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Effects of functional tasks exercise on older adults with cognitive impairment at risk of Alzheimer's disease: a randomised controlled trial.

Abstract

OBJECTIVE

the aim of this study was to compare the effects of a functional tasks exercise programme to a cognitive training programme in older adults with mild cognitive impairment.

DESIGN

a single-blind randomised control trial with the intervention group compared with an active control group.

SETTING

out-patient clinic.

PARTICIPANTS

older adults with mild cognitive impairment (n = 83) aged 60 and older living in the community.

METHODS

participants were randomised to either a functional task exercise group (n = 43) or an active cognitive training group (n = 40) for 10 weeks. All outcome measures were undertaken at baseline, post-intervention and 6-month follow-up using Neurobehavioral Cognitive Status Examination, Trail Making Test, Chinese Version Verbal Learning Test, Category Verbal Learning Test, Lawton Instrumental Activities of Daily Living Scale and Problems in Everyday Living Test.

RESULTS

the functional task exercise group showed significant between-group differences in general cognitive functions, memory, executive function, functional status and everyday problem solving ability. The improvements were sustained over time at 6-month follow-up.

CONCLUSION

a functional tasks exercise programme is feasible for improving cognitive functions and functional status of older adults with mild cognitive impairment. This may serve as a cost-effective adjunct to the existing interventions for populations with mild cognitive impairment.

TRIAL REGISTRATION NUMBER

ACTRN12610001025022.

Links

  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    Occupational Therapy Discipline, School of Public Health, Tropical Medicine and Rehabilitation Sciences, James Cook University, Townsville, QLD, Australia.

    ,

    Institute of Sport and Exercise Science, School of Public Health, Tropical Medicine and Rehabilitation Sciences, James Cook University, Townsville, QLD, Australia.

    ,

    Occupational Therapy Discipline, School of Public Health, Tropical Medicine and Rehabilitation Sciences, James Cook University, Townsville, QLD, Australia.

    Cluster for Health Improvement, School of Health and Sport Sciences, University of the Sunshine Coast, Maroochydore DC, QLD, Australia.

    Source

    Age and ageing 43:6 2014 Nov pg 813-20

    MeSH

    Activities of Daily Living
    Aged
    Aged, 80 and over
    Alzheimer Disease
    Ambulatory Care Facilities
    Cognition
    Cognitive Behavioral Therapy
    Cognitive Dysfunction
    Disease Progression
    Executive Function
    Feasibility Studies
    Female
    Geriatric Assessment
    Humans
    Independent Living
    Male
    Memory
    Middle Aged
    Neuropsychological Tests
    Queensland
    Risk Factors
    Single-Blind Method
    Surveys and Questionnaires
    Time Factors
    Treatment Outcome

    Pub Type(s)

    Journal Article
    Randomized Controlled Trial

    Language

    eng

    PubMed ID

    24850540

    Citation

    Law, Lawla L F., et al. "Effects of Functional Tasks Exercise On Older Adults With Cognitive Impairment at Risk of Alzheimer's Disease: a Randomised Controlled Trial." Age and Ageing, vol. 43, no. 6, 2014, pp. 813-20.
    Law LL, Barnett F, Yau MK, et al. Effects of functional tasks exercise on older adults with cognitive impairment at risk of Alzheimer's disease: a randomised controlled trial. Age Ageing. 2014;43(6):813-20.
    Law, L. L., Barnett, F., Yau, M. K., & Gray, M. A. (2014). Effects of functional tasks exercise on older adults with cognitive impairment at risk of Alzheimer's disease: a randomised controlled trial. Age and Ageing, 43(6), pp. 813-20. doi:10.1093/ageing/afu055.
    Law LL, et al. Effects of Functional Tasks Exercise On Older Adults With Cognitive Impairment at Risk of Alzheimer's Disease: a Randomised Controlled Trial. Age Ageing. 2014;43(6):813-20. PubMed PMID: 24850540.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Effects of functional tasks exercise on older adults with cognitive impairment at risk of Alzheimer's disease: a randomised controlled trial. AU - Law,Lawla L F, AU - Barnett,Fiona, AU - Yau,Matthew K, AU - Gray,Marion A, Y1 - 2014/05/21/ PY - 2014/5/23/entrez PY - 2014/5/23/pubmed PY - 2015/6/26/medline KW - functional tasks exercise KW - geriatric rehabilitation KW - mild cognitive impairment KW - older people KW - randomised controlled trial SP - 813 EP - 20 JF - Age and ageing JO - Age Ageing VL - 43 IS - 6 N2 - OBJECTIVE: the aim of this study was to compare the effects of a functional tasks exercise programme to a cognitive training programme in older adults with mild cognitive impairment. DESIGN: a single-blind randomised control trial with the intervention group compared with an active control group. SETTING: out-patient clinic. PARTICIPANTS: older adults with mild cognitive impairment (n = 83) aged 60 and older living in the community. METHODS: participants were randomised to either a functional task exercise group (n = 43) or an active cognitive training group (n = 40) for 10 weeks. All outcome measures were undertaken at baseline, post-intervention and 6-month follow-up using Neurobehavioral Cognitive Status Examination, Trail Making Test, Chinese Version Verbal Learning Test, Category Verbal Learning Test, Lawton Instrumental Activities of Daily Living Scale and Problems in Everyday Living Test. RESULTS: the functional task exercise group showed significant between-group differences in general cognitive functions, memory, executive function, functional status and everyday problem solving ability. The improvements were sustained over time at 6-month follow-up. CONCLUSION: a functional tasks exercise programme is feasible for improving cognitive functions and functional status of older adults with mild cognitive impairment. This may serve as a cost-effective adjunct to the existing interventions for populations with mild cognitive impairment. TRIAL REGISTRATION NUMBER: ACTRN12610001025022. SN - 1468-2834 UR - https://www.unboundmedicine.com/medline/citation/24850540/Effects_of_functional_tasks_exercise_on_older_adults_with_cognitive_impairment_at_risk_of_Alzheimer's_disease:_a_randomised_controlled_trial_ L2 - https://academic.oup.com/ageing/article-lookup/doi/10.1093/ageing/afu055 DB - PRIME DP - Unbound Medicine ER -