Effects of a mixed exercise program on physical and cognitive condition: Differences between older adults with and without dementia

A. Vazini Taher, I. Skrypchenko, V. Shuba
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Abstract

Purpose: The purpose of this study was to quantify the effects of a training protocol on physical and cognitive condition in a sample of individuals dwelling in a health care center for older persons. Material: A 12 weeks mixed motor cognitive training with 8 weeks follow up was performed by 20 individuals with dementia and 20 individuals with intact cognitive state (mean age= 76 ± 7). Main outcome measures included body mass index, performance-oriented balance, frailty, performance in daily activities and mental abilities. Results: At post intervention tests performance-oriented balance improved in both group. There was also a reduction in BMI in the normal group. These changes lasted after 8 weeks of no training. Analysis over time and between groups after the intervention showed a significant change in FR test (p=0.001). Performance-oriented balance was improved in both groups regardless to initial cognitive state and somehow it was affected more in cognitively intact individuals. Conclusion: Although these findings support the dominant effect of our training protocol on physical aspects, the benefits of training on cognition is not decisive.
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混合锻炼计划对身体和认知状况的影响:患有和不患有痴呆症的老年人之间的差异
目的:本研究的目的是量化培训方案对居住在老年人医疗保健中心的样本个体的身体和认知状况的影响。材料:20名痴呆患者和20名认知状态完整的患者(平均年龄=76±7岁)进行了为期12周的混合运动认知训练,并进行了为期8周的随访。主要结果指标包括体重指数、以表现为导向的平衡、虚弱、日常活动表现和心理能力。结果:在干预后的测试中,两组以表现为导向的平衡都有所改善。正常组的BMI也有所下降。这些变化持续了8周没有训练。干预后随时间和组间的分析显示,FR测试发生了显著变化(p=0.001)。无论初始认知状态如何,两组的表现导向平衡都得到了改善,而在某种程度上,认知完整的个体受到的影响更大。结论:尽管这些发现支持我们的训练方案在身体方面的主导作用,但训练对认知的益处并不是决定性的。
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