Agility training to integratively promote neuromuscular, cardiorespiratory and cognitive function in healthy older adults: a one-year randomized-controlled trial.

agility training balance cognition fall prevention multicomponent exercise older adults strength

Journal

European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity
ISSN: 1813-7253
Titre abrégé: Eur Rev Aging Phys Act
Pays: Germany
ID NLM: 101284836

Informations de publication

Date de publication:
11 Nov 2023
Historique:
received: 15 12 2022
accepted: 12 10 2023
medline: 12 11 2023
pubmed: 12 11 2023
entrez: 11 11 2023
Statut: epublish

Résumé

Exercise training recommendations for seniors include the targeted training of strength, balance, endurance and flexibility domains. Agility training (AT) is conceptualized as a multi-component and time-efficient training framework for older adults to improve physical, functional and cognitive health domains that are relevant for maintaining activities of daily living. The aim of this one-year trial was to comparatively evaluate the effects of agility training on physical and cognitive function. Seventy-nine healthy older adults (AT: 61.5% female, 70.8 ± 4.8 years, 27.7 ± 4.2 kg/m Fifty-four participants (AG: 25, CG: 29) were analyzed, most drop-outs attributed to COVID-19 (17/30 dropouts). Adherence was good (75%) of 90 offered sessions. Notable effects in favor of AT were found for gait parameters in single (d = 0.355, Δ = 4.3%), dual (d = 0.375, Δ = 6.1%) and triple (d = 0.376, Δ = 6.4%) task conditions, counter movement jump performance (strength and power) (d = 0.203, Δ = 6.9%), static one leg balance (d = 0.256, Δ = 12.33%) and n-back reaction time (cognitive performance) (d = 0.204, Δ = 3.8%). No effects were found for the remaining outcomes (d < 0.175). AT might serve as an integrative training approach for older adults particularly improving gait and lower limb power parameters. It seems suitable to improve a broad range of seniors' health domains and should replace isolated training of these domains. However, individual variation and progression of exercises should be considered when programming agility training providing adequate challenges throughout a long-term intervention for all participants. DRKS, DRKS00017469 . Registered 19 June 2019-Retrospectively registered.

Sections du résumé

BACKGROUND BACKGROUND
Exercise training recommendations for seniors include the targeted training of strength, balance, endurance and flexibility domains. Agility training (AT) is conceptualized as a multi-component and time-efficient training framework for older adults to improve physical, functional and cognitive health domains that are relevant for maintaining activities of daily living. The aim of this one-year trial was to comparatively evaluate the effects of agility training on physical and cognitive function.
METHODS METHODS
Seventy-nine healthy older adults (AT: 61.5% female, 70.8 ± 4.8 years, 27.7 ± 4.2 kg/m
RESULTS RESULTS
Fifty-four participants (AG: 25, CG: 29) were analyzed, most drop-outs attributed to COVID-19 (17/30 dropouts). Adherence was good (75%) of 90 offered sessions. Notable effects in favor of AT were found for gait parameters in single (d = 0.355, Δ = 4.3%), dual (d = 0.375, Δ = 6.1%) and triple (d = 0.376, Δ = 6.4%) task conditions, counter movement jump performance (strength and power) (d = 0.203, Δ = 6.9%), static one leg balance (d = 0.256, Δ = 12.33%) and n-back reaction time (cognitive performance) (d = 0.204, Δ = 3.8%). No effects were found for the remaining outcomes (d < 0.175).
CONCLUSION CONCLUSIONS
AT might serve as an integrative training approach for older adults particularly improving gait and lower limb power parameters. It seems suitable to improve a broad range of seniors' health domains and should replace isolated training of these domains. However, individual variation and progression of exercises should be considered when programming agility training providing adequate challenges throughout a long-term intervention for all participants.
TRIAL REGISTRATION BACKGROUND
DRKS, DRKS00017469 . Registered 19 June 2019-Retrospectively registered.

Identifiants

pubmed: 37951885
doi: 10.1186/s11556-023-00331-6
pii: 10.1186/s11556-023-00331-6
pmc: PMC10638759
doi:

Types de publication

Journal Article

Langues

eng

Pagination

21

Informations de copyright

© 2023. The Author(s).

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Auteurs

Eric Lichtenstein (E)

Department of Sport, Exercise and Health, University of Basel, Grosse Allee 6, Basel, 4052, Switzerland. e.lichtenstein@unibas.ch.

Steffen Held (S)

Department of Intervention Research in Exercise Training, Institute of Exercise Training and Sport Informatics, German Sport University Cologne, Am Sportpark Muengersdorf 6, Cologne, 50933, Germany.

Ludwig Rappelt (L)

Department of Intervention Research in Exercise Training, Institute of Exercise Training and Sport Informatics, German Sport University Cologne, Am Sportpark Muengersdorf 6, Cologne, 50933, Germany.

Jonas Zacher (J)

Institute of Cardiology and Sports Medicine, German Sport University Cologne, Am Sportpark Muengersdorf 6, Cologne, 50933, Germany.

Angi Eibl (A)

Institute of Cardiology and Sports Medicine, German Sport University Cologne, Am Sportpark Muengersdorf 6, Cologne, 50933, Germany.

Sebastian Ludyga (S)

Department of Sport, Exercise and Health, University of Basel, Grosse Allee 6, Basel, 4052, Switzerland.

Oliver Faude (O)

Department of Sport, Exercise and Health, University of Basel, Grosse Allee 6, Basel, 4052, Switzerland.

Lars Donath (L)

Department of Intervention Research in Exercise Training, Institute of Exercise Training and Sport Informatics, German Sport University Cologne, Am Sportpark Muengersdorf 6, Cologne, 50933, Germany.

Classifications MeSH