Effects of simultaneous aerobic and cognitive training on executive functions, cardiovascular fitness and functional abilities in older adults with mild cognitive impairment

Donnezan, Laure Combourieu; Perrot, Alexandra; Belleville, Sylvie; Bloch, Frédéric; Kemoun, G.

doi:10.1016/j.mhpa.2018.06.001

Cited by 64 publications

(90 citation statements)

References 40 publications

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“…In the literature, it has been demonstrated that participant walking strategy changes with walking distance, resulting in a significant effect on gait variability [75], so walking distance could be highly relevant in order to measure gait variability as a marker for MCI. Randomized Controlled Trials included in this systematic review showed that gait speed, stride length, stride time, balance, specially the center of mass sway in anterior-posterior and medial-lateral directions, and the time to perform the TUG may be improved after some physical interventios [56][57][58]61]. Nevertheless, there is still room for improvement in current interventions.…”

Section: Comparision With Other Studiesmentioning

confidence: 96%

“…This is an important step forward in developing a clinically validated approach for measuring MCI related functional deficits which could predict a future risk of MCI and could even help its early diagnosis, although further studies are required in order to validate the findings of this review. Findings of this systematic review could be useful for promoting specific interventions aiming reverse early functional changes associated with MCI, since RCTs included in this systematic reviews have demonstrated that physical interventions could improve gait speed, stride length, stride time, balance, specially the center of mass sway in AP and ML directions [56][57][58].…”

Section: Implications For Clinical Practicementioning

confidence: 99%

“…Furthermore, these prospective longitudinal studies suggested that gait variability, the coefficient of variation of the walking speed and trajectories of weekly walking speed may be significant predictors of MCI, whereas gait speed was not associated with incident MCI risk[69][70][71]. On the other hand, RCTs suggested gait speed, stride length, stride time, balance and the time to perform the TUG may be improved after some physical interventios[56][57][58]61]. Nevertheless, the quality and the strength of evidence per outcome was low and the risk of bias was substantial to draw firm conclusions.…”

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confidence: 99%

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Functional parameters indicative of Mild Cognitive Impairment: a Systematic Review using Instrumented Kinematic Assessment

Fuentes-Abolafio

Stubbs

Pérez‐Belmonte

et al. 2020

Preprint

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BackgroundSubjects with mild cognitive impairment (MCI) experience alterations of functional parameters, such as impaired balance or gait. The current systematic review set out to investigate whether functional objective performance may predict a future risk of MCI; to compare functional objective parameters in confirmed MCI people with a control group; and to assess longitudinal changes in these parameters after different physical interventions.MethodsA systematic review of relevant literature was conducted. Literature were searched in PubMed, AMED, CINAHL, EMBASE, PEDro and Web of Science as well as grey literature databases. Cohort studies and Randimized Controlled Trials (RCTs) were included. Quality of reviewed studies were assessed independently by reviewers using quality assessment checklists.ResultsFifteen studies met inclusion criteria including mild cognitive impairment people. Results from RCTs suggested that gait speed, gait variability and balance may be improved by different physical interventions. Cohort studies showed that gait speed, gait variability and gait symmetry, especially in Dual Task (DT) conditions, were parameters impaired in confirmed MCI patients in comparison with a Control Gorup. Furthermore, cohort studies suggested that gait variability could be a predictor of MCI. However, RCTs showed an unclear risk of bias and all studies included in this systematic review had a low quality of evidence.ConclusionsExisting studies suggest that gait variability may predict incident MCI, moreover different gait parameters, especially during DT conditions, could be impaired in MCI. These parameters could be improved by some interventions. Further studies are required to refute our findings.

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Section: Comparision With Other Studiesmentioning

confidence: 96%

Section: Implications For Clinical Practicementioning

confidence: 99%

mentioning

confidence: 99%

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Functional parameters indicative of Mild Cognitive Impairment: a Systematic Review using Instrumented Kinematic Assessment

Fuentes-Abolafio

Stubbs

Pérez‐Belmonte

et al. 2020

Preprint

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“…RCTs showed that Gait speed, Cadence, Stride Length, Smoothness of trunk movement in the vertical direction could be improved by aerobic exercises (60% of aged predicted maximal heart rate), specially when aerobic exercises is performed alongside cognitive exercises or others physical exercises such as muscle strength training, postural balance retraining, or gait training [56,57,62].…”

Section: Functional Objective Parameters After Physical Activity Intementioning

confidence: 99%

“…Stride time and the total time to perform the TUG also could be decreased by the same interventions [56,57]. Balance training also may decreased the center of mass sway in anterior-posterior and medial-lateral directions [58].…”

Section: Functional Objective Parameters After Physical Activity Intementioning

confidence: 99%

Functional parameters indicative of Mild Cognitive Impairment: a Systematic Review using Instrumented Kinematic Assessment

Fuentes-Abolafio

Stubbs

Pérez‐Belmonte

et al. 2020

Preprint

View full text Add to dashboard Cite

Background People with mild cognitive impairment (MCI) experience alterations of functional parameters, such as impaired balance or gait. The current systematic review set out to investigate whether functional objective performance may predict a future risk of MCI; to compare functional objective parameters in people with MCI and a control group; and to assess changes in these parameters after different physical activity interventions. Methods A systematic review of relevant literature was conducted. Literature were searched in PubMed, AMED, CINAHL, EMBASE, PEDro and Web of Science as well as grey literature databases. Cohort studies and Randomized Controlled Trials (RCTs) were included. Quality of reviewed studies were assessed independently by reviewers using quality assessment checklists. Results Seventeen studies met inclusion criteria including people with MCI. Results from RCTs suggested that gait speed, gait variability and balance may be improved by different physical activity interventions. Cohort studies showed that gait speed,especially in Dual Task (DT) conditions, was the parameter impaired in people with MCI in comparison with a Control Gorup. Furthermore, cohort studies suggested that gait variability could be a predictor of MCI. However, RCTs showed an unclear risk of bias and all studies included in this systematic review reported a low quality of evidence. Conclusions Studies suggest that gait variability may predict incident MCI, moreover different gait parameters, especially during DT conditions, could be impaired in MCI. These parameters could be improved by some physical activity interventions. Further studies are required to refute our findings. PROSPERO: CRD42019119180.

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Associations of Multidomain Interventions With Improvements in Cognition in Mild Cognitive Impairment

et al. 2022

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Key Points Question Are multidomain interventions associated with better cognitive outcomes than single interventions in older adults with mild cognitive impairment (MCI)? Findings This meta-analysis of 28 studies with 2711 participants examined global cognition, attention, executive function, memory, processing speed, and verbal fluency effects. After intervention, significant improvements favoring multidomain interventions were observed in global cognition, executive function, memory, and verbal fluency compared with the single-intervention, active control. Meaning In this study, multidomain interventions were more strongly associated with improving global cognition, memory, executive function, and verbal fluency in older adults with MCI than single interventions, but evidence is needed to determine the optimal length of multidomain interventions.

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Effects of simultaneous aerobic and cognitive training on executive functions, cardiovascular fitness and functional abilities in older adults with mild cognitive impairment

Cited by 64 publications

References 40 publications

Functional parameters indicative of Mild Cognitive Impairment: a Systematic Review using Instrumented Kinematic Assessment

Functional parameters indicative of Mild Cognitive Impairment: a Systematic Review using Instrumented Kinematic Assessment

Functional parameters indicative of Mild Cognitive Impairment: a Systematic Review using Instrumented Kinematic Assessment

Associations of Multidomain Interventions With Improvements in Cognition in Mild Cognitive Impairment

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