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Effects of Multicomponent Exercise on Cognitive Function in Elderly Korean Individuals

Journal of Clinical Neurology 2020년 16권 4호 p.612 ~ 623
김연정, 박현태, 박종환, 박경원, 이기헌, 김석일, 채경희, 박문호, 고성호, 나해리,
소속 상세정보
김연정 ( Kim Yeon-Jung ) - University of Ulsan College of Medicine Asan Medical Center Department of Neurology
박현태 ( Park Hyun-Tae ) - Dong-A University Department of Health Care and Science
박종환 ( Park Jong-Hwan ) - Dong-A University Institute of Convergence Bio-Health
박경원 ( Park Kyung-Won ) - Dong-A University College of Medicine Department of Neurology
이기헌 ( Lee Ki-Heon ) - Seoul National University College of Medicine Seoul National University Bundang Hospital Department of Family Medicine
김석일 ( Kim Suk-Il ) - Catholic University College of Medicine Department of Public Health
채경희 ( Chae Kyung-Hee ) - Catholic University College of Medicine Department of Public Health
박문호 ( Park Moon-Ho ) - Korea University College of Medicine Department of Neurology
고성호 ( Koh Seong-Ho ) - Hanyang University College of Medicine Department of Neurology
나해리 ( Na Hae-Ri ) - Bobath Memorial Hospital Department of Neurology

Abstract


Background and Purpose: The aim of this study was to investigate the effects of multicomponent exercise on cognitive function, depression, and quality of life in elderly individuals.

Methods: This study prospectively recruited 605 participants, and constructed an exercise pyramid comprising even distributions of daily physical activities, aerobic exercise, muscle-strengthening exercise, flexibility exercise, balance exercise, and activities that subjects could perform while sitting down. The exercise program was divided into six stages according to the participant's level of frailty. The 12-week exercise program intervention was conducted once yearly.

Results: The exercise regimen was followed by 402 of the 605 enrolled participants, giving a dropout rate of 33.6%. The 27-month exercise program was completed by 60 participants. The scores for the Mini Mental State Examination for dementia screening (MMSE-DS), short form of the Geriatric Depression Scale, World Health Organization Quality of Life Assessment (WHOQOL-BREF), International Physical Activity Questionnaire (IPAQ), fear of falling, handgrip strength, and walking speed were improved after the exercise intervention. The analysis of frailty revealed that participants in the frail group showed greater improvements for the MMSE-DS, WHOQOL-BREF, IPAQ, fear of falling, handgrip strength, and walking speed.

Conclusions: Individually customized, multicomponent exercise programs lead to improved levels of cognitive function, depression, and quality of life, especially among those who are more frail.

키워드

exercise; cognition; quality of life

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