Technology and physical activity for preventing cognitive and physical decline in older adults: protocol of a pilot RCT
Background: Cognitive frailty, defined as having both physical frailty and cognitive impairment that does not satisfy the criteria for Major Neurocognitive Disorder, represents an elevated risk for morbidity. Hence, it is crucial to mitigate such risks. Physical activity interventions have been foun...
| Main Authors: | , , , , , |
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| Format: | Journal Article |
| Language: | English |
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2024
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| Online Access: | https://hdl.handle.net/10356/178301 |
| _version_ | 1811695025381179392 |
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| author | Siew, Savannah Kiah Hui Yu, Junhong Teo, Tat Lee Chua, Kuang Chua Mahendran, Rathi Rawtaer, Iris |
| author2 | School of Social Sciences |
| author_facet | School of Social Sciences Siew, Savannah Kiah Hui Yu, Junhong Teo, Tat Lee Chua, Kuang Chua Mahendran, Rathi Rawtaer, Iris |
| author_sort | Siew, Savannah Kiah Hui |
| collection | NTU |
| description | Background: Cognitive frailty, defined as having both physical frailty and cognitive impairment that does not satisfy the criteria for Major Neurocognitive Disorder, represents an elevated risk for morbidity. Hence, it is crucial to mitigate such risks. Physical activity interventions have been found effective in protecting against physical frailty and cognitive deterioration. This pilot RCT examines if smartwatches and mobile phone applications can help to increase physical activity, thereby improving physical and cognitive outcomes. Methods: Older individuals (n = 60) aged 60 to 85 years old will have their physical activity tracked using a smartwatch. The subjects will be randomized into two arms: one group will receive daily notification prompts if they did not reach the recommended levels of PA; the control group will not receive prompts. Outcome variables of physical activity level, neurocognitive scores, and physical frailty scores will be measured at baseline, T1 (3 months), and T2 (6 months). Sleep quality, levels of motivation, anxiety, and depression will be controlled for in our analyses. We hypothesize that the intervention group will have higher levels of physical activity resulting in improved cognitive and physical outcomes at follow-up. This study was approved by the National University of Singapore’s Institutional Review Board on 17 August 2020 (NUS-IRB Ref. No.: H-20-038). Discussion: Wearable sensors technology could prove useful by facilitating self-management in physical activity interventions. The findings of this study can justify the use of technology in physical activity as a preventive measure against cognitive frailty in older adults. This intervention also complements the rapidly rising use of technology, such as smartphones and wearable health devices, in our lives today. Registration details: This study has been retrospectively registered on clinicaltrials.gov on 5th January 2021 (NCT Identifier: NCT04692974), after the first participant was recruited. |
| first_indexed | 2024-10-01T07:16:54Z |
| format | Journal Article |
| id | ntu-10356/178301 |
| institution | Nanyang Technological University |
| language | English |
| last_indexed | 2024-10-01T07:16:54Z |
| publishDate | 2024 |
| record_format | dspace |
| spelling | ntu-10356/1783012024-06-16T15:30:26Z Technology and physical activity for preventing cognitive and physical decline in older adults: protocol of a pilot RCT Siew, Savannah Kiah Hui Yu, Junhong Teo, Tat Lee Chua, Kuang Chua Mahendran, Rathi Rawtaer, Iris School of Social Sciences Social Sciences Cognition assessment Depression Background: Cognitive frailty, defined as having both physical frailty and cognitive impairment that does not satisfy the criteria for Major Neurocognitive Disorder, represents an elevated risk for morbidity. Hence, it is crucial to mitigate such risks. Physical activity interventions have been found effective in protecting against physical frailty and cognitive deterioration. This pilot RCT examines if smartwatches and mobile phone applications can help to increase physical activity, thereby improving physical and cognitive outcomes. Methods: Older individuals (n = 60) aged 60 to 85 years old will have their physical activity tracked using a smartwatch. The subjects will be randomized into two arms: one group will receive daily notification prompts if they did not reach the recommended levels of PA; the control group will not receive prompts. Outcome variables of physical activity level, neurocognitive scores, and physical frailty scores will be measured at baseline, T1 (3 months), and T2 (6 months). Sleep quality, levels of motivation, anxiety, and depression will be controlled for in our analyses. We hypothesize that the intervention group will have higher levels of physical activity resulting in improved cognitive and physical outcomes at follow-up. This study was approved by the National University of Singapore’s Institutional Review Board on 17 August 2020 (NUS-IRB Ref. No.: H-20-038). Discussion: Wearable sensors technology could prove useful by facilitating self-management in physical activity interventions. The findings of this study can justify the use of technology in physical activity as a preventive measure against cognitive frailty in older adults. This intervention also complements the rapidly rising use of technology, such as smartphones and wearable health devices, in our lives today. Registration details: This study has been retrospectively registered on clinicaltrials.gov on 5th January 2021 (NCT Identifier: NCT04692974), after the first participant was recruited. Nanyang Technological University Published version This study is a project under the Mind Science Centre, of the Department of Psychological Medicine, NUS and is funded by a donation grant from Hong Kong and Shanghai Bank Corporation grant for community projects. The funders had and will not have a role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. We would also like to acknowledge the Nanyang Assistant Professorship (Award no. 021080-00001) and Singhealth Duke NUS Academic Medical Centre. 2024-06-11T04:53:58Z 2024-06-11T04:53:58Z 2024 Journal Article Siew, S. K. H., Yu, J., Teo, T. L., Chua, K. C., Mahendran, R. & Rawtaer, I. (2024). Technology and physical activity for preventing cognitive and physical decline in older adults: protocol of a pilot RCT. PloS One, 19(2), e0293340-. https://dx.doi.org/10.1371/journal.pone.0293340 1932-6203 https://hdl.handle.net/10356/178301 10.1371/journal.pone.0293340 38394113 2-s2.0-85185855897 2 19 e0293340 en 021080-00001 PloS one © 2024 Kiah Hui Siew et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. application/pdf |
| spellingShingle | Social Sciences Cognition assessment Depression Siew, Savannah Kiah Hui Yu, Junhong Teo, Tat Lee Chua, Kuang Chua Mahendran, Rathi Rawtaer, Iris Technology and physical activity for preventing cognitive and physical decline in older adults: protocol of a pilot RCT |
| title | Technology and physical activity for preventing cognitive and physical decline in older adults: protocol of a pilot RCT |
| title_full | Technology and physical activity for preventing cognitive and physical decline in older adults: protocol of a pilot RCT |
| title_fullStr | Technology and physical activity for preventing cognitive and physical decline in older adults: protocol of a pilot RCT |
| title_full_unstemmed | Technology and physical activity for preventing cognitive and physical decline in older adults: protocol of a pilot RCT |
| title_short | Technology and physical activity for preventing cognitive and physical decline in older adults: protocol of a pilot RCT |
| title_sort | technology and physical activity for preventing cognitive and physical decline in older adults protocol of a pilot rct |
| topic | Social Sciences Cognition assessment Depression |
| url | https://hdl.handle.net/10356/178301 |
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