Cargando…
The effect of Active Plus, a computer-tailored physical activity intervention, on cognitive functioning of elderly people with chronic illness(es) – study protocol for a randomized controlled trial
BACKGROUND: Physical activity not only is beneficial to a person’s health, but can also have a positive influence on cognitive functioning. However, elderly people with chronic illness(es) often do not meet the physical activity guidelines. Physical activity programs for the elderly exist, but these...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6717346/ https://www.ncbi.nlm.nih.gov/pubmed/31470829 http://dx.doi.org/10.1186/s12889-019-7517-3 |
_version_ | 1783447538205982720 |
---|---|
author | Volders, Esmee Bolman, Catherine A. W. de Groot, Renate H. M. Lechner, Lilian |
author_facet | Volders, Esmee Bolman, Catherine A. W. de Groot, Renate H. M. Lechner, Lilian |
author_sort | Volders, Esmee |
collection | PubMed |
description | BACKGROUND: Physical activity not only is beneficial to a person’s health, but can also have a positive influence on cognitive functioning. However, elderly people with chronic illness(es) often do not meet the physical activity guidelines. Physical activity programs for the elderly exist, but these are often expensive and not easily accessible to the elderly with chronic illness(es). In addition, the beneficial effects of these physical activity programs on cognitive functioning have never been specifically tested in this target group. Hence, this randomized controlled trial aims to test whether Active Plus, a proven effective physical activity intervention, is able to improve the cognitive functioning of elderly people with chronic illness(es) or to slow down cognitive decline. In addition, it studies what kind of activity, intensity, duration and frequency of physical activity most strongly influence cognitive functioning. METHODS: A randomized controlled trial is performed, comparing the Active Plus intervention group to a waiting list control group. In total 540 older adults (≥65 years) with at least one chronic illness that limits mobility are recruited from 7 municipalities. Comparable neighborhoods within a municipality are randomly allocated to the intervention or control group. Baseline and follow-up measurements after 6 and 12 months assess cognitive functioning and physical activity behavior, measured both objectively with an accelerometer and subjectively with a self-report questionnaire. Multilevel analyses are conducted to assess effects on cognitive functioning, including analyses on moderation effects for physical activity type, frequency, duration and intensity. DISCUSSION: To our knowledge this is the first study to investigate effectiveness of a physical activity program on cognitive functioning in elderly people suffering from a broad range of chronic illnesses. If proven effective Active Plus would be a very cost effective intervention not only to increase physical activity, but also to improve cognitive functioning or slow down cognitive decline. Up till now clear evidence is lacking on the kind of physical activity, intensity, duration and frequency needed to achieve cognitive benefits. By measuring both with accelerometers and self-report questionnaires we hope to gain insight in these processes. TRIAL REGISTRATION: Nederlands Trial Register NL6005; Date of Registration 21-03-2017. |
format | Online Article Text |
id | pubmed-6717346 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-67173462019-09-06 The effect of Active Plus, a computer-tailored physical activity intervention, on cognitive functioning of elderly people with chronic illness(es) – study protocol for a randomized controlled trial Volders, Esmee Bolman, Catherine A. W. de Groot, Renate H. M. Lechner, Lilian BMC Public Health Study Protocol BACKGROUND: Physical activity not only is beneficial to a person’s health, but can also have a positive influence on cognitive functioning. However, elderly people with chronic illness(es) often do not meet the physical activity guidelines. Physical activity programs for the elderly exist, but these are often expensive and not easily accessible to the elderly with chronic illness(es). In addition, the beneficial effects of these physical activity programs on cognitive functioning have never been specifically tested in this target group. Hence, this randomized controlled trial aims to test whether Active Plus, a proven effective physical activity intervention, is able to improve the cognitive functioning of elderly people with chronic illness(es) or to slow down cognitive decline. In addition, it studies what kind of activity, intensity, duration and frequency of physical activity most strongly influence cognitive functioning. METHODS: A randomized controlled trial is performed, comparing the Active Plus intervention group to a waiting list control group. In total 540 older adults (≥65 years) with at least one chronic illness that limits mobility are recruited from 7 municipalities. Comparable neighborhoods within a municipality are randomly allocated to the intervention or control group. Baseline and follow-up measurements after 6 and 12 months assess cognitive functioning and physical activity behavior, measured both objectively with an accelerometer and subjectively with a self-report questionnaire. Multilevel analyses are conducted to assess effects on cognitive functioning, including analyses on moderation effects for physical activity type, frequency, duration and intensity. DISCUSSION: To our knowledge this is the first study to investigate effectiveness of a physical activity program on cognitive functioning in elderly people suffering from a broad range of chronic illnesses. If proven effective Active Plus would be a very cost effective intervention not only to increase physical activity, but also to improve cognitive functioning or slow down cognitive decline. Up till now clear evidence is lacking on the kind of physical activity, intensity, duration and frequency needed to achieve cognitive benefits. By measuring both with accelerometers and self-report questionnaires we hope to gain insight in these processes. TRIAL REGISTRATION: Nederlands Trial Register NL6005; Date of Registration 21-03-2017. BioMed Central 2019-08-30 /pmc/articles/PMC6717346/ /pubmed/31470829 http://dx.doi.org/10.1186/s12889-019-7517-3 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Study Protocol Volders, Esmee Bolman, Catherine A. W. de Groot, Renate H. M. Lechner, Lilian The effect of Active Plus, a computer-tailored physical activity intervention, on cognitive functioning of elderly people with chronic illness(es) – study protocol for a randomized controlled trial |
title | The effect of Active Plus, a computer-tailored physical activity intervention, on cognitive functioning of elderly people with chronic illness(es) – study protocol for a randomized controlled trial |
title_full | The effect of Active Plus, a computer-tailored physical activity intervention, on cognitive functioning of elderly people with chronic illness(es) – study protocol for a randomized controlled trial |
title_fullStr | The effect of Active Plus, a computer-tailored physical activity intervention, on cognitive functioning of elderly people with chronic illness(es) – study protocol for a randomized controlled trial |
title_full_unstemmed | The effect of Active Plus, a computer-tailored physical activity intervention, on cognitive functioning of elderly people with chronic illness(es) – study protocol for a randomized controlled trial |
title_short | The effect of Active Plus, a computer-tailored physical activity intervention, on cognitive functioning of elderly people with chronic illness(es) – study protocol for a randomized controlled trial |
title_sort | effect of active plus, a computer-tailored physical activity intervention, on cognitive functioning of elderly people with chronic illness(es) – study protocol for a randomized controlled trial |
topic | Study Protocol |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6717346/ https://www.ncbi.nlm.nih.gov/pubmed/31470829 http://dx.doi.org/10.1186/s12889-019-7517-3 |
work_keys_str_mv | AT voldersesmee theeffectofactiveplusacomputertailoredphysicalactivityinterventiononcognitivefunctioningofelderlypeoplewithchronicillnessesstudyprotocolforarandomizedcontrolledtrial AT bolmancatherineaw theeffectofactiveplusacomputertailoredphysicalactivityinterventiononcognitivefunctioningofelderlypeoplewithchronicillnessesstudyprotocolforarandomizedcontrolledtrial AT degrootrenatehm theeffectofactiveplusacomputertailoredphysicalactivityinterventiononcognitivefunctioningofelderlypeoplewithchronicillnessesstudyprotocolforarandomizedcontrolledtrial AT lechnerlilian theeffectofactiveplusacomputertailoredphysicalactivityinterventiononcognitivefunctioningofelderlypeoplewithchronicillnessesstudyprotocolforarandomizedcontrolledtrial AT voldersesmee effectofactiveplusacomputertailoredphysicalactivityinterventiononcognitivefunctioningofelderlypeoplewithchronicillnessesstudyprotocolforarandomizedcontrolledtrial AT bolmancatherineaw effectofactiveplusacomputertailoredphysicalactivityinterventiononcognitivefunctioningofelderlypeoplewithchronicillnessesstudyprotocolforarandomizedcontrolledtrial AT degrootrenatehm effectofactiveplusacomputertailoredphysicalactivityinterventiononcognitivefunctioningofelderlypeoplewithchronicillnessesstudyprotocolforarandomizedcontrolledtrial AT lechnerlilian effectofactiveplusacomputertailoredphysicalactivityinterventiononcognitivefunctioningofelderlypeoplewithchronicillnessesstudyprotocolforarandomizedcontrolledtrial |