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dc.contributor.authorSavikangas, Tiina
dc.contributor.authorTörmäkangas, Timo
dc.contributor.authorTirkkonen, Anna
dc.contributor.authorAlen, Markku
dc.contributor.authorFielding, Roger A.
dc.contributor.authorKivipelto, Miia
dc.contributor.authorRantalainen, Timo
dc.contributor.authorStigsdotter, Neely Anna
dc.contributor.authorSipilä, Sarianna
dc.date.accessioned2021-10-21T09:57:41Z
dc.date.available2021-10-21T09:57:41Z
dc.date.issued2021
dc.identifier.citationSavikangas, T., Törmäkangas, T., Tirkkonen, A., Alen, M., Fielding, R. A., Kivipelto, M., Rantalainen, T., Stigsdotter, N. A., & Sipilä, S. (2021). The effects of a physical and cognitive training intervention vs. physical training alone on older adults’ physical activity : A randomized controlled trial with extended follow-up during COVID-19. <i>PLoS ONE</i>, <i>16</i>(10), Article e0258559. <a href="https://doi.org/10.1371/journal.pone.0258559" target="_blank">https://doi.org/10.1371/journal.pone.0258559</a>
dc.identifier.otherCONVID_101547160
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/78300
dc.description.abstractBackground Executive functions underlie self-regulation and are thus important for physical activity and adaptation to new situations. The aim was to investigate, if yearlong physical and cognitive training (PTCT) had greater effects on physical activity among older adults than physical training (PT) alone, and if executive functions predicted physical activity at baseline, after six (6m) and twelve months (12m) of the interventions, one-year post-intervention follow-up and an extended follow-up during COVID-19 lockdown. Methods Data from a single-blinded, parallel-group randomized controlled trial (PASSWORD-study, ISRCTN52388040) were utilized. Participants were 70–85 years old community-dwelling men and women from Jyväskylä, Finland. PT (n = 159) included supervised resistance, walking and balance training, home-exercises and self-administered moderate activity. PTCT (n = 155) included PT and cognitive training targeting executive functions on a computer program. Physical activity was assessed with a one-item, seven-scale question. Executive functions were assessed with color-word Stroop, Trail Making Test (TMT) B-A and Letter Fluency. Changes in physical activity were modeled with multinomial logistic models and the impact of executive functions on physical activity with latent change score models. Results No significant group-by-time interaction was observed for physical activity (p>0.1). The subjects were likely to select an activity category higher than baseline throughout the study (pooled data: B = 0.720–1.614, p<0.001–0.046). Higher baseline Stroop predicted higher physical activity through all subsequent time-points (pooled data: B = 0.011–0.013, p = 0.015–0.030). Higher baseline TMT B–A predicted higher physical activity at 6m (pooled data: B = 0.007, p = 0.006) and during COVID-19 (B = 0.005, p = 0.030). In the PT group, higher baseline Letter Fluency predicted higher physical activity at 12m (B = -0.028, p = 0.030) and follow-up (B = -0.042, p = 0.002). Conclusions Cognitive training did not have additive effects over physical training alone on physical activity, but multicomponent training and higher executive function at baseline may support adaptation to and maintenance of a physically active lifestyle among older adults.en
dc.format.mimetypeapplication/pdf
dc.language.isoeng
dc.publisherPublic Library of Science
dc.relation.ispartofseriesPLoS ONE
dc.rightsCC BY 4.0
dc.titleThe effects of a physical and cognitive training intervention vs. physical training alone on older adults’ physical activity : A randomized controlled trial with extended follow-up during COVID-19
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-202110215331
dc.contributor.laitosLiikuntatieteellinen tiedekuntafi
dc.contributor.laitosFaculty of Sport and Health Sciencesen
dc.contributor.oppiaineBiomekaniikkafi
dc.contributor.oppiaineGerontologia ja kansanterveysfi
dc.contributor.oppiaineGerontologian tutkimuskeskusfi
dc.contributor.oppiaineHyvinvoinnin tutkimuksen yhteisöfi
dc.contributor.oppiaineBiomechanicsen
dc.contributor.oppiaineGerontology and Public Healthen
dc.contributor.oppiaineGerontology Research Centeren
dc.contributor.oppiaineSchool of Wellbeingen
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.type.coarhttp://purl.org/coar/resource_type/c_2df8fbb1
dc.description.reviewstatuspeerReviewed
dc.relation.issn1932-6203
dc.relation.numberinseries10
dc.relation.volume16
dc.type.versionpublishedVersion
dc.rights.copyright© 2021 Savikangas et al.
dc.rights.accesslevelopenAccessfi
dc.relation.grantnumber296843
dc.relation.grantnumber328818
dc.relation.grantnumber321336
dc.relation.grantnumber286536
dc.relation.grantnumber675003
dc.relation.grantnumber675003
dc.relation.projectidinfo:eu-repo/grantAgreement/EC/H2020/675003/EU//PANINI
dc.subject.ysoCOVID-19
dc.subject.ysoikääntyneet
dc.subject.ysointerventiotutkimus
dc.subject.ysofyysinen aktiivisuus
dc.subject.ysotoiminnanohjaus (psykologia)
dc.subject.ysoharjoitteet
dc.subject.ysokuntoliikunta
dc.format.contentfulltext
jyx.subject.urihttp://www.yso.fi/onto/yso/p38829
jyx.subject.urihttp://www.yso.fi/onto/yso/p2433
jyx.subject.urihttp://www.yso.fi/onto/yso/p32625
jyx.subject.urihttp://www.yso.fi/onto/yso/p23102
jyx.subject.urihttp://www.yso.fi/onto/yso/p29412
jyx.subject.urihttp://www.yso.fi/onto/yso/p24969
jyx.subject.urihttp://www.yso.fi/onto/yso/p3708
dc.rights.urlhttps://creativecommons.org/licenses/by/4.0/
dc.relation.doi10.1371/journal.pone.0258559
dc.relation.funderResearch Council of Finlanden
dc.relation.funderResearch Council of Finlanden
dc.relation.funderResearch Council of Finlanden
dc.relation.funderResearch Council of Finlanden
dc.relation.funderEuropean Commissionen
dc.relation.funderSuomen Akatemiafi
dc.relation.funderSuomen Akatemiafi
dc.relation.funderSuomen Akatemiafi
dc.relation.funderSuomen Akatemiafi
dc.relation.funderEuroopan komissiofi
jyx.fundingprogramAcademy Project, AoFen
jyx.fundingprogramResearch costs of Academy Research Fellow, AoFen
jyx.fundingprogramAcademy Research Fellow, AoFen
jyx.fundingprogramPostdoctoral Researcher, AoFen
jyx.fundingprogramMSCA Marie Skłodowska-Curie Actions, H2020en
jyx.fundingprogramAkatemiahanke, SAfi
jyx.fundingprogramAkatemiatutkijan tutkimuskulut, SAfi
jyx.fundingprogramAkatemiatutkija, SAfi
jyx.fundingprogramTutkijatohtori, SAfi
jyx.fundingprogramMSCA Marie Skłodowska-Curie Actions, H2020fi
jyx.fundinginformationThe PASSWORD study was funded by the Academy of Finland Grant no: 296843 to professor Sipilä. SS was also supported by funding from the European Union’s Horizon 2020 research and innovation programme under Marie Sklodowska-Curie grant agreement (No 675003). TT worked with an Academy of Finland Postdoctoral Researcher grant (Grant no: 286536) during the conduction of this study. Contribution of RAF to this work was also supported by the Boston Claude D. Pepper Older Americans Independence Center (1P30AG031679) and by the U.S. Department of Agriculture, under agreement No. 58-8050-9-004. Any opinions, findings, conclusion, or recommendations expressed in this publication are those of the author(s) and do not necessarily reflect the view of the U.S. Department of Agriculture. MK’s contribution to this work was also supported by the Stiftelse Stocholms Sjukhem; Knut and Alice Wallenberg Foundation, Sweden; Joint Program of Neurodegenerative Disorders–prevention (MIND-AD) grant; Center for Innovative Medicine (CIMED) at Karolinska Institutet, Sweden. TR was an Academy Research Fellow during the preparation of this manuscript (Academy of Finland grant numbers 321336 and 328818).
dc.type.okmA1


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