Key result
Adding mindfulness to instability resistance training yields no incremental mobility benefit over training alone.
Why the study?
Older adults with motoric cognitive risk syndrome have impaired dual-task mobility, but the effectiveness of combining physical exercise with cognitive strategies like mindfulness remains unclear.
Does adding mindfulness to instability resistance training improve mobility and fall-related outcomes in older adults with motoric cognitive risk syndrome?
RCT (n=56)
Concealed allocation sequence based on permuted blocks, stratified by sex and age group
No
Does adding mindfulness to instability resistance training improve mobility and fall-related outcomes in older adults with motoric cognitive risk syndrome?
In older adults with motoric cognitive risk syndrome, instability resistance training improves mobility and balance confidence, but the addition of mindfulness provides no further incremental benefit.
Adding mindfulness confers no incremental mobility benefit beyond instability resistance training alone; confirms motor training efficacy and challenges combined non-pharmacological strategies in motoric cognitive risk syndrome.
Background: Older adults with motoric cognitive risk syndrome (MCR) exhibit impairments in dual-task mobility. Non-pharmacological interventions, such as physical exercise and cognitive strategies, have been proposed to mitigate physical and cognitive decline. However, the effectiveness of combining these approaches remains unclear. Objective: To evaluate the effects of instability resistance training (IRT) performed with or without mindfulness on mobility under single- and dual-task conditions and fall-related outcomes in older adults with MCR. Methods: In this parallel-group randomized controlled trial, 56 community-dwelling older adults with MCR (≥65 years) were allocated to IRT or combined with mindfulness (IRT + Mind). Both groups trained twice weekly for 24 weeks. Primary outcomes included single- and dual-task Timed Up and Go (TUG). Secondary outcomes were dual-task cost, concern about falling (Falls Efficacy Scale-International), and balance confidence (Activities-specific Balance Confidence Scale). Outcomes were analyzed using generalized mixed models. Conclusion: IRT improved mobility and confidence in balance in older adults with MCR. The addition of mindfulness did not provide incremental benefits, suggesting that motor-based training alone is sufficient to promote functional gains in this population.
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Batista et al. (2026) conducted an RCT in Motoric Cognitive Risk Syndrome (n=56). Instability resistance training combined with mindfulness vs. Instability resistance training alone was evaluated on Single-task Timed Up and Go (TUG) completion time (MD 0.61, 95% CI -0.62 to 1.85, p=0.598). Adding mindfulness to instability resistance training did not provide incremental benefits for single-task mobility (MD 0.61 s) or dual-task mobility compared to resistance training alone in older adults with motoric cognitive risk syndrome.
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