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The Effect of a Multicomponent Dual-Task Exercise on Cortical Thickness in Older Adults with Cognitive Decline: A
Seongryu Bae1, Kenji Harada1, Sangyoon Lee1
1Department of Preventive Gerontology, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Obu 474-8511, Japan.
Journal of Clinical Medicine
|May 7, 2020
Summary
Multicomponent exercise, combining physical activity and cognitive training, increased cortical thickness in older adults with cognitive decline. This brain health intervention may protect against age-related cortical thinning.
Area of Science:
- Neuroscience
- Gerontology
- Exercise Science
Background:
- Cognitive decline in older adults is associated with age-related cortical thinning.
- Multicomponent interventions combining physical and cognitive training show promise for brain health.
Purpose of the Study:
- To investigate cortical thickness changes in older adults with cognitive decline following a multicomponent exercise intervention.
- To assess the association between cortical thickness changes and cognitive performance.
Main Methods:
- Secondary analysis of neuroimaging data from a 10-month randomized controlled trial.
- 280 older adults with cognitive decline were assigned to either a multicomponent exercise group or a health education control group.
- Cortical thickness was measured using FreeSurfer; cognitive performance was assessed using the NCGG-FAT and Trail Making Test (TMT) A & B.
Main Results:
- The multicomponent exercise group showed significant increases in middle temporal and temporal pole cortical thickness compared to the control group.
- Changes in cortical thickness were significantly correlated with improvements in TMT-A, TMT-B, and story memory performance.
- The intervention demonstrated a protective effect against age-related cortical thinning.
Conclusions:
- Multicomponent exercise programs integrating physical activity and cognitive training are beneficial for brain health in older adults with cognitive decline.
- These interventions may help preserve cortical thickness and mitigate cognitive decline associated with aging.

