Effects of a group using digital technologies and physical activity on cognition and health of the elderly
DOI:
https://doi.org/10.15448/2357-9641.2022.1.43154Keywords:
elderly, cognition, physical activity, computersAbstract
Aim: to estimate the effects of a group using digital technologies and physical activity on cognitive function and health variables in the elderly.
Methods: intervention research with 29 elderly men (n=7) and women (n=22), all from the University of Cruz Alta community. The intervention consisted of a Program to use digital technologies and practice physical activity (walking). It had weekly meetings (total of 16 meetings) of approximately 90 minutes, first using digital technologies – computers and internet (approximately 60 minutes) and then walking (30 minutes). Cognitive function was measured by the Mini Mental State Examination. Sex, age, marital status, education, disease diagnosis, vision problems, medication, use of tobacco and alcohol and functional capacity were also collected through a questionnaire. The Body Mass Index was also checked. Participants were assessed before and after the program. The data were analyzed by paired Student’s t-test with a 5% probability.
Results: it was evident that the proposed program improved cardiorespiratory fitness (519.14 pre-test - 583.86 post-test, p = 0.005) and cognitive ability (25.90 pre-test - 26.21 post-test, p> 0.001) of participants, in addition to influencing the cessation of tobacco use (20.7%).
Conclusion: these results show the importance of programs aimed at the cognitive improvement of elderly people, and health variables, considering that these can and should be inserted in health care settings.
Downloads
References
Instituto Brasileiro de Geografia e Estatística. Pnad 2018: Elderly population grows to 29.6 million. Social Statistics. 2000 [Internet]. Jul 2020 - [cited 2020 Jul 13]. Available from: https://agenciadenoticias.ibge.gov.br
Macena WG, Hermano LO, Costa TC. Physiological changes due to aging. Revista Mosaicum. 2018;15(27):223-38. https://doi.org/10.26893/rm.v15i27.64
Chodzko-Zajko WJ, Proctor DN, Singh MAF, Minson CT, Nigg CR, Salem GJ, & Skinner J S. Exercise and Physical Activity for Older Adults. Medicine Science of Sports and Exercise. 2009;41(7):1510-30.
Nevalainen N, Riklund K, Andersson M, Axelsson J, Ögren M, Lövdén M, et al. COBRA: A prospective multimodal imaging study of dopamine, brain structure and function, and cognition. Brain Res. 2015;1612:83-103. https://doi.org/10.1016/j.brainres.2014.09.010
Global Burden of Disease. Study 2016 Dementia Collaborators. Global, regional, and national burden of Alzheimer’s disease and other dementias, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Neurol. 2019;18:88-106. https://doi.org/10.1016/S1474-4422(18)30403-4
Burlá C, Camarano AA, Kanso S, Fernandes D, Nunes R. Panorama prospectivo das demências no Brasil: um enfoque demográfico. Ciênci. e saúde coletiva. 2013;18(10):2949-56. https://doi.org/10.1590/S1413-81232013001000019
Ströhle A, Rapp M. Prevention of Cognitive Decline: A Physical Exercise Perspective on Brain Health in the Long Run. JAMDA, 2016. https://doi.org/17.10.1016/j.jamda.2016.02.030
Soares E, Coelho MO, Carvalho SMR. Functional capacity, cognitive decline and depression in institutionalized elderly: Functional capacity, cognitive decline and depression in institutionalized elderly: Possibility of Relationships and Correlations. Revista Kairós-Gorontologia. 2012;15(5):117-39. https://doi.org/10.23925/2176-901X.2012v15i3p117-139
Stoyanova II. Ghrelin: A link between ageing, metabolism and neurodegenerative disorders. Neurobiol. Dis.. 2014;72(Part A):72-83. https://doi.org/10.1016/j.nbd.2014.08.026
Xavier AJ, d’Orsi E, Oliveira CM, Orrel M, Demakakos P, Biddulph JP, Marmot MG. English Longitudinal Study of Ageing (ELSA): can internet/email use reduce cognitive decline? J GerontolA Biol Sci Med Sci. 2014;69(9):1117-21. http://doi.org/10.1093/gerona/glu105
Krug RR, Ono L, Quialheiro A, d’Orsi E, Ramos L, Xavier, AJ. Stimulation and rehabilitation cognitive program: Remembrance Workshop. Braz J Phys Activ Health. 2015;20(5):534-40. https://doi.org/10.12820/rbafs.v.20n5p534
Barnes DE, Santos-Modesitt W, Poelke G, Kramer AF, Castro C, Middleton LE, Yaffe K. The Mental Activity and exercise (MAX) Trial. J Am Med Assoc Int Med. 2013;173(9):797-804. https://doi.org/10.1001/jamainternmed.2013.189
Krug RR, Xavier AJ, d’Orsi E. Fatores associados à manutenção do uso da internet, estudo longitudinal EpiFloripa Idoso. Rev. Saúde Pública. 2018; 52(37):1-12.
Blondell SJ, Hammersley-Mather R, Veerman JL. Does physical activity prevent cognitive decline and dementia?: A systematic review and meta-analysis of longitudinal studies. BMC Public Health. 2014;14(510):1-12. https://doi.org/10.1186/1471-2458-14-510
Brazil, Vigitel. Brazil 2016 Supplementary Health: surveillance of risk and protective factors for chronic diseases by telephone survey [electronic resource] / Ministry of Health, National Supplementary Health Agency. Brasília: Ministry of Health. 2017.
Xavier AJ. Cognition, Interaction and aging: Exploratory study based on internet workshops [master´s thesis]. [Florianólopis (SC)]): Federal University of Santa Catarina; 2002.
Folstein MF, Folstein SE, McHugh PR. “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. J Psych Res. 1975;12(3):189-98. https://doi.org/10.1016/0022-3956(75)90026-6
Bertolucci PHF, Brucki SMD, Campacci SR, Juliano Y. The Mini-Mental State Examination in a general population: impact of schooling. Arq NeuroPsychiatr. 1994;52(1):01-07. https://dx.doi.org/10.1590/S0004-282X1994000100001
Almeida OP. Mini examination of mental status and diagnosis of dementia in Brazil. Arq NeuroPsychiatr. 1998;56(3B):605-12. https://doi.org/10.1590/S0004-282X1998000400014
Rikli R, Jones C. Development and validation of a functional fitness test for community residing older adults. J Aging and Phys Activ. 1999;7(2):61-129. https://doi.org/10.1123/japa.7.2.129
Mazo GZ, Petreça DR, Sandreschi PF, Benedetti TRB. Normative values of physical fitness for Brazilian elderly women from 60 to 69 years of age. Braz J Sports Med. 2015;21(4):318-22. https://doi.org/10.1590/1517-869220152104134470
Ramos LR. Determinant factors for healthy aging among senior citizens in a large city: the Epidoso Project in São Paulo. Cad. Saúde Pública, 2003;19:793-8.
Hortencio MNS, Silva JKS, Zonta MA, Melo CPA, França CN. Effects of physical exercise on cardiovascular risk factors in hypertensive elderly people. Brazilian J Health Prom, 2018;31(2). https://doi.org/10.5020/18061230.2018.6631
Billerbeck AN, Borges LP. Level of physical activity and smoking. International J Mov Sci Rehabil. 2019;1(1):24-32. https://doi.org/10.37951/.2019v1i1.p24-32
Oliveira FA, Pirajá WC, Silva AP, Primo CPF. Benefits of Systematized Physical Activity in Leisure for the Elderly: Some Considerations. Licere. 2015;18(2):262-304. https://doi.org/10.35699/1981-3171.2015.1110
Krug RR, Xavier AJ, d’Orsi E. Association between internet use and physically active leisure time: “EpiFloripa Idoso” longitudinal study. Braz J Cineanthropom & Desemp Hum. 2018;20(2): 134-45. https://dx.doi.org/10.5007/1980-0037.2018v20n2p134
Krug RR, Campos LW, Silva LH, Kupske JW, Chicon PMM, Marchesan M. Cognitive stimulation program mediated by digital inclusion and wlaking practice. J Neurol Stroke. 2019:9:217-20. https://doi.org/10.15406/jnsk.2019.09.00379
Diamond A, Ling DS. Conclusions about interventions, programs, and approaches for improving executive functions that appear justified and those that, despite much hype, do not. Develop Cogn Neurosci. 2016;18:34-48. https://doi.org/10.1016/j.dcn.2015.11.005
Ngandu T, Lehtisalo J, Solomon A, Levälahti E, Ahtiluoto S, Antikainen R, et al. A 2 year multidomain intervention of diet, exercise, cognitive training, and vascular risk monitoring versus control to prevent cognitive decline in at-risk elderly people (FINGER): a randomised controlled trial. Lancet. 2015;385(9984):2255–-63. https://doi.org/10.1016/S0140-6736(15)60461-5
d’Orsi E, Xavier AJ, Steptoe A, de Oliveira C, Ramos LR, Orrell M, Demakakos P, et al. Socioeconomic and lifestyle factors related to instrumental activity of daily living dynamics: results from the English Longitudinal Study of Ageing. J Am Geriatrics Soc. 2014; 62(9):1630-39. https://doi.org/10.1111/jgs.12990
Duzel E, van Praag H, Sendtner M. Can physical exercise in old age improve memory and hippocampal function? Brain Neurol. 2016;139(Pt 3):662-73. https://doi.org/10.1093/brain/awv407
Smith PJ, Blumenthal JA, Hoffman BM, Cooper H, Strauman TA, Welsh-Bohmer K, et al. Aerobic exercise and neurocognitive performance: a meta-analytic review of randomized controlled trials. Psychosomatic med. 2010;72(3):239-52. https://doi.org/10.1097/PSY.0b013e3181d14633
Seib DR, Martin-Villalba A. Neurogenesis in the Normal Ageing Hippocampus: A Mini-Review. Gerontology. 2015;61(4):327-35. https://doi.org/10.1159/000368575
Jagust W. Vulnerable neural systems and the borderland of brain aging and neurodegeneration. Neuron. 2013;77(2):219-34. https://doi.org/10.1016/j.neuron.2013.01.002
Lamont AJ, Mortby ME, Anstey KJ, Sachdev PS, Cherbuin N. Using sulcal and gyral measures of brain structure to investigate benefits of an active lifestyle. NeuroImage. 2014;91:353-59. https://doi.org/10.1016/j.neuroimage.2014.01.008
Påhlman U, Sävborg M, Tarkowski E. Cognitive dysfunction and physical activity after stroke: the Gothenburg cognitive stroke study in the elderly. J Stroke Cerebrovasc Dis. 2012;21(8):652-8. https://doi.org/10.1016/j.jstrokecerebrovasdis.2011.02.012
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 PAJAR - Pan American Journal of Aging Research
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright
The submission of originals to PAJAR implies the transfer by the authors of the right for publication. Authors retain copyright and grant the journal right of first publication. If the authors wish to include the same data into another publication, they must cite PAJAR as the site of original publication.
Creative Commons License
Except where otherwise specified, material published in this journal is licensed under a Creative Commons Attribution 4.0 International license, which allows unrestricted use, distribution and reproduction in any medium, provided the original publication is correctly cited.