Healthy, Older Adults
Conditions
Keywords
Exercise, Cognition, Psychological Well-Being, Primary Prevention, Physical Fitness, healthy longevity
Brief summary
The goal of this clinical trial is to evaluate the efficacy of the Ideomotor Program in healthy older adults living in the community. The main research questions are: 1\) Is the Ideomotor Program effective in improving cognitive function? 2) Is the Ideomotor Program effective in improving motor function? 3) Is the Ideomotor Program effective in improving overall well-being? Researchers will compare the Ideomotor Program to a community group cognitive training program to determine whether the effects are superior. Participants will: undergo assessments at baseline, at the mid-intervention point, and upon program completion; participate in a 16-week group exercise program in a community gym two times per week; keep a diary to monitor the number of falls and any adverse events.
Interventions
The Ideomotor Program sessions will include the following: 1. Warm-up Light-intensity physical-cognitive exercises. 2. Work-out 1 Mind-Motor: Stimulates physical and cognitive abilities through functional exercises. 3. Work-out 2 3.1) Mind-Motor: stimulate physical and cognitive abilities through aerobic exercises (once a week) 3.2) Work-out 2 Motor only: high-velocity muscle power exercises (once a week). 4. Cool-down: light-intensity walking or dynamic stretching combined with breathing 5. Socialization: dedicated moment to encourage socialization. Participants' feedback will be received once a month.
The Group-based cognitive training will include the following: 1. Warm-up: cognitive exercises designed for training basic cognitive abilities in adults and older adults; 2. Work-out: cognitive exercises designed for training complex cognitive abilities in adults and older adults; 3. Cool-down: moment for discussion of the exercises and their possible solutions; 4. Socialization: dedicated moment to encourage socialization. Participants' feedback will be received once a month.
Sponsors
Study design
Masking description
Researcher responsible for data analysis
Eligibility
Inclusion criteria
* At least 50 years old; * Able to move independently; * Live in the community; * Demonstrated ability to comprehend complex verbal instructions.
Exclusion criteria
* Presence of severe neurological and psychological conditions; * Less than 9,36 score in the FAB15; * Lack of medical clearance to participate in an exercise program; * Less than 75% of attendance.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Executive functions | At baseline and at the end of the intervention period (week 17) | The Frontal Assessment Battery-15 will be used to access changes from baseline in executive functions (score range: 0-15, higher scores mean a better outcome) |
| Cognitive flexibility | At baseline and at the end of the intervention period (week 17) | Wisconsin Card Sorting Test will be used to assess changes from baseline in cognitive flexibility (score range perseverative errors: 0-64, higher scores mean a worse outcome) |
| Short-term and working memory | At baseline and at the end of the intervention period (week 17) | The Digit span test (forward and backward) will be used to assess from baseline changes in short-term and working memory (foward score range: 3-9, backward score range: 3-8; higher scores mean a better outcome) |
| Visuo-spatial short term working memory | At baseline and at the end of the intervention period (week 17) | The Corsi Block-Tapping Test will be used to assess changes from baseline in visuo-spatial short term working memory (score range: 2-9, higher scores mean a better outcome) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Movement Quality | At baseline and at the end of the intervention period (week 17) | Instrumented motion analysis will be conducted through the usage of inertial sensors to assess changes from baseline in spatiotemporal and kinematics parameters during walking, turning and stepping tasks |
| Balance | At baseline and at the end of the intervention period (week 17) | The Mini-BESTest: Balance Evaluation Systems Test will be used to measure changes from baseline in balance (score range: 0-28, higher scores mean a better outcome) |
| Endurance | At baseline and at the end of the intervention period (week 17) | The 2-minute Step Test will be used to assess changes from baseline in aerobic capacity |
| Lower limb strength and power | At baseline and at the end of the intervention period (week 17) | The 30s Sit to Stand will be used to assess changes from baseline in lower limb strength and power |
| Hand grip strength | At baseline and at the end of the intervention period (week 17) | The Hand Grip strength Test will be used to assess changes from baseline in hand grip strength |
Countries
Italy