cognitive-motor training on reconstructing SWB and QOL are associated with the synchronicity of cognitive and motor components in these exercises. We suggest that the emotional, social, and psychological benefits of cognitive-motor training override cognitive, physical, and environmental changes. The future line of the present study will include pathophysiology and further clinical aspect of recovering from COVID-19.

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The effect of cognitive training in older adults: be aware of CRUNCH

Cited by 13 publications

References 36 publications

Twelve weeks of combined physical and cognitive intradialytic training preserves alertness and improves gait speed: a randomized controlled trial

Twelve weeks of combined physical and cognitive intradialytic training preserves alertness and improves gait speed: a randomized controlled trial

Development and Co-design of NeuroOrb: A Novel “Serious Gaming” System Targeting Cognitive Impairment in Parkinson’s Disease

Comparing the effect of individual and group cognitive-motor training on reconstructing subjective well-being and quality of life in older males, recovered from the COVID-19

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