Mirza Raana Ali, Yaqoob Irum
Department of Rehabilitation, University of Lahore, Islamabad.
Department of Rehablitation, Riphah College of Rehabilitation Sciences (RCRS), Riphah International University, Islamabad.
J Coll Physicians Surg Pak. 2018 Sep;28(9):S210-S212. doi: 10.29271/jcpsp.2018.09.S210.
Aging, along with Type 2 Diabetes Mellitus (T2DM), is a risk factor for the development of mild cognitive impairment (MCI) among older adults. Physical activity is found beneficial for improving the cognitive status among adults with MCI and in even those having dementia. Combined aerobic-cognitive interventions are an engaging substitute or add-on to existing pharmacological management regimens. A 76-year diabetic male having MCI, followed 12 weeks of aerobics-virtual reality (VR)-based cognitive training programme (3days/week). The session comprised of 30 minutes of interactive gaming via xbox-360 Kinect followed by the aerobic phase of 30 minutes using stationary cycle, maintaining the intensity of 40-60% of heart rate reserve (HRR). The cognitive testing included tools for assessing global cognition and executive function. Random plasma glucose level was also noted at baseline, after 6 weeks and 12 weeks post-interventions while vitals including pulse rate, oxygen saturation and blood pressure were documented at baseline and at the end of intervension. Results depict that 12 weeks of aerobic-VR training was effective in improving the cognitive status along with random plasma glucose levels of the patient.
衰老与2型糖尿病（T2DM）一样，是老年人发生轻度认知障碍（MCI）的危险因素。已发现体育活动有助于改善患有MCI的成年人甚至患有痴呆症的成年人的认知状态。有氧认知联合干预是现有药物治疗方案的一种有吸引力的替代或补充方法。一名患有MCI的76岁男性糖尿病患者，参加了为期12周的基于有氧运动-虚拟现实（VR）的认知训练计划（每周3天）。课程包括通过xbox-360 Kinect进行30分钟的互动游戏，随后使用固定自行车进行30分钟的有氧运动阶段，将强度维持在心率储备（HRR）的40-60%。认知测试包括评估整体认知和执行功能的工具。在干预前、干预后6周和12周时记录随机血糖水平，同时在基线和干预结束时记录包括脉搏率、血氧饱和度和血压在内的生命体征。结果表明，为期12周的有氧VR训练有效地改善了患者的认知状态以及随机血糖水平。
