Effects of High-Intensity Functional Training (HIFT) on quality of life, sleep quality, stability, and depression in older adults with MCI: a randomized controlled trial
DOI:
https://doi.org/10.47197/retos.v61.109751Keywords:
High-intensity functional exercise, Older adults, Cognition, Cognitive impairmentAbstract
Exercise is currently one of the most promising non-pharmacological interventions to prevent or reduce cognitive decline associated with neurodegenerative diseases or aging. The objective of this study was to determine the effect of a high-intensity functional training program (HIFT) on quality of life, sleep quality, stability, and depression levels in a Colombian population of older adults with mild cognitive impairment (MCI). To this end, a randomized controlled clinical trial was conducted with a sample of 162 older adults with MCI. The intervention group (IG) received HIFT treatment for 12 weeks, 3 times a week, while the control group (CG) received general physical activity recommendations and performed manual activities. It was observed that after the intervention, there was a significant improvement in the IG compared to the CG in quality of life across multiple domains (p < 0.05), sleep quality (p < 0.001), postural stability (p < 0.001), and depression levels (p < 0.001). The multivariate covariance analysis showed the influence of age and cognitive impairment levels (MMSE) on the outcomes. This study demonstrates that the implementation of a short HIFT program has a positive effect on quality of life, sleep quality, stability, and depression levels in older adults with MCI.
References
A’Naja, M. N., Reed, R., Sansone, J., Batrakoulis, A., McAvoy, C., & Parrott, M. W. (2024). 2024 ACSM worldwide fitness trends: future directions of the health and fitness industry. ACSM’s Health & Fitness Journal, 28(1), 14–26. https://doi:10.1249/FIT.0000000000000933
Alzheimer’s Association. (2024). Deterioro Cognitivo Leve (DCL). Recuperado de https://www.alz.org/demencia-alzheimer/que-es-demencia/condiciones_relacionados/deterioro-cognitivo-leve
Aye, S., Bouteloup, V., Tate, A., Wimo, A., Handels, R., Jean, D., Winblad, B., & Jönsson, L. (2023). Health-related quality of life in subjective cognitive decline and mild cognitive impairment: a longitudinal cohort analysis. Alzheimer’s Research & Therapy, 15(1), 1–12. https://doi.org/10.1186/s12913-021-06525-8
Bacca, A. M., González, A., & Rodríguez, A. F. U. J. P. p. (2005). Validación de la Escala de Depresión de Yesavage (versión reducida) en adultos mayores colombianos. Pensamiento Psicológico, 1(5), 53-64. Recuperado de https://www.redalyc.org/pdf/801/80112046006.pdf.
Bellafiore, M., Battaglia, G., Bianco, A., Paoli, A., Farina, F., & Palma, A. (2011). Improved postural control after dynamic balance training in older overweight women. Aging clinical and experimental research, 23(5-6), 378–385. https://doi.org/10.1007/BF03337762
Bherer, L., Erickson, K. I., & Liu-Ambrose, T. (2013). A review of the effects of physical activity and exercise on cognitive and brain functions in older adults. Journal of aging research, 2013, 657508. https://doi.org/10.1155/2013/657508
Borges, S.deM., Radanovic, M., & Forlenza, O. V. (2015). Fear of falling and falls in older adults with mild cognitive impairment and Alzheimer's disease. Neuropsychology, development, and cognition. Section B, Aging, neuropsychology and cognition, 22(3), 312–321. https://doi.org/10.1080/13825585.2014.933770
Buysse, D. J., Reynolds, C. F., 3rd, Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry research, 28(2), 193–213. https://doi.org/10.1016/0165-1781(89)90047-4
Cobo, E., & Hernandez, E. J. R. A. (2004). Aplicación del test de balance de Berg en un grupo de adultos mayoers en la sede asistencial Ricaurte del Hospital Centro Oriente de la ciudad de Bogotá Estudio Piloto. Revista ASCOFI. 49, 28-36. Recuperado de https://www.researchgate.net/profile/Elisa-Cobo-Mejia/publication/304663095_Aplicacion_del_test_de_balance_de_Berg_en_un_grupo_de_adultos_mayores_en_la_sede_asistencial_Ricaurte_de_la_sede_Centro_-_Oriente_de_la_ciudad_de_Bogota_Estudio_piloto/links/57766c8c08ae4645d60d757b/Aplicacion-del-test-de-balance-de-Berg-en-un-grupo-de-adultos-mayores-en-la-sede-asistencial-Ricaurte-de-la-sede-Centro-Oriente-de-la-ciudad-de-Bogota-Estudio-piloto.pdf
Creswell J. D. (2017). Mindfulness Interventions. Annual review of psychology, 68, 491–516. https://doi.org/10.1146/annurev-psych-042716-051139
Engeroff, T., Ingmann, T., & Banzer, W. (2018). Physical Activity Throughout the Adult Life Span and Domain-Specific Cognitive Function in Old Age: A Systematic Review of Cross-Sectional and Longitudinal Data. Sports Medicine, 48(6), 1405–1436. https://doi.org/10.1007/s40279-018-0920-6
Escobar-Córdoba, F., & Eslava-Schmalbach, J. (2005). Validación colombiana del índice de calidad de sueño de Pittsburgh [Colombian validation of the Pittsburgh Sleep Quality Index]. Revista de neurologia, 40(3), 150–155. Recuperado de https://pubmed.ncbi.nlm.nih.gov/15750899/
Feito, Y., Heinrich, K. M., Butcher, S. J., & Poston, W. S. C. (2018). High-Intensity Functional Training (HIFT): Definition and Research Implications for Improved Fitness. Sports (Basel, Switzerland), 6(3), 76. https://doi.org/10.3390/sports6030076
Heinrich, K. M., Patel, P. M., O'Neal, J. L., & Heinrich, B. S. (2014). High-intensity compared to moderate-intensity training for exercise initiation, enjoyment, adherence, and intentions: an intervention study. BMC public health, 14, 789. https://doi.org/10.1186/1471-2458-14-789
Hepburn, S. J., Carroll, A., & McCuaig, L. (2021). The Relationship between Mindful Attention Awareness, Perceived Stress and Subjective Wellbeing. International journal of environmental research and public health, 18(23), 12290. https://doi.org/10.3390/ijerph182312290
Jensen, C. S., Simonsen, A. H., Siersma, V., Beyer, N., Frederiksen, K. S., Gottrup, H., Hoffman, K., Høgh, P., Frikke-Schmidt, R., Sobol, N. A., Waldemar, G., Wermuth, L., & Hasselbalch, S. G. (2019). Patients with Alzheimer’s disease who carry the APOE ε4 allele benefit more from physical exercise. Alzheimer’s and Dementia: Translational Research and Clinical Interventions, 5, 99–106. https://doi.org/10.1016/j.trci.2019.02.007
Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: Past, present, and future. Clinical Psychology: Science and Practice, 10(2), 144-156. https://doi.org/10.1093/clipsy.bpg016
Kramer, A. F., Hahn, S., Cohen, N. J., Banich, M. T., McAuley, E., Harrison, C. R., Chason, J., Vakil, E., Bardell, L., Boileau, R. A., & Colcombe, A. (1999). Ageing, fitness and neurocognitive function. Nature, 400(6743), 418–419. https://doi.org/10.1038/22682
Kredlow, M. A., Capozzoli, M. C., Hearon, B. A., Calkins, A. W., & Otto, M. W. (2015). The effects of physical activity on sleep: a meta-analytic review. Journal of Behavioral Medicine, 38, 427–449. https://doi.org/10.1007/s10865-015-9617-6
Lach, H. W., Harrison, B. E., & Phongphanngam, S. (2017). Falls and fall prevention in older adults with early-stage dementia: an integrative review. Research in Gerontological Nursing, 10(3), 139–148. https://doi.org/10.3928/19404921-20160908-01
Li, B., Jiang, W., Han, S., Ye, Y., Li, Y., Lou, H., & Zhang, J. (2024). Influence of moderate-to-high intensity physical activity on depression levels: a study based on a health survey of Chinese university students. BMC Public Health, 24(1), 1023. https://doi.org/10.1186/s12889-024-18433-w
Lindelöf, N., Lundin-Olsson, L., Skelton, D. A., Lundman, B., & Rosendahl, E. (2017). Experiences of older people with dementia participating in a high-intensity functional exercise program in nursing homes: "While it's tough, it's useful". PloS one, 12(11), e0188225. https://doi.org/10.1371/journal.pone.0188225
Littbrand, H., Carlsson, M., Lundin-Olsson, L., Lindelöf, N., Håglin, L., Gustafson, Y., & Rosendahl, E. (2011). Effect of a High-Intensity Functional Exercise Program on Functional Balance: Preplanned Subgroup Analyses of a Randomized Controlled Trial in Residential Care Facilities. Journal of the American Geriatrics Society, 59, 1274–1282. https://doi.org/10.1111/j.1532-5415.2011.03484.x
Lugo A, Luz Helena, García G, Héctor Iván, & Gómez R, Carlos. (2006). Confiabilidad del cuestionario de calidad de vida en salud SF-36 en Medellín, Colombia. Revista Facultad Nacional de Salud Pública, 24(2), 37-50. Recuperado de http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0120-386X2006000200005&lng=en&tlng=es
MacAulay, R. K., Halpin, A., Andrews, H. E., & Boeve, A. (2022). Trait mindfulness associations with executive function and well-being in older adults. Aging & mental health, 26(12), 2399–2406. https://doi.org/10.1080/13607863.2021.1998352
Organización Mundial de la Salud. (2023). Demencia. Recuperado de https://www.who.int/es/news-room/fact-sheets/detail/dementia
OPS. (2020). Reducción de los Riesgos de Deterioro Cognitivo y Demencia. Directrices de laOMS. Recuperado de https://iris.paho.org/bitstream/handle/10665.2/52426/9789275322574_spa.pdf?sequence=1&isAllowed=y
Pasha, P., Mohammadi, Z. F., & Baghbanian, M. (2023). Comparing Two Protocols of Exercise on Physical Fitness and Psychological Factors of Mild to Moderate Multiple Sclerosis Patients. Asian Journal of Sports Medicine, 14(1), 1–9. https://doi.org/10.5812/asjsm-127947
Patti, A., Zangla, D., Sahin, F. N., Cataldi, S., Lavanco, G., Palma, A., & Fischietti, F. (2021). Physical exercise and prevention of falls. Effects of a Pilates training method compared with a general physical activity program: A randomized controlled trial. Medicine, 100(13), e25289. https://doi.org/10.1097/MD.0000000000025289
Randhi, B., Gutlapalli, S. D., Pu, J., Zaidi, M. F., Patel, M., Atluri, L. M., Gonzalez, N. A., Sakhamuri, N., Athiyaman, S., & Hamid, P. (2023). Sleep Disorders in Mild Cognitive Impairment. Cureus, 15(3), e36202. https://doi.org/10.7759/cureus.36202
Rivas-Campo, Y., Aibar-Almazán, A., Afanador-Restrepo, D. F., García-Garro, P. A., Vega-Ávila, G. C., Rodríguez-López, C., Castellote-Caballero, Y., Carcelén-Fraile, M. del C., & Lavilla-Lerma, M. L. (2023). Effects of High-Intensity Functional Training (HIFT) on the Functional Capacity, Frailty, and Physical Condition of Older Adults with Mild Cognitive Impairment: A Blind Randomized Controlled Clinical Trial. Life, 13(5). https://doi.org/10.3390/life13051224
Rivas-Campo, Y., García-Garro, P. A., Aibar-Almazán, A., Martínez-Amat, A., Vega-Ávila, G. C., Afanador-Restrepo, D. F., León-Morillas, F., & Hita-Contreras, F. (2022). The Effects of High-Intensity Functional Training on Cognition in Older Adults with Cognitive Impairment: A Systematic Review. Healthcare (Basel, Switzerland), 10(4), 670. https://doi.org/10.3390/healthcare10040670
Skelton, D., Dinan, S., Campbell, M., & Rutherford, O. (2005). Tailored group exercise (Falls Management Exercise -- FaME) reduces falls in community-dwelling older frequent fallers (an RCT). Age and ageing, 34(6), 636–639. https://doi.org/10.1093/ageing/afi174
Song, D., Yu, D. S. F., Li, P. W. C., & Lei, Y. (2018). The effectiveness of physical exercise on cognitive and psychological outcomes in individuals with mild cognitive impairment: A systematic review and meta-analysis. International Journal of Nursing Studies, 79, 155–164. https://doi.org/10.1016/j.ijnurstu.2018.01.002
Tang, YY., Hölzel, B. & Posner, M. The neuroscience of mindfulness meditation. Nat Rev Neurosci 16, 213–225 (2015). https://doi.org/10.1038/nrn3916
Tang, Y.-Y. (2017). The Neuroscience of Mindfulness Meditation. https://doi.org/10.1007/978-3-319-46322-3
Venegas-Sanabria, L. C., Cavero-Redondo, I., Martínez-Vizcaino, V., Cano-Gutierrez, C. A., & Álvarez-Bueno, C. (2022). Effect of multicomponent exercise in cognitive impairment: a systematic review and meta-analysis. BMC Geriatrics, 22(1), 617. https://doi.org/10.1186/s12877-022-03302-1
Asencio, G., Viel, E., Faig Martí, J., Germán Romero, A., Asencio, G., & Asencio, G. (2002). La marcha humana, la carrera y el salto : biomecánica, exploraciones, normas y alteraciones. Masson. Recuperado de https://books.google.com.co/books/about/La_Marcha_Humana_la_Carrera_y_el_Salto.html?hl=es&id=XBDYQoJwAaAC&redir_esc=y
WHO. (2017). Global action plan on the public health response to dementia. http://apps.who.int/bookorders.
Yesavage, J. A., Brink, T. L., Rose, T. L., Lum, O., Huang, V., Adey, M., & Leirer, V. O. (1982). Development and validation of a geriatric depression screening scale: a preliminary report. Journal of psychiatric research, 17(1), 37–49. https://doi.org/10.1016/0022-3956(82)90033-4
Zheng, G., Xia, R., Zhou, W., Tao, J., & Chen, L. (2016). Aerobic exercise ameliorates cognitive function in older adults with mild cognitive impairment: a systematic review and meta-analysis of randomised controlled trials. British Journal of Sports Medicine, 50(23), 1443. https://doi.org/10.1136/bjsports-2015-095699
Alzheimer’s Association. (2024). 2024 ALZHEIMER’S DISEASE FACTS AND FIGURES. Alzheimer’s & Dementia, 20(5), 3708–3821. https://pubmed.ncbi.nlm.nih.gov/38689398/
A’Naja, M. N., Reed, R., Sansone, J., Batrakoulis, A., McAvoy, C., & Parrott, M. W. (2024). 2024 ACSM worldwide fitness trends: future directions of the health and fitness industry. ACSM’s Health & Fitness Journal, 28(1), 14–26.
Lindelöf, N., Lundin-Olsson, L., Skelton, D. A., Lundman, B., & Rosendahl, E. (2017). Experiences of older people with dementia participating in a high-intensity functional exercise program in nursing homes: “While it’s tough, it’s useful”. PLoS ONE, 12(11), 1–14. https://uniajc.metaproxy.org/UNIAJC?url=https://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=126391012&site=ehost-live&scope=site
Littbrand, H., Carlsson, M., Lundin-Olsson, L., Lindelöf, N., Håglin, L., Gustafson, Y., & Rosendahl, E. (2011). Effect of a High-Intensity Functional Exercise Program on Functional Balance: Preplanned Subgroup Analyses of a Randomized Controlled Trial in Residential Care Facilities. Journal of the American Geriatrics Society, 59, 1274–1282. https://doi.org/10.1111/j.1532-5415.2011.03484.x
Pasha, P., Mohammadi, Z. F., & Baghbanian, M. (2023). Comparing Two Protocols of Exercise on Physical Fitness and Psychological Factors of Mild to Moderate Multiple Sclerosis Patients. Asian Journal of Sports Medicine, 14(1), 1–9. https://doi.org/10.5812/asjsm-127947
Patti, A., Zangla, D., Sahin, F. N., Cataldi, S., Lavanco, G., Palma, A., & Fischietti, F. (2021). Physical exercise and prevention of falls. Effects of a Pilates training method compared with a general physical activity program: A randomized controlled trial. Medicine, 100(13), e25289.
Rivas-Campo, Y., García-Garro, P. A., Aibar-Almazán, A., Martínez-Amat, A., Vega-Ávila, G. C., Afanador-Restrepo, D. F., León-Morillas, F., & Hita-Contreras, F. (2022). The Effects of High-Intensity Functional Training on Cognition in Older Adults with Cognitive Impairment: A Systematic Review. Health Care, 10(4), 670. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9025277/
Tang, Y.-Y. (2017). The Neuroscience of Mindfulness Meditation. https://doi.org/10.1007/978-3-319-46322-3
Tang, Y.-Y., Hölzel, B. K., & Posner, M. I. (2015). The neuroscience of mindfulness meditation. Nature Reviews Neuroscience, 16(4), 213–225. https://doi.org/10.1038/nrn3916
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