Moderate Exercise Improves Cognitive Function in Healthy Elderly People: Results of a Randomized Controlled Trial.

Aging Cognition Dementia Physical activity Quality of life RCT

Journal

Clinical practice and epidemiology in mental health : CP & EMH
ISSN: 1745-0179
Titre abrégé: Clin Pract Epidemiol Ment Health
Pays: United Arab Emirates
ID NLM: 101245735

Informations de publication

Date de publication:
2021
Historique:
received: 08 01 2021
revised: 13 07 2021
accepted: 14 07 2021
entrez: 4 11 2021
pubmed: 5 11 2021
medline: 5 11 2021
Statut: epublish

Résumé

Physical activity in the elderly is recommended by international guidelines to protect against cognitive decline and functional impairment. This Randomized Controlled Trial (RCT) was set up to verify whether medium-intensity physical activity in elderly people living in the community is effective in improving cognitive performance. RCT with parallel and balanced large groups. Academic university hospital and Olympic gyms. People aged 65 years old and older of both genders living at home holding a medical certificate for suitability in non-competitive physical activity. Participants were randomized to a 12-week, 3 sessions per week moderate physical activity program or to a control condition focused on cultural and recreational activities in groups of the same size and timing as the active intervention group. The active phase integrated a mixture of aerobic and anaerobic exercises, including drills of "life movements", strength and balance. The primary outcome was: any change in Addenbrooke's Cognitive Examination Revised (ACE-R) and its subscales. At the end of the trial, 52 people completed the active intervention, and 53 people completed the control condition. People in the active intervention improved on the ACE-R (ANOVA: F(1;102)=4.32, p=0.040), and also showed better performances on the memory (F(1;102)=5.40 p=0.022) and visual-space skills subscales of the ACE-R (F(1;102)=4.09 p=0.046). A moderate-intensity exercise administered for a relatively short period of 12 weeks is capable of improving cognitive performance in a sample of elderly people who live independently in their homes.

Sections du résumé

BACKGROUND BACKGROUND
Physical activity in the elderly is recommended by international guidelines to protect against cognitive decline and functional impairment.
OBJECTIVE OBJECTIVE
This Randomized Controlled Trial (RCT) was set up to verify whether medium-intensity physical activity in elderly people living in the community is effective in improving cognitive performance.
DESIGN METHODS
RCT with parallel and balanced large groups.
SETTING METHODS
Academic university hospital and Olympic gyms.
SUBJECTS METHODS
People aged 65 years old and older of both genders living at home holding a medical certificate for suitability in non-competitive physical activity.
METHODS METHODS
Participants were randomized to a 12-week, 3 sessions per week moderate physical activity program or to a control condition focused on cultural and recreational activities in groups of the same size and timing as the active intervention group. The active phase integrated a mixture of aerobic and anaerobic exercises, including drills of "life movements", strength and balance. The primary outcome was: any change in Addenbrooke's Cognitive Examination Revised (ACE-R) and its subscales.
RESULTS RESULTS
At the end of the trial, 52 people completed the active intervention, and 53 people completed the control condition. People in the active intervention improved on the ACE-R (ANOVA: F(1;102)=4.32, p=0.040), and also showed better performances on the memory (F(1;102)=5.40 p=0.022) and visual-space skills subscales of the ACE-R (F(1;102)=4.09 p=0.046).
CONCLUSION CONCLUSIONS
A moderate-intensity exercise administered for a relatively short period of 12 weeks is capable of improving cognitive performance in a sample of elderly people who live independently in their homes.

Identifiants

pubmed: 34733346
doi: 10.2174/1745017902117010075
pii: CPEMH-17-75
pmc: PMC8493830
doi:

Banques de données

ClinicalTrials.gov
['NCT03858114']

Types de publication

Journal Article

Langues

eng

Pagination

75-80

Informations de copyright

© 2021 Carta et al.

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Auteurs

Mauro Giovanni Carta (MG)

Dipartimento di Sanità Pubblica, Università degli studi di Cagliari, Cagliari, Italy.

Giulia Cossu (G)

Dipartimento di Sanità Pubblica, Università degli studi di Cagliari, Cagliari, Italy.

Elisa Pintus (E)

Dipartimento di Sanità Pubblica, Università degli studi di Cagliari, Cagliari, Italy.

Rosanna Zaccheddu (R)

Dipartimento di Sanità Pubblica, Università degli studi di Cagliari, Cagliari, Italy.

Omar Callia (O)

Dipartimento di Sanità Pubblica, Università degli studi di Cagliari, Cagliari, Italy.

Giuliana Conti (G)

Dipartimento di Sanità Pubblica, Università degli studi di Cagliari, Cagliari, Italy.

Mirra Pintus (M)

Dipartimento di Sanità Pubblica, Università degli studi di Cagliari, Cagliari, Italy.

Cesar Ivan Aviles Gonzalez (CI)

Dipartimento di Sanità Pubblica, Università degli studi di Cagliari, Cagliari, Italy.

Maria Valeria Massidda (MV)

Dipartimento di Sanità Pubblica, Università degli studi di Cagliari, Cagliari, Italy.
Department of Medical Sciences and Publcic Health, University of Cagliari, Cagliari, Italy.
Dipartimento di Ingegneria Meccanica, Università degli studi di Cagliari, Chimica e Dei Materiali, Cagliari, Italy.
Department of Education, University of Cagliari, Psychology and Philosophy, Cagliari, Italy.
Department of Psychology and Cognitive Science, University of Trento, Trento, Italy.
Comitato Olimpico Nazionale Italiano, Sezione Sardegna, Rome, Italy.
Departament of Sports Methods and Techniques, Federal University of Santa Maria (UFSM), Santa Maria, Brazil.
Laboratory of Physical Activity Neuroscience, Neurodiversity Institute, Queimados-RJ, Brazil.
Department of Public Health and Infectious Diseases, University of Rome "La Sapienza", Rome, Italy.
Dipartimento di Neuroscienze, Università degli studi di Torino, Turin, Italy.

Gioia Mura (G)

Dipartimento di Sanità Pubblica, Università degli studi di Cagliari, Cagliari, Italy.

Claudia Sardu (C)

Dipartimento di Sanità Pubblica, Università degli studi di Cagliari, Cagliari, Italy.

Paolo Contu (P)

Dipartimento di Sanità Pubblica, Università degli studi di Cagliari, Cagliari, Italy.

Luigi Minerba (L)

Department of Medical Sciences and Publcic Health, University of Cagliari, Cagliari, Italy.

Roberto Demontis (R)

Dipartimento di Sanità Pubblica, Università degli studi di Cagliari, Cagliari, Italy.

Massimiliano Pau (M)

Dipartimento di Ingegneria Meccanica, Università degli studi di Cagliari, Chimica e Dei Materiali, Cagliari, Italy.

Gabriele Finco (G)

Dipartimento di Sanità Pubblica, Università degli studi di Cagliari, Cagliari, Italy.

Eleonora Cocco (E)

Dipartimento di Sanità Pubblica, Università degli studi di Cagliari, Cagliari, Italy.

Maria Pietronilla Penna (MP)

Department of Education, University of Cagliari, Psychology and Philosophy, Cagliari, Italy.

Germano Orr (G)

Department of Psychology and Cognitive Science, University of Trento, Trento, Italy.

Goce Kalcev (G)

Comitato Olimpico Nazionale Italiano, Sezione Sardegna, Rome, Italy.

Federico Cabras (F)

Dipartimento di Sanità Pubblica, Università degli studi di Cagliari, Cagliari, Italy.

Stefano Lorrai (S)

Dipartimento di Sanità Pubblica, Università degli studi di Cagliari, Cagliari, Italy.

Andrea Loviselli (A)

Dipartimento di Sanità Pubblica, Università degli studi di Cagliari, Cagliari, Italy.

Fernanda Velluzzi (F)

Dipartimento di Sanità Pubblica, Università degli studi di Cagliari, Cagliari, Italy.

Marco Monticone (M)

Dipartimento di Sanità Pubblica, Università degli studi di Cagliari, Cagliari, Italy.

Enrico Cacace (E)

Dipartimento di Sanità Pubblica, Università degli studi di Cagliari, Cagliari, Italy.

Mario Musu (M)

Dipartimento di Sanità Pubblica, Università degli studi di Cagliari, Cagliari, Italy.

Franco Rongioletti (F)

Dipartimento di Sanità Pubblica, Università degli studi di Cagliari, Cagliari, Italy.

Alberto Cauli (A)

Dipartimento di Sanità Pubblica, Università degli studi di Cagliari, Cagliari, Italy.

Valeria Ruggiero (V)

Dipartimento di Sanità Pubblica, Università degli studi di Cagliari, Cagliari, Italy.

Alessandra Scano (A)

Dipartimento di Sanità Pubblica, Università degli studi di Cagliari, Cagliari, Italy.

Antonio Crisafulli (A)

Dipartimento di Sanità Pubblica, Università degli studi di Cagliari, Cagliari, Italy.

Sofia Cosentino (S)

Dipartimento di Sanità Pubblica, Università degli studi di Cagliari, Cagliari, Italy.

Laura Atzori (L)

Dipartimento di Sanità Pubblica, Università degli studi di Cagliari, Cagliari, Italy.

Elena Massa (E)

Dipartimento di Sanità Pubblica, Università degli studi di Cagliari, Cagliari, Italy.

Quirico Mela (Q)

Department of Medical Sciences and Publcic Health, University of Cagliari, Cagliari, Italy.

Dario Fortin (D)

Department of Psychology and Cognitive Science, University of Trento, Trento, Italy.

Gianmario Migliaccio (G)

Comitato Olimpico Nazionale Italiano, Sezione Sardegna, Rome, Italy.

Sergio Machado (S)

Departament of Sports Methods and Techniques, Federal University of Santa Maria (UFSM), Santa Maria, Brazil.
Laboratory of Physical Activity Neuroscience, Neurodiversity Institute, Queimados-RJ, Brazil.

Ferdinando Romano (F)

Department of Public Health and Infectious Diseases, University of Rome "La Sapienza", Rome, Italy.

Antonio Preti (A)

Dipartimento di Neuroscienze, Università degli studi di Torino, Turin, Italy.

Classifications MeSH