The Effects of Combined Cognitive-Physical Interventions on Cognitive Functioning in Healthy Older Adults: A Systematic Review and Multilevel Meta-Analysis.

Research has shown that both physical exercise and cognitive training help to maintain cognition in older adults. The question is whether combined training might produce additive effects when the group comparisons are equated in terms of exercise intensity and modality. We conducted a systematic electronic search in MEDLINE, PsycInfo, and Cochrane Central Register of Controlled Trials (CENTRAL) databases to identify relevant studies published up to February 2021. Seven hundred and eighty-three effect sizes were obtained from 50 published intervention studies, involving 6,164 healthy older adults, and submitted to a three-level meta-analysis. Results showed that combined training produced a small advantage in comparison to single cognitive training on executive functions, whereas both types of training achieved similar effects on attention, memory, language, processing speed, and global cognition. Combined training achieved higher training gains in balance than single physical training, indicating a transfer from cognitive training to balance. Performing cognitive and physical exercise simultaneously, and interactive training (e.g., exergames, square stepping) produced the largest gains in executive functions, speed, and global cognition, as well as the largest improvements in physical functions. Aerobic training was associated with higher effects in attention and fitness, whereas non-aerobic training produced larger effects in global cognition and balance. For all cognitive and physical outcomes, training resulted more advantageous when performed in a social context, even though individual training obtained similar results in balance as group training. Systematic Review Registration: www.crd.york.ac.uk/prospero/, identifier: CRD42020175632.

Does dance counteract age-related cognitive and brain declines in middle-aged and older adults? A systematic review.

BACKGROUND: Dance is a multidomain activity that combines aerobic, coordination and cognitive exercise. This music-associated physical and cognitive exercise is a leisure activity that motivates people, elicits emotions, and avoids boredom, promoting adherence to practice. Continuing physical activity is of paramount importance, since cognitive benefits tend to disappear or even reverse when training ceases. OBJECTIVE: The question we addressed in this systematic review is what influence dance has on the brain and cognition of healthy middle-aged and older adults. LITERATURE SURVEY: We systematically reviewed the effects of dance on brain and cognition in older adults using MEDLINE, Psyc-Info, PubMed and Scopus databases. METHODOLOGY: After screening 1051 studies, thirty-five met the eligibility inclusion criteria. These studies showed that dance improves brain structure and function as well as physical and cognitive functions. CONCLUSIONS: The protective effect of dance training on cognition in older adults, together with the possibility of adapting intensity and style to suit possible physical limitations makes this activity very suitable for older adults.

Peripheral vision, perceptual asymmetries and visuospatial attention in young, young-old and oldest-old adults.

OBJECTIVES: The present study investigated possible changes occurring in peripheral vision, perceptual asymmetries and visuospatial attention in oldest-old adults and compared their performance with that of young and young-old adults. METHOD: We examined peripheral vision (PV) and perceptual asymmetries in the three age groups for stimuli varying in eccentricity (Experiment 1). In Experiment 2, designed to investigate possible changes in spatial attention, the same participants performed an exogenous orienting attention task. RESULTS: Experiment 1 showed that the three age groups performed the task similarly but differed in processing speed. Importantly, the oldest-old group showed a different perceptual pattern than the other groups suggesting a lack of specificity in visual asymmetries. Experiment 2 indicated that the validity effects emerged later in the young-old and even later in the oldest-old participants, showing a delayed time course of inhibition of return (IOR). Orienting effects, however, were preserved with age. DISCUSSION: Taken together, these results indicate that the three age groups displayed similar perceptual and orienting attention patterns, but with differences in processing speed. Importantly, age (only in the oldest-old adults) altered perceptual visual asymmetries. These results suggest that some neural plasticity is still present even in oldest-old adults, but a lack of specificity occurs in advanced age.

Sports can protect dynamic visual acuity from aging: A study with young and older judo and karate martial arts athletes.

A major topic of current research in aging has been to investigate ways to promote healthy aging and neuroplasticity in order to counteract perceptual and cognitive declines. The aim of the present study was to investigate the benefits of intensive, sustained judo and karate martial arts training in young and older athletes and nonathletes of the same age for attenuating age-related dynamic visual acuity (DVA) decline. As a target, we used a moving stimulus similar to a Landolt ring that moved horizontally, vertically, or obliquely across the screen at three possible contrasts and three different speeds. The results indicated that (1) athletes had better DVA than nonathletes; (2) the older adult groups showed a larger oblique effect than the younger groups, regardless of whether or not they practiced a martial art; and (3) age modulated the results of sport under the high-speed condition: The DVA of young karate athletes was superior to that of nonathletes, while both judo and karate older athletes showed better DVA than did sedentary older adults. These findings suggest that in older adults, the practice of a martial art in general, rather than the practice of a particular type of martial art, is the crucial thing. We concluded that the sustained practice of a martial art such as judo or karate attenuates the decline of DVA, suggesting neuroplasticity in the aging human brain.

Peripheral vision and perceptual asymmetries in young and older martial arts athletes and nonathletes.

The present study investigated peripheral vision (PV) and perceptual asymmetries in young and older martial arts athletes (judo and karate athletes) and compared their performance with that of young and older nonathletes. Stimuli were dots presented at three different eccentricities along the horizontal, oblique, and vertical diameters and three interstimulus intervals. Experiment 1 showed that although the two athlete groups were faster in almost all conditions, karate athletes performed significantly better than nonathlete participants when stimuli were presented in the peripheral visual field. Experiment 2 showed that older participants who had practiced a martial art at a competitive level when they were young were significantly faster than sedentary older adults of the same age. The practiced sport (judo or karate) did not affect performance differentially, suggesting that it is the practice of martial arts that is the crucial factor, rather than the type of martial art. Importantly, older athletes lose their PV advantage, as compared with young athletes. Finally, we found that physical activity (young and older athletes) and age (young and older adults) did not alter the visual asymmetries that vary as a function of spatial location; all participants were faster for stimuli presented along the horizontal than for those presented along the vertical meridian and for those presented at the lower rather than at the upper locations within the vertical meridian. These results indicate that the practice of these martial arts is an effective way of counteracting the processing speed decline of visual stimuli appearing at any visual location and speed.

Visuospatial attention and motor skills in kung fu athletes.

The present study compared the performance of a group of sixteen kung fu athletes with that of a control group of fourteen nonathletes on a speeded visuospatial task and a hand-tapping motor task. In the visuospatial task the results showed that athletes were faster than the control participants when stimuli were presented at the periphery of the visual field at a middle and high presentation speed with short interstimulus intervals. Athletes were also significantly faster than nonathlete participants when performing motor actions such as hand-tapping with their dominant hand but groups did not differ with the nondominant hand. These results support the view that athletes perform some speeded visuospatial and motor tasks faster than nonathletes under certain conditions. The findings suggest that, after several years of practice, kung fu athletes develop certain skills that allow them to perform motor speed maneuvers under time pressure conditions.