Effects of a 10-week multimodal exercise program on physical and cognitive function of nursing home residents: a psychomotor intervention pilot study
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Nursing home institutionalization tends to exacerbate loss of functioning.
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.
Seventeen participants engaged in a 10-week multimodal exercise program and 17 maintained usual activities.
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.
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.
Multimodal exercise programs may help to maintain or improve nursing home residents’ functioning.
KeywordsElderly Executive function Planning ability Attention Physical function
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.
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.
All participants gave their informed consent.
- 1.WHO (ed) (2015) World report on ageing and health. World Health Organization, GenevaGoogle Scholar
- 2.Eurostat (2015) Sustainable development in the European Union. Publications Office of the European Union. doi: 10.2785/999711
- 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
- 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
- 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
- 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
- 23.Brickenkamp R (2007) d2 Test of attention. CEGOC-TEA, LisboaGoogle Scholar
- 25.Hair J, Black W, Babin B et al (2010) Multivariate data analysis: a global perspective. 7 edn. Pearson, New JerseyGoogle Scholar
- 26.Cohen J (1998) Statistical power analysis for the behavioral sciences. L. Erlbaum Associates, DenmarkGoogle Scholar
- 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