A 10-Minute Single-Bout of Moderate to Very-Heavy Intensity Aerobic Exercise Improves Executive Function in Older Adults

A 10-minute single-bout of moderate to very-heavy intensity aerobic exercise provides a boost to executive-related oculomotor control in young adults. Furthermore, some evidence shows that older adults (\u3e65 years) can receive similar executive benefits post-exercise. It is, however, unclear if a specific exercise intensity can optimize executive function within this population. This represents an important question given that the population of older adults with executive dysfunction is expected to grow. To that end, this thesis had community-dwelling older adults perform a VO2peak test to determine 10-minute participant-specific moderate, heavy, and very-heavy exercise intensities. Pre- and post- exercise executive control was measured via the antisaccade task (i.e., goal-directed eye movement mirror symmetrical to visual stimulus). Results showed a 23 ms reduction in post-exercise antisaccade RTs – a finding that was intensity-independent. Accordingly, older adults accrue an executive benefit following 10 minutes of exercise across a continuum of moderate to very-heavy intensities

The Benefits of High-Intensity Interval Training on Cognition and Blood Pressure in Older Adults With Hypertension and Subjective Cognitive Decline: Results From the Heart & Mind Study

Background: The impact of exercise on cognition in older adults with hypertension and subjective cognitive decline (SCD) is unclear. Objectives: We determined the influence of high-intensity interval training (HIIT) combined with mind-motor training on cognition and systolic blood pressure (BP) in older adults with hypertension and SCD. Methods: We randomized 128 community-dwelling older adults [age mean (SD): 71.1 (6.7), 47.7% females] with history of hypertension and SCD to either HIIT or a moderate-intensity continuous training (MCT) group. Both groups received 15 min of mind-motor training followed by 45 min of either HIIT or MCT. Participants exercised in total 60 min/day, 3 days/week for 6 months. We assessed changes in global cognitive functioning (GCF), Trail-Making Test (TMT), systolic and diastolic BP, and cardiorespiratory fitness. Results: Participants in both groups improved diastolic BP [F(1, 87.32) = 4.392, p = 0.039], with greatest effect within the HIIT group [estimated mean change (95% CI): −2.64 mmHg, (−4.79 to −0.48), p = 0.017], but no between-group differences were noted (p = 0.17). Both groups also improved cardiorespiratory fitness [F(1, 69) = 34.795, p \u3c 0.001], and TMT A [F(1, 81.51) = 26.871, p \u3c 0.001] and B [F(1, 79.49) = 23.107, p \u3c 0.001]. There were, however, no within- or between-group differences in GCF and systolic BP at follow-up. Conclusion: Despite improvements in cardiorespiratory fitness, exercise of high- or moderate-intensity, combined with mind-motor training, did not improve GCF or systolic BP in individuals with hypertension and SCD. Clinical Trial Registration: ClinicalTrials.gov (NCT03545958)

The Benefits of High-Intensity Interval Training on Cognition and Blood Pressure in Older Adults With Hypertension and Subjective Cognitive Decline: Results From the Heart & Mind Study

Background: The impact of exercise on cognition in older adults with hypertension and subjective cognitive decline (SCD) is unclear. Objectives: We determined the influence of high-intensity interval training (HIIT) combined with mind-motor training on cognition and systolic blood pressure (BP) in older adults with hypertension and SCD. Methods: We randomized 128 community-dwelling older adults [age mean (SD): 71.1 (6.7), 47.7% females] with history of hypertension and SCD to either HIIT or a moderate-intensity continuous training (MCT) group. Both groups received 15 min of mind-motor training followed by 45 min of either HIIT or MCT. Participants exercised in total 60 min/day, 3 days/week for 6 months. We assessed changes in global cognitive functioning (GCF), Trail-Making Test (TMT), systolic and diastolic BP, and cardiorespiratory fitness. Results: Participants in both groups improved diastolic BP [F(1, 87.32) = 4.392, p = 0.039], with greatest effect within the HIIT group [estimated mean change (95% CI): −2.64 mmHg, (−4.79 to −0.48), p = 0.017], but no between-group differences were noted (p = 0.17). Both groups also improved cardiorespiratory fitness [F(1, 69) = 34.795, p \u3c 0.001], and TMT A [F(1, 81.51) = 26.871, p \u3c 0.001] and B [F(1, 79.49) = 23.107, p \u3c 0.001]. There were, however, no within- or between-group differences in GCF and systolic BP at follow-up. Conclusion: Despite improvements in cardiorespiratory fitness, exercise of high- or moderate-intensity, combined with mind-motor training, did not improve GCF or systolic BP in individuals with hypertension and SCD. Clinical Trial Registration: ClinicalTrials.gov (NCT03545958)

Evaluation of the Get Active Questionnaire in Community-Dwelling Older Adults

Background: Physical activity screening prior to starting a physical activity program is important to identify if there are any underlying health conditions. However, many older adults do not complete such assessments prior to beginning their physical activity program. This project compared the Canadian Society for Exercise Physiology’s newly developed Get Active Questionnaire (GAQ) to a standardized exercise stress test in terms of screening out versus screening in false positive GAQ tests. Methods: A convenience sample of community-dwelling adults (male n=58, female n=54) aged 75 ±7 years from London, Ontario was used. Participants completed a physical exam and physical activity screening session (i.e. stress test and GAQ) at a research laboratory which routinely conducts community-based referrals. One week after the initial visit, participants returned to the study site, completed the GAQ and were asked questions about their perceptions of physical activity screening by a research assistant. Results: The GAQ ‘screened in’ participants, but it did not provide the same precision of ‘screening out’ at-risk individuals as an exercise stress test; the GAQ reduced false positives versus the stress test, yet there was a large proportion of high false negative results reported. Conclusions: The GAQ shows promise in physical activity screening in older adults to engage in exercise safely. However, the lack of precision in physical activity screening out at-risk populations requires further evaluation. Questionnaires like the GAQ should be evaluated in a larger study population at various time points to further assess the validity and reliability of physical activity screening tools.The accepted manuscript in pdf format is listed with the files at the bottom of this page. The presentation of the authors' names and (or) special characters in the title of the manuscript may differ slightly between what is listed on this page and what is listed in the pdf file of the accepted manuscript; that in the pdf file of the accepted manuscript is what was submitted by the author

Perceptions of Exercise Screening Among Older Adults

Background: Pre-physical activity screening is important for older adults’ participating in physical activity. Unfortunately, many older adults face barriers to exercise participation and thus, may not complete proper physical activity screening. The purpose of this project was to conduct a thematic analysis of perceptions and experiences of community-dwelling older adults regarding pre-physical activity screening (i.e., Get Active Questionnaire (GAQ) and a standardized exercise stress test). Methods: A convenience sample of adults (male n=58, female n=54) aged 75 ±7 years living in the City of London, Ontario was used. Participants completed a treadmill stress test and the GAQ at a research laboratory for community-based referrals. One week later, participants completed the GAQ again and were asked questions by a research assistant about their perceptions of the screening process. Results: Thematic analysis of the responses was conducted. The results indicated that older adults view physical activity screening as acceptable, but not always necessary. Also, the experiences expressed by this sample of older adults indicated that physical activity screening can contribute to continued confidence (through reassurance) and can contribute to increased motivation (through yearly fitness results) in exercise participation. Conclusions: Older adults may perceive screening as supportive in exercise adoption, if screening is simple, convenient and supports older adults’ motivation and confidence to exercise.The accepted manuscript in pdf format is listed with the files at the bottom of this page. The presentation of the authors' names and (or) special characters in the title of the manuscript may differ slightly between what is listed on this page and what is listed in the pdf file of the accepted manuscript; that in the pdf file of the accepted manuscript is what was submitted by the author