Os efeitos do exercício funcional de alta intensidade e do treinamento simultâneo de dupla tarefa em idosos

protocolo de um estudo de ensaio clínico randomizado

Autores

DOI:

https://doi.org/10.15448/2357-9641.2026.1.48581

Palavras-chave:

Dupla tarefa, Pessoas idosas, Capacidade funcional, Cognição

Resumo

Objetivos: Este estudo tem como objetivo avaliar o impacto de um programa de exercícios funcionais de alta intensidade, com ou sem treinamento cognitivo simultâneo em dupla tarefa, sobre equilíbrio, capacidade funcional e desempenho cognitivo de pessoas idosas residentes na comunidade, com o desfecho primário de melhora na qualidade da marcha verificada pela redução do tempo de execução no teste de caminhada de três metros.

Métodos: Será realizado um ensaio clínico randomizado, duplo-cego, com pessoas idosas de 60 anos ou mais. Os participantes serão alocados aleatoriamente para um programa de exercícios funcionais de alta intensidade (grupo simples tarefa) ou para o mesmo programa combinado com desafios cognitivos simultâneos (grupo dupla tarefa) durante 12 semanas. Resultados físicos e cognitivos serão avaliados antes e após a intervenção por meio de variados testes cognitivos e físicos, incluindo o teste Timed Up and Go, Mini-BESTest, Montreal Cognitive Assessment, Trail Making Test e Digit Span Test, entre outros. A amostra foi estimada em 44 participantes (22 por grupo), considerando um poder estatístico de 95% e uma taxa de evasão de 20%, com base em estudos prévios de delineamento similar.

Resultados: Espera-se que o grupo de dupla tarefa apresente melhoras mais significativas no equilíbrio, função física e desempenho cognitivo em comparação ao grupo de simples tarefa, demonstrando a superioridade do treino motor-cognitivo de alta intensidade.

Conclusões: Caso as hipóteses sejam confirmadas, o treinamento em dupla tarefa poderá ser considerado uma intervenção eficaz e acessível para melhorar a saúde física e cognitiva das pessoas idosas, ajudando a reduzir o risco de quedas e os custos relacionados à saúde. Este estudo fornecerá evidências importantes para a inclusão de desafios cognitivos em programas de exercícios, visando maximizar os benefícios para essa população.

Registro do ensaio: O ensaio foi registrado prospectivamente no Registro Brasileiro de Ensaios Clínicos (RBR-107mtjc8).

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Biografia do Autor

João Vítor El H. Szortyka, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, Brasil.

Graduanda em Fisioterapia pela Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA). Tem interesse acadêmico em envelhecimento, cognição, e treinamento de dupla tarefa em idosos.

Mariane Ronconi, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, Brasil.

Graduanda em Fisioterapia pela Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA). Tem interesse acadêmico em envelhecimento, cognição, e treinamento de dupla tarefa em idosos.

Adriana T. de Lemos, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, Brasil.

Possui graduação em Fisioterapia pelo Centro Universitário Metodista (2003), graduação em Educação Física pela Universidade Federal do Rio Grande do Sul (2007), mestrado em Ciências do Movimento Humano pela Universidade Federal do Rio Grande do Sul (2007) e doutorado em Ciências do Movimento Humano pela mesma instituição (2012). Atualmente, é Professora Associada na Universidade Federal de Ciências da Saúde de Porto Alegre. Possui experiência nas áreas de Fisioterapia, Saúde Pública e Saúde Ocupacional.

Felipe de S. Stigger, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, Brasil.

É graduada em Fisioterapia pelo Centro Universitário Metodista IPA (2004), possui mestrado em Neurociências pela Universidade Federal do Rio Grande do Sul (UFRGS – 2010) e doutorado pelo mesmo programa de pós-graduação (2013). Durante o mestrado e o doutorado, trabalhou no Laboratório de Histofisiologia Comparada do Instituto de Ciências Básicas da Saúde (ICBS/UFRGS). Atualmente, é professora assistente no programa de Fisioterapia da Universidade Federal de Ciências da Saúde de Porto Alegre. Possui experiência em Fisioterapia Clínica e Neurofuncional, com foco em geriatria e gerontologia. Sua pesquisa atual foca na Neurobiologia da Reabilitação, investigando os efeitos de diferentes modalidades de exercício na plasticidade do sistema nervoso e nos resultados funcionais.

Referências

1. Chalise HN. Aging: Basic Concept. Am J Biomed Sci Res [Internet]. 2019 [cited 2025 Dec 23];1(1):8–10. Available from: https://biomedgrid.com/fulltext/volume1/aging-basic-concept.ID.000503.php.

2. Minetto MA, Giannini A, McConnell R, Busso C, Torre G, Massazza G. Common Musculoskeletal Disorders in the Elderly: The Star Triad. J Clin Med [Internet]. 2020 [cited 2025 Dec 23];9(4):1216. Available from: https://doi.org/10.3390/jcm9041216.

3. Blanco‐Blanco J, Albornos‐Muñoz L, Costa‐Menen MÀ, García‐Martínez E, Rubinat‐Arnaldo E, Martínez‐Soldevila J, et al. Prevalence of falls in noninstitutionalized people aged 65−80 and associations with sex and functional tests: A multicenter observational study. Res Nurs Health [Internet]. 2022 [cited 2025 Dec 23];45(4):433–45. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC9543892/.

4. Souza AQ, Pegorari MS, Nascimento JS, Oliveira PB, Tavares DMS. Incidência e fatores preditivos de quedas em idosos na comunidade: um estudo longitudinal. Ciênc Saúde Colet [Internet]. 2019 [cited 2025 Dec 23];24(9):3507–16. Available from: https://doi.org/10.1590/1413-81232018249.30512017.

5. Sherrington C, Fairhall N, Wallbank GK, Tiedemann A, Michaleff ZA, Howard K, et al. Exercise for preventing falls in older people living in the community. Cochrane Database Syst Rev [Internet]. 2019 [cited 2025 Dec 23];1(1):CD012424. Available from: https://doi.org/10.1002/14651858.CD012424.pub2.

6. Sherrington C, Michaleff ZA, Fairhall N, Paul SS, Tiedemann A, Whitney J, et al. Exercise to Prevent Falls in Older adults: an Updated Systematic Review and meta-analysis. Br J Sports Med [Internet]. 2016 [cited 2025 Dec 23];51(24):1750–8. Available from: https://doi.org/10.1136/bjsports-2016-096547.

7. Rosendahl E, Lindelöf N, Littbrand H, Yifter-Lindgren E, Lundin-Olsson L, Håglin L, et al. High-intensity functional exercise program and proteinenriched energy supplement for older persons dependent in activities of daily living: A randomised controlled trial. Aust J Physiother [Internet]. 2006 [cited 2025 Dec 23];52(2):105–13. Available from: https://doi.org/10.1016/S0004-9514(06)70045-9.

8. Heinrich KM, Becker C, Carlisle T, Gilmore K, Hauser J, Frye J, et al. High-intensity functional training improves functional movement and body composition among cancer survivors: a pilot study. Eur J Cancer Care (Engl) [Internet]. 2015 [cited 2025 Dec 23];24(6):812–7. Available from: https://doi.org/10.1111/ecc.12338.

9. Harada CN, Natelson Love MC, Triebel KL. Normal Cognitive Aging. Clin Geriatr Med [Internet]. 2013 [cited 2025 Dec 23];29(4):737–52. Available from: https://www.geriatric.theclinics.com/article/S0749-0690(13)00059-1/abstract.

10. Varela-Vásquez LA, Minobes-Molina E, Jerez-Roig J. Dual-task exercises in older adults: A structured review of current literature. J Frailty Sarcopenia Falls [Internet]. 2020 [cited 2025 Dec 23];5(2):31–7. Available from: https://www.jfsf.eu/article/5/31.

11. Park JH. Is Dual-Task Training Clinically Beneficial to Improve Balance and Executive Function in Community-Dwelling Older Adults with a History of Falls? Int J Environ Res Public Health [Internet]. 2022 [cited 2025 Dec 23];19(16):10198. Available from: https://doi.org/10.3390/ijerph191610198.

12. Trombini-Souza F, Moura VTF, Silva LWN, Leal IS, Nascimento CA, Silva PST, et al. Effects of two different dual-task training protocols on gait, balance, and cognitive function in community-dwelling older adults: a 24-week randomized controlled trial [Internet]. 2023 [cited 2025 Dec 23];11:e15030–0. Available from: https://peerj.com/articles/15030/.

13. Ye JY, Chen R, Chu H, Lin HC, Liu D, Jen HJ, et al. Dual-task training in older adults with cognitive impairment: A meta-analysis and trial sequential analysis of randomized controlled trials. Int J Nurs Stud [Internet]. 2024 [cited 2025 Dec 23];155:104776. Available from: https://doi.org/10.1016/j.ijnurstu.2024.104776.

14. Liang W, Wang X, Cheng S, Jiao J, Zhu X, Duan Y. Effects of High-Intensity Interval Training on the Parameters Related to Physical Fitness and Health of Older Adults: A Systematic Review and Meta-Analysis. Sports Med [Internet] 2024 [cited 2025 Dec 23];10(1):98. Available from: https://link.springer.com/article/10.1186/s40798-024-00767-9.

15. McIsaac TL, Lamberg EM, Muratori LM. Building a Framework for a Dual Task Taxonomy. Biomed Res Int [Internet]. 2015 [cited 2025 Dec 23];2015:1–10. Available from: https://doi.org/10.1155/2015/591475.

16. Rosendahl E, Gustafson Y, Nordin E, Lundin-Olsson L, Nyberg L. A randomized controlled trial of fall prevention by a high-intensity functional exercise program for older people living in residential care facilities. Aging Clin Exp Res [Internet]. 2008 [cited 2025 Dec 23];20(1):67–75. Available from: https://link.springer.com/article/10.1007/BF03324750.

17. Bohannon RW. Reference Values for the Timed Up and Go Test. J Geriatr Phys Ther [Internet]. 2006 [cited 2025 Dec 23];29(2):64–8. Available from: https://journals.lww.com/jgpt/abstract/2006/08000/reference_values_for_the_timed_up_and_go_test__a.4.aspx.

18. Maia AC, Rodrigues-de-Paula F, Magalhaes LC, Teixeira RLL. Cross-cultural adaptation and analysis of the psychometric properties of the Balance Evaluation Systems Test and MiniBESTest in the elderly and individuals with Parkinson’s disease: application of the Rasch model. Braz J Phys Ther [Internet]. 2013 [cited 2025 Dec 23];17(3):195–217. Available from: https://doi.org/10.1590/S1413-35552012005000085.

19. Liao WY, Chu YH, Liu FY, Chang KM, Chou LW. Cutoff Point of Mini-Balance Evaluation Systems Test Scores for Elderly Estimated by Center of Pressure Measurements by Linear Regression and Decision Tree Classification. Life [Internet]. 2022 [cited 2025 Dec 23];12(12):2133. Available from: https://doi.org/10.3390/life12122133.

20. Gómez JF, Curcio CL, Alvarado B, Zunzunegui MV, Guralnik J. Validity and reliability of the Short Physical Performance Battery (SPPB): a pilot study on mobility in the Colombian Andes. Colomb Med [Internet]. 2013 [cited 2025 Dec 23];44(3):165–71. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC4002038/pdf/1657-9534-cm-44-03-00165.pdf.

21. Silva CFB, Ohara DG, Matos AP, Pinto ACPN, Pegorari MS. Short Physical Performance Battery as a Measure of Physical Performance and Mortality Predictor in Older Adults: A Comprehensive Literature Review. Int J Environ Res Public Health [Internet]. 2021 [cited 2025 Dec 23];18(20):10612. Available from: https://doi.org/10.3390/ijerph182010612.

22. Ferreira S, Raimundo A, Marmeleira J. Test-retest reliability of the functional reach test and the hand grip strength test in older adults using nursing home services. Ir J Med Sci [Internet]. 2021 [cited 2025 Dec 23];190(4):1625–32. Available from: https://link.springer.com/article/10.1007/s11845-020-02492-0.

23. Duncan PW, Weiner DK, Chandler J, Studenski S. Functional Reach: A New Clinical Measure of Balance. J Gerontol [Internet]. 1990 [cited 2025 Dec 23];45(6):M192–7. Available from: https://doi.org/10.1093/geronj/45.6.M192.

24. Balachandran AT, Vigotsky AD, Quiles N, Mokkink LB, Belio MA, Glenn JM. Validity, reliability, and measurement error of a sit-to-stand power test in older adults: A pre-registered study. Exp Gerontol [Internet]. 2021 [cited 2025 Dec 23];145:111202. Available from: https://doi.org/10.1016/j.exger.2020.111202.

25. Bohannon RW, Crouch R. 1-Minute Sit-to-Stand Test. J Cardiopulm Rehabil Prev [Internet]. 2019 [cited 2025 Dec 23]39(1):2–8. Available from: https://journals.lww.com/jcrjournal/abstract/2019/01000/1_minute_sit_to_stand_test__systematic_review_of.2.aspx.

26. Nasreddine ZS, Phillips NA, Bedirian V, Charbonneau S, Whitehead V, Collin I, et al. The Montreal Cognitive Assessment, MoCA: A brief screening tool for mild cognitive impairment. J Am Geriatr Soc [Internet]. 2005 [cited 2025 Dec 23]53(4):695–9. Available from: https://doi.org/10.1111/j.1532-5415.2005.53221.x.

27. Daniel B, Agenagnew L, Workicho A, Abera M. Psychometric properties of the montreal cognitive assessment (moca) to detect major neurocognitive disorder among older people in ethiopia: A validation study. Neuropsychiatr Dis Treat [Internet]. 2022 [cited 2025 Dec 23];18:1789–98. Available from: https://doi.org/10.2147/NDT.S377430.

28. Llinàs-Reglà J, Vilalta-Franch J, López-Pousa S, Calvó-Perxas L, Torrents Rodas D, Garre-Olmo J. The Trail Making Test. Assessment [Internet]. 2017 [cited 2025 Dec 23];24(2):183–96. Available from: https://doi.org/10.1177/1073191115602.

29. Periáñez JA, Lubrini G, García-Gutiérrez A, Ríos-Lago M. Construct Validity of the Stroop Color-Word Test: Influence of Speed of Visual Search, Verbal Fluency, Working Memory, Cognitive Flexibility, and Conflict Monitoring. Arch Clin Neuropsychol [Internet]. 2021 [cited 2025 Dec 23];36(1):99–111. Available from: https://doi.org/10.1093/arclin/acaa034.

30. Yun JY, Lee DY, Seo EH, Choo IH, Park SY, Kim SG, et al. Neural Correlates of Stroop Performance in Alzheimer’s Disease: A FDG-PET Study. Dement Geriatr Cogn Dis Extra [Internet]. 2011 [cited 2025 Dec 23];1(1):190–201. Available from: https://doi.org/10.1159/000329517.

31. Woods DL, Kishiyama MM, Yund EW, Herron TJ, Edwards B, Poliva O, et al. Improving digit span assessment of short-term verbal memory. J Clin Exp Neuropsychol [Internet]. 2011 [cited 2025 Dec 23];33(1):101–11. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC2978794/pdf/nihms208687.pdf.

32. Durmaz B. Validity and Reliability of Geriatric Depression Scale - 15 (Short Form) in Turkish older adults. North Clin Istanb [Internet]. 2018 [cited 2025 Dec 23];5(3):216–20. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC6323561/pdf/NCI-5-216.pdf.

33. Brañez-Condorena A, Soriano-Moreno DR, Navarro-Flores A, Solis-Chimoy B, Diaz-Barrera ME, Taype-Rondan A. Accuracy of the Geriatric Depression Scale (GDS)-4 and GDS-5 for the screening of depression among older adults: A systematic review and meta-analysis. PloS One [Internet]. 2021 [cited 2025 Dec 23];16(7):e0253899. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC8248624/pdf/pone.0253899.pdf.

34. Theill N, Schumacher V, Adelsberger R, Martin M, Jäncke L. Effects of simultaneously performed cognitive and physical training in older adults. BMC Neurosci [Internet]. 2013 [cited 2025 Dec 23];14(103):1–14. Available from: https://link.springer.com/article/10.1186/1471-2202-14-103.

35. Ansai JH, Andrade LP, Rossi PG, Takahashi ACM, Vale FAC, Rebelatto JR. Gait, dual task and history of falls in elderly with preserved cognition, mild cognitive impairment, and mild Alzheimer’s disease. Braz J Phys Ther [Internet]. 2017 [cited 2025 Dec 23];21(2):144–51. Available from: https://doi.org/10.1016/j.bjpt.2017.03.010.

36. Rezola-Pardo C, Rodriguez-Larrad A, Gomez-Diaz J, Lozano-Real G, Mugica-Errazquin I, Patiño MJ, et al. Comparison Between Multicomponent Exercise and Walking Interventions in Long-Term Nursing Homes: A Randomized Controlled Trial. Meeks S, editor. Gerontologist [Internet]. 2020 [cited 2025 Dec 23];60(7):1364–73. Available from: https://doi.org/10.1093/geront/gnz177.

37. Heinrich KM, Crawford DA, Langford CR, Kehler A, Andrews V. High-Intensity Functional Training Shows Promise for Improving Physical Functioning and Activity in Community-Dwelling Older Adults: A Pilot Study. J Geriatr Phys Ther [Internet]. 2021 [cited 2025 Dec 23];44(1):9–17. Available from: https://journals.lww.com/jgpt/abstract/2021/01000/high_intensity_functional_training_shows_promise.3.aspx.

38. Teza EAR, Stigger F de S, Demarchi A, Salvi LF, Ronconi M, Szortyka JVEH, et al. High-Intensity Functional Exercises Associated or Not With Cognitive Stimulation Improves Cognition and Physical Performance in Older Adults: A Double-Blind Randomized Controlled Trial. J Aging Phys Act [Internet]. 2025 [cited 2025 Dec 23];1–10. Available from: https://doi.org/10.1123/japa.2024-0270.

39. Ali N, Tian H, Thabane L, Ma J, Wu H, Zhong Q, et al. The effects of dual-task training on cognitive and physical functions in older adults with cognitive impairment; A systematic review and meta-analysis. J Prev Alzheimers Dis [Internet]. 2022 [cited 2025 Dec 23];9(2):359–70. Available from: https://doi.org/10.14283/jpad.2022.16.

40. Casemiro FG, Pelegrini L, Fernanda, Resende MC, Aparecida R. Influence of frailty and cognitive decline on dual task performance in older adults: an analytical cross-sectional study. Rev Lat Am Enfermagem [Internet]. 2025 [cited 2025 Oct 8];33:e4485. Available from: https://doi.org/10.1590/1518-8345.7159.4485.

41. Kannan L, Pitts J, Szturm T, Purohit R, Bhatt T. Perturbation-based dual task assessment in older adults with mild cognitive impairment. Front Rehabil Sci [Internet]. 2024 [cited 2025 Dec 23];5:1384582. Available from: https://doi.org/10.3389/fresc.2024.1384582.

42. Gómez-Redondo P, Valenzuela PL, Óscar Martínez-de-Quel, Sánchez-Martín C, Mónica Cerezo-Arroyo, Moreno-Manzanaro D, et al. The role of supervision and motivation during exercise on physical and mental health in older adults: a study protocol for a randomized controlled trial (PRO-Training project). BMC Geriatr [Internet]. 2024 [cited 2025 Dec 23];24(1):274. Available from: https://link.springer.com/article/10.1186/s12877-024-04868-8.

43. Chan KOW, Yuen PP, Fong BYF, Law VTS, Ng FSF, Lee JLC, et al. Synchronous Group-Based Tele-Exercise Versus Community-Based Interventions: Effects on Physical Functioning and Adherence in Older Adults at Risk of Falls: A Randomized Controlled Trial. medRxiv [Internet]. 2024 [cited 2025 Dec 23]:1–29. Available from: https://doi.org/10.1101/2024.06.16.24308943.

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Publicado

2026-03-04

Como Citar

El H. Szortyka, J. V., Ronconi, M., T. de Lemos, A., & de S. Stigger, F. (2026). Os efeitos do exercício funcional de alta intensidade e do treinamento simultâneo de dupla tarefa em idosos: protocolo de um estudo de ensaio clínico randomizado. PAJAR - Pan-American Journal of Aging Research, 14(01), e48581. https://doi.org/10.15448/2357-9641.2026.1.48581