Kim Hwan-Hee, Jung Nam-Hae
Department of Occupational Therapy, Semyung University, Republic of Korea.
Department of Occupational Therapy, Dongseo University: 47 Jurye-ro, Sasang-gu, Busan 47011, Republic of Korea.
J Phys Ther Sci. 2018 Feb;30(2):335-338. doi: 10.1589/jpts.30.335. Epub 2018 Feb 28.
[Purpose] In this study, we investigated the effects of combining exercise with a cognitive-enhancement group program on cognition and depression in a group of community-dwelling elderly people. [Subjects and Methods] The study's subjects consisted of 30 community-dwelling elderly people of both genders, whose average age was 78 years. They participated in a program of physical exercise combined with a cognitive-enhancement group training program. This consisted of sessions lasting 60 minutes that took place once a week over 3 months. To assess the participants' levels of cognition and depression, we conducted batteries of tests using, respectively, the Korean versions of the Consortium to Establish a Registry for Alzheimer's Disease assessment packet (CERAD-K) and the Geriatric Depression Scale-Short Form (GDS-SF). [Results] The Verbal Fluency test, Word List Memory test, Modified Boston Naming test, Mini Mental Status Examination (Korean Version) (MMSE-KC), Constructional Praxis task and Constructional Recall task showed significant improvement, but improvement in the Word List Recall and Word List Recognition tests did not achieve significant levels. Meanwhile, the symptoms of depression were shown to decrease significantly. [Conclusion] Physical exercise combined with a cognitive-enhancement group training program was effective in improving, some of the components of cognition, as well as alleviating depression. This program should be used for the prevention of dementia in community-dwelling elderly, through the intervention should be complemented in order to improve more of the components of cognition.
[目的] 在本研究中,我们调查了运动与认知增强小组计划相结合对一组社区居住老年人认知和抑郁的影响。[对象与方法] 研究对象包括30名社区居住的老年人,男女皆有,平均年龄为78岁。他们参加了体育锻炼与认知增强小组训练计划相结合的项目。该项目由每周一次、每次持续60分钟、为期3个月的课程组成。为了评估参与者的认知和抑郁水平,我们分别使用韩国版的阿尔茨海默病注册协会评估包(CERAD-K)和老年抑郁量表简版(GDS-SF)进行了一系列测试。[结果] 语言流畅性测试、单词列表记忆测试、改良波士顿命名测试、简易精神状态检查表(韩国版)(MMSE-KC)、构图实践任务和构图回忆任务显示出显著改善,但单词列表回忆和单词列表识别测试的改善未达到显著水平。同时,抑郁症状显示出显著减轻。[结论] 体育锻炼与认知增强小组训练计划相结合在改善某些认知成分以及减轻抑郁方面是有效的。该计划应用于社区居住老年人痴呆症的预防,不过应辅以干预措施以改善更多的认知成分。