This study examined the feasibility and effect on aerobic fitness of a 1-yr, twice-weekly, group-based moderate-intensity walking program (MI-WP, n = 77) compared with a low-intensity activity program (LI-AP, n = 75) for community-dwelling older adults with mild cognitive impairment (MCI). Thirty participants did not start a program; median attendance in the other 122 participants was 71%. Small but significant associations were observed between attendance and memory in the MI-WP and general cognition in the LI-AP. Associations were no longer significant when both groups were analyzed together. Intensity, assessed using percentage of heart-rate reserve and the Borg scale, equaled intended intensity for both programs. Aerobic fitness improved significantly in participants in the MI-WP. In conclusion, cognition was not clearly associated with attendance in the 62 participants starting the MI-WP, and average attendance was good. The intensity was feasible for participants who continued the MI-WP. The findings support the proposal that regular moderate-intensity walking improves aerobic fitness in adults with MCI.
Jannique G.Z. van Uffelen, Marijke J.M. Chinapaw, Marijke Hopman-Rock and Willem van Mechelen
Yu-Kai Chang, Chien-Yu Pan, Feng-Tzu Chen, Chia-Liang Tsai and Chi-Chang Huang
Several studies have demonstrated that exercise helps reduce or prevent cognitive deterioration among older adults, and recent studies have further examined the effects of resistance-exercise training on cognition. The purpose of this review was to examine the role of resistance-exercise training on cognition in healthy older adults. Specifically, it describes the definition, health benefits, and the design of resistance-exercise training. The authors also review the research related to resistance exercises and cognition and found that this exercise modality may enhance specific cognitive performances. Next, they examine the potential mechanisms underlying resistance exercise and cognitive enhancement. Finally, they consider potential therapeutics and recommendations for further research on resistance-exercise training and cognition in older adults.
Yu-Kai Chang, Yu-Hsiang Nien, Chia-Liang Tsai and Jennifer L. Etnier
The purpose of this article is to review the potential of Tai Chi Chuan as a mode of physical activity that could have cognitive benefits for older adults and to provide potential directions for future research. A brief introduction to Tai Chi Chuan and its related physical benefits is provided. In addition, the empirical literature related to Tai Chi Chuan and cognition is reviewed. Potential mediators of the relationship between Tai Chi Chuan and cognition, including physical resources, disease status, and mental resources, are discussed. Based on the limitations of the extant literature, it is argued that future research in this area must provide more detailed descriptions of Tai Chi Chuan, particularly in terms of intensity and program progression. Consideration of the specific type of cognition that is expected to benefit is also encouraged, and approaches for further efforts to understand how Tai Chi Chuan affects cognition are recommended.
Jessie N. Stapleton, Diane E. Mack and Kathleen A. Martin Ginis
The aim of this meta-analysis was to examine the magnitude of the relationship between social influence and both PA behavior and PA-related social cognitions among samples of adults with physical disabilities, including those with chronic conditions that can lead to a physical disability. A comprehensive literature search was conducted to identify studies involving adults with physical disability, a measure of social influence, and a measure of PA behavior or PA-related social cognitions. A total of 27 studies with 4,768 participants yielded 47 effect sizes to be included for meta-analysis. Significant, small- to medium-sized relationships were identified between social influence and PA behavior, and social influence and PA-related social cognitions. These relationships suggest that social factors positively associate with physical-activity-related social cognitions and should be targeted when promoting physical activity behavior change among adults with a physical disability.
Katja Linde and Dorothee Alfermann
Physical and cognitive activity seems to be an effective strategy by which to promote age-sensitive fluid cognitive abilities in older adults.
In this randomized controlled trial, 70 healthy senior citizens (age 60–75) were allocated to a physical, cognitive, combined physical plus cognitive, and waiting control group. The trial assessed information processing speed, short-term memory, spatial relations, concentration, reasoning, and cognitive speed.
In contrast to the control group, the physical, cognitive, and combined training groups enhanced their concentration immediately after intervention. Only the physical training group showed improved concentration 3 months later. The combined training group displayed improved cognitive speed both immediately and three months after intervention. The cognitive training group displayed improved cognitive speed 3 months after intervention.
Physical, cognitive, and combined physical plus cognitive activity can be seen as cognition-enrichment behaviors in healthy older adults that show different rather than equal intervention effects.
Jennifer L. Etnier and Yu-Kai Chang
The purpose of the present commentary is to introduce relevant issues with respect to the measurement of executive function in physical activity studies. Suggested definitions of executive function are introduced, and executive function tasks that are commonly used in the neuropsychological literature are presented and briefly described. The extant literature on physical activity and cognition is discussed, and issues relative to the limitations of this body of literature are raised. In summary, research on the effect of physical activity on executive function is still in its infancy. We encourage researchers in this field to provide a clear definition of executive function, to carefully consider the relevance of published effect sizes to their own research questions, and to consider either providing a logical rationale for their selection of particular executive function measures or to use multiple measures of executive function when exploring relationships between physical activity and executive function.
Jennifer Gapin and Jennifer L. Etnier
Children with attention-deficit hyperactivity disorder (AD/HD) consistently perform worse on executive function (EF) tasks relative to those without AD/HD. Physical activity has a small effect on cognition in children and may be particularly beneficial for children with AD/HD by impacting fundamental EF deficiencies that characterize this disorder. The purpose of this study was to explore the extent to which physical activity is associated with EF in children with AD/HD. Eighteen boys (M age = 10.61, SD = 1.50) with AD/HD were recruited to complete four EF tasks. Physical activity was measured with an accelerometer that provided daily minutes of moderate-to-vigorous intensity physical activity; this measure was a significant predictor of performance on the Tower of London planning task, adjusted R 2 = .28, F(1, 16) = 7.61, p < .05, and was positively associated with other EF measures. These results suggest that higher physical activity is associated with better EF performance in AD/HD children.
Trevor A. Pickering, Jimi Huh, Stephen Intille, Yue Liao, Mary Ann Pentz and Genevieve F. Dunton
Decisions to perform moderate-to-vigorous physical activity (MVPA) involve behavioral cognitive processes that may differ within individuals depending on the situation.
Ecological momentary assessment (EMA) was used to examine the relationships of momentary behavioral cognitions (ie, self-efficacy, outcome expectancy, intentions) with MVPA (measured by accelerometer). A sample of 116 adults (mean age, 40.3 years; 72.4% female) provided real-time EMA responses via mobile phones across 4 days. Multilevel models were used to test whether momentary behavioral cognitions differed across contexts and were associated with subsequent MVPA. Mixed-effects location scale models were used to examine whether subject-level means and within-subjects variances in behavioral cognitions were associated with average daily MVPA.
Momentary behavioral cognitions differed across contexts for self-efficacy (P = .007) but not for outcome expectancy (P = .53) or intentions (P = .16). Momentary self-efficacy, intentions, and their interaction predicted MVPA within the subsequent 2 hours (Ps < .01). Average daily MVPA was positively associated with within-subjects variance in momentary self-efficacy and intentions for physical activity (Ps < .05).
Although momentary behavioral cognitions are related to subsequent MVPA, adults with higher average MVPA have more variation in physical activity self-efficacy and intentions. Performing MVPA may depend more on how much behavioral cognitions vary across the day than whether they are generally high or low.
James Faulkner, Danielle Lambrick, Sebastian Kaufmann and Lee Stoner
The purpose of this study was to assess the acute effects of posture (upright vs recumbent) during moderate-intensity cycle exercise on executive function and prefrontal cortex oxygenation in young healthy adults.
Seventeen physically active men (24.6 ± 4.3 years) completed 2 30-minute submaximal exercise tests (conditions: upright and recumbent cycle ergometry). Executive function was assessed using the “color” and “word” Stroop task, preexercise (resting) and postexercise. Regional oxygen saturation (rSO2) to the prefrontal cortex was continuously monitored using near-infrared spectroscopy.
Significant improvements in executive function (Stroop color and word tasks) were observed after 30 minutes of exercise for both upright and recumbent cycling (P < .05). However, there were no differences in executive function between cycling conditions (P > .05). A significant increase in rSO2 was recorded immediately postexercise compared with preexercise for both conditions (P < .05), with a trend (P = .06) for higher peak rSO2 following recumbent cycling compared with upright cycling (81.9% ± 6.5% cf 79.7% ± 9.3%, respectively).
Although submaximal cycling exercise acutely improves cognitive performance and prefrontal oxygenation, changes in cognition are not perceived to be dependent on body posture in young, healthy men.
Robert H. Wood, Rafael Reyes-Alvarez, Brian Maraj, Kristi L. Metoyer and Michael A. Welsch
It has been suggested that physical and cognitive functions are associated with health-related quality of life (HRQL). Previous work examining the relationship between physical ability and HRQL is equivocal, and information about cognitive function in relation to HRQL is largely restricted to people with cognitive impairments. We investigated the relationships of physical ability and cognitive performance to HRQL in 44 older adults (72-93 years). The results suggest significant relationships between the endurance item of the AAHPERD test and the physical mobility and pain components of HRQL and between AAHPERD agility scores and the physical mobility component of HRQL. Visual simple-reaction time and the backward digit-span memory test were found to be related to physical mobility. The subject-performed-tasks memory test was related to the social component of HRQL. These data support the use of the AAHPERD test for characterizing physical ability of older adults as it relates to HRQL and identify specific cognitive support measures that reflect the relationship between cognition and HRQL in older adults.