| Effects of Intervention Using a Community-Based Walking Program for Prevention of Mental Decline: A Randomized Controlled Trial. | |
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MedLine Citation:
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PMID: 22288578 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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OBJECTIVES: To evaluate the efficacy of a municipality-led walking program under the Japanese public Long-Term Care Insurance Act to prevent mental decline. DESIGN: Randomized controlled trial. SETTING: The city of Takasaki. PARTICIPANTS: One hundred fifty community members aged 72.0 ± 4.0 were randomly divided into intervention (n = 75) and control (n = 75) groups. INTERVENTION: A walking program was conducted once a week for 90 minutes for 3 months. The program encouraged participants to walk on a regular basis and to increase their steps per day gradually. The intervention was conducted in small groups of approximately six, so combined benefits of exercise and social interaction were expected. MEASUREMENTS: Cognitive function was evaluated focusing on nine tests in five domains: memory, executive function, word fluency, visuospatial abilities, and sustained attention. Quality of life (QOL), depressive state, functional capacity, range of activities, and social network were assessed using questionnaires, and motor function was evaluated. RESULTS: Significant differences between the intervention and control groups were shown in word fluency related to frontal lobe function (F(1, 128) = 6.833, P = .01), QOL (F(1,128) = 9.751, P = .002), functional capacity including social interaction (F(1,128) = 13.055, P < .001), and motor function (Timed Up and Go Test: F(1,127) = 10.117, P = .002). No significant differences were observed in other cognitive tests. CONCLUSION: Walking programs may provide benefits in some aspects of cognition, QOL, and functional capacity including social interaction in elderly community members. This study could serve as the basis for implementation of a community-based intervention to prevent mental decline. |
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Authors:
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Yohko Maki; Chiaki Ura; Tomoharu Yamaguchi; Tatsuhiko Murai; Mikie Isahai; Ayumi Kaiho; Tetsuya Yamagami; Satoshi Tanaka; Fumiko Miyamae; Mika Sugiyama; Shuichi Awata; Ryutaro Takahashi; Haruyasu Yamaguchi |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-1-30 |
Journal Detail:
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Title: Journal of the American Geriatrics Society Volume: - ISSN: 1532-5415 ISO Abbreviation: - Publication Date: 2012 Jan |
Date Detail:
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Created Date: 2012-1-31 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7503062 Medline TA: J Am Geriatr Soc Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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© 2012, Copyright the Authors Journal compilation © 2012, The American Geriatrics Society. |
Affiliation:
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Graduate School of Health Sciences, Gunma University, Maebashi, Gunma, Japan; Department of Neurology, Geriatrics Research Institute and Hospital, Maebashi, Japan. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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