DOI QR코드

DOI QR Code

Effects of a High-Intensity Interval Physical Exercise Program on Cognition, Physical Performance, and Electroencephalogram Patterns in Korean Elderly People: A Pilot Study

  • Sun Min Lee (Department of Neurology, Ajou University School of Medicine) ;
  • Muncheong Choi (Exercowork) ;
  • Buong-O Chun (Graduate School of Physical Education, College of Arts and Physical Education, Myongji University) ;
  • Kyunghwa Sun (Department of Neurology, Ajou University School of Medicine) ;
  • Ki Sub Kim (Dongtan Public Health Center) ;
  • Seung Wan Kang (iMediSync Inc.) ;
  • Hong-Sun Song (Department of Sport Science, Korea Institute of Sport Science) ;
  • So Young Moon (Department of Neurology, Ajou University School of Medicine)
  • 투고 : 2022.05.16
  • 심사 : 2022.07.13
  • 발행 : 2022.07.31

초록

Background and Purpose: The effects of high-intensity interval training (HIIT) interventions on functional brain changes in older adults remain unclear. This preliminary study aimed to explore the effect of physical exercise intervention (PEI), including HIIT, on cognitive function, physical performance, and electroencephalogram patterns in Korean elderly people. Methods: We enrolled six non-dementia participants aged >65 years from a community health center. PEI was conducted at the community health center for 4 weeks, three times/week, and 50 min/day. PEI, including HIIT, involved aerobic exercise, resistance training (muscle strength), flexibility, and balance. Wilcoxon signed rank test was used for data analysis. Results: After the PEI, there was improvement in the 30-second sit-to-stand test result (16.2±7.0 times vs. 24.8±5.5 times, p=0.027), 2-minute stationary march result (98.3±27.2 times vs. 143.7±36.9 times, p=0.027), T-wall response time (104.2±55.8 seconds vs.71.0±19.4 seconds, p=0.028), memory score (89.6±21.6 vs. 111.0±19.1, p=0.028), executive function score (33.3±5.3 vs. 37.0±5.1, p=0.046), and total Literacy Independent Cognitive Assessment score (214.6±30.6 vs. 241.6±22.8, p=0.028). Electroencephalography demonstrated that the beta power in the frontal region was increased, while the theta power in the temporal region was decreased (all p<0.05). Conclusions: Our HIIT PEI program effectively improved cognitive function, physical fitness, and electroencephalographic markers in elderly individuals; thus, it could be beneficial for improving functional brain activity in this population.

키워드

과제정보

This work was supported by grants from the Korea Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI) and Korea Dementia Research Center (KDRC), funded by the Ministry of Health & Welfare and Ministry of Science and ICT, Republic of Korea (HI18C0479 and HU21C0016) and from the National Research Foundation of Korea (NRF), funded by the Ministry of Science and ICT, Republic of Korea (NRF-2019R1F1A1059660). The study's funders had no role in the study design, data collection, analysis, interpretation of data, writing of the report, or decision to submit the paper for publication.

참고문헌

  1. Best JR, Chiu BK, Liang Hsu C, Nagamatsu LS, Liu-Ambrose T. Long-term effects of resistance exercise training on cognition and brain volume in older women: results from a randomized controlled trial. J Int Neuropsychol Soc 2015;21:745-756.
  2. Christie BR, Eadie BD, Kannangara TS, Robillard JM, Shin J, Titterness AK. Exercising our brains: how physical activity impacts synaptic plasticity in the dentate gyrus. Neuromolecular Med 2008;10:47-58.
  3. Erickson KI, Voss MW, Prakash RS, Basak C, Szabo A, Chaddock L, et al. Exercise training increases size of hippocampus and improves memory. Proc Natl Acad Sci U S A 2011;108:3017-3022.
  4. Burns JM, Cronk BB, Anderson HS, Donnelly JE, Thomas GP, Harsha A, et al. Cardiorespiratory fitness and brain atrophy in early Alzheimer disease. Neurology 2008;71:210-216.
  5. Jia RX, Liang JH, Xu Y, Wang YQ. Effects of physical activity and exercise on the cognitive function of patients with Alzheimer disease: a meta-analysis. BMC Geriatr 2019;19:181.
  6. Stephen R, Hongisto K, Solomon A, Lonnroos E. Physical activity and Alzheimer's disease: a systematic review. J Gerontol A Biol Sci Med Sci 2017;72:733-739.
  7. Lee SM, Song HS, Chun BO, Choi M, Sun K, Kim KS, et al. Feasibility of a 12 week physical intervention to prevent cognitive decline and disability in the at-risk elderly population in Korea. J Clin Med 2020;9:3135.
  8. Gomes-Osman J, Cabral DF, Morris TP, McInerney K, Cahalin LP, Rundek T, et al. Exercise for cognitive brain health in aging: a systematic review for an evaluation of dose. Neurol Clin Pract 2018;8:257-265.
  9. Netz Y. Is there a preferred mode of exercise for cognition enhancement in older age?-a narrative review. Front Med (Lausanne) 2019;6:57.
  10. Norton K, Norton L, Sadgrove D. Position statement on physical activity and exercise intensity terminology. J Sci Med Sport 2010;13:496-502.
  11. Vanhees L, Geladas N, Hansen D, Kouidi E, Niebauer J, Reiner Z, et al. Importance of characteristics and modalities of physical activity and exercise in the management of cardiovascular health in individuals with cardiovascular risk factors: recommendations from the EACPR. Part II. Eur J Prev Cardiol 2012;19:1005-1033.
  12. Ignaszewski M, Lau B, Wong S, Isserow S. The science of exercise prescription: Martti Karvonen and his contributions. B C Med J 2017;59:38-41. 
  13. Saez de Asteasu ML, Martinez-Velilla N, Zambom-Ferraresi F, Casas-Herrero A, Izquierdo M. Role of physical exercise on cognitive function in healthy older adults: a systematic review of randomized clinical trials. Ageing Res Rev 2017;37:117-134.
  14. Hannan AL, Hing W, Simas V, Climstein M, Coombes JS, Jayasinghe R, et al. High-intensity interval training versus moderate-intensity continuous training within cardiac rehabilitation: a systematic review and meta-analysis. Open Access J Sports Med 2018;9:1-17.
  15. Mekari S, Neyedli HF, Fraser S, O'Brien MW, Martins R, Evans K, et al. High-intensity interval training improves cognitive flexibility in older adults. Brain Sci 2020;10:796.
  16. Jimenez-Maldonado A, Renteria I, Garcia-Suarez PC, Moncada-Jimenez J, Freire-Royes LF. The impact of high-intensity interval training on brain derived neurotrophic factor in brain: a mini-review. Front Neurosci 2018;12:839.
  17. Francois ME, Little JP. Effectiveness and safety of high-intensity interval training in patients with type 2 diabetes. Diabetes Spectr 2015;28:39-44.
  18. Guiraud T, Nigam A, Gremeaux V, Meyer P, Juneau M, Bosquet L. High-intensity interval training in cardiac rehabilitation. Sports Med 2012;42:587-605.
  19. Kovacevic A, Fenesi B, Paolucci E, Heisz JJ. The effects of aerobic exercise intensity on memory in older adults. Appl Physiol Nutr Metab 2020;45:591-600.
  20. Fiorelli CM, Ciolac EG, Simieli L, Silva FA, Fernandes B, Christofoletti G, et al. Differential acute effect of high-intensity interval or continuous moderate exercise on cognition in individuals with Parkinson's disease. J Phys Act Health 2019;16:157-164.
  21. Hoffmann K, Sobol NA, Frederiksen KS, Beyer N, Vogel A, Vestergaard K, et al. Moderate-to-high intensity physical exercise in patients with Alzheimer's disease: a randomized controlled trial. J Alzheimers Dis 2016;50:443-453.
  22. Han C, Jo SA, Jo I, Kim E, Park MH, Kang Y. An adaptation of the Korean Mini-Mental State Examination (K-MMSE) in elderly Koreans: demographic influence and population-based norms (the AGE study). Arch Gerontol Geriatr 2008;47:302-310.
  23. Jeong GW, Kim YJ, Park S, Kim H, Kwon O. Associations of recommended food score and physical performance in Korean elderly. BMC Public Health 2019;19:128.
  24. Park H, Park W, Lee M, Ko N, Kim E, Ishikawa-Takata K, et al. The association of locomotive and non-locomotive physical activity measured by an accelerometer with functional fitness in healthy elderly men: a pilot study. J Exerc Nutrition Biochem 2018;22:41-48.
  25. Shin JY, Lee KH, Song HS, Chun BO. Relationship between eyes-hands coordination test and reaction time test: agreement of evaluation standards. Korean J Meas Eval Phys Educ Sport Sci 2019;21:47-58.
  26. Choi SH, Shim YS, Ryu SH, Ryu HJ, Lee DW, Lee JY, et al. Validation of the literacy independent cognitive assessment. Int Psychogeriatr 2011;23:593-601.
  27. Delorme A, Palmer J, Onton J, Oostenveld R, Makeig S. Independent EEG sources are dipolar. PLoS One 2012;7:e30135.
  28. Delorme A, Makeig S. EEGLAB: an open source toolbox for analysis of single-trial EEG dynamics including independent component analysis. J Neurosci Methods 2004;134:9-21.
  29. Keating CJ, Parraga Montilla JA, Latorre Roman PA, Moreno Del Castillo R. Comparison of high-intensity interval training to moderate-intensity continuous training in older adults: a systematic review. J Aging Phys Act 2020;28:1-10.
  30. Marriott CF, Petrella AF, Marriott EC, Boa Sorte Silva NC, Petrella RJ. High-intensity interval training in older adults: a scoping review. Sports Med Open 2021;7:49.
  31. Du Rietz E, Barker AR, Michelini G, Rommel AS, Vainieri I, Asherson P, et al. Beneficial effects of acute high-intensity exercise on electrophysiological indices of attention processes in young adult men. Behav Brain Res 2019;359:474-484.
  32. Hottenrott L, Mohle M, Feichtinger S, Ketelhut S, Stoll O, Hottenrott K. Performance and recovery of well-trained younger and older athletes during different HIIT protocols. Sports (Basel) 2022;10:9.
  33. Dujardin K, Bourriez JL, Guieu JD. Event-related desynchronization (ERD) patterns during memory processes: effects of aging and task difficulty. Electroencephalogr Clin Neurophysiol 1995;96:169-182.
  34. Klass DW, Brenner RP. Electroencephalography of the elderly. J Clin Neurophysiol 1995;12:116-131.
  35. Letemendia F, Pampiglione G. Clinical and electroencephalographic observations in Alzheimer's disease. J Neurol Neurosurg Psychiatry 1958;21:167-172.
  36. Brenner RP, Reynolds CF 3rd, Ulrich RF. Diagnostic efficacy of computerized spectral versus visual EEG analysis in elderly normal, demented and depressed subjects. Electroencephalogr Clin Neurophysiol 1988;69:110-117.
  37. Meghdadi AH, Stevanovic Karic M, McConnell M, Rupp G, Richard C, Hamilton J, et al. Resting state EEG biomarkers of cognitive decline associated with Alzheimer's disease and mild cognitive impairment. PLoS One 2021;16:e0244180.
  38. Laursen PB, Jenkins DG. The scientific basis for high-intensity interval training: optimising training programmes and maximising performance in highly trained endurance athletes. Sports Med 2002;32:53-73.