تأثیر تمرینات کارکردی بر عملکرد شناختی (حافظۀ کاری) و مؤلفه‌های سلامت روان مردان سالمند

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشیار، گروه رفتار حرکتی، دانشکدۀ علوم ورزشی، دانشگاه تربیت دبیر شهید رجایی، تهران، ایران

2 گروه رفتار حرکتی، دانشکدۀ علوم ورزشی، دانشگاه تربیت دبیر شهید رجایی، تهران، ایران.

چکیده

تحقیق حاضر با هدف بررسی تأثیر یک دوره تمرین کارکردی بر عملکرد شناختی و سلامت روان مردان سالمند انجام شد. پژوهش به‌لحاظ هدف کاربردی و از نظر گردآوری داده‌ها نیمه‌آزمایشی بود. جامعۀ آماری شامل مردان بالای 60 سال در شهر تهران بود که از بین آن‌ها به‌صورت هدفمند و در دسترس، 30 نفر به‌عنوان نمونۀ نهایی انتخاب شدند و به شکل تصادفی در دو گروه تجربی (15 نفر) و کنترل (15 نفر) قرار گرفتند. برای ارزیابی نمونه‌ها از پرسشنامۀ آمادگی فعالیت بدنی (PARQ)، آزمون مختصر وضعیت روانی-شناختی (MMSE)، پرسشنامۀ سلامت عمومی (GHQ) و آزمون حافظۀ کاری (WMS) استفاده شد. در فرایند اجرای تحقیق، گروه تجربی به مدت شش هفته (سه جلسه در هفته) پروتکل تمرینی مربوطه را اجرا کردند. در پایان جلسات تمرین، از هردو گروه تجربی و کنترل پس‌آزمون اخذ شد. به‌منظور تحلیل داده‌ها از آمار توصیفی، آزمون t مستقل و وابسته با نرم‌افزار SPSS-23 استفاده شد. نتایج نشان داد تمرینات کارکردی تأثیر معنی‌داری بر عملکرد شناختی (001/0P=) و مؤلفه‌های سلامت روان (05/0>P) گروه تجربی دارد، اما در گروه کنترل تغییرات معنی‌دار نبود. همچنین نتایج آزمون t مستقل بیانگر تفاوت معنی‌داری بین میانگین نمرات سلامت عمومی روان گروه کنترل و تجربی پس از مداخلۀ تمرینی بود (05/0P<). با توجه به یافته‌ها، تمرینات کارکردی بر عملکرد شناختی و سلامت عمومی روان سالمندان تأثیر مثبتی دارد و به‌کارگیری این تمرینات در روند کار با سالمندان و مداخلات حرکتی آنان مهم و حائز اهمیت است.

کلیدواژه‌ها

عنوان مقاله [English]

The Effect of Functional Training on Cognitive Functions (Working Memory) and Mental Health Components in Healthy Elderly Men

نویسندگان [English]

  • Farshid Tahmasbi 1
  • Sayed Kavos Salehi 2
  • Sima Sina 2

1 Associate Professor, Department of Motor Behavior, Faculty of Sports Sciences, Shahid Rajaee Teacher Training University, Tehran, Iran.

2 Department of Motor Behavior, Faculty of Sports Sciences, Shahid Rajaee Teacher Training University, Tehran, Iran.

چکیده [English]

The objective of this study was to examine the impact of functional training on the cognitive abilities and psychological aspects of elderly men. This applied, quasi-experimental study involved 30 elderly individuals (aged over 60 years) in Tehran. Using purposive and convenience sampling methods, 30 elderly participants were selected and randomly assigned to either the experimental group (n=15) or the control group (n=15). The respondents were evaluated using the Physical Activity Readiness Questionnaire (PARQ), Mini Mental State Examination (MMSE), General Health Questionnaire (GHQ), and Working Memory Test (WMS). The experimental group completed the relevant exercise protocol over a period of 6 weeks, consisting of 3 sessions of 45 minutes per week. Subsequently, both groups completed a post-test, which included a working memory test and assessment of mental health components. Data were analyzed employing descriptive statistics, independent samples t-test, and paired samples t-test within SPSS-23. The results demonstrated that functional training exerted a significant impact on cognitive function (P=0.001) and mental health components (P<0.05) within the experimental group, whereas no significant effects were observed in the control group. Additionally, an independent t-test revealed a significant difference in the mean scores of general mental health between the experimental and control groups following the intervention (P<0.05). Based on these findings, functional training positively influences cognitive function and overall mental health in older adults, and emphasizing these exercises in interventions for the elderly is essential.

کلیدواژه‌ها [English]

  • Cognitive Function
  • Elderly
  • Functional Training
  • General Health
خزایی جلیل، س.، آزمون، ا.، عبدالهی، م.، قمی، ن.، و شمسی زاده، م. (1397). کیفیت زندگی سالمندان مقیم سرای سالمندی شهرستان شاهرود. فصل‌نامۀ پرستاری سالمندان، ۲(۱)، 4۹-39. http://jgn.medilam.ac.ir/article-1-156-fa.html
صالحی، س. ک.، و مرادی، ع. (1399). تأثیر آموزش زودهنگام بر عملکرد و یادداری تکلیف توالی حرکتی: شواهدی از دوره‌های حساس یادگیری حرکتی. پژوهش‌های کاربردی روانشناختی، 11(3)، 152-133. https://doi.org/10.22059/JAPR.2020.298249.643445
صالحی، س. ک.، شیخ، م.، حمایت طلب، ر.، و حومنیان، د. (1395). تأثیر تغییرات وابسته به سن و آگاهی صریح و ضمنی بر عملکرد و تحکیم توالی حرکتی ترکیبی. پژوهش در علوم توانبخشی، 12(1)، 9-1.  https://jrrs.mui.ac.ir/article_16940.html?lang=fa
نگارش، ر.، رنجبر، ر.، غریب وند، م.، حبیبی، ع.، و مختارزاده، م. (1396). تأثیر هشت هفته تمرین مقاومتی بر هایپرتروفی و قدرت و مایوستاتین مردان سالمند و جوان. سالمند: مجلۀ سالمندی ایران، ۱۲(۱)، 67-56. http://salmandj.uswr.ac.ir/article-1-1164-fa.html
معصومی، ن.، جفرودی، ش.، قنبری، ع.، ابراهیمی، م.، کاظم نژاد، ا.، شجاعی ف.، و شرفی، س. ف. (1392). بررسی وضعیت‌شناختی سالمندان و عوامل مرتبط با آن در شهر رشت. نشریۀ پژوهش پرستاری ایران، ۸(۲)، ۸6-80. http://ijnr.ir/article-1-1202-fa.html
References
Alexander, M. A., Matthews, D. J., & Murphy, K. P. (2015). Pediatric rehabilitation: principles and practice (5th Edition). New York, NY, USA: Demos Medical Publishing.
Barrett, C., & Smerdely, P. (2002). A comparison of community-based resistance exercise and flexibility exercise for seniors. Australian Journal of Physiotherapy, 48(3), 215-219. https://doi.org/10.1016/S0004-9514(14)60226-9
Basso, J. C., & Suzuki, W. A. (2017). The effects of acute exercise on mood, cognition, neurophysiology, and neurochemical pathways: A review. Brain Plasticity, 2(2), 127-152. https://doi.org/10.3233/BPL-160040
Bednarczyk, M. R., Aumont, A., Décary, S., Bergeron, R., & Fernandes, K. J. (2009). Prolonged voluntary wheel‐running stimulates neural precursors in the hippocampus and forebrain of adult CD1 mice. Hippocampus, 19(10), 913-927. https://doi.org/10.1002/hipo.20621
Bherer, L., Erickson, K. I., & Liu-Ambrose, T. (2013). A review of the effects of physical activity and exercise on cognitive and brain functions in older adults. Journal of Aging Research, 2013. 657508. https://doi.org/10.1155/2013/657508
Brill, P. A. (2004). Functional Fitness for Older Adults. Human Kinetics.
Carroll, T. J., Benjamin, B., Stephan, R., & Carson, R. G. (2001). Resistance training enhances the stability of sensorimotor coordination. Proceedings of the Royal Society of London. Series B: Biological Sciences268(1464), 221-227. https://doi.org/10.1098/rspb.2000.1356
Chaire, A., Becke, A., & Düzel, E. (2020). Effects of physical exercise on working memory and attention-related neural oscillations. Frontiers in Neuroscience14, 239. https://doi.org/10.3389/fnins.2020.00239
Chen, A. G., Yan, J., Yin, H. C., Pan, C. Y., & Chang, Y. K. (2014). Effects of acute aerobic exercise on multiple aspects of executive function in preadolescent children. Psychology of Sport and Exercise, 15(6), 627-636. https://doi.org/10.1016/j.psychsport.2014.06.004
Cowan, N. (2014). Working memory underpins cognitive development, learning, and education. Educational Psychology Review, 26, 197-223. https://doi.org/10.1007/s10648-013-9246-y      
De Souza, G. A. M., & da Silva, J. G. (2020). Functional training for elderly. Revista Saúde Dos Vales-Rsv2(1). https://revista.unipacto.com.br/index.php/rsv/article/view/81
Drigas, A., Mitsea, E., & Skianis, C. (2022). Metamemory: Metacognitive strategies for improved memory operations and the role of VR and mobiles. Behavioral Sciences, 12(11), 450. https://doi.org/10.3390/bs12110450
Dzikon, C. (2020). The Wechsler Memory Scale (WMS‐IV). هد The Wiley Encyclopedia of Personality and Individual Differences: Measurement and Assessment (pp 529-532). John Wiley & Sons Ltd.https://doi.org/10.1002/9781118970843.ch159
Elavsky, S., McAuley, E., Motl, R. W., Konopack, J. F., … & Diener, E. (2005). Physical activity enhances long-term quality of life in older adults: efficacy, esteem, and affective influences. Annals of Behavioral Medicine, 30, 138-145. https://doi.org/10.1207/s15324796abm3002_6
Feito, Y., Heinrich, K. M., Butcher, S. J., & Poston, W. S. C. (2018). High-intensity functional training (HIFT): Definition and research implications for improved fitness. Sports, 6(3), 76. https://doi.org/10.3390/sports6030076
Firth, J., Solmi, M., Wootton, R. E., Vancampfort, D., … & Stubbs, B. (2020). A meta‐review of “Lifestyle Psychiatry”: The role of exercise, smoking, diet and sleep in the prevention and treatment of mental disorders. World Psychiatry, 19(3), 360-380. https://doi.org/10.1002/wps.20773
Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). “Mini-Mental State”: A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12(3), 189-198. https://doi.org/10.1016/0022-3956(75)90026-6
Goldberg, D.; & Hillier, V. (1979). "A scaled version of the General Health Questionnaire. Psychological Medicine, 9(1). 139–145.  https://doi.org/10.1017%2Fs0033291700021644
Goodway, J. D., Ozmun, J. C., & Gallahue, D. L. (2019). Understanding motor development: Infants, children, adolescents, adults (8th ed). Jones & Bartlett Learning.
Grant, S., Todd, K., Aitchison, T. C., Kelly, P., & Stoddart, D. (2004). The effects of a 12-week group exercise programme on physiological and psychological variables and function in overweight women. Public Health, 118(1), 31–42. https://doi.org/10.1016/S0033-3506(03)00131-8
Guo, P., Benito Ballesteros, A., Yeung, S. P., Liu, R., Saha, A., Curtis, L., & Cheke, L. G. (2022). COVCOG 2: Cognitive and memory deficits in long COVID: A second publication from the COVID and cognition study. Frontiers in Aging Neuroscience, 14. https://doi.org/10.3389/fnagi.2022.804937
Haywood, K., & Getchell, N. (2021). Life span motor development. Human Kinetics (7th ed).
Hsieh, S. S., Chang, Y. K., Hung, T. M., & Fang, C. L. (2016). The effects of acute resistance exercise on young and older males' working memory. Psychology of Sport and Exercise, 22, 286-293. https://doi.org/10.1016/j.psychsport.2015.09.004
Huang, W. Y., Huang, H., & Wu, C. E. (2022). Physical activity and social support to promote a health-promoting lifestyle in older adults: An intervention study. International Journal of Environmental Research and Public Health, 19(21), 14382. https://doi.org/10.3390/ijerph192114382
Jia, R. X., Liang, J. H., Xu, Y., & Wang, Y. Q. (2019). Effects of physical activity and exercise on the cognitive function of patients with Alzheimer disease: A meta-analysis. BMC Geriatrics, 19, 181. https://doi.org/10.1186/s12877-019-1175-2
Katzmarzyk, P. T., Friedenreich, C., Shiroma, E. J., & Lee, I. M. (2022). Physical inactivity and non-communicable disease burden in low-income, middle-income and high-income countries. British Journal of Sports Medicine, 56(2), 101-106. http://dx.doi.org/10.1136/bjsports-2020-103640
Kent, P. (2020). The Wechsler Memory Scale: A guide for clinicians and researchers. Routledge. https://doi.org/10.4324/9781003027348
Khazaei Jalil, S., Azmoon, A., Abdohhali, M., Ghomi, N., & Shamsizadeh, M. (2015). Quality of life among elderly living at nursing home in shahroud city. Journal of Geriatric Nursing, 2(1) 39-49. http://jgn.medilam.ac.ir/article-1-156-en.html (InPersian)
Lachman, M. E., Neupert, S. D., Bertrand, R., & Jette, A. M. (2006). The effects of strength training on memory in older adults. Journal of Aging and Physical Activity, 14(1), 59-73. https://doi.org/10.1123/japa.14.1.59
Lamb, S. E., Sheehan, B., Atherton, N., Nichols, V., Collins, H., Mistry, D., & Lall, R. (2018). Dementia and Physical Activity (DAPA) trial of moderate to high intensity exercise training for people with dementia: Randomised controlled trial. British Medical Journal, 361, 1675. https://doi.org/10.1136/bmj.k1675
Lee, H., & Thuret, S. (2018). Adult human hippocampal neurogenesis: Controversy and evidence. Trends in Molecular Medicine, 24(6), 521-522. https://doi.org/10.1016/j.molmed.2018.04.002
Lee, S. C., Chien, T. H., Chu, C. P., Lee, Y., & Chiu, E. C. (2023). Practice effect and test–retest reliability of the Wechsler Memory Scale-in people with dementia. BMC Geriatrics, 23(1), 209. https://doi.org/10.1186/s12877-023-03913-2
Leung, M., Rantalainen, T., Teo, W., & Kidgell, D. (2015). Motor skill training and strength training are associated with the same plastic changes in the central nervous system. Journal of Science and Medicine in Sport, 19, e19. https://doi.org/10.1016/j.jsams.2015.12.423
Liu, C. J., Shiroy, D. M., Jones, L. Y., & Clark, D. O. (2014). Systematic review of functional training on muscle strength, physical functioning, and activities of daily living in older adults. European Review of Aging and Physical Activity, 11, 95-106. https://doi.org/10.1007/s11556-014-0144-1
Martins, A. Q., Kavussanu, M., Willoughby, A., & Ring, C. (2013). Moderate intensity exercise facilitates working memory. Psychology of Sport and Exercise, 14(3), 323-328. https://doi.org/10.1016/j.psychsport.2012.11.010
Masoumi, N., Jafrodi, S., Ghanbari, A., Ebrahimi, S., Kazem Nejad, E., Shojaee, F., & Sharafi, S. F. (2013). Assessment of cognitive status and related factors in elder people in Rasht. Iranian Journal of Nursing Research, 8(2), 80-86. http://ijnr.ir/article-1-1202-en.html (In Persian)
Miller, I., Climstein, M., & Del Vecchio, L. (2022). Functional benefits of hard martial arts for older adults: A scoping review. International Journal of Exercise Science, 15(3), 1430. https://doi.org/10.70252/WZQA6910  
Moore, M. J., & Werch, C. (2008). Relationship between vigorous exercise frequency and substance use among first-year drinking college students. Journal of American College Health, 56(6), 686-690. https://doi.org/10.3200/JACH.56.6.686-690
Morrison, A. B., & Chein, J. M. (2011). Does working memory training work? The promise and challenges of enhancing cognition by training working memory. Psychonomic Bulletin & Review, 18, 46-60. https://doi.org/10.3758/s13423-010-0034-0
Negaresh, R., Ranjbar, R., Gharibvand, M. M., Habibi, A., & Mokhtarzade, M. (2017). Effect of 8-week resistance training on hypertrophy, strength, and myostatin concentration in old and young men. Iranian Journal of Ageing, 12(1), 56-67. http://dx.doi.org/10.21859/sija-120154 (In Persian)
Payne, V. G., & Isaacs, L. D. (2017). Human motor development: A lifespan approach (9th ed). New York: Routledge. https://doi.org/10.4324/9781315213040
Pliatsikas, C., Veríssimo, J., Babcock, L., Pullman, M. Y., Glei, D. A., Weinstein, M., & Ullman, M. T. (2019). Working memory in older adults declines with age, but is modulated by sex and education. Quarterly Journal of Experimental Psychology, 72(6), 1308-1327. https://doi.org/10.1177/1747021818791994   
Rivas-Campo, Y., Aibar-Almazán, A., Afanador-Restrepo, D. F., García-Garro, P. A., … & Lavilla-Lerma, M. L. (2023). Effects of high-intensity functional training (HIFT) on the functional capacity, frailty, and physical condition of older adults with mild cognitive impairment: A blind randomized controlled clinical trial. Life, 13(5), 1224. https://pubmed.ncbi.nlm.nih.gov/37240869/
Salehi, S. K., & Moradi, A. (2020). The effect of early instruction on performance and retention of motor sequence task: Evidence for sensitive period in motor learning. Journal of Applied Psychological Research, 11(3), 133-152. https://doi.org/10.22059/japr.2020.298249.643445 (In Persian)
Salehi, S. K., Sheikh, M., Hemayattalab, R., & Humaneyan, D. (2016). The effect of age-related changes and explicit and implicit awareness on mixed motor sequence learning and its consolidation. Journal of Research in Rehabilitation Sciences, 12(1), 1-9. https://jrrs.mui.ac.ir/article_16940.html?lang=en (In Persian)
Salehi, S. K., Tahmasebi, F., & Talebrokni, F. S. (2021). A different look at featured motor learning models: comparison exam of Gallahue’s, Fitts and Posner’s and Ann Gentile’s motor learning models. Movement & Sport Sciences, 112, 53-63. https://doi.org/10.1051/sm/2021012
Salmon, P. (2001). Effects of physical exercise on anxiety, depression, and sensitivity to stress: A unifying theory. Clinical Psychology Review, 21(1), 33-61. https://doi.org/10.1016/S0272-7358(99)00032-X
Saxena, S., Van Ommeren, M., Tang, K. C., & Armstrong, T. P. (2005). Mental health benefits of physical activity. Journal of Mental Health, 14(5), 445-451. https://doi.org/10.1080/09638230500270776
Shi, K., Liu, X., Hou, L., Qiao, D., & Peng, Y. (2021). Exercise improves movement by regulating the plasticity of cortical function in hemi-parkinsonian rats. Frontiers in Aging Neuroscience, 13, 695108. https://doi.org/10.3389/fnagi.2021.695108
Singh, N. A., Clements, K. M., & Singh, M. A. F. (2001). The efficacy of exercise as a long-term antidepressant in elderly subjects: A randomized, controlled trial. The Journals of Gerontology Series A. 56(8), M497-M504. https://doi.org/10.1093/gerona/56.8.m497
Thomas, S., Reading, J., & Shephard, R. J. (1992). Revision of the Physical Activity Readiness Questionnaire (PAR-Q). Canadian Journal of Sport Sciences, 17(4), 338-345. https://pubmed.ncbi.nlm.nih.gov/1330274/
Trivedi, M. H., Greer, T. L., Grannemann, B. D., Chambliss, H. O., & Jordan, A. N. (2006). Exercise as an augmentation strategy for treatment of major depression. Journal of Psychiatric Practice, 12(4), 205-213. https://doi.org/10.1097/00131746-200607000-00002
Walaszek, A. (2009). Clinical ethics issues in geriatric psychiatry. Psychiatric Clinics of North America, 32(2), 343-359. https://doi.org/10.1016/j.psc.2009.02.004
Wechsler, D. (2009). Wechsler Memory Scale (4th ed.). San Antonio, TX: Pearson.
Weng, T. B., Pierce, G. L., Darling, W. G., & Voss, M. W. (2015). Differential effects of acute exercise on distinct aspects of executive function. Medicine and Science in Sports and Exercise, 47(7), 1460-1469. https://doi.org/10.1249/mss.0000000000000542
Wilke, J. (2020). Functional high-intensity exercise is more effective in acutely increasing working memory than aerobic walking: An exploratory randomized, controlled trial. Scientific Reports, 10(1), 12335. https://doi.org/10.1038/s41598-020-69139-z
دوره 16، شماره 4
دی 1404
صفحه 169-185
  • تاریخ دریافت: 16 تیر 1402
  • تاریخ بازنگری: 03 مرداد 1402
  • تاریخ پذیرش: 14 شهریور 1402
  • تاریخ اولین انتشار: 25 اردیبهشت 1403
  • تاریخ انتشار: 01 دی 1404