Feasibility of a 12 Week Physical Intervention to Prevent Cognitive Decline and Disability in the At-Risk Elderly Population in Korea
- 주제(키워드) dementia prevention , cognitive decline , disability , physical fitness , physical exercise intervention , feasibility , safety
- 주제(기타) Medicine, General & Internal
- 설명문(일반) [Lee, Sun Min; Sun, Kyunghwa; Kwon, Hye Mi; Moon, So Young] Ajou Univ, Sch Med, Dept Neurol, Suwon 16499, South Korea; [Lee, Sun Min] Ajou Univ, Grad Sch, Dept Med Sci, Suwon 16499, South Korea; [Song, Hong-sun; Chun, Buong-O] Korea Inst Sport Sci, Dept Sports Sci, Seoul 01794, South Korea; [Choi, Muncheong] Exercowork, Hanam 12912, South Korea; [Kim, Ki Sub] Dongtan Publ Hlth Ctr, Hwaseong 18460, South Korea; [Jeon, Hyesu; Seo, Da Eun] Ajou Univ, Dept Psychol, Suwon 16499, South Korea; [Jeong, Jee Hyang] Ewha Womans Univ, Sch Med, Dept Neurol, Seoul 07804, South Korea; [Park, Yoo Kyoung] Kyung Hee Univ, Grad Sch East West Med Nutr, Dept Med Nutr, Suwon 17104, South Korea; [Hong, Chang Hyung] Ajou Univ, Sch Med, Dept Psychiat, Suwon 16499, South Korea; [Na, Hae Ri] Bobath Mem Hosp, Dept Neurol, Seongnam 13552, South Korea; [Choi, Seong Hye] Inha Univ, Coll Med, Dept Neurol, Incheon 22212, South Korea
- 등재 SCIE, SCOPUS
- OA유형 Green Published, Green Submitted, gold
- 발행기관 MDPI
- 발행년도 2020
- 총서유형 Journal
- URI http://www.dcollection.net/handler/ewha/000000174673
- 본문언어 영어
- Published As http://dx.doi.org/10.3390/jcm9103135
- PubMed https://pubmed.ncbi.nlm.nih.gov/32998321
초록/요약
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.
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