Correction: Mollinedo-Cardalda et al. Health-Related Functional Fitness within the Elderly Communities of Five European Countries: The in Common Sports Study. Int. J. Environ. Res. Public Health 2021, 18, 12810.

There was an error in the original publication [...].

Effects of a forced cycling program with cognitive stimulation on symptomatology, physical condition, and cognition in people diagnosed with Parkinson disease.

BACKGROUND AND OBJECTIVES: Parkinson disease may present difficulties in performing dual tasks. The use of dual tasks during training can improve different abilities. Therefore, the objective of this study is creating a protocol, based on standard protocol items recommendations for interventional trials compliant, for a clinical trial study conduct, review, reporting, and interpretation. This protocol will provide the framework and a guide to a randomized double-blind study, that will be conducted to assess the influence of a cycling exercise program combined with a cognitive task, on cognitive and physical Parkinson disease aspects. METHODS: Designed a protocol for a double-blind randomized study, where participants will perform a dual tasks intervention with cycling and a cognitive task. The revised version of the unified Parkinson disease rating scale, the Parkinson disease questionnaire, the timed up and go Test, the 30 seconds chair sit to stand test, the Stroop and the trail making test will be used to measure outcomes. DISCUSSION: Research in Parkinson disease suggests that an improvement of motor and cognitive functions of Parkinson disease patients can be achieved by modifying different motor and cognitive pathways. The results of the present study will yield findings on both the physical and cognitive response to an intervention that combines a cognitive task with a motor task in Parkinson disease patients and will be essential tool for a better conducting of the clinical trial study.

Effects of Cycling Dual-Task on Cognitive and Physical Function in Parkinson's Disease: A Randomized Double-Blind Pilot Study.

(1) Background: Those with Parkinson's disease (PD) may present difficulties in performing dual tasks (DT). The use of DT during training can improve different abilities. Therefore, the objective of this study is to verify the influence of a cycling exercise program combined with a cognitive task on cognitive and physical PD aspects; (2) Methods: A double-blind, randomized pilot study was undertaken. Participants performed a DT intervention composed of cycling and a cognitive task. The cycling parameters, MDS-UPDRS, PDQ-39, TUG Test, 30 s Chair Sit to Stand test and Stroop were used to measure outcomes; (3) Results: DT generated impairment in performing the cycling task, with significant differences in cycling parameters, active and passive distance (m), total work (W) and active speed (rpm). At the cognitive level, there was a trend of improvement in the group that performed the training with DT, which improved by 211%; (4) Conclusions: Combining cycling with a cognitive task caused impairment in the performance of the physical task and an improvement at the cognitive level. Therefore, combining cycling with a cognitive task in a presumably safer environment for patients with PD can be a good way to train these patients for the dual-task challenges with practical applications.

Exercise, physical fitness, and Parkinson's disease: an 8-year follow-up study.

BACKGROUND: The progression of Parkinson's Disease is variable, leading to a poor pharmacological response, as the effect of medication is reduced due to adaptation. Physical therapy is established as adjuvant treatment on physical conditions. The aim of this study was to monitor the level of physical fitness and anthropometric parameters of patients diagnosed with Parkinson's Disease, who had participated in physical exercise programs for 8-years. METHODS: Seventy-one patients diagnosed with Parkinson's disease (53.50% males), mean age 71.19±9.04 years old, with a mean disease stage of 2.52±0.77 (Hoehn and Yahr Scale). All patients underwent an assessment of fitness and body composition at baseline (2011), 4-years, and 8-years. RESULTS: The study of the anthropometric parameters showed that throughout the 8 years of follow-up, the BMI has not undergone significant changes and shows a small upward trend for both men (0.30%, sig=0.938) and women (-0.10%, sig=0.817). This same behavior was reflected by the weight in men (1.36%, sig=0.315) and in women (-0.35%, sig=0.787). In terms of physical fitness, men showed a trend towards a deterioration in this parameter over the 8 years of follow-up (ΣFitness=-1.82%, sig=0.930), while women showed a trend towards improvement (ΣFitness=0.96%, sig=0.821). The same is recorded for strength and flexibility, where the data suggest that these are two of the variables that deteriorated the most over the 8 years of the study. CONCLUSIONS: After an 8-year follow-up, no significant changes in FC parameters affected by the progression of a neurodegenerative disease such as Parkinson's disease have been identified. The 8-foot up and go test has shown correlations with the other physical tests used.

Do the Lower Body Strength Assessment Tests in the Spanish Navy Really Measure What They Purport to Measure?

The main objective of this research was to analyse the efficacy of lower body strength assessment tests in the Armed Forces Physical Assessment System. Secondly, it was to determine what relationship exists between the physical evaluation system of the Spanish Armed forces and standardized evaluation protocols (Gold standard). A total of 905 students enrolled in the military/civil bachelor's degree (813 male and 92 female) participated in this study. The influence of the sex of the participants was studied through the student's t-test for independent data, and the degree of association between variables was defined by Pearson's correlation coefficient. The results present moderate correlations (r = 0.67, r = 0.66; p < 0.001) between the vertical jump test used by the Army and the power or elastic force tests commonly used in practice and in research. The results obtained reflect a moderate relationship between the gold standard tests and the tests used by the Army, which suggests that the tests currently used to assess lower body strength should be adapted to more objective measurement tools which would allow a better comparison between samples from different armed forces.

Health-Related Functional Fitness within the Elderly Communities of Five European Countries: The in Common Sports Study.

(1) Background: The purpose of this study was to analyse the functional fitness and the anthropometric values of older adults participating in the "IN COMMON SPORTS" project. (2) Methods: A total of 418 participants (eastern European Group (GEE, n = 124) and southern European Groups (GES, n = 294) have been evaluated for anthropometric characteristics and fitness. (3) Results: The GES participants presented significant differences in anthropometric values and fitness, with the best values for upper and lower limb strength and aerobic resistance, while those from the GEE presented significantly better values for lower limb flexibility. (4) Conclusion: Older adults present differences in fitness in accordance with their country of residence, with the GES having the best functional fitness.

Effect of physical exercise on cognitive function in older adults' carriers versus noncarriers of apolipoprotein E4: systematic review and meta-analysis.

The presence of apolipoprotein (Apo) E4 is a genetic risk factor in cognitive impairment. Physical exercise contributes to slowing cognitive impairment in older adults, but little is known about the influence of exercise on ApoE4 carriers and noncarriers. The objective of systematic review is to study the role of physical exercise in older adults' ApoE4 carriers and noncarriers. A systematic literature search was carried out in five international databases: PubMed, Web of Science, PeDro, Scopus, and SPORTDiscus. A total of nine randomized controlled trials were included with a sample size of 2,025 subjects (901 ApoE4 carriers). The exercise reported a significant improvement on cognitive performance in older adults' ApoE4 noncarriers (standardized mean difference [SMD]=0.653; 95% confidence interval [CI], 0.29-1.00; chi2=35.36; degrees of freedom [df ]=7; P<0.0001; l 2=80%). It was also reported that a total program duration greater than 50 sessions generated different and significant effects on cognitive performance in older adults' ApoE4 noncarriers (SMD=0.878; 95% CI, 0.14-1.61; chi2=31.82; df=3; P<0.0001; l 2=91%). The results reported that high intensity generated a differential effect on cognitive performance in older adults' ApoE4 carriers versus noncarriers (SMD=0.963; 95% CI, 0.25-1.67; chi2=18.11; df=3; P<0.0004; l 2=83%). The effect of physical exercise on cognitive performance in older adults is conditioned by the presence or not of ApoE4.

Benefits of STRENOLD Program on Health-Related Quality of Life in Adults Aged 60 Years or Older. In Common Sport Study.

BACKGROUND: The proportion of older adults is increasing worldwide and, with it, the physical inactivity common to this age group. Therefore, the promotion of active aging is a strategic factor in health policies for older people. The aim of this study was to identify the benefits and viability of the strength training program (STRENOLD) in health-related quality of life in adults over 60. METHODS: A controlled experimental study was carried out with a sample of 181 people over 60 years old from different European countries belonging to the European project IN COMMON SPORTS. A pair work strength program was administered (STRENOLD) over a period of 24 months, consisting of two single sessions per week. Their health status was evaluated (EQ-5D-5L) before and after the interventions. RESULTS: The adherence rate was over 89% and the tolerability rate over 100% in all participating countries. Significant improvements in the participants' health were demonstrated in the areas of mobility, usual activities, pain/discomfort, and anxiety/depression. CONCLUSIONS: The regular practice of physical exercise, through the partnered STRENOLD strength program, has benefits on mobility, usual activities, pain/discomfort, and anxiety/depression, in short, health benefits for older adults.

The effects of different types of physical exercise on physical and cognitive function in frail institutionalized older adults with mild to moderate cognitive impairment. A randomized controlled trial.

BACKGROUND: The continuous increase in the life expectancy of older adults (elderly people) has generated interest in research into frail-aged people and their physical and mental well-being. OBJECTIVES: To verify the different effects of two programs of physical exercise (strength training-TG, and callisthenic training-MG) on the cognitive state, functionality, stability and general health of frail-aged institutionalized older adults. DESIGN: This study was a block randomized controlled trial. SETTING: The study was conducted in geriatric units of the San Rosendo Foundation. PARTICIPANTS: A total of 77 institutionalized frail-aged people (70.1% female, aged 84.8±7.9) took part. INTERVENTIONS: The TG carried out a strength program with therabands®; The MG performed an exercise program of multi-callisthenics, and the CG did not carry out any physical exercise. MEASUREMENTS: The following measurements were used: Minimental test, Pfeiffer test, SF-12, Barthel test, Five times sit-to-stand and a pressure platform. RESULTS: The TG program generated some improvement in cognitive state and functional independence, while in the physical and mental component of the S-12, significant improvement was generated. The program undertaken by MG demonstrated a tendency to the stabilization of the above mentioned parameters, while the GC demonstrated a tendency to deterioration. CONCLUSION: Physical exercise, whether it be the strength program, or the multi-calisthenics program, is an effective method for improving and maintaining health, cognitive state, functional independence and stability in frail-aged institutionalized people.

Effect of a Mat Pilates Program with TheraBand on Dynamic Balance in Patients with Parkinson's Disease: Feasibility Study and Randomized Controlled Trial.

The aim of this study was to assess the effect of a physical exercise program based on Mat Pilates (MP) with TheraBand® on the dynamic balance of a sample population diagnosed with Parkinson's disease (PD). After random selection, 26 participants were allocated to a MP group or a control group where they performed calisthenics exercises. Both interventions lasted 12 weeks and involved 2 weekly sessions of 60 minutes. Assessments took place at baseline, 12 weeks after the intervention started and 4 weeks after the intervention was completed using the body mass index (BMI), the Timed Up and Go (TUG) test with Wiva® sensors, the 30 Second Chair Stand test, and the Five Times Sit to Stand test. The group that completed the MP program presented significant improvements in BMI (F1,21 = 3.986; p = 0.038), the 30 Second Chair Stand test (F1,21 = 6.716; p = 0.014), the Five Times Sit to Stand test (F1,21 = 5.213; p = 0.032), and the time required to complete the TUG dynamic balance test (F1,21 = 5.035; p = 0.035). The MP program performed by a sample population with PD led to improvements in dynamic balance, and participants in the MP group showed increased strength in the lower limbs, but such improvements were not permanent after the activity ceased.

Feasibility and Efficacy of Mat Pilates on People with Mild-to-Moderate Parkinson's Disease: A Preliminary Study.

This pilot study aimed at assessing the feasibility and efficacy of a Mat Pilates program in people with mild-to-moderate Parkinson's disease (PD). The participants carried out a Mat Pilates program twice a week for 12 weeks. The Senior Fitness Test battery and the 39-item PD Questionnaire were used to assess the effects of the program on the participants' fitness level and quality of life. A total of 16 patients with mild-to-moderate PD volunteered for and finished the study. The Mat Pilates program proved to be feasible. Adherence to the program was excellent, and no adverse effects were observed. The program had a positive effect on the participants' fitness levels, except for shoulder range of motion and dynamic balance, and on their quality of life. Assessments at follow-up indicated a regression in the improvements obtained by the end of the intervention, even though the sample still showed higher levels of fitness and quality of life than those tested at baseline. Mat Pilates is feasible and may be a beneficial rehabilitation strategy to improve fitness and quality of life in people with mild-to-moderate PD. Future randomized controlled trials might determine the extent of such benefits.