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Otago exercise program plus cognitive dual-task can reduce fall risk, improve cognition and functioning in older adults

2023Journal article Restricted access
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dc.contributor.authorSantos, Paula Clara
dc.contributor.authorMachado, Dalmo Roberto Lopes
dc.contributor.authorAbdalla, Pedro Pugliesi
dc.contributor.authorSantos, Claúdia Vanessa
dc.contributor.authorLopes, Sofia
dc.contributor.authorMartins, Anabela Correia
dc.contributor.authorMota, Jorge
dc.contributor.authorMesquita, Cristina
dc.date.accessioned2023-01-19T15:27:14Z
dc.date.available2023-01-19T15:27:14Z
dc.date.issued2023
dc.description.abstractThe risk of falling increases with neuromusculoskeletal and cognitive changes resulting from aging. Physical exercise shows beneficial effects on the risk of falling, but the results are unknown when associated with cognitive activity dual-task (DT). 36 older adults (83.5 ± 5.7 years) participated in a quasi-experimental study, distributed in two experimental groups and a control group: 1) OEP (OEPG; n=12), 2) OEP plus DT (OEPDTG; n = 12), and a control group (CG; n=12). Older adults were evaluated at pre- and post- 12 weeks of intervention. The thresholds for the risk of falling were considered as multiparameter scores of the 10 Meter Walking Test (10MWT), evocative 10MWT, Timed Up and Go (TUG), Sit to Stand Test (STS), and The Four-Stage Balance Test (Four-Stage), and the Montreal Cognitive Assessment (MoCA), to test the cognitive impairment. At baseline, all groups were homogeneous. Post-intervention, the experimental groups presented significant functional differences, in comparison to the CG, for 10MWT (OEPDTG: p= 0.002; OEPG: p= 0.002); evocative 10MWT (OEPDTG: p=0.001; OEPG: p=0.001); TUG (OEPDTG: p=0.034); STS (OEPDTG: p<0.001; OEPG: p<0.001) and cognitive for MoCA (OEPDTG: p<0.019). Significant intra-group differences (pre-post) were observed in all intervention groups, but none in CG. The risk of falling (Four-Stage) in experimental groups (OEPDTG: 33.3%; OEPG: 41.7%) was considerably lower than CG (83.3%). Otago Exercise Program alone can reduce the risk of falling due to improved functionality, but adding the dual task also improves cognitive capacity in older adults. The clinical significance of these interventions goes beyond statistics.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationSantos Clara Paula, Machado Roberto Lopes Dalmo, Abdalla Pugliesi Pedro, Santos Vanessa Claúdia, Lopes Sofia, Martins Correia Anabela, Mota Jorge and Mesquita Cristina, Otago Exercise Program Plus Cognitive Dual-task can Reduce Fall Risk, Improve Cognition and Functioning in Older Adults, Current Aging Science 2023; 16(1) . https://dx.doi.org/10.2174/1874609815666220827143753pt_PT
dc.identifier.doi10.2174/1874609815666220827143753pt_PT
dc.identifier.eissn1874-6128
dc.identifier.issn1874-6098
dc.identifier.urihttp://hdl.handle.net/10400.22/21702
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherBentham Sciencept_PT
dc.relation.publisherversionhttps://www.eurekaselect.com/article/125916pt_PT
dc.subjectPhysical exercicept_PT
dc.subjectDouble task cognitivept_PT
dc.subjectEaldrypt_PT
dc.subjectAgingpt_PT
dc.subjectPhysical activitypt_PT
dc.titleOtago exercise program plus cognitive dual-task can reduce fall risk, improve cognition and functioning in older adultspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage74pt_PT
oaire.citation.startPage65pt_PT
oaire.citation.titleCurrent Aging Sciencept_PT
oaire.citation.volume16(1)pt_PT
person.familyNameSantos
person.familyNameLopes
person.familyNameCarvalho Mesquita
person.givenNamePaula Clara
person.givenNameSofia
person.givenNameCristina
person.identifier2641453
person.identifier.ciencia-id5C16-2441-F091
person.identifier.ciencia-id6E18-5E9B-9CA6
person.identifier.ciencia-id221C-ECA5-4EB4
person.identifier.orcid0000-0003-3548-700X
person.identifier.orcid0000-0002-3306-7557
person.identifier.orcid0000-0003-0830-9064
person.identifier.scopus-author-id57103538800
person.identifier.scopus-author-id35848786400
rcaap.rightsclosedAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication78bef72f-1c59-47e1-a79d-3e4f8e0d438d
relation.isAuthorOfPublicationd28d4024-424a-4597-beb1-007500e8902b
relation.isAuthorOfPublicationb8eda95a-0cca-4eed-aed6-2cca990169d3
relation.isAuthorOfPublication.latestForDiscoveryd28d4024-424a-4597-beb1-007500e8902b

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