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Effects of physical...
Effects of physical and cognitive training on gait speed and cognition in older adults : A randomized controlled trial
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- Sipila, Sarianna (author)
- University Jyvaskyla, FIN,Gerontology Research Center, Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
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- Tirkkonen, Anna (author)
- University Jyvaskyla, FIN,Gerontology Research Center, Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
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- Savikangas, Tiina (author)
- University Jyvaskyla, FIN,Gerontology Research Center, Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
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- Hanninen, Tuomo (author)
- NeuroCenter, Neurology, Kuopio University Hospital, Kuopio, Finland
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- Laukkanen, Pia (author)
- University Jyvaskyla, FIN,Gerontology Research Center, Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
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- Alen, Markku (author)
- Oulu University Hospital, FIN,Department of Medical Rehabilitation, Oulu University Hospital, Oulu, Finland
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- Fielding, Roger A. (author)
- Nutrition, Exercise Physiology, and Sarcopenia Laboratory, Jean Mayer USDA Human Nutrition Research Center on Aging, Tufts University, Boston, Massachusetts, USA
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- Kivipelto, Miia (author)
- Karolinska Institutet
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- Kulmala, Jenni (author)
- Karolinska Institutet
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- Rantanen, Taina (author)
- University Jyvaskyla, FIN,Gerontology Research Center, Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
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- Sihvonen, Sanna E. (author)
- Jyvaskyla University of Applied Science, FIN,School of Health and Social Studies, Jyväskylä University of Applied Sciences, Jyväskylä, Finland
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- Sillanpaa, Elina (author)
- University Jyvaskyla, FIN,Gerontology Research Center, Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
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- Stigsdotter Neely, Anna, 1961- (author)
- Luleå tekniska universitet,Karlstads universitet,Institutionen för sociala och psykologiska studier (from 2013),Människa och teknik,Department of Social and Psychological Studies, Karlstad University, Karlstad, Sweden
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- Tormakangas, Timo (author)
- University Jyvaskyla, FIN,Gerontology Research Center, Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
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(creator_code:org_t)
- 2021-04-06
- 2021
- English.
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In: Scandinavian Journal of Medicine and Science in Sports. - : Wiley-Blackwell. - 0905-7188 .- 1600-0838. ; 31:7, s. 1518-1533
- Related links:
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
Subject headings
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- Gait speed is a measure of health and functioning. Physical and cognitive determinants of gait are amenable to interventions, but best practices remain unclear. We investigated the effects of a 12-month physical and cognitive training (PTCT) on gait speed, dual-task cost in gait speed, and executive functions (EFs) compared with physical training (PT) (ISRCTN52388040). Community-dwelling older adults, who did not meet physical activity recommendations, were recruited (n = 314). PT included supervised walking/balance (once weekly) and resistance/balance training (once weekly), home exercises (2-3 times weekly), and moderate aerobic activity 150 min/week in bouts of >10 min. PTCT included the PT and computer training (CT) on EFs 15-20 min, 3-4 times weekly. The primary outcome was gait speed. Secondary outcomes were 6-min walking distance, dual-task cost in gait speed, and EF (Stroop and Trail Making B-A). The trial was completed by 93% of the participants (age 74.5 [SD3.8] years; 60% women). Mean adherence to supervised sessions was 59%-72% in PT and 62%-77% in PTCT. Home exercises and CT were performed on average 1.9 times/week. Weekly minutes spent in aerobic activities were 188 (median 169) in PT and 207 (median 180) in PTCT. No significant interactions were observed for gait speed (PTCT-PT, 0.02; 95%CI -0.03, 0.08), walking distance (-3.8; -16.9, 9.3) or dual-task cost (-0.22; -1.74, 1.30). Stroop improvement was greater after PTCT than PT (-6.9; -13.0, -0.8). Complementing physical training with EFs training is not essential for promotion of gait speed. For EF's, complementing physical training with targeted cognitive training provides additional benefit.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Sjukgymnastik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Physiotherapy (hsv//eng)
Keyword
- aging
- community‐
- dwelling
- executive functions
- exercise
- walking
- Public Health Science
- Folkhälsovetenskap
- Engineering Psychology
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Sipila, Sarianna
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Tirkkonen, Anna
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Savikangas, Tiin ...
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Hanninen, Tuomo
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Laukkanen, Pia
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Alen, Markku
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Fielding, Roger ...
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Kivipelto, Miia
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Kulmala, Jenni
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Rantanen, Taina
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Sihvonen, Sanna ...
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Sillanpaa, Elina
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Stigsdotter Neel ...
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Tormakangas, Tim ...
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Physiotherapy
- Articles in the publication
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Scandinavian Jou ...
- By the university
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Karlstad University
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Luleå University of Technology
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Karolinska Institutet