Ruiz J R, Gil-Bea F, Bustamante-Ara N, Rodríguez-Romo G, Fiuza-Luces C, Serra-Rexach J A, Cedazo-Minguez A, Lucia A
PROmoting FITness and Health through physical activity research group (PROFITH), Department of Physical Education and Sport, University of Granada, Granada, Spain.
Department of Cellular and Molecular Neuropharmacology, Center for Applied Medical Research, Pamplona, Spain.
Int J Sports Med. 2015 Jan;36(1):54-60. doi: 10.1055/s-0034-1375693. Epub 2014 Oct 20.
The aim of this randomized controlled trial was to determine the effects of 8-week exercise-intervention on cognition and related serum biochemical markers in nonagenarians. We also studied the effects of a 4-week training cessation ('detraining') period on our study variables. Participants were randomly allocated to a standard-care (control) or intervention (exercise) group [n=20 (16 women)/group]. The intervention focused on supervised, light-to-moderate-intensity aerobic and resistance exercises (mainly leg press), and included 3 weekly sessions. Cognitive status was determined by the mini-mental state examination and geriatric depression scale. We analysed proteins with reported relation with mechanisms behind cognition changes such as serum levels of angiotensin converting enzyme, amyloid-precursor protein, epidermal growth factor, brain-derived neural factor and tumor necrosis factor. No significant change (P>0.05) in any of the variables studied was found following the exercise intervention compared with the standard-care group. Similarly, no significant changes (P>0.05) were observed following the detraining period compared with the standard-care group. Overall changes after the exercise intervention in serum biomarkers were not associated with changes in functional capacity and cognitive measures. An 8-week exercise intervention focusing on resistance exercises neither benefits cognitive function nor affects the levels of the serum proteins analysed in nonagenarians.
这项随机对照试验的目的是确定为期8周的运动干预对九旬老人认知及相关血清生化标志物的影响。我们还研究了为期4周的训练停止(“去训练”)期对我们研究变量的影响。参与者被随机分配到标准护理(对照组)或干预(运动)组[每组n = 20(16名女性)]。干预重点是有监督的轻度至中度强度有氧和抗阻运动(主要是腿举),每周进行3次。通过简易精神状态检查和老年抑郁量表确定认知状态。我们分析了与认知变化背后机制相关的蛋白质,如血清血管紧张素转换酶、淀粉样前体蛋白、表皮生长因子、脑源性神经营养因子和肿瘤坏死因子水平。与标准护理组相比,运动干预后所研究的任何变量均未发现显著变化(P>0.05)。同样,与标准护理组相比,去训练期后也未观察到显著变化(P>0.05)。运动干预后血清生物标志物的总体变化与功能能力和认知指标的变化无关。以抗阻运动为重点的8周运动干预对九旬老人的认知功能既无益处,也不影响所分析的血清蛋白水平。