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  • Clinical Exercise Physiology Association  (3)
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  • Clinical Exercise Physiology Association  (3)
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  • 1
    Online Resource
    Online Resource
    Aerobic Fitness and Cognition Changes After Exercise Training in Alzheimer's Disease
    Clinical Exercise Physiology Association ; 2017
    In:  Journal of Clinical Exercise Physiology Vol. 6, No. 2 ( 2017-06-01), p. 22-28
    Details
    In: Journal of Clinical Exercise Physiology, Clinical Exercise Physiology Association, Vol. 6, No. 2 ( 2017-06-01), p. 22-28
    Abstract: Background: Alzheimer's disease (AD) currently affects 5.4 million Americans and is the sixth leading cause of death in the United States. The mechanism of exercise-induced brain adaptations are not fully understood, but enhanced aerobic fitness has been postulated as an essential physiological mechanism and is beginning to be studied. The purpose of this analysis was to examine the relationship between changes in aerobic fitness and cognition following 6 months of aerobic exercise training in older adults with AD. Methods: Twenty-seven community-dwelling older adults with mild to moderate AD completed a 6-month, 3 times per week, moderate-vigorous intensity cycling exercise program in 2 identical studies using a single-group repeated-measures designs. AD symptoms were measured with the AD Assessment Scale–cognitive subscale (ADAS-cog), while aerobic fitness was assessed by the intermittent shuttle walk test (ISWT) at baseline and 6 months. Pearson's correlation coefficient tests and linear regression were used to assess the relationship between changes in aerobic fitness and cognition. Results: Adjusted for age, the 6-month change in ISWT distance had an inverse relationship with the 6-month change in ADAS-Cog (r = −0.49; P = .01), indicating that enhanced aerobic fitness was associated with improved cognitive changes. Linear regression was statistically significant when adjusted by age (F([2,14] =5.33, P =.01, R2 = .31). Conclusion: Enhanced aerobic fitness may attenuate cognitive decline in persons with mild to moderate AD.
    Type of Medium: Online Resource
    ISSN: 2165-6193 , 2165-7629
    URL: Article
    DOI: 10.31189/2165-6193-6.2.22
    Language: English
    Publisher: Clinical Exercise Physiology Association
    Publication Date: 2017
    detail.hit.zdb_id: 2818165-7
    detail.hit.zdb_id: 2818168-2
    SSG: 31
    Location Call Number Limitation Availability
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    Online Resource
  • 2
    Online Resource
    Online Resource
    Experience Implementing Supervised Exercise Therapy for Peripheral Artery Disease
    Clinical Exercise Physiology Association ; 2019
    In:  Journal of Clinical Exercise Physiology Vol. 8, No. 1 ( 2019-03-01), p. 1-12
    Details
    In: Journal of Clinical Exercise Physiology, Clinical Exercise Physiology Association, Vol. 8, No. 1 ( 2019-03-01), p. 1-12
    Abstract: Background: Supervised exercise therapy (SET) is a cornerstone of treatment for improving walking distance for individuals with symptomatic peripheral artery disease and claudication. High-quality randomized controlled trials have documented the efficacy of SET as a claudication treatment and led to the recent Centers for Medicare and Medicaid decision to cover supervised exercise therapy (SET). However, to date, the translation of highly controlled, laboratory-based SET programs in real-world cardiopulmonary rehabilitation settings has not been explored. Methods: In this article, we described our experience integrating SET into existing cardiopulmonary rehabilitation programs, focusing on patient evaluation, exercise prescription, outcome assessments, strategies to maximize program adherence, and transitioning to home and community-based exercise training. Results: Our team has over 3 years' experience successfully implementing SET in cardiac rehabilitation settings. The experiences communicated here can serve as a model for clinical exercise physiologists as they begin to incorporate SET in their rehabilitation programs. Conclusion: CMS reimbursement has the potential to change clinical practice and utilization of SET for patients with symptomatic peripheral artery disease. The experience we have gained through implementation of SET programs across the M Health and Fairview Health Systems and in other Minnesota communities—including specific elements in our programs and the lessons learned from our clinical experience—can inform and help guide development of new programs.
    Type of Medium: Online Resource
    ISSN: 2165-6193 , 2165-7629
    URL: Article
    DOI: 10.31189/2165-6193-8.1.1
    Language: English
    Publisher: Clinical Exercise Physiology Association
    Publication Date: 2019
    detail.hit.zdb_id: 2818165-7
    detail.hit.zdb_id: 2818168-2
    SSG: 31
    Location Call Number Limitation Availability
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    Online Resource
  • 3
    Online Resource
    Online Resource
    Implementation of Exergame Telehealth in Subjective Cognitive Decline
    Clinical Exercise Physiology Association ; 2023
    In:  Journal of Clinical Exercise Physiology Vol. 12, No. 4 ( 2023-12-01), p. 100-110
    Details
    In: Journal of Clinical Exercise Physiology, Clinical Exercise Physiology Association, Vol. 12, No. 4 ( 2023-12-01), p. 100-110
    Abstract: The purpose of this pilot study was to evaluate the feasibility and safety of a synchronous, remotely delivered, simultaneous aerobic exercise (AEx) and cognitive training program (Exergame) via BrainFitRx® in persons at risk for Alzheimer’s disease (AD) dementia. Methods In this pilot study, we employed a randomized controlled trial design in which participants were randomized to 1 of 3 groups: Exergame, AEx only, or stretching control on a 2:1:1 allocation ratio, 3 times a week for 12 weeks. Sessions were supervised in a synchronous audiovisual telehealth format by a clinical exercise physiologist. Feasibility and safety outcomes were assessed as session attendance, intensity adherence, and study-related adverse events. Usability for the Exergame was assessed by the Systems Usability Survey. Results The average age of the study sample (n = 39) was 74.6 ± 7.2 years old with 17.7 ± 2.3 years of education and 69.0% female. Overall participants in the Exergame and AEx groups attended on average 83.8% of possible sessions over the course of the 12-week study (85.6% attendance overall). Attendance was significantly higher for the AEx group (P = 0.02). Of the total training sessions completed collectively, 87.7% of sessions achieved the prescribed moderate intensity rating of perceived exertion targets (84.3% and 94.9% of sessions, respectively, for the Exergame and AEx groups). Overall, there were 2 study-related adverse events, both in the Exergames group. The Systems Usability Survey score was considered acceptable for the BrainFitRx. Conclusions In this study, we provide preliminary evidence of the feasibility of a simultaneous AEx + cognitive training (Exergame) program delivered through a synchronous telehealth format.
    Type of Medium: Online Resource
    ISSN: 2165-7629 , 2165-6193
    URL: Article
    DOI: 10.31189/2165-6193-12.4.100
    Language: English
    Publisher: Clinical Exercise Physiology Association
    Publication Date: 2023
    detail.hit.zdb_id: 2818165-7
    detail.hit.zdb_id: 2818168-2
    SSG: 31
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
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