None listed
Conditions
Brief summary
Although cognitive decline is often associated with old age, findings indicate that these processes begin at young ages. The middle age period (45-60), is an optimal time for preventive intervention. It is highly important to maintain a lifestyle that promotes general and cognitive health in order to reduce risks and morbidity in old age. The WHO recommends performing moderate-intensity aerobic activity and at least twice a week moderate-intensity muscle-strengthening activities. In addition, it is recommended to combine diverse cognitive leisure activities which have been found to have a positive effect on the rate of cognitive decline and also contribute to the creation of cognitive reserves. Despite the clear recommendations, a large part of the population does not implement them. There are many studies about the prevalence and positive effect of physical activity in the middle ages, but the literature about cognitive training among this population is absent. Despite the wealth of research on the positive effect of cognitive training in old age on the protection of motor and cognitive functions and the relationship between them. It is important to bridge this gap and examine whether cognitive training in middle age is effective in improving cognitive function both as a goal of itself and as a preventive measure for morbidity in old age. Since physical activity has already been established as having a broad positive effect, combined training of motor skills and cognition may increase motivation for physical training on the one hand and contribute to the prevention of cognitive decline on the other hand. The purpose of the study: to examine the effect of integrating a cognitive challenge into a physical training routine in the middle age population, on the effectiveness of the training in measures of fitness, cognition and motivation to maintain the training routine.
Interventions
The intervention group will do moderate fitness training into which cognitive stimuli have been incorporated according to the intervention model of Thinking In Motion (TIM- tim-method.com). For example, squats, burpee, step and touch exercises and more will be performed by reading signs on the screen that will indicate the direction of movement, time of movement, waiting times at different points of the movement and other signs that create a coordinate challenge, the need to learn the signs for
The intervention group will do moderate fitness training into which cognitive stimuli have been incorporated according to the intervention model of Thinking In Motion (TIM- tim-method.com). For example, squats, burpee, step and touch exercises and more will be performed by reading signs on the screen that will indicate the direction of movement, time of movement, waiting times at different points of the movement and other signs that create a coordinate challenge, the need to learn the signs for the specific exercise as well as a challenge related to literacy and interpretation of a symbol for movement in space. An example of the exercise can be found in the article: https://bmcgeriatr.biomedcentral.com/articles/10.1186/s12877-022-03403-x?fbclid=IwAR3MguAXa-0rKNJ6_3FkBNqZDKg0OYNp9XOAct0FXed7HA3LmcjtV7mEP-k Subjects will be asked to exercise a total of two hours a week for 12 weeks. The training time will be divided into two sessions of one hour each or four sessions of 30 minutes according to the personal preference of the subjects. The training will be designed by a certified fitness trainer with a consultation with a physical therapist and a certified TIM trainer. Intervention will be delivered through training videos. Each subject will train independently, at home. In the videos, several versions will be offered for performing the same exercise according to different levels of difficulty so that each subject can adjust the training level to his abilities. subjects will receive reminders on the days and hours they choose. In addition, subjects will be asked to fill out a training diary and report whether they trained, how long and how difficult it was. In addition, the video broadcasting system allows researchers to obtain information from the habits of the viewing times of the videos. Upon opening each video, the following message will appear: You have been admitted to this training program based on a declaration of good health. For any change or pain that appears, please seek advice from the attending physician or the research team. The training should be challenging but comfortabole to do. The goal is to reach a certain level of breathing but not beyond such a level that it becomes difficult to conduct a short conversation. 4-6 in RPE Scale (Rating Perceived Exertion Level 0 No exertion, at rest 1 Very light 2-3 Light 4-5 Moderate, somewhat hard 6-7 High, vigorous)
Sponsors
University of Haifa
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Prevention
Masking
Blinded (masking used) (Caregiver, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
45 Years to 60 Years
Healthy volunteers
Yes
Inclusion criteria
(1) Age 45-60. (2) Hebrew speakers. (3) Technical possibility to exercise in front of a screen twice a week (4) Able to understand and sign a consent form (5) Not engaged in physical activity regularly in the last six months (twice a week or more) (6) A valid health declaration, signed/doctor's approval
Exclusion criteria
1) Lack of free time to participate in the experiment or the evaluation sessions (2) Acute illness (3) Acute complaint related to the muscles and skeleton These include a fracture, sprain or tear of a ligament in the last year and surgery in the last six months or a complaint of recurring acute pain (4) Chronic disability of orthopedic or neurological origin, (5) any chronic condition that may limit physical and cognitive function, for example, dementia, COPD, heart disease (6) use of any medications that may affect physical performance or pose a potential risk for physical exertion
Outcome results
None listed