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      Effects of multiple training modalities in the elderly with subjective memory complaints : A pilot study

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          Abstract

          Background:

          This study investigated the effects of multiple training modalities (MTM) on senior fitness and neuropsychiatric function in the elderly with subjective memory complaints (SMC).

          Methods:

          This study was conducted in 24 elderly subjects with Clinical Dementia Rating (CDR) score of 0 and instrument of ascertainment of dementia 8 (AD8) score of <2. The participants were classified into SMC (n = 7) and non-SMC (n = 17).

          All were assigned to receive multiple training modalities (1 hour for each training: physical fitness activities, calligraphy or drawing, and meditation) twice a week over a 16-week period.

          A series of senior fitness test, and neuropsychiatric tests, namely the Traditional Chinese version Mini-Mental Status Examination (MMSE), Cognitive Assessment Screening Instrument (CASI), and the Center for Epidemiologic Studies Depression Scale (CESD), were conducted before and after the intervention. We compared the differences of pre/posttest-MTM and SMC/non-SMC in senior fitness and the neuropsychological tests.

          Results:

          There was no significant difference between SMC and non-SMC groups in demographic characteristics. MTM showed significant improvement in senior fitness and CESD, but not in CASI and MMSE. Significant change in recent memory subscale of CASI was only observed in SMC group, whereas improvement of partial senior fitness and CESD were observed in both groups.

          Conclusion:

          MTM had effects in enhancing senior fitness and improving depressive syndromes in the elderly. MTM contributed to greater improvement in recent memory function in the SMC group than in the non-SMC group.

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          Most cited references29

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          Development and validation of criterion-referenced clinically relevant fitness standards for maintaining physical independence in later years.

          To develop and validate criterion-referenced fitness standards for older adults that predict the level of capacity needed for maintaining physical independence into later life. The proposed standards were developed for use with a previously validated test battery for older adults-the Senior Fitness Test (Rikli, R. E., & Jones, C. J. (2001). Development and validation of a functional fitness test for community--residing older adults. Journal of Aging and Physical Activity, 6, 127-159; Rikli, R. E., & Jones, C. J. (1999a). Senior fitness test manual. Champaign, IL: Human Kinetics.). A criterion measure to assess physical independence was identified. Next, scores from a subset of 2,140 "moderate-functioning" older adults from a larger cross-sectional database, together with findings from longitudinal research on physical capacity and aging, were used as the basis for proposing fitness standards (performance cut points) associated with having the ability to function independently. Validity and reliability analyses were conducted to test the standards for their accuracy and consistency as predictors of physical independence. Performance standards are presented for men and women ages 60-94 indicating the level of fitness associated with remaining physically independent until late in life. Reliability and validity indicators for the standards ranged between .79 and .97. The proposed standards provide easy-to-use, previously unavailable methods for evaluating physical capacity in older adults relative to that associated with physical independence. Most importantly, the standards can be used in planning interventions that target specific areas of weakness, thus reducing risk for premature loss of mobility and independence.
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            Alzheimer's disease

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              Functional neuroanatomy of meditation: A review and meta-analysis of 78 functional neuroimaging investigations.

              Meditation is a family of mental practices that encompasses a wide array of techniques employing distinctive mental strategies. We systematically reviewed 78 functional neuroimaging (fMRI and PET) studies of meditation, and used activation likelihood estimation to meta-analyze 257 peak foci from 31 experiments involving 527 participants. We found reliably dissociable patterns of brain activation and deactivation for four common styles of meditation (focused attention, mantra recitation, open monitoring, and compassion/loving-kindness), and suggestive differences for three others (visualization, sense-withdrawal, and non-dual awareness practices). Overall, dissociable activation patterns are congruent with the psychological and behavioral aims of each practice. Some brain areas are recruited consistently across multiple techniques-including insula, pre/supplementary motor cortices, dorsal anterior cingulate cortex, and frontopolar cortex-but convergence is the exception rather than the rule. A preliminary effect-size meta-analysis found medium effects for both activations (d=0.59) and deactivations (d=-0.74), suggesting potential practical significance. Our meta-analysis supports the neurophysiological dissociability of meditation practices, but also raises many methodological concerns and suggests avenues for future research.
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                Author and article information

                Journal
                Medicine (Baltimore)
                Medicine (Baltimore)
                MEDI
                Medicine
                Wolters Kluwer Health
                0025-7974
                1536-5964
                July 2019
                19 July 2019
                : 98
                : 29
                : e16506
                Affiliations
                [a ]Department of Neurology, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung Medical University
                [b ]Department of Neurology, Kaohsiung Medical University Hospital, Kaohsiung Medical University
                [c ]Neuroscience Research Center, Kaohsiung Medical University
                [d ]Department of Physical Therapy, College of Health Science, Kaohsiung Medical University
                [e ]Department of Rehabilitation Medicine, Kaohsiung Medical University Hospital
                [f ]Department of Neurology, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung Medical University Hospital
                [g ]Department of and Master's Program in Neurology, Faculty of Medicine, Kaohsiung Medical University, Kaohsiung
                [h ]Chinese Mentality Protection Association, Taiwan.
                Author notes
                []Correspondence: Yuan-Han Yang, Department of Neurology, Kaohsiung Ta-Tung Municipal Hospital, 68 Jhonghua 3rd Road, Cianjin District, Kaohsiung 80145, Taiwan (e-mail: yang1728@ 123456yahoo.com ).
                Article
                MD-D-19-03537 16506
                10.1097/MD.0000000000016506
                6709103
                31335722
                50992e6f-936c-4688-9067-088bbacdb372
                Copyright © 2019 the Author(s). Published by Wolters Kluwer Health, Inc.

                This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0

                History
                : 2 May 2019
                : 6 June 2019
                : 22 June 2019
                Categories
                5000
                Research Article
                Clinical Trial/Experimental Study
                Custom metadata
                TRUE

                calligraphy,dementia,meditation,multiple training modalities,subjective memory complaints

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