ORIGINAL PAPER
Aerobics: an effective exercise to improve cognition in adults with mild cognitive impairment
 
More details
Hide details
1
Department of Neurophysiotherapy, Dr. D.Y. Patil College of Physiotherapy, Dr. D.Y. Patil Vidyapeeth, Pune, India
 
 
Submission date: 2023-07-08
 
 
Acceptance date: 2023-11-22
 
 
Publication date: 2025-03-20
 
 
Corresponding author
Preeti Gazbare   

Department of Neurophysiotherapy, Dr. D.Y. Patil College of Physiotherapy, Dr. D.Y. Patil Vidyapeeth, Pune-411018, Maharashtra, India
 
 
Physiother Quart. 2025;33(1):36-41
 
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Mild cognitive impairment (MCI) is a transitional stage between normal ageing and dementia, associated with an increased risk of Alzheimer’s disease. Research has shown a decreased risk of cognitive impairment with moderate-intensity exercise. Dance aerobics has a positive effect on cognition in old age. A limited body of evidence suggests a link between aerobics and cognitive function in middle-aged adults. To test the effect of 12 weeks of dance aerobics on neurocognitive function in 40–60-year-old adults with MCI.

Methods:
A single-blinded randomized controlled trial was conducted on fifty middle-aged individuals from the community in Pune, India, after institutional ethical approval. The participants aged 40–60 was screened for the inclusion and exclusion criteria. They were randomly allocated into group A – aerobics (intervention) and group B – routine care only (control). A structured aerobics protocol was given to group A for 12 weeks with 3 sessions/week. Neurocognitive domains like attention, memory, and executive function were assessed using a Neuropsychological Assessment Battery (NAB) at baseline and 12 weeks of intervention for both groups.

Results:
Statistical analysis was done on 50 participants, 25 in each group, with a mean age of 49.6 ± 4.03. The intervention group showed greater improvement in NAB scores where the mean difference in the attention domain (15.5; 95% CI = 12.93 to 18.02; p < 0.0001), memory domain (7.24; 95% CI = 5.99 to 8.48; p < 0.0001), and executive function (4.7; 95% CI = 3.6 to 5.94; p < 0.0001) was significant compared to the control group.

Conclusions:
Dance aerobics is a potent way to improve neurocognitive function in middle-aged adults with MCI.
REFERENCES (30)
1.
O’Sullivan SB, Schmitz TJ, Fulk GD. Physical Rehabilitation. 6th ed. Philadelphia: F.A. Davis; 2014.
 
2.
Buckworth J, Dishman RK, O’Connor PJ, Tomporowski P. Exercise Psychology. 2nd ed. Champaign: Human Kinetics; 2013.
 
3.
Singh-Manoux A, Kivimaki M, Glymour MM, Elbaz A, Berr C, Ebmeier KP, Ferrie JE, Dugravot A. Timing of onset of cognitive decline: results from Whitehall II prospective cohort study. BMJ. 2012;344;d7622; doi: 10.1136/bmj.d7622.
 
4.
Park DC, Reuter-Lorenz P. The adaptive brain: aging and neurocognitive scaffolding. Annu Rev Psychol. 2009;60:173–96; doi: 10.1146/annurev.psych.59.103006.093656.
 
5.
Burns A, Zaudig M. Mild cognitive impairment in older people. Lancet. 2002;360(9349):1963–5; doi: 10.1016/S0140-6736(02)11920-9.
 
6.
Harada CN, Love MC, Triebel KL. Normal cognitive aging. Clin Geriatr Med. 2013;29(4):737–52; doi: 10.1016/j.cger.2013.07.002.
 
7.
Iraniparast M, Shi Y, Wu Y, Zeng L, Maxwell CJ, Kryscio RJ, St John PD, SantaCruz KS, Tyas SL. Cognitive reserve and mild cognitive impairment: predictors and rates of reversion to intact cognition vs progression to dementia. Neurology. 2022;98(11):e1114–e1123; doi: 10.1212/WNL.0000000000200051.
 
8.
Vance DE, Roberson AJ, McGuinness TM, Fazeli PL. How neuroplasticity and cognitive reserve: protect cognitive functioning. J Psychosoc Nurs Ment Health Serv. 2010;48(4):23–30; doi: 10.3928/02793695-20100302-01.
 
9.
Cooper C, Li R, Lyketsos C, Livingston G. Treatment for mild cognitive impairment: systematic review. Br J Psychiatry. 2013;203(4):255–64; doi: 10.1192/bjp.bp.113.127811.
 
10.
Yao S, Liu Y, Zheng X, Zhang Y, Cui S, Tang C, Lu L, Xu N. Do non-pharmacological interventions prevent cognitive decline? A systematic review and meta-analysis. Transl Psychiatry. 2020;10:19; doi: 10.1038/s41398-020-0690-4.
 
11.
Cox EP, O’Dwyer N, Cook R, Vetter M, Cheng HL, Rooney K, O’Connor H. Relationship between physical activity and cognitive function in apparently healthy young to middle-aged adults: a systematic review. J Sci Med Sport. 2016;19(8):616–28; doi: 10.1016/j.jsams.2015.09.003.
 
12.
Meng X, Li G, Jia Y, Liu Y, Shang B, Liu P, Bao X, Chen L. Effects of dance intervention on global cognition, executive function and memory of older adults: a meta-analysis and systematic review. Aging Clin Exp Res. 2020;32(1):7–19. doi: 10.1007/s40520-019-01159-w.
 
13.
Tsuk S, Netz Y, Dunsky A, Zeev A, Carasso R, Dwo­latz­ky T, Salem R, Behar S, Rotstein A. The acute effect of exercise on executive function and attention: resistance versus aerobic exercise. Adv Cogn Psychol. 2019;15(3):208–15; doi: 10.5709/acp-0269-7.
 
14.
Zhu Y, Wu H, Qi M, Wang S, Zhang Q, Zhou L, Wang S, Wang W, Wu T, Xiao M, Yang S, Chen H, Zhang L, Zhang KC, Ma J, Wang T. Effects of a specially designed aerobic dance routine on mild cognitive impairment. Clin Interv Aging. 2018;13:1691–700; doi: 10.2147/CIA.S163067.
 
15.
Gavett BE. Neuropsychological Assessment Battery. In: Kreutzer JS, DeLuca J, Caplan B (eds.) Encyclopedia of Clinical Neuropsychology. New York: Springer; 2011, pp. 1761–5; doi: 10.1007/978-0-387-79948-3_2250.
 
16.
Lancaster N. Cardiokidz Basic Aerobic moves part 1. Available from https://www.youtube.com/watch?... (accessed 03.08.2011).
 
17.
Chan JS, Wu J, Deng K, Yan JH. The effectiveness of dance interventions on cognition in patients with mild cognitive impairment: a meta-analysis of randomized controlled trials. Neurosci Biobehav Rev. 2020;118:80–8; doi: 10.1016/j.neubiorev.2020.07.017.
 
18.
Verghese J, Lipton RB, Katz MJ, Hall CB, Derby CA, Kuslansky G, Ambrose AF, Sliwinski M, Buschke H. Leisure activities and the risk of dementia in the elderly. N Engl J Med. 2003;348(25):2508–16; doi: 10.1056/NEJMoa022252.
 
19.
Gligoroska JP, Manchevska S. The effect of physical activity on cognition–physiological mechanisms. Mater Sociomed. 2012;24(3):198–202.
 
20.
Burzynska AZ, Jiao Y, Knecht AM, Fanning J, Awick EA, Chen T, Gothe N, Voss MW, McAuley E, Kramer AF. White matter integrity declined over 6-months, but dance intervention improved integrity of the fornix of older adults. Front Aging Neurosci. 2017;9:59; doi: 10.3389/fnagi.2017.00059.
 
21.
Erickson KI, Kramer AF. Aerobic exercise affects cognitive and neural plasticity in older adults. Br J Sports Med. 2009;43(1):22–4; doi: 10.1136/bjsm.2008.052498.
 
22.
Erickson KI, Voss MW, Prakash RS, Basak C, Szabo A, Chaddock L, Kim JF, Heo S, Alves H, White SM, Woj­cicki TR, Mailey E, Vieira VJ, Martin SA, Pence BD, Woods JA, McAuley E, Krame AFr. Exercise training increases the size of hippocampus and improves memory. Proc Natl Acad Sci U S A. 2011;108(7):3017–22; doi: 10.1073/pnas.1015950108.
 
23.
Heijnen S, Hommel B, Kibele A, Colzato LS. Neuromodulation of aerobic exercise: a review. Front Psychol. 2016;6:1890; doi: 10.3389/fpsyg.2015.01890.
 
24.
Huang B, Chen K, Li Y Aerobic exercise, an effective prevention and treatment for mild cognitive impairment. Front Aging Neurosci. 2023;15:1194559; doi: 10.3389/fnagi.2023.1194559.
 
25.
Lin J-C, Chen I-H, Cheng F-Y. Review articles (meta-analyses) effects of walking on cognitive function in individuals with mild cognitive impairment: a systematic review and meta-analysis. BMC Geriatr. 2023;23:500; doi: 10.1186/s12877-023-04235-z.
 
26.
Kelly ME, Loughrey D, Lawlor BA, Robertson IH, Walsh C, Brennan S. The impact of exercise on the cognitive functioning of healthy older adults: a systematic review and meta-analysis. Ageing Res Rev. 2014;16:12–31; doi: 10.1016/j.arr.2014.05.002.
 
27.
Richland LE, Kornell N, Kao LS. The pretesting effect: do unsuccessful retrieval attempts enhance learning?. J Exp Psychol Appl. 2009;15(3):243–57; doi: 10.1037/a0016496.
 
28.
Barulli D, Stern Y. Efficiency, capacity, compensation, maintenance, plasticity: emerging concepts in cognitive reserve. Trends Cogn Sci. 2013;17(10):502–9; doi: 10.1016/j.tics.2013.08.012.
 
29.
Downing K, Chan S-W, Downing W-K, Kwong T, Lam T-F. Measuring gender differences in cognitive functioning. Multicult Educ Technol J. 2008;2(1):4–18; doi: 10.1108/17504970810867124.
 
30.
Grissom NM, Reyes TM. Let’s call the whole thing off: evaluating gender and sex differences in executive function. Neuropsychopharmacology. 2019;44(1):86–96; doi: 10.1038/s41386-018-0179-5.
 
eISSN:2544-4395
Journals System - logo
Scroll to top