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Updated: Jul 5, 2025

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Multimodal Exercise and Cognitive Training Program Improves Cognitive Function in Amnestic Mild Cognitive Impairment.

Jennifer Kaci Fairchild1, Jonathan Myers2, Peter Louras1

  • 1VISN 21 Mental Illness Research, Education, and Clinical Center (JKF, PL, MWM, JH, JY), Veterans Affairs Palo Alto Health Care System, Palo Alto, CA 94304; Department of Psychiatry and Behavioral Sciences (JKF, PL, BJ, MWM, JH, JY), Stanford University School of Medicine, Stanford, CA 94305.

The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry
|January 14, 2024
PubMed
Summary
This summary is machine-generated.

This study found that combined exercise and cognitive training improved memory and executive function in older adults with mild cognitive impairment. The combined aerobic and resistance exercise group also showed gains in processing speed and functional capacity.

Keywords:
Aerobic exerciseVeteranscognitive trainingmild cognitive impairmentresistance exercise

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Area of Science:

  • Gerontology
  • Neuroscience
  • Exercise Science

Background:

  • Older adults with amnestic mild cognitive impairment (aMCI) often experience cognitive decline.
  • Interventions combining physical exercise and cognitive training are being explored to mitigate cognitive impairment.

Purpose of the Study:

  • To investigate the preliminary efficacy of a combined physical exercise and cognitive training intervention for older adults diagnosed with aMCI.
  • To compare the effects of a combined aerobic and resistance exercise plus cognitive training (CARE+CT) versus stretching exercise plus cognitive training (SE+CT).

Main Methods:

  • A randomized clinical trial involving 72 community-dwelling volunteers with aMCI.
  • Participants were assigned to either CARE+CT or SE+CT interventions.
  • Primary outcomes included word list and name-face recall; secondary outcomes assessed cognitive domains, VO2 max, and functional capacity.

Main Results:

  • All participants showed improvements in delayed word list recall, learning, memory, and executive function.
  • The CARE+CT group demonstrated significant improvements in processing speed and functional capacity.
  • APOE4 status influenced the cognitive benefits observed in the SE+CT group.

Conclusions:

  • Preliminary evidence supports the use of combined exercise and cognitive training interventions for individuals with aMCI.
  • Further research is necessary to elucidate the underlying mechanisms and test these interventions in diverse populations.