Changes in cardiovascular health and white matter integrity with aerobic exercise, cognitive and combined training in physically inactive healthy late-middle-aged adults: the "Projecte Moviment" randomized controlled trial
Por:
Roig-Coll F, Castells Sánchez Alba, Monté-Rubio G, Dacosta-Aguayo R, Lamonja-Vicente N, Torán-Monserrat P, Pere G, García-Molina A, Tormos JM, Alzamora MT, Stavros D, Sánchez-Ceron M, Via M, Erickson KI and Mataró-Serrat M
Publicada:
1 mar 2024
Ahead of Print:
1 sep 2023
Resumen:
Introduction This is a 12-weeks randomized controlled trial examining the effects of aerobic exercise (AE), computerized cognitive training ( CCT) and their combination (COMB). We aim to investigate their impact on cardiovascular health and white matter (WM) integrity and how they contribute to the cognitive benefits.
Methods 109 participants were recruited and 82 (62% female; age = 58.38 +/- 5.47) finished the intervention with > 80% adherence. We report changes in cardiovascular risk factors and WM integrity (fractional anisotropy (FA); mean diffusivity (MD)), how they might be related to changes in physical activity, age and sex, and their potential role as mediators in cognitive improvements.
Results A decrease in BMI (SMD = - 0.32, p = 0.039), waist circumference (SMD = - 0.42, p = 0.003) and diastolic blood pressure (DBP) (SMD = - 0.42, p = 0.006) in the AE group and a decrease in BMI (SMD = - 0.34, p = 0.031) and DBP (SMD = - 0.32, p = 0.034) in the COMB group compared to the waitlist control group was observed. We also found decreased global MD in the CCT group (SMD = - 0.34; p = 0.032) and significant intervention-related changes in FA and MD in the frontal and temporal lobes in the COMB group.
Conclusions We found changes in anthropometric measures that suggest initial benefits on cardiovascular health after only 12 weeks of AE and changes in WM microstructure in the CCT and COMB groups. These results add evidence of the clinical relevance of lifestyle interventions and the potential benefits when combining them.
Filiaciones:
Roig-Coll F:
Department of Clinical Psychology and Psychobiology, University of Barcelona, Passeig Vall d'Hebron 171, 08035, Barcelona, Spain
Institut de Neurociències, University of Barcelona, Barcelona, Spain
Castells Sánchez Alba:
Department of Clinical Psychology and Psychobiology, University of Barcelona, Passeig Vall d'Hebron 171, 08035, Barcelona, Spain
Institut de Neurociències, University of Barcelona, Barcelona, Spain
Monté-Rubio G:
Institut de Neurociències, University of Barcelona, Barcelona, Spain
Medical Psychology Unit, Department of Medicine, University of Barcelona, Barcelona, Catalonia, Spain
Centre de Medicina Comparativa i Bioimatge (CMCiB), Institut d'Investigació en Ciències de la Salut Germans Trias I Pujol (IGTP), Badalona, Spain
Dacosta-Aguayo R:
Department of Clinical Psychology and Psychobiology, University of Barcelona, Passeig Vall d'Hebron 171, 08035, Barcelona, Spain
Unitat de Suport a la Recerca Metropolitana Nord, Fundació Institut Universitari per a la Recerca a l'Atenció Primària de Salut Jordi Gol i Gurina, Mataró, Spain
Institut d'Investigació en Ciències de La Salut Germans Trias I Pujol (IGTP), Badalona, Spain
Lamonja-Vicente N:
Department of Clinical Psychology and Psychobiology, University of Barcelona, Passeig Vall d'Hebron 171, 08035, Barcelona, Spain
Institut de Neurociències, University of Barcelona, Barcelona, Spain
Unitat de Suport a la Recerca Metropolitana Nord, Fundació Institut Universitari per a la Recerca a l'Atenció Primària de Salut Jordi Gol i Gurina, Mataró, Spain
Institut de Recerca Sant Joan de Déu, Esplugues de Llobregat, Spain
Torán-Monserrat P:
Unitat de Suport a la Recerca Metropolitana Nord, Fundació Institut Universitari per a la Recerca a l'Atenció Primària de Salut Jordi Gol i Gurina, Mataró, Spain
Department of Medicine, Universitat de Girona, Girona, Spain
Pere G:
Unitat de Suport a la Recerca Metropolitana Nord, Fundació Institut Universitari per a la Recerca a l'Atenció Primària de Salut Jordi Gol i Gurina, Mataró, Spain
García-Molina A:
Institut d'Investigació en Ciències de La Salut Germans Trias I Pujol (IGTP), Badalona, Spain
Institut Guttmann, Institut Universitari de Neurorehabilitació, Universitat Autònoma de Barcelona, Badalona, Spain
Tormos JM:
Institut d'Investigació en Ciències de La Salut Germans Trias I Pujol (IGTP), Badalona, Spain
Institut Guttmann, Institut Universitari de Neurorehabilitació, Universitat Autònoma de Barcelona, Badalona, Spain
Alzamora MT:
Unitat de Suport a la Recerca Metropolitana Nord, Fundació Institut Universitari per a la Recerca a l'Atenció Primària de Salut Jordi Gol i Gurina, Mataró, Spain
Stavros D:
Department of Clinical Psychology and Psychobiology, University of Barcelona, Passeig Vall d'Hebron 171, 08035, Barcelona, Spain
Institut de Neurociències, University of Barcelona, Barcelona, Spain
Sánchez-Ceron M:
Institut de Diagnòstic per la Imatge, Hospital Germans Trias i Pujol, Badalona, Spain
Via M:
Department of Clinical Psychology and Psychobiology, University of Barcelona, Passeig Vall d'Hebron 171, 08035, Barcelona, Spain
Institut de Neurociències, University of Barcelona, Barcelona, Spain
Institut de Recerca Sant Joan de Déu, Esplugues de Llobregat, Spain
Erickson KI:
Department of Psychology, University of Pittsburgh, Pittsburgh, USA
AdventHealth Research Institute, Orlando, FL, USA
Department of Physical and Sports Education, Faculty of Sport Sciences, PROFITH "PROmoting FITness and Health Through Physical Activity" Research Group, Sport and Health University Research Institute (iMUDS), University of Granada, Granada, Spain
Mataró-Serrat M:
Department of Clinical Psychology and Psychobiology, University of Barcelona, Passeig Vall d'Hebron 171, 08035, Barcelona, Spain.
Institut de Neurociències, University of Barcelona, Barcelona, Spain.
Institut de Recerca Sant Joan de Déu, Esplugues de Llobregat, Spain.
Green Submitted, hybrid
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