Kristell Pothier1,2, Christine Gagnon3,4, Sarah A Fraser5, Maxime Lussier3,6, Laurence Desjardins-Crépeau3,4, Nicolas Berryman3,7, Marie-Jeanne Kergoat3,8, T T Minh Vu8,9, Karen Z H Li10,11, Laurent Bosquet12, Louis Bherer3,10,4,8. 1. Centre de Recherche, Institut Universitaire de Gériatrie de Montréal, 4545 Chemin Queen-Mary, Montreal, QC, H3W 1W4, Canada. kristellpothier@gmail.com. 2. PERFORM Centre, Concordia University, Montreal, Canada. kristellpothier@gmail.com. 3. Centre de Recherche, Institut Universitaire de Gériatrie de Montréal, 4545 Chemin Queen-Mary, Montreal, QC, H3W 1W4, Canada. 4. Research Center, Montreal Heart Institute, Montreal, Canada. 5. Interdisciplinary School of Health Sciences, University of Ottawa, Ottawa, Canada. 6. Rehabilitation Science, Department of Medicine, University of Montréal, Montreal, Canada. 7. Department of Sports Studies, Bishop's University, Sherbrooke, Canada. 8. Department of Medicine, University of Montréal, Montreal, Canada. 9. Research Center, Centre hospitalier de l'Université de Montréal, Montreal, Canada. 10. PERFORM Centre, Concordia University, Montreal, Canada. 11. Department of Psychology, Concordia University, Montreal, Canada. 12. Faculté des sciences du sport, Université de Poitiers, Poitiers, France.
Abstract
BACKGROUND:Spontaneous walking speed (SWS) is one of the most important indicators of health in older adults. Studies have shown benefits of physical trainings on SWS in older adults but the impact of cognitive training and multidomain interventions remains understudied. AIMS: This original study aimed at comparing the impact of aerobic/resistance exercise, computerized cognitive training and the combination of both interventions compared with active control conditions on SWS in healthy older adults. METHODS:Ninety community-dwelling older adults were randomly assigned to four different combinations composed of two active interventions: physical aerobic/resistance and cognitive dual-task trainings, and two active control conditions: stretching exercises and computer lessons. The four combinations were the following: (1) aerobic/resistance and cognitive dual task (n = 28), (2) aerobic/resistance and computer lessons (n = 21), (3) stretching exercises and cognitive dual task and (n = 23), (4) stretching exercises and computer lessons (n = 18). Training sessions were held three times/week for three months. SWS for 30 s was assessed before and after the intervention. RESULTS: Repeated-measures ANOVA showed a main effect of time and a significant three-way interaction suggesting differential improvement in SWS according to training combinations. A clinical meaningful improvement in SWS was observed in groups 1-3 (0.08-0.14 m/s; effect sizes: small to moderate) but not in the active control group 4. DISCUSSION: Results of this study suggest that aerobic/resistance exercise and computerized dual-task training are two non-pharmacological interventions by which SWS, a functional vital sign, can be clinically improved in older adults. CONCLUSION: This original study pointed out different tools to prevent functional decline in older people.
RCT Entities:
BACKGROUND: Spontaneous walking speed (SWS) is one of the most important indicators of health in older adults. Studies have shown benefits of physical trainings on SWS in older adults but the impact of cognitive training and multidomain interventions remains understudied. AIMS: This original study aimed at comparing the impact of aerobic/resistance exercise, computerized cognitive training and the combination of both interventions compared with active control conditions on SWS in healthy older adults. METHODS: Ninety community-dwelling older adults were randomly assigned to four different combinations composed of two active interventions: physical aerobic/resistance and cognitive dual-task trainings, and two active control conditions: stretching exercises and computer lessons. The four combinations were the following: (1) aerobic/resistance and cognitive dual task (n = 28), (2) aerobic/resistance and computer lessons (n = 21), (3) stretching exercises and cognitive dual task and (n = 23), (4) stretching exercises and computer lessons (n = 18). Training sessions were held three times/week for three months. SWS for 30 s was assessed before and after the intervention. RESULTS: Repeated-measures ANOVA showed a main effect of time and a significant three-way interaction suggesting differential improvement in SWS according to training combinations. A clinical meaningful improvement in SWS was observed in groups 1-3 (0.08-0.14 m/s; effect sizes: small to moderate) but not in the active control group 4. DISCUSSION: Results of this study suggest that aerobic/resistance exercise and computerized dual-task training are two non-pharmacological interventions by which SWS, a functional vital sign, can be clinically improved in older adults. CONCLUSION: This original study pointed out different tools to prevent functional decline in older people.
Authors: Chris McGibbon; Pam Jarrett; Grant Handrigan; Danielle Bouchard; Carole C Tranchant; Andrew M Sexton; Linda Yetman; Bryn Robinson; Stephanie Crapoulet; Ludivine Chamard-Witkowski; Teresa Liu-Ambrose; Laura Elizabeth Middleton; Quincy J Almeida; Louis Bherer; Andrew Lim; Mark Speechley; Nellie Kamkar; Manuel Montero Odasso Journal: BMJ Open Date: 2022-03-31 Impact factor: 3.006