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Published in: European Journal of Ageing 4/2006

01-12-2006 | Original Investigation

Differential effects of single versus combined cognitive and physical training with older adults: the SimA study in a 5-year perspective

Authors: Wolf D. Oswald, Thomas Gunzelmann, Roland Rupprecht, Bernd Hagen

Published in: European Journal of Ageing | Issue 4/2006

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Abstract

The present study evaluates the effect of cognitive training, of psychoeducational training and of physical training on cognitive functioning, physical functioning, physical health, independent living and well-being in older people. Also the combination of physical training with cognitive training or psychoeducational training, respectively, was evaluated. In contrast to most training studies with older people, training effects were evaluated in a longitudinal perspective over 5 years to analyse long-term-results of cognitive and physical activity on older adults. Training effects were evaluated compared to a no-treatment-control group. Subjects were 375 community residents aged 75–93 years. Up to 5 years after baseline examination, significant training effects were observed in the group exposed to the combined cognitive and physical training. The physical and cognitive status in the participants of this group could be preserved on a higher level compared to baseline, and the participants displayed fewer depressive symptoms than the no-treatment-control group. The results are discussed in the light of recent research regarding the effects of mental and physical activity on brain function in older adults.
Literature
go back to reference Abt K (1987) Descriptive data analysis: a concept between confirmatory and exploratory data analysis. Meth Inform Med 26:77–88 Abt K (1987) Descriptive data analysis: a concept between confirmatory and exploratory data analysis. Meth Inform Med 26:77–88
go back to reference Anschutz L, Camp CJ, Markley RP, Kramer JJ (1987) Remembering mnemonics: a three-year follow-up on the effects of mnemonics training in elderly adults. Exp Aging Res 13(3):141–143 Anschutz L, Camp CJ, Markley RP, Kramer JJ (1987) Remembering mnemonics: a three-year follow-up on the effects of mnemonics training in elderly adults. Exp Aging Res 13(3):141–143
go back to reference Anstey K, Christensen H (2000) Education, activity, health, blood pressure and apolipoprotein E as predictors of cognitive change in old age: a review. Gerontology 46:163–177CrossRef Anstey K, Christensen H (2000) Education, activity, health, blood pressure and apolipoprotein E as predictors of cognitive change in old age: a review. Gerontology 46:163–177CrossRef
go back to reference Ari Z, Kutlu N, Sami UB, Taneli F, Buyukyazi G, Tavli T (2004) Serum testosterone, growth hormone, and insulin-like growth factor-1 levels, mental reaction time, and maximal aerobic exercise in sedentary and long-term physically trained elderly males. Int J Neurosci 114:623–637CrossRef Ari Z, Kutlu N, Sami UB, Taneli F, Buyukyazi G, Tavli T (2004) Serum testosterone, growth hormone, and insulin-like growth factor-1 levels, mental reaction time, and maximal aerobic exercise in sedentary and long-term physically trained elderly males. Int J Neurosci 114:623–637CrossRef
go back to reference Ball K, Berch DB, Helmers KJ, Jobe JB, Leveck MD, Marsiske M, Morris JN, Rebok GW, Smith DM, Tennstedt SL, Unverzagt FW, Willis SL (2002) Effects of cognitive training interventions with older adults. A randomized controlled trial. JAMA 288:2271–2281CrossRef Ball K, Berch DB, Helmers KJ, Jobe JB, Leveck MD, Marsiske M, Morris JN, Rebok GW, Smith DM, Tennstedt SL, Unverzagt FW, Willis SL (2002) Effects of cognitive training interventions with older adults. A randomized controlled trial. JAMA 288:2271–2281CrossRef
go back to reference Baltes PB, Mayer KU (eds) (1999) The Berlin aging study: aging from 70 to 100. Cambridge University Press, New York Baltes PB, Mayer KU (eds) (1999) The Berlin aging study: aging from 70 to 100. Cambridge University Press, New York
go back to reference Baumann H, Leye M (eds) (1995) Das SimA-Projekt: Psychomotorisches Training – Ein Programm für Seniorengruppen (The SimA-Project: Psychomotor Training. An Intervention Program for Senior Groups). Hogrefe, Göttingen Baumann H, Leye M (eds) (1995) Das SimA-Projekt: Psychomotorisches Training – Ein Programm für Seniorengruppen (The SimA-Project: Psychomotor Training. An Intervention Program for Senior Groups). Hogrefe, Göttingen
go back to reference Bennett EL, Diamond MC, Krech D, Rosenzweig MR (1996) Chemical and anatomical plasticity of brain. J Neuropsychiatry 8(4):459–470 (First published in Science 1964, 146:610–619) Bennett EL, Diamond MC, Krech D, Rosenzweig MR (1996) Chemical and anatomical plasticity of brain. J Neuropsychiatry 8(4):459–470 (First published in Science 1964, 146:610–619)
go back to reference Blieszner R, Willis SL, Baltes PB (1981) Training research in aging on the fluid ability of inductive reasoning. J Appl Dev Psychol 2(3):247–265CrossRef Blieszner R, Willis SL, Baltes PB (1981) Training research in aging on the fluid ability of inductive reasoning. J Appl Dev Psychol 2(3):247–265CrossRef
go back to reference Carlson JE, Ostir GV, Black SA, Markides KS, Rudkin L, Goodwin JS (1999) Disability in older adults 2: physical activity as prevention. Behav Med 24(4):157–168 Carlson JE, Ostir GV, Black SA, Markides KS, Rudkin L, Goodwin JS (1999) Disability in older adults 2: physical activity as prevention. Behav Med 24(4):157–168
go back to reference Cavallini E, Pagnin A, Vecchi T (2003) Aging and everyday memory: the beneficial effect of memory training. Arch Gerontol Geriat 37:241–257CrossRef Cavallini E, Pagnin A, Vecchi T (2003) Aging and everyday memory: the beneficial effect of memory training. Arch Gerontol Geriat 37:241–257CrossRef
go back to reference Churchill JD, Galvez R., Colcombe S, Swain RA, Kramer AF, Greenough WT (2002) Exercise, experience and the aging brain. Neurobiol Aging 23:941–955CrossRef Churchill JD, Galvez R., Colcombe S, Swain RA, Kramer AF, Greenough WT (2002) Exercise, experience and the aging brain. Neurobiol Aging 23:941–955CrossRef
go back to reference Colcombe SJ, Kramer AF (2003) Fitness effects on the cognitive function of older adults: a meta-analytic study. Psychol Sci 14:125–130CrossRef Colcombe SJ, Kramer AF (2003) Fitness effects on the cognitive function of older adults: a meta-analytic study. Psychol Sci 14:125–130CrossRef
go back to reference Diesfeldt HF, Diesfeldt-Groenendijk H (1977) Improving cognitive performance in psychogeriatric patients: the influence of physical exercise. Age Ageing 6:58–64 Diesfeldt HF, Diesfeldt-Groenendijk H (1977) Improving cognitive performance in psychogeriatric patients: the influence of physical exercise. Age Ageing 6:58–64
go back to reference Edwards JD, Wadley VG, Vance De, Wood K, Roenker DL, Ball KK (2005) The impact of speed of processing training on cognitive and everyday performance. Aging Ment Health 9:262–271CrossRef Edwards JD, Wadley VG, Vance De, Wood K, Roenker DL, Ball KK (2005) The impact of speed of processing training on cognitive and everyday performance. Aging Ment Health 9:262–271CrossRef
go back to reference Eriksson PS, Perfilieva E, Björk-Eriksson T, Alborn A-M, Nordborg C, Peterson D, Gage FH (1998) Neurogenesis in the adult human hippocampus. Nat Med 4(11):1313–1317CrossRef Eriksson PS, Perfilieva E, Björk-Eriksson T, Alborn A-M, Nordborg C, Peterson D, Gage FH (1998) Neurogenesis in the adult human hippocampus. Nat Med 4(11):1313–1317CrossRef
go back to reference Gallo JJ, Rebok GW, Tennstedt S, Wadley VG, Horgas A, The Advanced Cognitive Training for Independent and Vital Elderly (ACTIVE) Study investigators (2003) Linking depressive symptoms and functional disability in late life. Aging Ment Health 7(6):469–480 Gallo JJ, Rebok GW, Tennstedt S, Wadley VG, Horgas A, The Advanced Cognitive Training for Independent and Vital Elderly (ACTIVE) Study investigators (2003) Linking depressive symptoms and functional disability in late life. Aging Ment Health 7(6):469–480
go back to reference Gatterer G (1990) Alters-Konzentrations-Test (AKT) Handanweisung (Aging Concentration Test Manual). Hogrefe, Göttingen Gatterer G (1990) Alters-Konzentrations-Test (AKT) Handanweisung (Aging Concentration Test Manual). Hogrefe, Göttingen
go back to reference Hedges LV (1982) Estimation of effect size from a series of independent experiments. efg Bull 92:490–499 Hedges LV (1982) Estimation of effect size from a series of independent experiments. efg Bull 92:490–499
go back to reference Heyn P, Abreu BC, Ottenbacher KJ (2004) The effects of exercise training on elderly persons with cognitive impairment and dementia: a meta-analysis. Arch Phys Med Rehabil 85:1694–1704CrossRef Heyn P, Abreu BC, Ottenbacher KJ (2004) The effects of exercise training on elderly persons with cognitive impairment and dementia: a meta-analysis. Arch Phys Med Rehabil 85:1694–1704CrossRef
go back to reference Horn W (1983) Leistungsprüfsystem L-P-S. Handanweisung (Achievement Measure. Manual). Göttingen: Hogrefe Horn W (1983) Leistungsprüfsystem L-P-S. Handanweisung (Achievement Measure. Manual). Göttingen: Hogrefe
go back to reference Jobe JB, Smith DM, Ball K, Tennstedt SL, Marsiske M, Willis SL, Rebok GW, Morris JN, Helmers KF, Leveck MD, Kleinman K (2001) ACTIVE: a cognitive intervention trial to promote independence in older adults. Control Clin Trials 22(4):453–479CrossRef Jobe JB, Smith DM, Ball K, Tennstedt SL, Marsiske M, Willis SL, Rebok GW, Morris JN, Helmers KF, Leveck MD, Kleinman K (2001) ACTIVE: a cognitive intervention trial to promote independence in older adults. Control Clin Trials 22(4):453–479CrossRef
go back to reference Kahana E, Lawrence RH, Kahana B, Kercher K, Wisniewski A, Stoller E, Tobin J, Stange K (2002) Long-term impact of preventive proactivity on quality of life of the old-old. Psychosom Med 64:382–394 Kahana E, Lawrence RH, Kahana B, Kercher K, Wisniewski A, Stoller E, Tobin J, Stange K (2002) Long-term impact of preventive proactivity on quality of life of the old-old. Psychosom Med 64:382–394
go back to reference Kempermann G, Kuhn HG, Gage FH (1997) More hippocampal neurons in adult mice living in an enriched environment. Nature 386(6624):493–495CrossRef Kempermann G, Kuhn HG, Gage FH (1997) More hippocampal neurons in adult mice living in an enriched environment. Nature 386(6624):493–495CrossRef
go back to reference Kramer AF, Willis SL (2002) Enhancing the cognitive validity of older adults. Curr Dir Psychol Sci 11(5):173–178CrossRef Kramer AF, Willis SL (2002) Enhancing the cognitive validity of older adults. Curr Dir Psychol Sci 11(5):173–178CrossRef
go back to reference Kramer AF, Willis SL (2003) Cognitive plasticity and aging. In: Ross B (ed) Psychology of learning and motivation. Academic, New York, p 43 Kramer AF, Willis SL (2003) Cognitive plasticity and aging. In: Ross B (ed) Psychology of learning and motivation. Academic, New York, p 43
go back to reference Lindsay J, Laurin D, Verreault R, Hérbert R, Helliwell B, Hill GB, McDowell I (2002) Risk factors for Alzheimer’s disease: a prospective analysis from the Canadian study of health and aging. Am J Epidemiol 156:445–453CrossRef Lindsay J, Laurin D, Verreault R, Hérbert R, Helliwell B, Hill GB, McDowell I (2002) Risk factors for Alzheimer’s disease: a prospective analysis from the Canadian study of health and aging. Am J Epidemiol 156:445–453CrossRef
go back to reference McAuley E, Elavsky S, Jerome GJ, Konopack JF, Marquez DX (2005) Physical activity-related well-being in older adults: social cognitive influences. Psychol Aging 20:295–302CrossRef McAuley E, Elavsky S, Jerome GJ, Konopack JF, Marquez DX (2005) Physical activity-related well-being in older adults: social cognitive influences. Psychol Aging 20:295–302CrossRef
go back to reference McDowell K, Kerick SE, Santa Maria DL, Hatfield BD (2003) Aging, physical activity, and cognitive processing: an examination of P300. Neurobiol Aging 24:597–606CrossRef McDowell K, Kerick SE, Santa Maria DL, Hatfield BD (2003) Aging, physical activity, and cognitive processing: an examination of P300. Neurobiol Aging 24:597–606CrossRef
go back to reference Molloy DW, Richardson LD, Crilly RG (1988) The effects of a three-month exercise program on neuropsychological function in elderly institutionalized women: a randomized controlled trial. Age Ageing 17:303–310 Molloy DW, Richardson LD, Crilly RG (1988) The effects of a three-month exercise program on neuropsychological function in elderly institutionalized women: a randomized controlled trial. Age Ageing 17:303–310
go back to reference Naylor E, Penev PD, Orbeta L, Janssen I, Ortiz R, Colecchia EF, Keng M, Finkel S, Zee PC (2000) Daily social and physical activity increases slow-wave sleep and daytime neuropsychological performance in the elderly. Sleep 23:87–95 Naylor E, Penev PD, Orbeta L, Janssen I, Ortiz R, Colecchia EF, Keng M, Finkel S, Zee PC (2000) Daily social and physical activity increases slow-wave sleep and daytime neuropsychological performance in the elderly. Sleep 23:87–95
go back to reference Netz Y, Wu M-J, Becker BJ, Tenenbaum G (2005) Physical activity and psychological well-being on advanced age: A meta-analysis of intervention studies. Psychol Aging 20:272–284CrossRef Netz Y, Wu M-J, Becker BJ, Tenenbaum G (2005) Physical activity and psychological well-being on advanced age: A meta-analysis of intervention studies. Psychol Aging 20:272–284CrossRef
go back to reference North AJ, Ulatowska HK (1981) Competence in independently living older adults. J Gerontol 36:576–582 North AJ, Ulatowska HK (1981) Competence in independently living older adults. J Gerontol 36:576–582
go back to reference Ormerod BK, Galea LAM (2001) Mechanism and function of adult neurogenesis. In: Shaw CA, McEachern JC (eds) Toward a theory of neuroplasticity. Psychology Press, Hove, pp 85–100 Ormerod BK, Galea LAM (2001) Mechanism and function of adult neurogenesis. In: Shaw CA, McEachern JC (eds) Toward a theory of neuroplasticity. Psychology Press, Hove, pp 85–100
go back to reference Oswald WD (ed) (1998) Das SimA-Projekt: Gedächtnistraining – Ein Programm für Seniorengruppen, 2. Aufl. (The SimA Project: Memory Training. A Program for Senior Groups, 2nd Ed.). Hogrefe, Göttingen Oswald WD (ed) (1998) Das SimA-Projekt: Gedächtnistraining – Ein Programm für Seniorengruppen, 2. Aufl. (The SimA Project: Memory Training. A Program for Senior Groups, 2nd Ed.). Hogrefe, Göttingen
go back to reference Oswald WD, Fleischmann UM (2006) Neuropsychological aging inventory (NAI). Hogrefe, Göttingen Oswald WD, Fleischmann UM (2006) Neuropsychological aging inventory (NAI). Hogrefe, Göttingen
go back to reference Oswald WD, Gunzelmann T (eds) (2001) Das SimA-Projekt: Kompetenztraining—Ein Programm für Seniorengruppen, 3. Aufl. (The SimA Project: Competence Training. A Program for Senior Groups. 3rd Ed.). Hogrefe, Göttingen Oswald WD, Gunzelmann T (eds) (2001) Das SimA-Projekt: Kompetenztraining—Ein Programm für Seniorengruppen, 3. Aufl. (The SimA Project: Competence Training. A Program for Senior Groups. 3rd Ed.). Hogrefe, Göttingen
go back to reference Owsley C, Sloane M, McGwin G, Jr, Ball K (2002) Timed instrumental activities of daily living tasks: relationship to cognitive function and everyday performance assessments in older adults. Gerontology 48:254–265CrossRef Owsley C, Sloane M, McGwin G, Jr, Ball K (2002) Timed instrumental activities of daily living tasks: relationship to cognitive function and everyday performance assessments in older adults. Gerontology 48:254–265CrossRef
go back to reference Pinquart M (2001) Correlates of subjective health in older adults. A meta-analysis. Psychol Aging 16:14–26CrossRef Pinquart M (2001) Correlates of subjective health in older adults. A meta-analysis. Psychol Aging 16:14–26CrossRef
go back to reference Saczynski JS, Willis SL, Schaie KW (2002) Strategy use in reasoning training with older adults. Aging Neuropsychol C 9(1):48–61CrossRef Saczynski JS, Willis SL, Schaie KW (2002) Strategy use in reasoning training with older adults. Aging Neuropsychol C 9(1):48–61CrossRef
go back to reference Schaie KW, Willis SL (1986) Can decline in adult intellectual functioning be reversed? Dev Psychol 22(2):223–232CrossRef Schaie KW, Willis SL (1986) Can decline in adult intellectual functioning be reversed? Dev Psychol 22(2):223–232CrossRef
go back to reference Scogin F, Bienias JL (1988) A three-year follow-up of older adult participants in a memory-skills training program. Psychol Aging 3(4):334–337CrossRef Scogin F, Bienias JL (1988) A three-year follow-up of older adult participants in a memory-skills training program. Psychol Aging 3(4):334–337CrossRef
go back to reference Shader RI, Harmatz JS, Salzman C (1974) A new scale for clinical assessment on geriatric populations: SANDOZ Clinical Assessment – Geriatrics (SCAG). J Am Geriatr Soc 22:107–113 Shader RI, Harmatz JS, Salzman C (1974) A new scale for clinical assessment on geriatric populations: SANDOZ Clinical Assessment – Geriatrics (SCAG). J Am Geriatr Soc 22:107–113
go back to reference Sihvonen SE, Sipilä S, Era PA (2004) Changes in postural balance in frail elderly women during a 4-week visual feedback training: a randomized controlled trial. Gerontology 50(2):87–95CrossRef Sihvonen SE, Sipilä S, Era PA (2004) Changes in postural balance in frail elderly women during a 4-week visual feedback training: a randomized controlled trial. Gerontology 50(2):87–95CrossRef
go back to reference Spatz H-C (1996) Hebb’s concept of synaptic plasticity and neuronal cell assemblies. Behav Brain Res 78(1):3–7CrossRef Spatz H-C (1996) Hebb’s concept of synaptic plasticity and neuronal cell assemblies. Behav Brain Res 78(1):3–7CrossRef
go back to reference Spirduso WW, Cronin DL (2001) Exercise dose-response effects on quality of life and independent living in older adults. Med Sci Sports Exerc 33(6 Suppl):S598-S608 Spirduso WW, Cronin DL (2001) Exercise dose-response effects on quality of life and independent living in older adults. Med Sci Sports Exerc 33(6 Suppl):S598-S608
go back to reference von Steinbüchel N, Lischetzke T, Gurny M, Eid M (2006) Assessing quality of life in older people: psychometric properties of the WHOQOL-BREF. Eur J Ageing 3:116–122CrossRef von Steinbüchel N, Lischetzke T, Gurny M, Eid M (2006) Assessing quality of life in older people: psychometric properties of the WHOQOL-BREF. Eur J Ageing 3:116–122CrossRef
go back to reference Stigsdotter A, Bäckman L (1995) Effects of multifactorial memory training in old age: generalizability across tasks and individuals. J Gerontol: Psychol Sci 50B(3):134–140 Stigsdotter A, Bäckman L (1995) Effects of multifactorial memory training in old age: generalizability across tasks and individuals. J Gerontol: Psychol Sci 50B(3):134–140
go back to reference Valenzuela MJ, Jones M, Wen W, Rae C, Graham S, Shnier R, Sachdev P (2003) Memory training alters hippocampal neurochemistry in healthy elderly. Neuroreport 14:1333–1337CrossRef Valenzuela MJ, Jones M, Wen W, Rae C, Graham S, Shnier R, Sachdev P (2003) Memory training alters hippocampal neurochemistry in healthy elderly. Neuroreport 14:1333–1337CrossRef
go back to reference Verbrugge LM (1990) The iceberg of disability. In: Stahl SM (ed) The legacy of longevity. Sage, Newbury park, CA, pp 55–75 Verbrugge LM (1990) The iceberg of disability. In: Stahl SM (ed) The legacy of longevity. Sage, Newbury park, CA, pp 55–75
go back to reference Verhaeghen P, Marcoen A, Goossens L (1992) Improving memory performance in the aged through mnemonic training: a meta-analytic study. Psychol Aging 7(2):242–251CrossRef Verhaeghen P, Marcoen A, Goossens L (1992) Improving memory performance in the aged through mnemonic training: a meta-analytic study. Psychol Aging 7(2):242–251CrossRef
go back to reference Visser M, Pluijm SMF, Stel VS, Bosscher RJ, Deeg DJH (2002) Physical activity as a determinant of change in mobility performance: the longitudinal aging study Amsterdam. J Am Geriatr Soc 50(11):1774–1781CrossRef Visser M, Pluijm SMF, Stel VS, Bosscher RJ, Deeg DJH (2002) Physical activity as a determinant of change in mobility performance: the longitudinal aging study Amsterdam. J Am Geriatr Soc 50(11):1774–1781CrossRef
go back to reference Wahl HW (1991) Dependence in the elderly from an interactional point of view: verbal and observational data. Psychol Aging 6:238–246CrossRef Wahl HW (1991) Dependence in the elderly from an interactional point of view: verbal and observational data. Psychol Aging 6:238–246CrossRef
go back to reference Wechsler D (1981) Wechsler adult intelligence scale—revised (WAIS-R). Psychological Corporation, New York Wechsler D (1981) Wechsler adult intelligence scale—revised (WAIS-R). Psychological Corporation, New York
go back to reference Wei LJ, Lachin JM (1984) Two-sample asymptotically distribution-free tests for incomplete multivariate observations. J Am Statist Assoc 79:653–661CrossRef Wei LJ, Lachin JM (1984) Two-sample asymptotically distribution-free tests for incomplete multivariate observations. J Am Statist Assoc 79:653–661CrossRef
go back to reference Willis SL, Nesselroade CS (1990) Long-term effects of fluid ability training in old-old age. Dev Psychol 26(6):905–910CrossRef Willis SL, Nesselroade CS (1990) Long-term effects of fluid ability training in old-old age. Dev Psychol 26(6):905–910CrossRef
go back to reference Yaffe K, Barnes D, Nevitt M, Lui L-Y, Covinsky K (2001) A prospective study of physical activity and cognitive decline in elderly women. Arch Intern Med 161:1703–1706CrossRef Yaffe K, Barnes D, Nevitt M, Lui L-Y, Covinsky K (2001) A prospective study of physical activity and cognitive decline in elderly women. Arch Intern Med 161:1703–1706CrossRef
go back to reference Yesavage JA (1985) Nonpharmacologic treatment for memory losses with normal aging. Am J Psychiat 142:600–605 Yesavage JA (1985) Nonpharmacologic treatment for memory losses with normal aging. Am J Psychiat 142:600–605
go back to reference Zung WWK (1965) A self-rating depression scale. Arch Gen Psychiat 12: 63–70 Zung WWK (1965) A self-rating depression scale. Arch Gen Psychiat 12: 63–70
Metadata
Title
Differential effects of single versus combined cognitive and physical training with older adults: the SimA study in a 5-year perspective
Authors
Wolf D. Oswald
Thomas Gunzelmann
Roland Rupprecht
Bernd Hagen
Publication date
01-12-2006
Publisher
Springer-Verlag
Published in
European Journal of Ageing / Issue 4/2006
Print ISSN: 1613-9372
Electronic ISSN: 1613-9380
DOI
https://doi.org/10.1007/s10433-006-0035-z

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