Effects of exergaming on cognitive functions and loneliness of older adults with cognitive frailty.

Int J Geriatr Psychiatry

School of Gerontology and Long-Term Care, College of Nursing, Taipei Medical University, Taipei, Taiwan.

Published: June 2023

AI Article Synopsis

  • * A study with an experimental group participating in twice-weekly exergaming sessions over eight weeks showed that these sessions significantly improved cognitive function compared to a control group receiving regular care.
  • * While exergaming proved effective in enhancing cognitive abilities, it did not have a notable impact on reducing feelings of loneliness among older adults with cognitive frailty, indicating that while beneficial for cognition, it may not address emotional well-being.

Article Abstract

Objectives: Cognitive frailty combines physical frailty and cognitive impairment in the absence of dementia. The prompt detection of cognitive frailty and early implementation of preventive interventions may reduce the incidence of dementia. However, intervention studies of exergaming in older adults with cognitive frailty are scant. Therefore, we aim to investigate the effectiveness of exergaming on cognitive functions and loneliness among older adults with cognitive frailty.

Design: Quasi-experimental design.

Methods: Participants were recruited from four community settings. The experimental group participated in two 40-min group exergaming sessions weekly for eight weeks; the control group received usual care. The outcome measures were the Montreal Cognitive Assessment (MoCA) and the Chinese Version of the Loneliness Scale. Analyses of covariance were conducted to analyze whether exergaming influenced participants' cognitive functions and loneliness. In addition, the effect size of the posttest of the experimental group relative to its baseline value was calculated to determine the effectiveness of the intervention.

Result: 69 older adults with cognitive frailty were included, and 35 and 34 were assigned to the experimental and control groups, respectively. The exergaming effectively improved the cognitive function of older adults with cognitive frailty.

Conclusions: Exergaming interventions can effectively improve the cognitive functions of older adults with cognitive frailty but do not positively affect loneliness. We provide evidence to healthcare workers to apply exergaming interventions for older adults with cognitive frailty to improve cognitive function.

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http://dx.doi.org/10.1002/gps.5944DOI Listing

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