Resistance training with and without instability does not improve overall levels of intrinsic capacity in older adults with cognitive complaints

Authors

DOI:

https://doi.org/10.17267/2238-2704rpf.2023.e4894

Keywords:

Aging, Exercise, Resistance Training, Cognitive Dysfunction, Randomized Controlled Trial

Abstract

INTRODUCTION: Intrinsic capacity (IC) is a construct that encompasses physical and mental capacities important for self-care and healthy aging. Understanding the potential role of resistance training with and without instability to promote IC needs to be clarified. OBJECTIVE: To assess the impact of resistance training on intrinsic capacity levels in older adults with cognitive complaints. METHODS: Older adults with cognitive complaints (n=67) were randomly assigned to either 12 weeks of traditional RE (n=23), RE with instability devices (REI) (n=22), or control (n=22). Both training groups performed three sets of 10-15 repetitions. REI group performed each exercise using instability devices. The control group received weekly health education classes. IC domains were analyzed using mobility and gait velocity (locomotor), global and executive functioning (cognitive), grip strength and six-minute walking test (vitality), and depressive symptoms and self-efficacy (psychological) through z-composite scores. We computed global levels of IC by the sum of each composite score. RESULTS: A significant within-group difference (improvement) in overall levels of IC (∆REI = +1.69, ∆RE = +1.30) and all their domains (Locomotion: ∆REI = +2.32, ∆RE = +3.21; Cognition: ∆REI = +2.31; Vitality: ∆REI = +1.23, ∆RE = +1.42; and Psychological: ∆REI = -0.65, ∆RE = -0.62). However, no between-group differences were observed at the completion of the trial. Sensitivity analysis merging training groups revealed a between-group difference for the locomotor domain (+1.97, p=0.045). CONCLUSION: Resistance training with and without instability devices did not improve IC levels among older adults with cognitive complaints.

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References

(1) World Health Organization. World report on ageing and health [Internet]. 2015. Available from: https://apps.who.int/iris/bitstream/handle/10665/186463/9789240694811_eng.pdf?sequence=1&isAllowed=y

(2) Cesari M, Carvalho IA, Thiyagarajan JA, Cooper C, Martin FC, Reginster J-Y, et al. Evidence for the Domains Supporting the Construct of Intrinsic Capacity. J Gerontol Ser A Biol Sci Med Sci. 2018;73(12):1653–60. https://doi.org/10.1093/gerona/gly011

(3) Beard JR, Jotheeswaran AT, Cesari M, Carvalho IA. The structure and predictive value of intrinsic capacity in a longitudinal study of ageing. BMJ Open. 2019;9(11):e026119. https://doi.org/10.1136/bmjopen-2018-026119

(4) Falck RS, Davis JC, Best JR, Crockett RA, Liu-Ambrose T. Impact of exercise training on physical and cognitive function among older adults: a systematic review and meta-analysis. Neurobiol Aging. 2019;79:119–30. https://doi.org/10.1016/j.neurobiolaging.2019.03.007

(5) Northey JM, Cherbuin N, Pumpa KL, Smee DJ, Rattray B. Exercise interventions for cognitive function in adults older than 50: a systematic review with meta-analysis. Br J Sports Med. 2018;52(3):154–60. https://doi.org/10.1136/bjsports-2016-096587

(6) Cadore EL, Moneo ABB, Mensat MM, Muñoz AR, Casas-Herrero A, Rodriguez-Mañas L, et al. Positive effects of resistance training in frail elderly patients with dementia after long-term physical restraint. Age. 2014;36(2):801–11. https://doi.org/10.1007/s11357-013-9599-7

(7) Fragala MS, Cadore EL, Dorgo S, Izquierdo M, Kraemer WJ, Peterson MD, et al. Resistance Training for Older Adults: Position Statement From the National Strength and Conditioning Association. J Strength Cond Res. 2019;33(8):2019–52. https://doi.org/10.1519/JSC.0000000000003230

(8) Santos PRP, Cavalcante BR, Vieira AKS, Guimarães MD, Silva AML, Armstrong AC, et al. Improving cognitive and physical function through 12-weeks of resistance training in older adults: Randomized controlled trial. J Sports Sci. 2020;38(17):1936–42. https://doi.org/10.1080/02640414.2020.1763740

(9) Huang CH, Umegaki H, Makino T, Uemura K, Hayashi T, Kitada T, et al. Effect of Various Exercises on Intrinsic Capacity in Older Adults With Subjective Cognitive Concerns. J Am Med Dir Assoc. 2021;22(4):780-786.e2. https://doi.org/10.1016/j.jamda.2020.06.048

(10) Pirauá ALT, Cavalcante BR, Oliveira VMA, Beltrão NB, Batista GA, Pitangui ACR, et al. Effect of 24‐week strength training on unstable surfaces on mobility, balance, and concern about falling in older adults. Scand J Med Sci Sports. 2019;29(11):1805–12. https://doi.org/10.1111/sms.13510

(11) Cavalcante BR, Souza MF, Falck RS, Liu-Ambrose T, Behm DG, Pitangui ACR, et al. Effects of Resistance Exercise with Instability on Cognitive Function (REI Study): A Proof-Of-Concept Randomized Controlled Trial in Older Adults with Cognitive Complaints. J Alzheimers Dis. 2020;77(1):227–39. https://doi.org/10.3233/JAD-200349

(12) Cavalcante BR, Nascimento VYS, Falck RS, Soares BO, Dias EF, Silva MS, et al. Effects of Resistance Exercise with Instability on Concerns about Falling and Depressive Symptoms in Cognitively Impaired Older Adults. Int J Gerontol. 2022;16(2):95–9. https://doi.org/10.6890/IJGE.202204_16(2).0004

(13) Cavalcante BR, Souza MF, Liu-Ambrose T, Behm D, Pitangui ACR, Araújo RC. Effects of Resistance Exercise with Instability on Neurocognitive Functions (REI STUDY): Study Protocol for a Proof-of-Concept Clinical Trial in Older Adults with Subjective Cognitive Complaints. Mot Rev Educ Física. 2019;25(2):e101910. https://doi.org/10.1590/s1980-6574201900020004

(14) Moher D, Hopewell S, Schulz KF, Montori V, Gøtzsche PC, Devereaux PJ, et al. CONSORT 2010 Explanation and Elaboration: updated guidelines for reporting parallel group randomised trials. BMJ. 2010;340:c869. https://doi.org/10.1136/bmj.c869

(15) Memória CM, Yassuda MS, Nakano EY, Forlenza O V. Brief screening for mild cognitive impairment: validation of the Brazilian version of the Montreal cognitive assessment. Int J Geriatr Psychiatry 2013;28(1):34–40. https://doi.org/10.1002/gps.3787

(16) Lawton MP, Brody EM. Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist. 1969;9(3):179–86. Cited: PMID: 5349366

(17) Katz S. Assessing self-maintenance: activities of daily living, mobility, and instrumental activities of daily living. J Am Geriatr Soc. 1983;31(12):721–27. https://doi.org/10.1111/j.1532-5415.1983.tb03391.x

(18) Podsiadlo D, Richardson S. The timed ”Up & Go”: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39(2):142–48. https://doi.org/10.1111/j.1532-5415.1991.tb01616.x

(19) Guralnik JM, Simonsick EM, Ferrucci L, Glynn RJ, Berkman LF, Blazer DG, et al. A Short Physical Performance Battery Assessing Lower Extremity Function: Association With Self-Reported Disability and Prediction of Mortality and Nursing Home Admission. J Gerontol. 1994;49(2):M85–94. https://doi.org/10.1093/geronj/49.2.M85

(20) James K, Schwartz AW, Orkaby AR. Mobility Assessment in Older Adults. N Engl J Med. 2021;385(8):e22. https://doi.org/10.1056/NEJMvcm2009406

(21) Whiteside DM, Kealey T, Semla M, Luu H, Rice L, Basso MR, et al. Verbal Fluency: Language or Executive Function Measure?. Appl Neuropsychol Adult. 2016;23(1):29–34. https://doi.org/10.1080/23279095.2015.1004574

(22) Strauss E, Sherman EMS, Spreen O. A compendium of neuropsychological tests: administration, norms, and commentary. 3a. ed. New York: Oxford University Press; 2006.

(23) Wechsler DA. Wechsler Adult Intelligence Scale. 4th ed. San Antonio: Psychological Corporation; 2008. https://doi.org/10.1037/t15169-000

(24) Wang C-Y, Chen L-Y. Grip Strength in Older Adults: Test-Retest Reliability and Cutoff for Subjective Weakness of Using the Hands in Heavy Tasks. Arch Phys Med Rehabil. 2010;91(11):1747–51. https://doi.org/10.1016/j.apmr.2010.07.225

(25) Enright PL. The six-minute walk test. Respir Care. 2002;48(8):783–85. Cited: PMID: 12890299

(26) Almeida OP, Almeida SA. Reliability of the Brazilian version of the Geritric Depression Scale (GDS) short form. Arq Neuropsiquiatr. 1999;57(2B):421–26. https://doi.org/10.1590/S0004-282X1999000300013

(27) Camargos FFO, Dias RC, Dias JMD, Freire MTF. Cross-cultural adaptation and evaluation of the psychometric properties of the Falls Efficacy Scale - International Among Elderly Brazilians (FES-I-BRAZIL). Rev Bras Fisioter. 2010;14(3):237–43. https://doi.org/10.1590/S1413-35552010000300010.

(28) Faul F, Erdfelder E, Lang A-G, Buchner A. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39(2):175–91. https://doi.org/10.3758/BF03193146

(29) Giudici KV, Barreto PS, Beard J, Cantet C, Carvalho IA, Rolland Y, et al. Effect of long-term omega-3 supplementation and a lifestyle multidomain intervention on intrinsic capacity among community-dwelling older adults: Secondary analysis of a randomized, placebo-controlled trial (MAPT study). Maturitas. 2020;141:39–45. https://doi.org/10.1016/j.maturitas.2020.06.012

(30) Gonzalez-Bautista E, Andrieu S, Gutiérrez-Robledo LM, García-Chanes RE, Barreto PS. In the quest of a Standard Index of Intrinsic Capacity. A Critical Literature Review. J Nutr Health Aging. 2020;24(9):959–65. https://doi.org/10.1007/s12603-020-1394-4

Published

04/18/2023

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Original Articles

How to Cite

1.
Cavalcante BR, de Souza MF, da Silva DT, Batista G de A, Nascimento VYS, de Araújo RC. Resistance training with and without instability does not improve overall levels of intrinsic capacity in older adults with cognitive complaints. Rev Pesq Fisio [Internet]. 2023 Apr. 18 [cited 2024 Nov. 25];13:e4894. Available from: https://journals.bahiana.edu.br/index.php/fisioterapia/article/view/4894

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