Mid-Term and Long-Lasting Psycho–Cognitive Benefits of Bidomain Training Intervention in Elderly Individuals with Mild Cognitive Impairment

<i>Background:</i> This study investigated whether combining simultaneous physical and cognitive training yields superior cognitive outcomes compared with aerobic training alone in individuals with mild cognitive impairment (MCI) and whether these benefits persist after four weeks of det...

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Main Authors: Ines Ben Ayed, Chirine Aouichaoui, Achraf Ammar, Salma Naija, Oussama Tabka, Haitham Jahrami, Khaled Trabelsi, Yassine Trabelsi, Nicole El Massioui, Farid El Massioui
Format: Article
Language:English
Published: MDPI AG 2024-01-01
Series:European Journal of Investigation in Health, Psychology and Education
Subjects:
Online Access:https://www.mdpi.com/2254-9625/14/2/19
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author Ines Ben Ayed
Chirine Aouichaoui
Achraf Ammar
Salma Naija
Oussama Tabka
Haitham Jahrami
Khaled Trabelsi
Yassine Trabelsi
Nicole El Massioui
Farid El Massioui
author_facet Ines Ben Ayed
Chirine Aouichaoui
Achraf Ammar
Salma Naija
Oussama Tabka
Haitham Jahrami
Khaled Trabelsi
Yassine Trabelsi
Nicole El Massioui
Farid El Massioui
author_sort Ines Ben Ayed
collection DOAJ
description <i>Background:</i> This study investigated whether combining simultaneous physical and cognitive training yields superior cognitive outcomes compared with aerobic training alone in individuals with mild cognitive impairment (MCI) and whether these benefits persist after four weeks of detraining. <i>Methods:</i> Forty-four people with MCI (11 males and 33 females) aged 65 to 75 years were randomly assigned to an 8-week, twice-weekly program of either aerobic training (AT group, <i>n</i> = 15), aerobic training combined with cognitive games (ACT group, <i>n</i> = 15), or simply reading for controls (CG group, <i>n</i> = 14). Selective attention (Stroop), problem-solving (Hanoi Tower), and working memory (Digit Span) tasks were used to assess cognitive performances at baseline, in the 4th (W4) and 8th weeks (W8) of training, and after 4 weeks of rest (W12). <i>Results:</i> Both training interventions induced beneficial effects on all tested cognitive performance at W4 (except for the number of moves in the Hanoi tower task) and W8 (all <i>p</i> <0.001), with the ACT group exhibiting a more pronounced positive impact than the AT group (<i>p</i> < 0.05). This advantage was specifically observed at W8 in tasks such as the Stroop and Tower of Hanoi (% gain ≈40% vs. ≈30% for ACT and AT, respectively) and the digit span test (% gain ≈13% vs. ≈10% for ACT and AT, respectively). These cognitive improvements in both groups, with the greater ones in ACT, persisted even after four weeks of detraining, as evidenced by the absence of a significant difference between W8 and W12 (<i>p</i> > 0.05). Concerning neuropsychological assessments, comparable beneficial effects were recorded following both training regimens (all <i>p</i> < 0.05 from pre- to post-intervention). The control group did not show any significant improvement in most of the cognitive tasks. <i>Conclusions:</i> The greater mid-term and long-lasting effects of combined simultaneous physical–cognitive training underscores its potential as a cost-effective intervention for the prevention and management of cognitive decline. While these results are valuable in guiding optimal physical and mental activity recommendations for adults with MCI, further neurophysiological-based studies are essential to offer robust support and deepen our understanding of the mechanisms underlying these promising findings.
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spelling doaj.art-99cde3c476c8478a9f47982b70f825192024-02-23T15:14:35ZengMDPI AGEuropean Journal of Investigation in Health, Psychology and Education2174-81442254-96252024-01-0114228429810.3390/ejihpe14020019Mid-Term and Long-Lasting Psycho–Cognitive Benefits of Bidomain Training Intervention in Elderly Individuals with Mild Cognitive ImpairmentInes Ben Ayed0Chirine Aouichaoui1Achraf Ammar2Salma Naija3Oussama Tabka4Haitham Jahrami5Khaled Trabelsi6Yassine Trabelsi7Nicole El Massioui8Farid El Massioui9Research Laboratory, Exercise Physiology and Physiopathology: From Integrated to Molecular “Biology, Medicine and Health”, LR19ES09, Faculty of Medicine of Sousse, Sousse University, Sousse 4000, TunisiaResearch Laboratory, Exercise Physiology and Physiopathology: From Integrated to Molecular “Biology, Medicine and Health”, LR19ES09, Faculty of Medicine of Sousse, Sousse University, Sousse 4000, TunisiaDepartment of Training and Movement Science, Institute of Sport Science, Johannes-Gutenberg-University Mainz, 55122 Mainz, GermanyNeurology Department, University Hospital Sahloul Sousse, Sousse 4052, TunisiaResearch Laboratory, Exercise Physiology and Physiopathology: From Integrated to Molecular “Biology, Medicine and Health”, LR19ES09, Faculty of Medicine of Sousse, Sousse University, Sousse 4000, TunisiaCollege of Medicine and Medical Science, Arabian Gulf University, Manama 293, BahrainResearch Laboratory, Education, Motricity, Sport and Health (EM2S), LR15JS01, High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, TunisiaResearch Laboratory, Exercise Physiology and Physiopathology: From Integrated to Molecular “Biology, Medicine and Health”, LR19ES09, Faculty of Medicine of Sousse, Sousse University, Sousse 4000, TunisiaLaboratory of Human and Artificial Cognition (EA 4004), Psychology UFR, University of Vincennes/Saint-Denis, 93200 Saint-Denis, FranceLaboratory of Human and Artificial Cognition (EA 4004), Psychology UFR, University of Vincennes/Saint-Denis, 93200 Saint-Denis, France<i>Background:</i> This study investigated whether combining simultaneous physical and cognitive training yields superior cognitive outcomes compared with aerobic training alone in individuals with mild cognitive impairment (MCI) and whether these benefits persist after four weeks of detraining. <i>Methods:</i> Forty-four people with MCI (11 males and 33 females) aged 65 to 75 years were randomly assigned to an 8-week, twice-weekly program of either aerobic training (AT group, <i>n</i> = 15), aerobic training combined with cognitive games (ACT group, <i>n</i> = 15), or simply reading for controls (CG group, <i>n</i> = 14). Selective attention (Stroop), problem-solving (Hanoi Tower), and working memory (Digit Span) tasks were used to assess cognitive performances at baseline, in the 4th (W4) and 8th weeks (W8) of training, and after 4 weeks of rest (W12). <i>Results:</i> Both training interventions induced beneficial effects on all tested cognitive performance at W4 (except for the number of moves in the Hanoi tower task) and W8 (all <i>p</i> <0.001), with the ACT group exhibiting a more pronounced positive impact than the AT group (<i>p</i> < 0.05). This advantage was specifically observed at W8 in tasks such as the Stroop and Tower of Hanoi (% gain ≈40% vs. ≈30% for ACT and AT, respectively) and the digit span test (% gain ≈13% vs. ≈10% for ACT and AT, respectively). These cognitive improvements in both groups, with the greater ones in ACT, persisted even after four weeks of detraining, as evidenced by the absence of a significant difference between W8 and W12 (<i>p</i> > 0.05). Concerning neuropsychological assessments, comparable beneficial effects were recorded following both training regimens (all <i>p</i> < 0.05 from pre- to post-intervention). The control group did not show any significant improvement in most of the cognitive tasks. <i>Conclusions:</i> The greater mid-term and long-lasting effects of combined simultaneous physical–cognitive training underscores its potential as a cost-effective intervention for the prevention and management of cognitive decline. While these results are valuable in guiding optimal physical and mental activity recommendations for adults with MCI, further neurophysiological-based studies are essential to offer robust support and deepen our understanding of the mechanisms underlying these promising findings.https://www.mdpi.com/2254-9625/14/2/19MCIagingcognitive declinephysical activitylow-cost interventioncombined intervention
spellingShingle Ines Ben Ayed
Chirine Aouichaoui
Achraf Ammar
Salma Naija
Oussama Tabka
Haitham Jahrami
Khaled Trabelsi
Yassine Trabelsi
Nicole El Massioui
Farid El Massioui
Mid-Term and Long-Lasting Psycho–Cognitive Benefits of Bidomain Training Intervention in Elderly Individuals with Mild Cognitive Impairment
European Journal of Investigation in Health, Psychology and Education
MCI
aging
cognitive decline
physical activity
low-cost intervention
combined intervention
title Mid-Term and Long-Lasting Psycho–Cognitive Benefits of Bidomain Training Intervention in Elderly Individuals with Mild Cognitive Impairment
title_full Mid-Term and Long-Lasting Psycho–Cognitive Benefits of Bidomain Training Intervention in Elderly Individuals with Mild Cognitive Impairment
title_fullStr Mid-Term and Long-Lasting Psycho–Cognitive Benefits of Bidomain Training Intervention in Elderly Individuals with Mild Cognitive Impairment
title_full_unstemmed Mid-Term and Long-Lasting Psycho–Cognitive Benefits of Bidomain Training Intervention in Elderly Individuals with Mild Cognitive Impairment
title_short Mid-Term and Long-Lasting Psycho–Cognitive Benefits of Bidomain Training Intervention in Elderly Individuals with Mild Cognitive Impairment
title_sort mid term and long lasting psycho cognitive benefits of bidomain training intervention in elderly individuals with mild cognitive impairment
topic MCI
aging
cognitive decline
physical activity
low-cost intervention
combined intervention
url https://www.mdpi.com/2254-9625/14/2/19
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