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Titre : | Baseline Global Cognitive Function Affects Cognitive and Functional Outcomes of Combined Physical and Cognitive Training Among Older Adults With Cognitive Decline. (2022) |
Auteurs : | I-Ching Chuang ; Wan-wen Liao ; Ching-Yi Wu ; Ting-ting Yeh ; Chia-Ling Chen ; Chung-Hao Lin ; Tzu-Hsin Huang ; Yu-Cheng Pei |
Type de document : | Article |
Dans : | American journal of occupational therapy (Vol. 76, n° 2, March 2022) |
Article en page(s) : | p. 1-9 |
Note générale : | 10.5014/ajot.2022.042218 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Cognition ; Entrainement cognitif ; Sujet âgé ; Vieillissement |
Résumé : | Importance: Baseline global cognitive function may affect cognitive and functional outcomes during combined physical and cognitive training; however, how it influences the effects of combined training remains uncertain. Objective: To determine the impact of baseline global cognitive function on cognitive and functional outcomes after combined physical and cognitive training among older adults with cognitive decline. Design: Observational. Setting: Local communities and senior centers. Participants: Older adults with mild cognitive decline (MCD; n = 51) and moderate to severe cognitive decline (MSCD; n = 40). Intervention: Participants received 45 to 55 min of physical exercise training followed by 45 to 55 min of cognitive training in one session per week for 12 wk. Outcomes and Measures: Montreal Cognitive Assessment (MoCA), LawtonBrody Instrumental Activities of Daily Living Scale (LawtonBrody IADL), Word Recall Test (WRT), Stroop Color and Word Test (SCWT), Digital Symbol Substitution Test (DSST), and Trail Making Test (TMT) scores were assessed and compared between the MCD and MSCD groups. Results: Significant interaction effects were found for the WRT, SCWT, MoCA, and LawtonBrody IADL. WRT and SCWT scores significantly improved in the MCD group, whereas MoCA and LawtonBrody IADL scores significantly improved in the MSCD group. DSST scores increased among all participants, but TMT scores improved only in the MCD group. Conclusions and Relevance: Older adults' baseline global cognitive function affected cognitive and instrumental activities of daily living (IADL) outcomes regarding combined training. High-level cognitive function, including inhibition and shifting abilities and working memory capacity, improved among older adults with MCD, whereas general cognitive function and IADLs improved among older adults with MSCD. What This Article Adds: Findings revealed domain-specific changes with respect to baseline cognitive function, which may help to refine current combined training protocols and facilitate development of personalized combined training programs for older adults with cognitive impairments. Findings in this study of combined physical and cognitive training may help refine current protocols and facilitate development of personalized combined training programs for older adults with cognitive impairments. |
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