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May 2, 2020Journal of Clinical MedicineOpen Access

The Effect of a Multicomponent Dual-Task Exercise on Cortical Thickness in Older Adults with Cognitive Decline: A Randomized Controlled Trial

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Key result

A 10-month multicomponent exercise intervention significantly increased cortical thickness in the middle temporal (p<0.001) and temporal pole (p<0.001) compared with a health education control.

Why the study?

The study was conducted to examine cortical thickness changes associated with a multicomponent exercise intervention combining physical exercise and cognitive training in older adults with cognitive decline.

Does a multicomponent exercise intervention combining physical exercise and cognitive training improve cortical thickness in older adults with cognitive decline?

Population

280 older adults with cognitive decline

Comparison

Multicomponent exercise and cognitive training vs health education control

Design

Secondary analysis of neuroimaging data from a randomized controlled trial

Follow-up

10 months

Authors

SBSeongryu BaeDong-A UniversityKHKenji HaradaHeart Failure / CardiomyopathySLSangyoon LeeInje University

Discussion

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Implication

Supports multicomponent exercise for brain structural health; extends RCT evidence on physical activity benefits.

Study Design

Type

RCT (n=280)

Randomization

randomly assigned

Structured PICO

Does a multicomponent exercise intervention combining physical exercise and cognitive training improve cortical thickness in older adults with cognitive decline?

P
Population
280 older adults with cognitive decline followed for 10 months.
I
Intervention
Multicomponent exercise group (n = 140) attending weekly 90-minute exercise and cognitive training sessions for 10 months
C
Comparator
Health education control group (n = 140)
O
Outcome
Cortical thickness changes in the frontal and temporal regions at 10 monthssurrogate

Main Result

p-value: p=<0.001

A 10-month multicomponent exercise program combining physical and cognitive training significantly increases cortical thickness in temporal regions in older adults with cognitive decline.

Cite This Study

Bae et al. (2020) conducted an RCT in cognitive decline (n=280). Multicomponent exercise combining physical exercise and cognitive training vs. Health education was evaluated on Cortical thickness changes (p=<0.001). A 10-month multicomponent exercise intervention significantly increased cortical thickness in the middle temporal (p<0.001) and temporal pole (p<0.001) compared with a health education control.

synapsesocial.com/papers/6a79b9bbb9dd6cc1fe0da8c6https://doi.org/10.3390/jcm9051312
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Also Consider

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  1. 1Hippocampal BDNF mediates the efficacy of exercise on synaptic plasticity and cognition2004 · 1,470 citations
  2. 2Cortical changes in cerebral small vessel diseases: a 3D MRI study of cortical morphology in CADASIL2008 · 82 citations
  3. 3A 12‐Week Physical and Cognitive Exercise Program Can Improve Cognitive Function and Neural Efficiency in Community‐Dwelling Older Adults: A Randomized Controlled Trial2015 · 222 citations
  4. 4Effects of functional tasks exercise on cognitive functions of older adults with mild cognitive impairment: a randomized controlled pilot trial2019 · 56 citations
  5. 5Is Cognitive Training an Effective Treatment for Preclinical and Early Alzheimer's Disease?2014 · 93 citations