A1 Alkuperäisartikkeli tieteellisessä aikakauslehdessä
Effects of Physical and Cognitive Training on Gait Speed and Cognition in Older Adults : A Randomized Controlled Trial (2021)


Sipilä, S., Tirkkonen, A., Savikangas, T., Hänninen, T., Laukkanen, P., Alen, M., Fielding, R. A., Kivipelto, M., Kulmala, J., Rantanen, T., Sihvonen, S. E., Sillanpää, E., Stigsdotter Neely, A., & Törmäkangas, T. (2021). Effects of Physical and Cognitive Training on Gait Speed and Cognition in Older Adults : A Randomized Controlled Trial. Scandinavian Journal of Medicine and Science in Sports, 31(7), 1518-1533. https://doi.org/10.1111/sms.13960


JYU-tekijät tai -toimittajat


Julkaisun tiedot

Julkaisun kaikki tekijät tai toimittajat: Sipilä, Sarianna; Tirkkonen, Anna; Savikangas, Tiina; Hänninen, Tuomo; Laukkanen, Pia; Alen, Markku; Fielding, Roger A.; Kivipelto, Miia; Kulmala, Jenni; Rantanen, Taina; et al.

Lehti tai sarja: Scandinavian Journal of Medicine and Science in Sports

ISSN: 0905-7188

eISSN: 1600-0838

Julkaisuvuosi: 2021

Volyymi: 31

Lehden numero: 7

Artikkelin sivunumerot: 1518-1533

Kustantaja: Wiley-Blackwell

Julkaisumaa: Britannia

Julkaisun kieli: englanti

DOI: https://doi.org/10.1111/sms.13960

Julkaisun avoin saatavuus: Ei avoin

Julkaisukanavan avoin saatavuus:

Julkaisu on rinnakkaistallennettu (JYX): https://jyx.jyu.fi/handle/123456789/77086


Tiivistelmä

Gait speed is a measure of health and functioning. Physical and cognitive determinants of gait are amenable to interventions, but best practices remain unclear. We investigated the effects of a 12‐month physical and cognitive training (PTCT) on gait speed, dual‐task cost in gait speed, and executive functions (EFs) compared to physical training (PT) (ISRCTN52388040). Community‐dwelling older adults, who did not meet physical activity recommendations, were recruited (n=314). PT included supervised walking/balance (once weekly) and resistance/balance training (once weekly), home exercises (2‐3 times weekly) and moderate aerobic activity 150 minutes/week in bouts of >10 minutes. PTCT included the PT and computer training (CT) on EFs 15‐20 minutes, 3‐4 times weekly. The primary outcome was gait speed. Secondary outcomes were 6‐minute walking distance, dual‐task cost in gait speed, and EF (Stroop and Trail Making B‐A). The trial was completed by 93% of the participants (age 74.5 [SD3.8] years; 60% women). Mean adherence to supervised sessions was 59‐72% in PT and 62‐77% in PTCT. Home exercises and CT were performed on average 1.9 times/week. Weekly minutes spent in aerobic activities were 188 (median 169) in PT and 207 (median 180) in PTCT.

No significant interactions were observed for gait speed (PTCT‐PT, 0.02; 95%CI ‐0.03, 0.08), walking distance (‐3.8; ‐16.9, 9.3) or dual‐task cost (‐0.22; ‐1.74, 1.30). Stroop improvement was greater after PTCT than PT (‐6.9; ‐13.0, ‐0.8). Complementing physical training with EFs training is not essential for promotion of gait speed. For EF’s, complementing physical training with targeted cognitive training provides additional benefit.


YSO-asiasanat: ikääntyneet; ikääntyminen; fyysinen toimintakyky; toiminnanohjaus (psykologia); liikunta; harjoittelu; kävely

Vapaat asiasanat: aging; community‐dwelling; executive functions; exercise; walking


Liittyvät organisaatiot


Hankkeet, joissa julkaisu on tehty


OKM-raportointi: Kyllä

Raportointivuosi: 2021

Alustava JUFO-taso: 2


Viimeisin päivitys 2021-12-07 klo 10:42