The effects of home-based physical exercise and cognitive training to reduce the risk of dementia among elderly with mild cognitive impairment

Mohd Zahidin, Zurratul Aina and Abd Rashid, Norlinda and Shalihin, Mohd Shaiful Ehsan and Mohamad Shariff, Nurasikin and Mustapa Kamal Basha, Muzaitul Akma (2025) The effects of home-based physical exercise and cognitive training to reduce the risk of dementia among elderly with mild cognitive impairment. Malaysian Journal of Medicine and Health Sciences, 21 (SUPP 6). pp. 96-102. ISSN 1675-8544 E-ISSN 2636-9346

PDF - Published Version Restricted to Registered users only Download (302kB) | Request a copy

Abstract

Introduction: Mild Cognitive Impairment (MCI) signifies the transitional stage between healthy aging and dementia. While prior studies have showcased the effectiveness of physical exercise and cognitive training in enhancing cognitive performance among older adults with MCI, issues like lack of transportation have emphasised the need for remote interventions, particularly in rural areas. This study aims to investigate whether a home-based approach involving physical exercise and cognitive training can improve cognitive performance in older adults with MCI. Materials and Methods: A total of 87 participants were assigned to either the experimental group (n = 43) receiving home-based physical exercise and cognitive training or the control group (n = 44) with no intervention. Cognitive performance was assessed using the Mini-Cog test, which was measured at baseline, week 4, and week 12 post-intervention. The generalised estimating equation test was performed to analyse the intervention’s impact. Results: This study found a significant difference in memory test scores between both groups at week 12 post-intervention, whereby the experimental group showed better results (RR = 2.322, 95%; CI: 1.057–5.101; p = 0.036). The experimental group also had better improvement in clock drawing test scores compared to the control group (RR = 2.360, 95%; CI: 1.037–5.372; p = 0.041). Conclusion: The proposed home-based intervention which combined physical exercise and cognitive training positively impacted cognitive performance in older adults with MCI. This approach can be applied in home settings and may help in mitigating dementia progression, particularly among older adults with limited access to healthcare or training centres.

Item Type:	Article (Journal)
Uncontrolled Keywords:	Home-based, physical exercise, cognitive training, mild cognitive impairment, cognitive performance
Subjects:	R Medicine > RC Internal medicine R Medicine > RC Internal medicine > RC254 Neoplasms. Tumors. Oncology (including Cancer) > RC261 Cancer and other malignant neoplasms > RC266 Nursing R Medicine > RC Internal medicine > RC254 Neoplasms. Tumors. Oncology (including Cancer) > RC952 Geriatrics R Medicine > RT Nursing R Medicine > RT Nursing > RT89 Specialities in nursing R Medicine > RT Nursing > RT89 Specialities in nursing > RT90 Teaching (Including nursing education and patient education)
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Nursing Kulliyyah of Nursing > Department of Basic Medical Sciences for Nursing Kulliyyah of Nursing > Department of Special Care Nursing Kulliyyah of Medicine Kulliyyah of Medicine > Department of Family Medicine (Effective: 1st January 2011)
Depositing User:	Dr Norlinda Abd Rashid
Date Deposited:	26 Aug 2025 15:48
Last Modified:	26 Aug 2025 15:48
URI:	http://irep.iium.edu.my/id/eprint/122958

Actions (login required)

View Item