The effect of Active Plus, a computer-tailored physical activity intervention, on cognitive functioning of elderly people with chronic illness(es): study protocol for a randomized controlled trial

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Abstract

BACKGROUND: Physical activity not only is beneficial to a person's health, but can also have a positive influence on cognitive functioning. However, elderly people with chronic illness(es) often do not meet the physical activity guidelines. Physical activity programs for the elderly exist, but these are often expensive and not easily accessible to the elderly with chronic illness(es). In addition, the beneficial effects of these physical activity programs on cognitive functioning have never been specifically tested in this target group. Hence, this randomized controlled trial aims to test whether Active Plus, a proven effective physical activity intervention, is able to improve the cognitive functioning of elderly people with chronic illness(es) or to slow down cognitive decline. In addition, it studies what kind of activity, intensity, duration and frequency of physical activity most strongly influence cognitive functioning.

METHODS: A randomized controlled trial is performed, comparing the Active Plus intervention group to a waiting list control group. In total 540 older adults (≥65 years) with at least one chronic illness that limits mobility are recruited from 7 municipalities. Comparable neighborhoods within a municipality are randomly allocated to the intervention or control group. Baseline and follow-up measurements after 6 and 12 months assess cognitive functioning and physical activity behavior, measured both objectively with an accelerometer and subjectively with a self-report questionnaire. Multilevel analyses are conducted to assess effects on cognitive functioning, including analyses on moderation effects for physical activity type, frequency, duration and intensity.

DISCUSSION: To our knowledge this is the first study to investigate effectiveness of a physical activity program on cognitive functioning in elderly people suffering from a broad range of chronic illnesses. If proven effective Active Plus would be a very cost effective intervention not only to increase physical activity, but also to improve cognitive functioning or slow down cognitive decline. Up till now clear evidence is lacking on the kind of physical activity, intensity, duration and frequency needed to achieve cognitive benefits. By measuring both with accelerometers and self-report questionnaires we hope to gain insight in these processes.

TRIAL REGISTRATION: Nederlands Trial Register NL6005 ; Date of Registration 21-03-2017.

Original languageEnglish
Article number1197
Number of pages10
JournalBMC Public Health
Volume19
Issue number1
Early online date30 Aug 2019
DOIs
Publication statusPublished - 2019

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Chronic Disease
Randomized Controlled Trials
Exercise
Self Report
Multilevel Analysis
Control Groups
Waiting Lists
Guidelines
Costs and Cost Analysis
Health

Keywords

  • CHRONIC DISEASES
  • Chronic illness
  • Cognition
  • DEPRESSIVE SYMPTOMS
  • DISABILITY
  • EXECUTIVE FUNCTIONS
  • EXERCISE
  • Executive functions
  • HEALTH
  • OLDER-ADULTS
  • Older adults
  • Physical activity
  • Physical activity promotion
  • QUESTIONNAIRE
  • RELIABILITY
  • VALIDITY

Cite this

@article{6d0f7da777474b43973c0bdf9b02d5a9,
title = "The effect of Active Plus, a computer-tailored physical activity intervention, on cognitive functioning of elderly people with chronic illness(es): study protocol for a randomized controlled trial",
abstract = "BACKGROUND: Physical activity not only is beneficial to a person's health, but can also have a positive influence on cognitive functioning. However, elderly people with chronic illness(es) often do not meet the physical activity guidelines. Physical activity programs for the elderly exist, but these are often expensive and not easily accessible to the elderly with chronic illness(es). In addition, the beneficial effects of these physical activity programs on cognitive functioning have never been specifically tested in this target group. Hence, this randomized controlled trial aims to test whether Active Plus, a proven effective physical activity intervention, is able to improve the cognitive functioning of elderly people with chronic illness(es) or to slow down cognitive decline. In addition, it studies what kind of activity, intensity, duration and frequency of physical activity most strongly influence cognitive functioning.METHODS: A randomized controlled trial is performed, comparing the Active Plus intervention group to a waiting list control group. In total 540 older adults (≥65 years) with at least one chronic illness that limits mobility are recruited from 7 municipalities. Comparable neighborhoods within a municipality are randomly allocated to the intervention or control group. Baseline and follow-up measurements after 6 and 12 months assess cognitive functioning and physical activity behavior, measured both objectively with an accelerometer and subjectively with a self-report questionnaire. Multilevel analyses are conducted to assess effects on cognitive functioning, including analyses on moderation effects for physical activity type, frequency, duration and intensity.DISCUSSION: To our knowledge this is the first study to investigate effectiveness of a physical activity program on cognitive functioning in elderly people suffering from a broad range of chronic illnesses. If proven effective Active Plus would be a very cost effective intervention not only to increase physical activity, but also to improve cognitive functioning or slow down cognitive decline. Up till now clear evidence is lacking on the kind of physical activity, intensity, duration and frequency needed to achieve cognitive benefits. By measuring both with accelerometers and self-report questionnaires we hope to gain insight in these processes.TRIAL REGISTRATION: Nederlands Trial Register NL6005 ; Date of Registration 21-03-2017.",
keywords = "CHRONIC DISEASES, Chronic illness, Cognition, DEPRESSIVE SYMPTOMS, DISABILITY, EXECUTIVE FUNCTIONS, EXERCISE, Executive functions, HEALTH, OLDER-ADULTS, Older adults, Physical activity, Physical activity promotion, QUESTIONNAIRE, RELIABILITY, VALIDITY",
author = "Esmee Volders and Bolman, {Catherine A. W.} and {de Groot}, {Renate H M} and Lilian Lechner",
year = "2019",
doi = "10.1186/s12889-019-7517-3",
language = "English",
volume = "19",
journal = "BMC Public Health",
issn = "1471-2458",
publisher = "BioMed Central Ltd.",
number = "1",

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TY - JOUR

T1 - The effect of Active Plus, a computer-tailored physical activity intervention, on cognitive functioning of elderly people with chronic illness(es)

T2 - study protocol for a randomized controlled trial

AU - Volders, Esmee

AU - Bolman, Catherine A. W.

AU - de Groot, Renate H M

AU - Lechner, Lilian

PY - 2019

Y1 - 2019

N2 - BACKGROUND: Physical activity not only is beneficial to a person's health, but can also have a positive influence on cognitive functioning. However, elderly people with chronic illness(es) often do not meet the physical activity guidelines. Physical activity programs for the elderly exist, but these are often expensive and not easily accessible to the elderly with chronic illness(es). In addition, the beneficial effects of these physical activity programs on cognitive functioning have never been specifically tested in this target group. Hence, this randomized controlled trial aims to test whether Active Plus, a proven effective physical activity intervention, is able to improve the cognitive functioning of elderly people with chronic illness(es) or to slow down cognitive decline. In addition, it studies what kind of activity, intensity, duration and frequency of physical activity most strongly influence cognitive functioning.METHODS: A randomized controlled trial is performed, comparing the Active Plus intervention group to a waiting list control group. In total 540 older adults (≥65 years) with at least one chronic illness that limits mobility are recruited from 7 municipalities. Comparable neighborhoods within a municipality are randomly allocated to the intervention or control group. Baseline and follow-up measurements after 6 and 12 months assess cognitive functioning and physical activity behavior, measured both objectively with an accelerometer and subjectively with a self-report questionnaire. Multilevel analyses are conducted to assess effects on cognitive functioning, including analyses on moderation effects for physical activity type, frequency, duration and intensity.DISCUSSION: To our knowledge this is the first study to investigate effectiveness of a physical activity program on cognitive functioning in elderly people suffering from a broad range of chronic illnesses. If proven effective Active Plus would be a very cost effective intervention not only to increase physical activity, but also to improve cognitive functioning or slow down cognitive decline. Up till now clear evidence is lacking on the kind of physical activity, intensity, duration and frequency needed to achieve cognitive benefits. By measuring both with accelerometers and self-report questionnaires we hope to gain insight in these processes.TRIAL REGISTRATION: Nederlands Trial Register NL6005 ; Date of Registration 21-03-2017.

AB - BACKGROUND: Physical activity not only is beneficial to a person's health, but can also have a positive influence on cognitive functioning. However, elderly people with chronic illness(es) often do not meet the physical activity guidelines. Physical activity programs for the elderly exist, but these are often expensive and not easily accessible to the elderly with chronic illness(es). In addition, the beneficial effects of these physical activity programs on cognitive functioning have never been specifically tested in this target group. Hence, this randomized controlled trial aims to test whether Active Plus, a proven effective physical activity intervention, is able to improve the cognitive functioning of elderly people with chronic illness(es) or to slow down cognitive decline. In addition, it studies what kind of activity, intensity, duration and frequency of physical activity most strongly influence cognitive functioning.METHODS: A randomized controlled trial is performed, comparing the Active Plus intervention group to a waiting list control group. In total 540 older adults (≥65 years) with at least one chronic illness that limits mobility are recruited from 7 municipalities. Comparable neighborhoods within a municipality are randomly allocated to the intervention or control group. Baseline and follow-up measurements after 6 and 12 months assess cognitive functioning and physical activity behavior, measured both objectively with an accelerometer and subjectively with a self-report questionnaire. Multilevel analyses are conducted to assess effects on cognitive functioning, including analyses on moderation effects for physical activity type, frequency, duration and intensity.DISCUSSION: To our knowledge this is the first study to investigate effectiveness of a physical activity program on cognitive functioning in elderly people suffering from a broad range of chronic illnesses. If proven effective Active Plus would be a very cost effective intervention not only to increase physical activity, but also to improve cognitive functioning or slow down cognitive decline. Up till now clear evidence is lacking on the kind of physical activity, intensity, duration and frequency needed to achieve cognitive benefits. By measuring both with accelerometers and self-report questionnaires we hope to gain insight in these processes.TRIAL REGISTRATION: Nederlands Trial Register NL6005 ; Date of Registration 21-03-2017.

KW - CHRONIC DISEASES

KW - Chronic illness

KW - Cognition

KW - DEPRESSIVE SYMPTOMS

KW - DISABILITY

KW - EXECUTIVE FUNCTIONS

KW - EXERCISE

KW - Executive functions

KW - HEALTH

KW - OLDER-ADULTS

KW - Older adults

KW - Physical activity

KW - Physical activity promotion

KW - QUESTIONNAIRE

KW - RELIABILITY

KW - VALIDITY

U2 - 10.1186/s12889-019-7517-3

DO - 10.1186/s12889-019-7517-3

M3 - Article

C2 - 31470829

VL - 19

JO - BMC Public Health

JF - BMC Public Health

SN - 1471-2458

IS - 1

M1 - 1197

ER -