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Effect of Aerobic Exercise on Cognitive Function in the Elderly persons

  • Received : 2012.04.27
  • Accepted : 2012.09.11
  • Published : 2012.10.31

Abstract

The Goal of this study was to assess the effect of aerobic exercise on cognitive function of elderly people. The participants' cognitive functions were measured before exercise. Exercise was practiced three times a week for nine weeks. The aerobic exercises consisted of warm-up exercises for five minutes followed by cycling for 30 minutes. The exercise intensity was set to 65%~75% of the intensity for the maximum heart rate(220-age). The control group did not perform any exercises. The subjects' cognitive functions were measured nine weeks later. In the aerobic exercise group, between before and after the exercises, significant increases appeared in total K-MMSE scores and scores of some sub items comprising memory registration, concentration and calculation abilities but not in other items. In the control group, no significant differences appeared in any items between before and after the experiment. In a comparison between the aerobic exercise group and the control group, significant differences appeared in total K-MMSE scores and scores of two sub items comprising concentration and calculation abilities but not in other items(p<.05). Aerobic exercises were effective in the improvement of cognitive functions and among sub items of cognitive functions, concentration and calculating abilities were improved. Aerobic exercises performed by elderly persons are considered to be effective in improving cognitive functions.

Keywords

References

  1. Ministry of Health and Welfare. In 2008, the National Health Expenditures and the National Health Accounts. Ministry of Health and Welfare. 2009.
  2. National Health Insurance Corporation. Medical Ill senile trend analysis 2002-2009. Health Insurance Institute. 2011.
  3. Kang JH, Cheon SM, Park JU, Cha JG, Kim SH, Kang DY, Kim JU, Park GW. Analysis of Regional Cerebral Blood Flow using Brain SPECT in the Patients with Mild Cognitiv Impairment According to Subtypes. Dementia and Neurocognitive Disorders 2009; 8: 21-7.
  4. Eggermont L, Swab D, Luiten P, Scherder E. Exercise, cognition and Alzheimer's disease: more is not necessarily better. Neurosci Biobehav Rev 2006; 30(4): 562-75. https://doi.org/10.1016/j.neubiorev.2005.10.004
  5. Palop JJ, Chin J, Mucke L. A network dysfunction perspective on neurodegenerative diseases Nature 2006; 443: 768-773. https://doi.org/10.1038/nature05289
  6. Wu CW, Chen YC, Yu L, Chen HI, Jen CJ, Huang AM, Tsai HJ, Chang YT, Kuo YM. Treadmill exercise counteracts the suppressive effects of peripheral lipopolysaccharide on hippocampal neurogenesis and learning and memory. J Neurochem 2007; 103: 2471–2481. https://doi.org/10.1111/j.1471-4159.2007.04987.x
  7. Kim H. Effect of Exercise on Neurogenesis and Cognitive Function in Brain. Journal of Coaching Development 2007; 9(2): 15-27.
  8. Jennifer W, Kang JH, Manson JE, Breteler MB, Ware JH, Grodstein F. Physical Activity, Including Wailking, and Cognitive Function in Older Women. JAMA 2004; 292(12): 1454-1461. https://doi.org/10.1001/jama.292.12.1454
  9. Keysor JJ, Jette AM. Uses of evidence in disability outcomes and effectiveness research. Milbank Q 2002; 80: 325-45. https://doi.org/10.1111/1468-0009.t01-1-00006
  10. Keysor JJ, Jette AM. Have we oversold the benefit of late-life exercise? J Gerontol A Biol Sci Med Sci 2001; 56: M412-23. https://doi.org/10.1093/gerona/56.7.M412
  11. Haley SM, Jette AM, Coster WJ, et al. Late Life Function and Disability Instrument: II. Development and evaluation of the function component. J Gerontol A Biol Sci Med Sci 2002; 57:M217-22. https://doi.org/10.1093/gerona/57.4.M217
  12. Macera CA, Hootman JM, Sniezek JE. Major public health benefits of physical activity. Arthritis Care Res 2003; 49: 122-8. https://doi.org/10.1002/art.10907
  13. Angevaren, M., Aufdemkampe, G., Verhaar, HJ., Aleman, A., Vanhees, L. Physicalactivity andenhancedfitness to improve cognitive function in older people without known cognitive impairment. Cochrane Database Syst Rev 2008; 16(2):CD005381.
  14. Folstein MF, Folstein SE, McHugh PR. Minimental state A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975; 12(3): 189-198. https://doi.org/10.1016/0022-3956(75)90026-6
  15. Park JH, Kwon YC. Standardization of Korean Version of the Mini-Mental State Examination (MMSE-K) for Use in the Elderly 1989; 28(1): 125-135.
  16. Park TJ. Cognitive Neural Mechanisms of Aging. Journal of Korean Psychology Association 2004; 16(3): 317-336.
  17. Francese T, Sorrell J, Butler FR. The effects of regular exercise on muscle strength and functional abilities of late stage Alzheimer's residents. Am J Alzheimers Dis 1997; 12: 122-7. https://doi.org/10.1177/153331759701200305
  18. Kovash CR, Henschel H. Planning activities for patients with dementia. J Gerontol Nurs 1996; Sept: 33-8.
  19. Palleschi L, Vetta F, de Gennaro E, et al. Effects of aerobic training on the cognitive performance of elderly patients with senile dementia of Alzheimer type. Arch Gerontol Geriatr 1996; 5(Suppl): 47-50.
  20. Singh MA. Exercise comes of age: rationale and recommendations for a geriatric exercise prescription. J Gerontol A Biol Med Sci 2002; 57: M262-82. https://doi.org/10.1093/gerona/57.5.M262
  21. Yaffe K, Barnes D, Nevitt M, Lui LY, Covinsky K. A prospective study of physical activity and cognitive decline in elderly women: women who walk. Arch Intern Med 2001; 161: 1703-8. https://doi.org/10.1001/archinte.161.14.1703
  22. Colcombe SJ, Erickson KI, Raz N, et al. Aerobic fitness reduces brain tissue loss in aging humans. J Gerontol A Biol Sci Med Sci 2003; 58: 176-80. https://doi.org/10.1093/gerona/58.2.M176
  23. Patricia H, Beatriz C. Abreu, Kenneth J. Ottenbacher. The Effects of Exercise Training on Elderly Persons With Cognitive Impairment and Dementia: A Meta-Analysis. Arch Phys Med Rehabil 2004; 1694-1704.
  24. Geda YE, Roberts RO, Knopman DS, Christianson TJ, Pankratz VS, Ivnik RJ, Boeve BF, Tangalos EG, Petersen RC, Rocca WA. Physical exercise, aging, and mild cognitive impairment: a population- based study. Arch Neurol 2010; 67(1): 80-6. https://doi.org/10.1001/archneurol.2009.297
  25. Barnes JA, Cauley LY, Lui HA, Fink C, McCulloch KL, Stone and K Yaffe. Women Who Maintain Optimal Cognitive Function into Old Age. Journal of American Geriatiric Society 55: 259-264.
  26. Lee GM, Choi JH. Effects of 12 week Regular Exercise on Reaction Time in the Elderly Women. Journal of Korean Gerontological Society 1999; 19(3): 65-78.
  27. Kim YS. The Effect of Cognitive Ability and Self- Esteem on Regular Exercise in the Elderly. The Korean Journal of Physical Education 2001; 40(4): 181-193.
  28. Kwak YS, Um SY. The effects of regular exercise on activities of daily Living and hematological variables in patient with senile dementia. Korean Journal of Sport Science 2004; 15(2): 10-18.
  29. Son HS. The Effects of Exercise Program on Activities of Daily Living and Balance in Elderly with Dementia. Daegu University. Masters Thesis; 2007.