The effects of different types of physical exercise on physical and cognitive function in frail institutionalized older adults with mild to moderate cognitive impairment. A randomized controlled trial

Cardalda, Irimia Mollinedo; López, A. Carrillo; Carral, José María Cancela

doi:10.1016/j.archger.2019.05.003

Cited by 48 publications

(42 citation statements)

References 21 publications

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“…These findings are in concordance with prior original articles ( 31 , 79 , 91 – 93 ) and systematic reviews ( 33 ) that investigated LSRT ( 79 , 91 , 92 ) and HSRT ( 91 – 93 ). However, just a few studies compared the effects of LSRT and HSRT in prefrail and, for the best of our knowledge, there are no investigations in frail people.…”

Section: Discussionsupporting

confidence: 91%

“…There is still no consensus on the effects of RT on the cognitive function of older adults ( 110 ) and only a few studies have examined prefrail and frail people. Mollinedo Cardalda et al ( 93 ) and Yoon et al ( 111 ) observed that RT improved overall cognitive function in frail older adults. This view was expanded by van de Rest et al ( 52 ), who found increased digit span, attention, and working memory performances in prefrail and frail older adults who took part of a 24-weeks LSRT program.…”

Section: Discussionmentioning

confidence: 99%

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Effects of Low-Speed and High-Speed Resistance Training Programs on Frailty Status, Physical Performance, Cognitive Function, and Blood Pressure in Prefrail and Frail Older Adults

Coelho-Júnior

Uchida

2021

Front. Med.

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Aim: The current study investigated the effects of low-speed resistance training (LSRT) and high-speed resistance training (HSRT) on frailty status, physical performance, cognitive function and blood pressure in pre-frail and frail older people.Material and Methods: Sixty older adults, 32 prefrail and 28 frail, were randomly allocated into LSRT, HSRT, and control group (CG). Before and after intervention periods frailty status, blood pressure, heart rate, and a set of physical performance capabilities and cognitive domains were assessed. Exercise interventions occurred over 16 weeks and included four resistance exercises with 4–8 sets of 4–10 repetitions at moderate intensity.Results: The prevalence of frailty criteria in prefrail and frail older adults were reduced after both LSRT and HSRT. In prefrail, LSRT significantly improved lower-limb muscle strength, while mobility was only improved after HSRT. Muscle power and dual-task performance were significantly increased in both LSRT and HSRT. In frail, LSRT and HSRT similarly improved lower-limb muscle strength and power. However, exclusive improvements in dual-task were observed after LSRT. Memory was significantly increased in prefrail and frail, regardless of the type of resistance training. No significant changes were observed in blood pressure and heart rate.Conclusion: Findings of the present study indicated that both LSRT and HSRT reversed frailty status and improved physical performance in prefrail and frail older adults. Notably, different patterns of improvement were observed among RT protocols. Regarding frailty status, LSRT seemed to be more effective in reverse prefrailty and frailty when compared to HSRT. Greater improvements in muscle strength and power were also observed after LSRT, while HSRT produced superior increases in mobility and dual-task performance. One-leg stand performance was significantly reduced in LSRT, but not HSRT and CG, after 16 weeks. In contrast, RT programs similarly improved verbal memory in prefrail. Finally, no changes in blood pressure and heart rate were observed, regardless of the type of RT.Trial Registration: The protocol was approved by the University of Campinas Human Research Ethics Committee (Protocol No. 20021919.7.0000.5404) and retrospectively registered at ClinicalTrials.gov Protocol Registration and Results System: NCT04868071.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Effects of Low-Speed and High-Speed Resistance Training Programs on Frailty Status, Physical Performance, Cognitive Function, and Blood Pressure in Prefrail and Frail Older Adults

Coelho-Júnior

Uchida

2021

Front. Med.

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“…Previous research has also shown that exercise-based therapies are effective and feasible methods of improving health-related quality of life (physical and psychological) in patients [47] and caregivers [48][49][50][51][52][53]. These interventions have usually resulted in an increase of participants' physical activity level [21,23,52]; have positive effects on their physical fitness [48]; and alleviate fatigue and subjective burden [43,50,52,54].…”

Section: Introductionmentioning

confidence: 99%

Cost-Effectiveness and Effects of a Home-Based Exercise Intervention for Female Caregivers of Relatives with Dementia: Study Protocol for a Randomized Controlled Trial

et al. 2020

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Previous research has proposed a range of support interventions to mitigate the adverse impact of caregiving on the daily life of caregivers of relatives with dementia. However, the effectiveness of these interventions shows a high variability. Informal caregivers usually lack the time and/or live too far from conventional facilities to do physical exercise, especially those who live in rural areas. Thus, home-based interventions may be more efficacious due to their greater convenience for this population. The present work proposes and describes a study protocol for a randomized control trial that will analyze the efficacy and cost-effectiveness of a home-based, structured individual physical exercise intervention to improve the health-related quality of life and the mental health of female informal caregivers of relatives with dementia. The nine-month-long intervention will comprise participation in two supervised physical exercise sessions per week at the caregiver’s home. The proposed study outcomes will be: (1) feasibility of and adherence to the home-based provision of the intervention; (2) improvement in physical fitness and quality of life; and (3) reduction in subjective burden, psychological symptomatology and depression. Analyses will also be performed to determine the cost-effectiveness after the intervention. In conclusion, this intervention might thus represent a tailored and feasible strategy to help caregivers cope with the physical and psychological stress resulting from caregiving-related responsibilities, and it could represent a novel cost-effective support home-based intervention for caregivers.

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“…Dynamometric corridor. The subjects´ gait was evaluated by means of the pressure platforms E.P.S.-R1 of the LORAN-Engineering Company (Italy) [10]. This corridor is composed of three platforms with 2304 sensors on an active surface of 2400cm2, with a thickness of 7 mm, which facilitates the dynamic bipodal analysis of the patients.…”

Section: Instrumentsmentioning

confidence: 99%

“…Software designed for studying the biomechanics of walking is increasingly modern, specific, easy to use and reliable in providing the information or results that are desired in these studies. Two of the instruments currently used to analyse gait are the well-known inertial sensors [8,9] and dynamometric or force platforms [10], which facilitate the analysis of normal and pathological gaits in different populations.…”

Section: Introductionmentioning

confidence: 99%

Analysis for Disease Stages of Gait in Patients with Parkinson´s Disease

Suárez¹,

Pérez²,

Mollinedo³

et al. 2020

Preprint

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Understanding the motor patterns underlying the movement of people with Parkinson's disease (PD) is fundamental to the effective targeting of non-pharmacological therapies. This study aims to analyze the gait pattern in relation to the evolutionary stage between I-II and III-IV according to the Hoehn and Yahr scale (H&amp;Y) in people affected by PD. The study was conducted with the participation of 37 PD patients, with a mean age of 70.09±9.53 years, and of whom 48.64% were women. The inclusion criteria were: 1. To be diagnosed with PD; 2. To be in an evolutionary stage of the disease of between I and IV and; 3. To be able to walk independently and without any assistance. Kinematic and spatial-temporal parameters of the gait were analyzed. The results show differences in speed of movement, cadence, stride length, support duration, swing duration, step width, walking cycle duration and double support time between the stages analyzed. These results confirm the differences in PD gait pattern between stages I-II and III-IV. Different behaviors of the same variable were recorded depending on whether the right or left sides were affected by PD.

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The effects of different types of physical exercise on physical and cognitive function in frail institutionalized older adults with mild to moderate cognitive impairment. A randomized controlled trial

Cited by 48 publications

References 21 publications

Effects of Low-Speed and High-Speed Resistance Training Programs on Frailty Status, Physical Performance, Cognitive Function, and Blood Pressure in Prefrail and Frail Older Adults

Effects of Low-Speed and High-Speed Resistance Training Programs on Frailty Status, Physical Performance, Cognitive Function, and Blood Pressure in Prefrail and Frail Older Adults

Cost-Effectiveness and Effects of a Home-Based Exercise Intervention for Female Caregivers of Relatives with Dementia: Study Protocol for a Randomized Controlled Trial

Analysis for Disease Stages of Gait in Patients with Parkinson´s Disease

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