Feasibility of a 12 Week Physical Intervention to Prevent Cognitive Decline and Disability in the At-Risk Elderly Population in Korea

Journal of Clinical Medicine

YooKyoung Park¹  Kyunghwa Sun²  HyeMi Kwon²  SunMin Lee²  SoYoung Moon²  HaeRi Na³  JeeHyang Jeong⁴  SeongHye Choi⁵  ChangHyung Hong⁶  DaEun Seo⁷  Hyesu Jeon⁷  Hong-sun Song⁸  Buong-O Chun⁸  KiSub Kim⁹  Muncheong Choi^1,10 

[1] Department of Medical Nutrition, Graduate School of East-West Medical Nutrition, Kyung Hee University, Suwon 17104, Korea;Department of Neurology, Ajou University School of Medicine, Suwon 16499, Korea;Department of Neurology, Bobath Memorial Hospital, Seongnam 13552, Korea;Department of Neurology, Ewha Womans University School of medicine, Seoul 07804, Korea;Department of Neurology, Inha University College of Medicine, Incheon 22212, Korea;Department of Psychiatry, Ajou University School of Medicine, Suwon 16499, Korea;Department of Psychology, Ajou University, Suwon 16499, Korea;Department of Sports Science, Korea Institute of Sport Science, Seoul 01794, Korea;Dongtan Public Health Center, Hwaseong 18460, Korea;Exercowork, Hanam 12912, Korea;

关键词: dementia prevention;    cognitive decline;    disability;    physical fitness;    physical exercise intervention;    feasibility;   

DOI  :  10.3390/jcm9103135

来源: DOAJ

【 摘 要 】

There is a need for measures that can prevent the onset of dementia in the rapidly aging population. Reportedly, sustained physical exercise can prevent cognitive decline and disability. This study aimed to assess the feasibility of a 12-week physical exercise intervention (PEI) for delay of cognitive decline and disability in the at-risk elderly population in Korea. Twenty-six participants (aged 67.9 ± 3.6 years, 84.6% female) at risk of dementia were assigned to facility-based PEI (n = 15) or home-based PEI (n = 11). The PEI program consisted of muscle strength training, aerobic exercise, balance, and stretching using portable aids. Feasibility was assessed by retention and adherence rates. Physical fitness/cognitive function were compared before and after the PEI. Retention and adherence rates were 86.7% and 88.3%, respectively, for facility-based PEI and 81.8% and 62.3% for home-based PEI. No intervention-related adverse events were reported. Leg strength/endurance and cardiopulmonary endurance were improved in both groups: 30 s sit-to-stand test (facility-based, p = 0.002; home-based, p = 0.002) and 2 -min stationary march (facility-based, p = 0.001; home-based, p = 0.022). Cognitive function was improved only after facility-based PEI (Alzheimer’s Disease Assessment Scale-cognitive total score, p = 0.009; story memory test on Literacy Independent Cognitive Assessment, p = 0.026). We found that, whereas our PEI is feasible, the home-based program needs supplementation to improve adherence.

【 授权许可】

Unknown