Effects of exercise-cognitive dual-task training on cognitive frailty in older adults: a randomized controlled trial.
Objective: This study aims to investigate the effects of exercise-cognitive dual-task training on frailty status, cognitive function, physical performance, and dual-task cognitive load in older adults with Cognitive frailty (CF) over a 16-week intervention period. Methods: This randomized controlled...
| Publicado en: | Frontiers in Aging Neuroscience pp. 1 - 10 |
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| Autores principales: | , , , , , , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Frontiers Media S.A.
2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=188368371&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 188368371 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 16634365 BG2U jtl: Frontiers in Aging Neuroscience issn: 16634365 maglogo: N pubinfo: dt: 2025 pid: 40038 pub: Frontiers Media S.A. artinfo: ui: 188368371 188368371 188368371 10.3389/fnagi.2025.1639245 188368371 ppf: 1 ppct: 9 formats: tig: atl: Effects of exercise-cognitive dual-task training on cognitive frailty in older adults: a randomized controlled trial. aug: au: Lai, Xiaoxing Zhu, Hongwei Cai, Yonghua Chen, Baoyu Li, Yang Du, Hongdi Zhang, Liping Wang, Wenwen Li, Shuxian Huo, Xiaopeng affil: Department of Neurology, Peking Union Medical College Hospital, Beijing, China sug: subj: Cognition Disorders Therapy Frailty Syndrome Therapy Task Performance and Analysis Therapeutic Exercise Cognitive Therapy Training Effect (Physiology) Physical Performance Community Living In Old Age Treatment Outcomes Evaluation Human Female Male Aged Aged, 80 and Over Randomized Controlled Trials Random Assignment Control Group Community Health Centers China Balance, Postural Gait Analysis Walking Clinical Assessment Tools Scales Health Education Sample Size Determination Cognition Evaluation Comparative Studies T-Tests Fisher's Exact Test Data Analysis Software Descriptive Statistics Funding Source Aged: 65+ years Aged, 80 & over Female Male ab: Objective: This study aims to investigate the effects of exercise-cognitive dual-task training on frailty status, cognitive function, physical performance, and dual-task cognitive load in older adults with Cognitive frailty (CF) over a 16-week intervention period. Methods: This randomized controlled trial enrolled older adults with CF at community health service center in Chaoyang District, Beijing, between February and March 2024. Participants were randomly assigned to either the dual-task training group or the health education group in a 1:1 ratio. The dual-task training group received an exercise-cognitive dual-task training program, while the health education group received information on CF, including its symptoms, risk factors, and non-pharmacological prevention and treatment strategies. The primary outcomes were frailty status, while the secondary outcomes included cognitive function, balance and gait function, walking ability, and dual-task cognitive load. Results: A total of 72 participants (35 males) were enrolled, including 36 individuals (mean age: 74.81 ± 8.23 years, 17 males, mean BMI: 21.38 ± 2.83 kg/m2) in the dual-task training group, and 36 individuals (mean age: 76.50 ± 7.75 years, 18 males, mean BMI: 22.18 ± 2.12 kg/m2) in the health education group. Participants (n = 72) were 75.66 ± 7.9 years old; 48.6% (35/72) were male and 51.4% (37/72) were female. Following the intervention, the dual-task training group exhibited significant improvements compared to the health education group in the Tilburg Frailty Index (5.14 ± 0.99 vs. 7.36 ± 1.07, p < 0.001) and Montreal Cognitive Assessment scores (27.25 ± 2.41 vs. 23.47 ± 1.87, p < 0.001). Additionally, the dual-task training group demonstrated superior outcomes in the Performance-Oriented Mobility Assessment (POMA) scores (24.64 ± 5.50 vs. 17.39 ± 4.38, p < 0.001), Time Up and Go Test (TUGT) indicators (10.66 ± 1.76 vs. 12.01 ± 2.21, p < 0.05), and cognitive load measures (all p < 0.05). Conclusion: Exercise-cognitive dual-task training may effectively improve frailty status, cognitive function, physical performance, and dual-task cognitive load in older adults with CF, suggesting its potential for broader application in this population. Clinical trial registration: http://www.chictr.org.cn/ , ChiCTR2400080105. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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