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Authors:Dunlap; Emily; Alhalimi, Taha; McLaurin, Natalie; Foroughi, Forouzan; Hsiao, Hao-Yuan; Tanaka, Hirofumi Abstract:Introduction Cognitive declines and mobility challenges in older adults often hinder exercise, leading to a sedentary lifestyle. Addressing both cognitive and physical health is crucial for enhancing overall well-being in older adults. The purpose of this study was to assess the feasibility and effectiveness of aquatic cognitive–motor exercise on cognition, balance, and functional mobility in older adults.Methods This pilot randomized controlled study included 25 participants from two retirement communities who were randomly assigned to a control (n = 12, 81 ± 8 yr old) or aquatic exercise group (n = 13, 83 ± 7 yr old). The aquatic exercise group received 45 min of moderate-intensity cognitive–motor exercise three times per week for 8 wk. The control group received one fall prevention education class.Results The session attendance rate for the aquatic exercise program was 95%. Between-group comparisons showed that 8 wk of aquatic exercise improved various measures of cognition with a medium effect size, as assessed by the Stroop Color and Word Test (∆ 2.8, d = 0.51) and the Trail Making Test part B (∆ −19.2 s, d = −0.59). Gait speeds while walking forward (∆ 0.04 m·s−1, d = 0.43) and counting backward by serial 7s (∆ 0.05 m·s−1, d = 0.43) were improved with a small effect size in the aquatic exercise intervention. This change was recognized as a clinically meaningful improvement in older adults. The aquatic intervention group had a medium to large effect size improvement in speed with the Four Square Step Test (∆ −0.6 s, d = −0.42), Timed Up and Go test (∆ −1.1 s, d = −0.50), and Timed Up and Go cognitive test (∆ −1.0 s, d = −0.56), whereas only negligible to small changes were noted with single-leg balance measures.Conclusions The aquatic cognitive–motor exercise program is feasible and enhanced cognition and functional mobility in older adults. PubDate: Fri, 10 May 2024 00:00:00 GMT-
Please help us test our new pre-print finding feature by giving the pre-print link a rating. A 5 star rating indicates the linked pre-print has the exact same content as the published article.
Authors:Herb Neff; Kirstie M.; Launius, Kellsey N.; Schuh, Leslie M.; Creel, David B.; Inman, Margaret M. Abstract:Introduction Physical activity (PA) is recommended to optimize health after bariatric surgery. However, there is limited evidence on how to deliver these interventions and whether they are effective long-term. The present study aimed to examine PA levels, body composition, and physical fitness outcomes up to 5 yr after bariatric surgery following engagement in a PA intervention, with a focus on whether dose and/or timing of delivery impacts postoperative outcomes.Methods Individuals (n = 80) who completed a 6-month randomized treatment study to increase PA (phase 1) were invited to receive up to six exercise counseling sessions from 1 to 5 yr after operation (phase 2). Phase 2 participants (n = 64) completed assessments at 1, 1.5, 2, 3, 4, and 5 yr after operation.Results Five years after surgery, participants (84.4% female; mean age, 52.9 (standard deviation, 11.5); mean body mass index, 33.8 (standard error, 1.1)) increased minutes of moderate-to-vigorous physical activity (MVPA; P = 0.001) but not steps per day, exercise bouts per week, or bout minutes per week. Participants experienced significant cardiovascular endurance improvements but decreased strength (P < 0.05). Greater intervention dose (i.e., greater number of counseling visits attended 1–5 yr after surgery) was significantly associated with steps per day (P = 0.003), weight (P = 0.03), and nondominant handgrip strength (P = 0.002). Those who started counseling preoperatively (i.e., randomized to counseling in phase 1) versus 1 yr after surgery (i.e., beginning in phase 2) had greater steps per day (P = 0.04), exercise bouts per week (P = 0.006), and exercise bout minutes per week (P = 0.002). No other associations were significant.Conclusions Participants increased MVPA 5 yr after bariatric surgery and experienced improvements in cardiovascular functioning after engagement in a PA intervention. In general, individuals experienced modestly better outcomes with more treatment. Beginning exercise counseling preoperatively, instead of 1 yr postoperatively, improved PA but not body composition or physical fitness. PubDate: Fri, 10 May 2024 00:00:00 GMT-
Please help us test our new pre-print finding feature by giving the pre-print link a rating. A 5 star rating indicates the linked pre-print has the exact same content as the published article.
Authors:Griffin; Lisa Abstract: No abstract available PubDate: Fri, 10 May 2024 00:00:00 GMT-
Please help us test our new pre-print finding feature by giving the pre-print link a rating. A 5 star rating indicates the linked pre-print has the exact same content as the published article.
Authors:Fraser; John J. Abstract: No abstract available PubDate: Fri, 10 May 2024 00:00:00 GMT-
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Introduction Cognitive declines and mobility challenges in older adults often hinder exercise, leading to a sedentary lifestyle. Addressing both cognitive and physical health is crucial for enhancing overall well-being in older adults. The purpose of this study was to assess the feasibility and effectiveness of aquatic cognitive–motor exercise on cognition, balance, and functional mobility in older adults.Methods This pilot randomized controlled study included 25 participants from two retirement communities who were randomly assigned to a control (n = 12, 81 ± 8 yr old) or aquatic exercise group (n = 13, 83 ± 7 yr old). The aquatic exercise group received 45 min of moderate-intensity cognitive–motor exercise three times per week for 8 wk. The control group received one fall prevention education class.Results The session attendance rate for the aquatic exercise program was 95%. Between-group comparisons showed that 8 wk of aquatic exercise improved various measures of cognition with a medium effect size, as assessed by the Stroop Color and Word Test (∆ 2.8, d = 0.51) and the Trail Making Test part B (∆ −19.2 s, d = −0.59). Gait speeds while walking forward (∆ 0.04 m·s−1, d = 0.43) and counting backward by serial 7s (∆ 0.05 m·s−1, d = 0.43) were improved with a small effect size in the aquatic exercise intervention. This change was recognized as a clinically meaningful improvement in older adults. The aquatic intervention group had a medium to large effect size improvement in speed with the Four Square Step Test (∆ −0.6 s, d = −0.42), Timed Up and Go test (∆ −1.1 s, d = −0.50), and Timed Up and Go cognitive test (∆ −1.0 s, d = −0.56), whereas only negligible to small changes were noted with single-leg balance measures.Conclusions The aquatic cognitive–motor exercise program is feasible and enhanced cognition and functional mobility in older adults.
Introduction Physical activity (PA) is recommended to optimize health after bariatric surgery. However, there is limited evidence on how to deliver these interventions and whether they are effective long-term. The present study aimed to examine PA levels, body composition, and physical fitness outcomes up to 5 yr after bariatric surgery following engagement in a PA intervention, with a focus on whether dose and/or timing of delivery impacts postoperative outcomes.Methods Individuals (n = 80) who completed a 6-month randomized treatment study to increase PA (phase 1) were invited to receive up to six exercise counseling sessions from 1 to 5 yr after operation (phase 2). Phase 2 participants (n = 64) completed assessments at 1, 1.5, 2, 3, 4, and 5 yr after operation.Results Five years after surgery, participants (84.4% female; mean age, 52.9 (standard deviation, 11.5); mean body mass index, 33.8 (standard error, 1.1)) increased minutes of moderate-to-vigorous physical activity (MVPA; P = 0.001) but not steps per day, exercise bouts per week, or bout minutes per week. Participants experienced significant cardiovascular endurance improvements but decreased strength (P < 0.05). Greater intervention dose (i.e., greater number of counseling visits attended 1–5 yr after surgery) was significantly associated with steps per day (P = 0.003), weight (P = 0.03), and nondominant handgrip strength (P = 0.002). Those who started counseling preoperatively (i.e., randomized to counseling in phase 1) versus 1 yr after surgery (i.e., beginning in phase 2) had greater steps per day (P = 0.04), exercise bouts per week (P = 0.006), and exercise bout minutes per week (P = 0.002). No other associations were significant.Conclusions Participants increased MVPA 5 yr after bariatric surgery and experienced improvements in cardiovascular functioning after engagement in a PA intervention. In general, individuals experienced modestly better outcomes with more treatment. Beginning exercise counseling preoperatively, instead of 1 yr postoperatively, improved PA but not body composition or physical fitness.
