基于健身游戏的双重任务训练对社区老年人执行功能和双重任务表现的影响:一项随机对照试验。

Effects of Exergame-Based Dual-Task Training on Executive Function and Dual-Task Performance in Community-Dwelling Older People: A Randomized-Controlled Trial.

作者信息

Wang Ray-Yau, Huang Yuan-Chen, Zhou Jun-Hong, Cheng Shih-Jung, Yang Yea-Ru

机构信息

Department of Physical Therapy and Assistive Technology, National Yang Ming Chiao Tung University, Taipei, Taiwan.

Department of Physical Therapy and Assistive Technology, National Yang-Ming University, Taipei, Taiwan.

出版信息

Games Health J. 2021 Oct;10(5):347-354. doi: 10.1089/g4h.2021.0057. Epub 2021 Sep 1.

Abstract

Aging is associated with decline in executive function that may lead to reduced dual-task performance. Regular exercise has been recommended for promoting or maintaining mental and physical health in older adults, yet only a fraction of older adults exercise regularly. Exergame training may have the potential to enhance exercise adherence. Therefore, the aim of this study was to examine the effects of exergame-based dual-task training on executive function and dual-task performance in community-dwelling older adults. This was a single-blinded, randomized-controlled trial. Twenty community-dwelling older adults were recruited and randomly assigned to one of two groups. All participants completed 36 trainings, including three 60-minute sessions/week over 12 weeks. Participants in the experimental group received exergame-based dual-task training, while those in the control group received home-based multicomponent exercise training. Measures of executive function, dual-task performance, and community walking ability were assessed before and after the intervention. Significant group × time interactions ( = 0.000-0.027) with large effects were found in all selected outcome measures. Compared with the control group, the experimental group improved significantly in measures of general executive function ( = 0.014), inhibitory control ( = 0.037), cognitive dual-task performance ( < 0.001), and community walking ability ( = 0.002). Enhanced general executive function was highly correlated with either improved motor dual-task performance ( = 0.674) or improved cognitive dual-task performance ( = -0.701). These results suggested that exergame-based dual-task training improved both executive function and dual-task performance in older people. These positive effects could be transferred to enhance community walking ability. Clinical Trial Registration number: ACTRN 12617000095369.

摘要

衰老与执行功能下降相关,这可能导致双重任务表现降低。建议定期锻炼以促进或维持老年人的身心健康,但只有一小部分老年人经常锻炼。电子游戏训练可能有提高锻炼依从性的潜力。因此,本研究的目的是检验基于电子游戏的双重任务训练对社区居住老年人执行功能和双重任务表现的影响。这是一项单盲随机对照试验。招募了20名社区居住老年人并随机分为两组。所有参与者完成36次训练,包括在12周内每周进行三次60分钟的训练课程。实验组参与者接受基于电子游戏的双重任务训练,而对照组参与者接受家庭多成分运动训练。在干预前后评估执行功能、双重任务表现和社区行走能力的指标。在所有选定的结果指标中均发现了具有显著影响的组×时间交互作用(=0.000 - 0.027)。与对照组相比,实验组在一般执行功能(=0.014)、抑制控制(=0.037)、认知双重任务表现(<0.001)和社区行走能力(=0.002)的指标上有显著改善。增强的一般执行功能与运动双重任务表现的改善(=0.674)或认知双重任务表现的改善(=-0.701)高度相关。这些结果表明,基于电子游戏的双重任务训练改善了老年人的执行功能和双重任务表现。这些积极影响可以转化为增强社区行走能力。临床试验注册号:ACTRN 12617000095369。

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