Aerobic and Cognitive Exercise (ACE) Pilot Study for Older Adults: Executive Function Improves with Cognitive Challenge While Exergaming

被引:82
作者
Barcelos, Nicole [1 ]
Shah, Nikita [1 ]
Cohen, Katherine [1 ]
Hogan, Michael J. [2 ]
Mulkerrin, Eamon [3 ]
Arciero, Paul J. [4 ]
Cohen, Brian D. [1 ]
Kramer, Arthur F. [5 ]
Anderson-Hanley, Cay [1 ]
机构
[1] Union Coll, Hlth Aging & Neuropsychol Lab, Schenectady, NY 12308 USA
[2] Natl Univ Ireland, Galway, Ireland
[3] Galway Univ Hosp, Galway, Ireland
[4] Skidmore Coll, Hlth & Exercise Dept, Saratoga Springs, NY 12866 USA
[5] Univ Illinois, Beckman Inst, Urbana, IL USA
关键词
Physical activity; Exergaming; Aging; Cognition; Executive function; Neuroplasticity; RANDOMIZED-CONTROLLED-TRIAL; PHYSICAL-ACTIVITY; STRENGTHENING EXERCISE; BRAIN PLASTICITY; IMPAIRMENT; MEMORY; DEMENTIA; INTERVENTION; PERFORMANCE; RISK;
D O I
10.1017/S1355617715001083
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Dementia cases are increasing worldwide; thus, investigators seek to identify interventions that might prevent or ameliorate cognitive decline in later life. Extensive research confirms the benefits of physical exercise for brain health, yet only a fraction of older adults exercise regularly. Interactive mental and physical exercise, as in aerobic exergaming, not only motivates, but has also been found to yield cognitive benefit above and beyond traditional exercise. This pilot study sought to investigate whether greater cognitive challenge while exergaming would yield differential outcomes in executive function and generalize to everyday functioning. Sixty-four community based older adults (mean age = 82) were randomly assigned to pedal a stationary bike, while interactively engaging on-screen with: (1) a low cognitive demand task (bike tour), or (2) a high cognitive demand task (video game). Executive function (indices from Trails, Stroop and Digit Span) was assessed before and after a single-bout and 3-month exercise intervention. Significant group x time interactions were found after a single-bout (Color Trails) and after 3 months of exergaming (Stroop; among 20 adherents). Those in the high cognitive demand group performed better than those in the low cognitive dose condition. Everyday function improved across both exercise conditions. Pilot data indicate that for older adults, cognitive benefit while exergaming increased concomitantly with higher doses of interactive mental challenge.
引用
收藏
页码:768 / 779
页数:12
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