Key result
Combined cognitive and physical training did not provide a significant advantage over cognitive training alone for improving working memory (group x test interaction p=0.48), as both groups showed similar post-training improvements.
Why the study?
It is not yet clear whether combined cognitive and physical training offers an advantage over cognitive training alone in improving older adults' cognition.
Does combined cognitive and physical training improve working memory and executive function compared to cognitive training alone in healthy older adults?
RCT (n=22)
No
Does combined cognitive and physical training improve working memory and executive function compared to cognitive training alone in healthy older adults?
p-value: p=0.48
Combined cognitive and physical training provides similar cognitive benefits to cognitive training alone in healthy older adults, while potentially offering additional general fitness benefits.
Combined training shows no added benefit in this small sample; leaves open whether adding physical exercise enhances cognitive outcomes in older adults.
Cognitive and physical training have been shown to be effective in improving older adults’ cognition. However, it is not yet clear whether combined cognitive and physical training offers an advantage compared to cognitive training alone. Twenty-two older adults performed cognitive or combined cognitive and physical training in order to compare their effects on working memory event-related potentials (ERPs) and on working memory and executive function performance. Before and after eight weeks of training, performance in Plus Minus, Flanker, Updated Span, and Complex Span tasks was measured, and ERPs were registered during performance of an n-back task (0-back, 2-back, and 3-back). Post-training behavioural improvement was observed in Updated Span, Complex Span, and n-back tasks. During the n-back task, the N2/P3 complex was modulated by training, with a decrease in N2 amplitude and an increase in P3 amplitude in the post-training session compared to the pretraining session. These changes in ERP components suggest that both types of training potentially reduce the need for attentional control to perform the tasks correctly and increase working memory capacity. Thus, based on our data, no conclusion can be reached on the direct advantage of combined training, either at behavioural or at neural level. However, the present study might suggest an indirect advantage of such a combined training, because the cognitive benefit was found to be highly similar in both types of training. Using combined cognitive and physical training may produce a potential improvement in general fitness and an increased appeal of training.
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Chainay et al. (2021) conducted an RCT in Healthy older adults (n=22). Combined cognitive and physical training vs. Cognitive training alone was evaluated on Working memory performance (n-back task correct responses) (p=0.48). Combined cognitive and physical training did not provide a significant advantage over cognitive training alone for improving working memory (group x test interaction p=0.48), as both groups showed similar post-training improvements.
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