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Aging Clinical and Experimental Research

, Volume 30, Issue 5, pp 471–479 | Cite as

Effects of a 10-week multimodal exercise program on physical and cognitive function of nursing home residents: a psychomotor intervention pilot study

  • Catarina PereiraEmail author
  • Hugo Rosado
  • Ana Cruz-Ferreira
  • José Marmeleira
Original Article

Abstract

Background

Nursing home institutionalization tends to exacerbate loss of functioning.

Aims

Examine the feasibility and the effect of a psychomotor intervention—a multimodal exercise program promoting simultaneous cognitive and motor stimulation—on the executive (planning ability and selective attention) and physical function of nursing home residents.

Methods

Seventeen participants engaged in a 10-week multimodal exercise program and 17 maintained usual activities.

Results

Exercise group improved planning ability (25–32%), selective attention (19–67%), and physical function [aerobic endurance, lower body strength, agility, balance, gait, and mobility (19–41%)], corresponding to an effect size ranging from 0.29 (small) to 1.11 (high), p < 0.05.

Discussion

The multimodal exercise program was feasible and well tolerated. The program improved executive and physical functions of the nursing home residents, reverting the usual loss of both cognitive and motor functioning in older adult institutionalized.

Conclusions

Multimodal exercise programs may help to maintain or improve nursing home residents’ functioning.

Keywords

Elderly Executive function Planning ability Attention Physical function 

Notes

Acknowledgements

Funding was provided by Fundação para a Ciência e a Tecnologia (PT) (Grant no. UID/DTP/04045/2013) and Horizon 2020—Portugal 2020—Programa Operacional Regional do Alentejo (Grant no. ALT20-03-0145-FEDER-000007).

Compliance with ethical standards

Conflict of interest

Authors declare no conflict of interest.

Ethical approval

Committee on Biomedical Ethics (Universidade de Évora, Portugal) approved this study. All procedures performed in the study involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

All participants gave their informed consent.

References

  1. 1.
    WHO (ed) (2015) World report on ageing and health. World Health Organization, GenevaGoogle Scholar
  2. 2.
    Eurostat (2015) Sustainable development in the European Union. Publications Office of the European Union. doi: 10.2785/999711
  3. 3.
    Luppa M, Luck T, Matschinger H et al (2010) Predictors of nursing home admission of individuals without a dementia diagnosis before admission—results from the Leipzig Longitudinal Study of the Aged (LEILA 75+). BMC Health Serv Res 10:186. doi: 10.1186/1472-6963-10-186 CrossRefPubMedPubMedCentralGoogle Scholar
  4. 4.
    Rikli R, Jones C (2013) Development and validation of criterion-referenced clinically relevant fitness standards for maintaining physical independence in later years. Gerontologist 53:255–267. doi: 10.1093/geront/gns071 CrossRefPubMedGoogle Scholar
  5. 5.
    Frandin K, Gronstedt H, Helbostad JL et al (2016) Long-term effects of individually tailored physical training and activity on physical function, well-being and cognition in Scandinavian nursing home residents: a randomized controlled trial. Gerontology 62:571–580. doi: 10.1159/000443611 CrossRefPubMedGoogle Scholar
  6. 6.
    Volkers KM, Scherder EJ (2011) Impoverished environment, cognition, aging and dementia. Rev Neurosci 22:259–266. doi: 10.1515/RNS.2011.026 CrossRefPubMedGoogle Scholar
  7. 7.
    Fu AS, Gao KL, Tung AK et al (2015) Effectiveness of exergaming training in reducing risk and incidence of falls in frail older adults with a history of falls. Arch Phys Med Rehabil 96:2096–2102. doi: 10.1016/j.apmr.2015.08.427 CrossRefPubMedGoogle Scholar
  8. 8.
    Pereira C, Baptista F, Cruz-Ferreira A (2016) Role of physical activity, physical fitness, and chronic health conditions on the physical independence of community-dwelling, older adults over a 5-year period. Arch Gerontol Geriatr 65:45–53. doi: 10.1016/j.archger.2016.02.004 CrossRefPubMedGoogle Scholar
  9. 9.
    Baernholdt M, Hinton I, Yan G et al (2012) Factors associated with quality of life in older adults in the United States. Qual Life Res 21:527–534. doi: 10.1007/s11136-011-9954-z CrossRefPubMedGoogle Scholar
  10. 10.
    Ferrante LE, Pisani MA, Murphy TE et al (2016) Factors associated with functional recovery among older ICU survivors. Am J Respir Crit Care Med 194:299–307. doi: 10.1164/rccm.201506-1256OC CrossRefPubMedPubMedCentralGoogle Scholar
  11. 11.
    Han L, Gill TM, Jones BL et al (2015) Cognitive aging trajectories and burdens of disability, hospitalization and nursing home admission among community-living older persons. J Gerontol A Biol Sci Med Sci 71:766–771. doi: 10.1093/gerona/glv159 CrossRefPubMedPubMedCentralGoogle Scholar
  12. 12.
    Burton E, Lewin G, Boldy D (2015) Physical activity preferences of older home care clients. Int J Older People Nurs 10:170–178. doi: 10.1111/opn.12065 CrossRefPubMedGoogle Scholar
  13. 13.
    Chodzko-Zajko W, Proctor D, Fiatarone Singh M et al (2009) American College of Sports Medicine position stand. Exercise and physical activity for older adults. Med Sci Sports Exerc 41:1510–1530. doi: 10.1249/MSS.0b013e3181a0c95c CrossRefPubMedGoogle Scholar
  14. 14.
    Karatay G, Akkus Y (2011) The effectiveness of a stimulation program on cognitive capacity among individuals older than 60. West J Nurs Res 33:26–44. doi: 10.1177/0193945910371628 CrossRefPubMedGoogle Scholar
  15. 15.
    McDougall GJ (2001) Rehabilitation of memory and memory self-efficacy in cognitively impaired nursing home residents. Clin Gerontol 23:127–139. doi: 10.1300/J018v23n03_11 CrossRefPubMedPubMedCentralGoogle Scholar
  16. 16.
    Law LL, Barnett F, Yau MK et al (2014) Effects of combined cognitive and exercise interventions on cognition in older adults with and without cognitive impairment: a systematic review. Ageing Res Rev 15:61–75. doi: 10.1016/j.arr.2014.02.008 CrossRefPubMedGoogle Scholar
  17. 17.
    Bherer L (2015) Cognitive plasticity in older adults: effects of cognitive training and physical exercise. Ann N Y Acad Sci 1337:1–6. doi: 10.1111/nyas.12682 CrossRefPubMedGoogle Scholar
  18. 18.
    Huang TT, Chung ML, Chen FR et al (2016) Evaluation of a combined cognitive-behavioural and exercise intervention to manage fear of falling among elderly residents in nursing homes. Aging Ment Health 20(1):2–12. doi: 10.1080/13607863.2015.1020411 CrossRefPubMedGoogle Scholar
  19. 19.
    Garber CE, Blissmer B, Deschenes MR et al (2011) American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc 43:1334–1359. doi: 10.1249/MSS.0b013e318213fefb CrossRefPubMedGoogle Scholar
  20. 20.
    Kraft E (2012) Cognitive function, physical activity, and aging: possible biological links and implications for multimodal interventions. Neuropsychol Dev Cogn B Aging Neuropsychol Cogn 19:248–263. doi: 10.1080/13825585.2011.645010 CrossRefPubMedGoogle Scholar
  21. 21.
    Folstein MF, Folstein SE, McHugh PR (1975) “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 12:189–198. doi: 10.1016/0022-3956(75)90026-6 CrossRefPubMedGoogle Scholar
  22. 22.
    Krikorian R, Bartok J, Gay N (1994) Tower of London procedure: a standard method and developmental data. J Clin Exp Neuropsychol 16:840–850. doi: 10.1080/01688639408402697 CrossRefPubMedGoogle Scholar
  23. 23.
    Brickenkamp R (2007) d2 Test of attention. CEGOC-TEA, LisboaGoogle Scholar
  24. 24.
    Tinetti ME (1986) Performance-oriented assessment of mobility problems in elderly patients. J Am Geriatr Soc 34:119–126CrossRefPubMedGoogle Scholar
  25. 25.
    Hair J, Black W, Babin B et al (2010) Multivariate data analysis: a global perspective. 7 edn. Pearson, New JerseyGoogle Scholar
  26. 26.
    Cohen J (1998) Statistical power analysis for the behavioral sciences. L. Erlbaum Associates, DenmarkGoogle Scholar
  27. 27.
    Nishiguchi S, Yamada M, Tanigawa T et al (2015) A 12-week physical and cognitive exercise program can improve cognitive function and neural efficiency in community-dwelling older adults: a randomized controlled trial. J Am Geriatr Soc 63:1355–1363. doi: 10.1111/jgs.13481 CrossRefPubMedGoogle Scholar
  28. 28.
    Ball K, Berch DB, Helmers KF et al (2002) Effects of cognitive training interventions with older adults: a randomized controlled trial. JAMA 288:2271–2281CrossRefPubMedPubMedCentralGoogle Scholar
  29. 29.
    Li R, Zhu X, Yin S et al (2014) Multimodal intervention in older adults improves resting-state functional connectivity between the medial prefrontal cortex and medial temporal lobe. Front Aging Neurosci 6:39. doi: 10.3389/fnagi.2014.00039 CrossRefPubMedPubMedCentralGoogle Scholar
  30. 30.
    Maffei L, Picano E, Andreassi MG et al (2017) Randomized trial on the effects of a combined physical/cognitive training in aged MCI subjects: the train the brain study. Sci Rep 7:39471. doi: 10.1038/srep39471 CrossRefGoogle Scholar
  31. 31.
    Linde K, Alfermann D (2014) Single versus combined cognitive and physical activity effects on fluid cognitive abilities of healthy older adults: a 4-month randomized controlled trial with follow-up. J Aging Phys Act 22:302–313. doi: 10.1123/japa.2012-0149 CrossRefPubMedGoogle Scholar
  32. 32.
    Bossers WJ, van der Woude LH, Boersma F et al (2015) A 9-week aerobic and strength training program Improves cognitive and motor function in patients with dementia: a randomized, controlled trial. Am J Geriatr Psychiatry 23:1106–1116. doi: 10.1016/j.jagp.2014.12.191 CrossRefPubMedGoogle Scholar
  33. 33.
    Mulasso A, Roppolo M, Liubicich ME et al (2015) A multicomponent exercise program for older adults living in residential care facilities: direct and indirect effects on physical functioning. J Aging Phys Act 23:409–416. doi: 10.1123/japa.2013-0061 CrossRefPubMedGoogle Scholar
  34. 34.
    McDougall G, Vance D, Wayde E et al (2015) Memory training plus yoga for older adults. J Neurosci Nurs 47:178–188. doi: 10.1097/JNN.0000000000000133 CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.Departamento de Desporto e Saúde, Escola de Ciências e TecnologiaUniversidade de Évora, Colégio Luís António VerneyÉvoraPortugal
  2. 2.Research Centre in Sports SciencesHealth Sciences and Human Development (CIDESD)Vila RealPortugal

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