Journal article
Effects of functional task exercise on everyday problem-solving ability and functional status in older adults with mild cognitive impairment-a randomised controlled trial
Age and ageing, Vol.51(1), 210
01/2022
PMID: 34673918
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Source: InCites
Abstract
Objective
To investigate the effect of functional task exercise on everyday problem-solving ability and functional status in older adults with mild cognitive impairment compared to single exercise or cognitive training and no treatment control.
Design
A single-blind, four-arm randomised controlled trial.
Setting
Out-patient clinic and community centre.
Participants
Older adults with mild cognitive impairment aged ≥60 living in community.
Methods
Participants (N = 145) were randomised to 8-week functional task exercise (N = 34), cognitive training (N = 38), exercise training (N = 37), or wait-list control (N = 36) group. Outcomes measures: Neurobehavioral Cognitive Status Examination, Category Verbal Fluency Test, Trail Making Test, Problems in Everyday Living Test, Activities of Daily Living Questionnaire, Instrumental Activities of Daily Living Scale; Chair stand test, Berg Balance Scale, and Short Form-12 Health Survey were conducted at baseline, post-intervention and 5-months follow-up.
Results
Post-intervention results of ANCOVA revealed cognitive training improved everyday problem-solving (P = 0.012) and exercise training improved functional status (P = 0.003) compared to wait-list control. Functional task exercise group demonstrated highest improvement compared to cognitive training, exercise training and wait-list control groups in executive function (P range = 0.003–0.018); everyday problem-solving (P < 0.001); functional status (P range = <.001–0.002); and physical performance (P = 0.008) at post-intervention, with all remained significant at 5-month follow-up, and further significant improvement in mental well-being (P = 0.043).
Conclusions
Functional task exercise could be an effective intervention to improve everyday problem-solving ability and functional status in older adults with mild cognitive impairment. The findings support combining cognitive and exercise intervention may give additive and even synergistic effects.
Details
- Title
- Effects of functional task exercise on everyday problem-solving ability and functional status in older adults with mild cognitive impairment-a randomised controlled trial
- Creators
- Lawla L. F. Law - Tung Wah CollegeVincent C. T. Mok - Chinese University of Hong KongMatthew K. S. Yau - Tung Wah CollegeKenneth N. K. Fong - Hong Kong Polytechnic University (The)
- Publication Details
- Age and ageing, Vol.51(1), 210
- Publisher
- Oxford Univ Press
- Number of pages
- 11
- Grant note
- UGC/FDS17/M01/16 / The Research Grants Council, University Grants Committee of Hong Kong, SAR, China.
- Identifiers
- 991013184212602368
- Copyright
- © The Author(s) 2021. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved.
- Academic Unit
- Faculty of Health
- Language
- English
- Resource Type
- Journal article