Pre-frail older adults show improved cognition with StayFitLonger computerized home-based training: a randomized controlled trial.

Details

Serval ID
serval:BIB_20456CEBE697
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Pre-frail older adults show improved cognition with StayFitLonger computerized home-based training: a randomized controlled trial.
Journal
GeroScience
Author(s)
Belleville S., Cuesta M., Bieler-Aeschlimann M., Giacomino K., Widmer A., Mittaz Hager A.G., Perez-Marcos D., Cardin S., Boller B., Bier N., Aubertin-Leheudre M., Bherer L., Berryman N., Agrigoroaei S., Demonet J.F.
ISSN
2509-2723 (Electronic)
ISSN-L
2509-2723
Publication state
Published
Issued date
04/2023
Peer-reviewed
Oui
Volume
45
Number
2
Pages
811-822
Language
english
Notes
Publication types: Randomized Controlled Trial ; Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
Multidomain interventions have shown tremendous potential for improving cognition in older adults. It is unclear if multidomain interventions can be delivered remotely and whether remote intervention is beneficial for older adults who are vulnerable or at risk of cognitive decline. In a 26-week multi-site, home-based, double-blind, randomized controlled trial, 120 cognitively healthy older adults (75 robust, 45 pre-frail; age range = 60-94) recruited from Switzerland, Canada, and Belgium were randomized to receive either the StayFitLonger (SFL) computerized multidomain training program or an active control intervention. Delivered on tablets, the SFL intervention combined adapted physical exercises (strength, balance, and mobility), cognitive training (divided attention, problem solving, and memory), opportunities for social and contributive interactions, and psychoeducation. The active control intervention provided basic mobilization exercises and access to video games. Cognitive outcomes were global cognition (Z-scores of attention, verbal fluency, and episodic memory for nondemented older adults; ZAVEN), memory, executive function, and processing speed. Linear mixed model analyses indicated improved performance on the ZAVEN global cognition score in the SFL group but not in the active control group. Stratified analyses by frailty status revealed improved ZAVEN global cognition and processing speed scores following SFL in the pre-frail group but not in the robust group. Overall, the study indicates that a computerized program providing a multidomain intervention at home can improve cognition in older adults. Importantly, pre-frail individuals, who are at higher risk of cognitive decline, seem to benefit more from the intervention. Trial registration: ClinicalTrials.gov, NCT037519 Registered on January 22, 2020-Retrospectively registered, https://clinicaltrials.gov/ct2/show/NCT04237519 .
Keywords
Humans, Aged, Aged, 80 and over, Frail Elderly/psychology, Cognition, Cognitive Dysfunction, Exercise Therapy, Exercise/psychology, Cognitive prevention, Cognitive training, Frailty, Home-based computerized training, Physical training
Pubmed
Web of science
Open Access
Yes
Create date
02/11/2022 10:10
Last modification date
18/11/2023 8:09
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