Intervention Review
You have free access to this content
Physical activity and enhanced fitness to improve cognitive function in older people without known cognitive impairment
Editorial Group: Cochrane Dementia and Cognitive Improvement Group
Published Online: 16 JUL 2008
Assessed as up-to-date: 31 JAN 2008
DOI: 10.1002/14651858.CD005381.pub3
Copyright © 2008 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.
Database Title
Additional Information
How to Cite
Angevaren M, Aufdemkampe G, Verhaar HJJ, Aleman A, Vanhees L. Physical activity and enhanced fitness to improve cognitive function in older people without known cognitive impairment. Cochrane Database of Systematic Reviews 2008, Issue 3. Art. No.: CD005381. DOI: 10.1002/14651858.CD005381.pub3.
Publication History
- Publication Status: New search for studies and content updated (conclusions changed)
- Published Online: 16 JUL 2008
References
References to studies included in this review
- References to studies included in this review
- References to studies excluded from this review
- References to studies awaiting assessment
- Additional references
Bakken 2001 {published data only}
- , , , , , . Effect of aerobic exercise on tracking performance in elderly people: a pilot study. Physical Therapy 2001;81:1870-9.
Blumenthal 1989 a {published data only}
- , , , , , , et al. Cardiovascular and behavioral effects of aerobic exercise training in healthy older men and women. Gerontology A: Biological Science Medical Science 1989;44:M147-57.
Blumenthal 1989 b {published data only}
- , , , , , , et al. Cardiovascular and behavioral effects of aerobic exercise training in healthy older men and women. Gerontology A: Biological Science Medical Science 1989;44:M147-57.
Emery 1990 a {published data only}
- , . Psychological and cognitive effects of an exercise program for community-dwelling older adults. Gerontologist 1990;30:184-8.
Emery 1998 {published data only}
- , , , . Psychological and cognitive outcomes of a randomized trial of exercise among patients with chronic obstructive pulmonary disease. Health Psychology 1998;17:232-40.
Fabre 2002 {published data only}
- , , , , . Improvement of cognitive function by mental and/or individualized aerobic training in healthy elderly subjects. International Journal of Sports Medicine 2002;23:415-21.
Hassmén 1997 a {published data only}
- , . Mood, physical working capacity and cognitive performance in the elderly as related to physical activity. Aging Clinical and Experimental Research 1997;9:136-42.
Hassmén 1997 b {published data only}
- , . Mood, physical working capacity and cognitive performance in the elderly as related to physical activity. Aging Clinical and Experimental Research 1997;9:136-42.
Kramer 2001 {published data only}
- , , , , , , et al. Exercise, aging and cognition: Healthy body, healthy mind?. In: Fisk AD, Rogers W editor(s). Human factors interventions for the health care of older adults. Hillsdale, NJ: Erlbaum, 2001:91-120.
Madden 1989 {published data only}
- , , , . Improving aerobic capacity in healthy older adults does not necessarily lead to improved cognitive performance. Psychology and Aging 1989;4:307-20.
Moul 1995 {published data only}
- , , . Physical activity and cognitive performance in the older population. Journal of Aging and Physical Activity 1995;3:135-45.
Panton 1990 {published data only}
- , , , , . Effect of resistance training on fractionated reaction time and speed of movement. Journal of Gerontology 1990;45:M26-31.
Whitehurst 1991 {published data only}
- . Reaction time unchanged in older women following aerobic training. Perception and Motor Skills 1991;72:251-6.
References to studies excluded from this review
- References to studies included in this review
- References to studies excluded from this review
- References to studies awaiting assessment
- Additional references
Barry 1966 {published data only}
- , , , . The effects of physical conditioning on older individuals. II. Motor performance and cognitive function. Journal of Gerontology 1966;21:192-9.
Blumenthal 1988 {published data only}
- , . Effects of aerobic exercise training, age, and physical fitness on memory-search performance. Psychology and Aging 1988;3:280-5.
Blumenthal 1991 {published data only}
- , , , , , , et al. Long-term effects of exercise on psychological functioning in older men and women. Journal of Gerontology B: Psychological Science and Social Science 1991;46:352-61.
Dietrich 2004 {published data only}
- , . Endurance exercise selectively impairs prefrontal-dependent cognition. Brain and Cognition 2004;55:516-24.
Dustman 1984 {published data only}
- , , , , , , et al. Aerobic exercise training and improved neuropsychological function of older individuals. Neurobiology of Aging 1984;5:35-42.
Emery 1990 b {published data only}
- , . Percieved change among participants in an exercise program for older adults. Gerontologist 1990;30:516-21.
Emery 2003 {published data only}
- , , , . Short-term effects of exercise and music on cognitive performance among participants in a cardiac rehabilitation program. Heart & Lung 2003;32:368-73.
Etnier 1997 a {published data only}
- , . The influence of age and fitness on performance and learning. Journal of Aging and Physical Activity 1997;5:175-89.
Etnier 2001 {published data only}
- , . Fluid intelligence in an older COPD sample after short- or long-term exercise. Medicine and Science in Sports and Exercise 2001;33:1620-8.
Fabre 1999 {published data only}
- , , , , , . Evaluation of quality of life in elderly healthy subjects after aerobic and/or mental training. Archives of Gerontology and Geriatrics 1998;28:9-22.
Hassmén 1992 {published data only}
- , , . Exercise for older women: a training method and its influences on physical and cognitive performance. European Journal of Applied Physiology 1992;64:460-6.
Hawkins 1992 {published data only}
- , , . Aging, exercise and attention. Psychology and Aging 1992;7:643-53.
Hill 1993 {published data only}
- , , . The impact of long-term exercise training on psychological function in older adults. Journal of Gerontology 1993;48:12-7.
Kerschan 2002 {published data only}
- , , , , , . Step aerobic vs. cycle ergometer training: Effects on aerobic capacity, coordinative tasks, and pleasure in untrained adults - A randomized controlled trial. Wiener Klinische Wochenschrift 2002;114:992-8.
Kharti 2001 {published data only}
- , , , , , , et al. Effects of exercise training on cognitive functioning among depressed older men and women. Journal of Aging and Physical Activity 2001;9:43-57.
Kramer 1999 {published data only}
- , , , , , , et al. Ageing, fitness and neurocognitive function. Nature 1999;400:418-9.
Molloy 1988 {published data only}
- , , . The effects of a three-month exercise programme on neuropsychological function in elderly institutionalized women: a randomized controlled trial. Age and Ageing 1988;17:303-10.
Oken 2004 {published data only}
- , , , , , , et al. Randomized controlled trial of yoga and exercise in multiple sclerosis. Neurology 2004;62:2058-64.
Okumiya 1996 {published data only}
- , , , , , . Effects of exercise on neurobehavioral function in community-dwelling older people more than 75 years of age. Journal of the American Geriatrics Society 1996;44:569-72.
Palleschi 1996 {published data only}
- , , , , , , et al. Effect of aerobic training on the cognitive performance of elderly patients with senile dementia of Alzheimer type. Archives of Gerontology and Geriatrics 1996;5:47-50.
Perri 1984 {published data only}
Pierce 1993 {published data only}
- , , , . Effects of aerobic exercise on cognitive and psychosocial functioning in patients with mild hypertension. Health Psychology 1993;12:286-91.
Powell 1974 {published data only}
- . Effects of exercise on mental functioning. Journal of Gerontology 1974;29:157-61.
Rikli 1991 {published data only}
- , . Effects of a three-year exercise program on motor function and cognitive processing speed in older women. Research Quarterly for Exercise and Sport 1991;62:61-7.
Stevenson 1990 {published data only}
- , . Effects of moderate and low intensity long-term exercise by older adults. Research in Nursing & Health 1990;13:209-18. Direct Link:
Wallman 2004 {published data only}
- , , , , . Randomised controlled trial of graded exercise in chronic fatigue syndrome. Medical Journal of Australia 2004;180:444-8.
Wilbur 2005 {published data only}
- , , , , . Menopausal status, moderate-intensity walking, and symptoms in midlife women. Research and Theory for Nursing Practice 2005;19:163-80.
Williams 1997 {published data only}
- , . Effects of group exercise on cognitive functioning and mood in older women. Australian and New Zealand Journal of Public Health 1997;21:45-52. Direct Link:
References to studies awaiting assessment
- References to studies included in this review
- References to studies excluded from this review
- References to studies awaiting assessment
- Additional references
Bream 1996 {unpublished data only}
- . Interventions to aging: Immunologic and cognitive responses to 16 weeks of low-intensity exercise training in older adults. Dissertation Abstracts International 1996. [: DA9716196]
Glisky 1997 {unpublished data only}
- . Interventions for cognitive and psychosocial functioning in older adults: A comparison of aerobic exercise and cognitive training. Dissertation Abstracts International 1997. [: DA9806830]
McKenzie 2000 {unpublished data only}
- . An investigation of the relationship between exercise and the cognitive function of attention in adult students with leaning disabilities and deficit disorder. Dissertation Abstracts International 2000. [: DA9972924]
Palmer 1995 {unpublished data only}
- . The effects of aerobic exercise on cognitive ability and creativity in senior citizens. Dissertation Abstracts International 1995. [: DA9530364]
Querry 1998 {unpublished data only}
- . Effects of aerobic exercise training and cognitive function in aging adults. Dissertation Abstracts International 1998. [: DA9901203]
Additional references
- References to studies included in this review
- References to studies excluded from this review
- References to studies awaiting assessment
- Additional references
Abbott 2004
- , , , , , . Walking and dementia in physically capable elderly men. JAMA 2004;292:1447-53.
Aleman 2000
- , , , , , . Relation between cognitive and physical function in healthy older men; a role for aerobic power?. Journal of the American Geriatrics Society 2000;48:104-5.
Angevaren 2007
- , , , , , , et al. Intensity, but not duration, of physical activities is related to cognitive function. European Journal of Cardiovascular Prevention and Rehabilitation 2007;14:825-30.
Barnes 2003
- , , , . A longitudinal study of cardiorespiratory fitness and cognitive function in healthy older adults. Journal of the American Geriatrics Society 2003;51:459-65. Direct Link:
Binder 1999
- , , . The relation between psychometric test performance and physical performance in older adults. Journal of Gerontology A Biological Science Medical Science 1999;54:M428-32.
Boutron 2005
- , , , , , , , et al. A checklist to evaluate a report of a nonpharmaceutical trial (CLEAR NPT) was developed using consensus. Journal of Clinical Epidemiology 2005;58:1233-40.
Caroll 1993
- . Human cognitive abilities: A survey of factor-analytic studies. New York: Cambridge University Press, 1993.
Churchill 2002
- , , , , , . Exercise, experience and the aging brain. Neurobiology of Aging 2002;23:941-55.
Colcombe 2003
- , . Fitness effects on the cognitive function of older adults; a meta-analytic study. Psychological Science 2003;14:125-30. Direct Link:
Colcombe 2004
- , , , , , , et al. Cardiovascular fitness, cortical plasticity, and aging. Proceedings of the National Academy of Science USA 2004;101:3316-21.
Cotman 2002
- , . Exercise: a behavioral intervention to enhance brain health and plasticity. Trends in Neurosciences 2002;25:295-301.
Etnier 1997 b
- , , , , , . The influence of physical fitness and exercise upon cognitive functioning; a meta-analysis. Journal of Sports and Exercise Psychology 1997;19:249-77.
Etnier 2006
- , , , . A meta-regression to examine the relationship between aerobic fitness and cognitive performance. Brain Research Reviews 2006;52:119-30.
Etnier 2007
- , , , , , , et al. Cognitive performance in older women relative to ApoE-e4 genotype and aerobic fitness. Medicine and Science in Sports and Exercise 2007;39:199-207.
Heyn 2004
- , , . The effects of exercise training on elderly persons with cognitive impairment and dementia; a meta-analysis. Archives of Physical Medicine and Rehabilitation 2004;85:1694-704.
Higgins 2005
- , , editors. Cochrane Handbook for Systematic Reviews of Interventions 4.2.5 [updated May 2005]. www.cochrane.org/resources/handbook/hbook.htm. Chichester, UK: John Wiley & Sons, Ltd, (accessed 15 September 2007).
Israel 1987
- . Entrainer sa mémoire: guide a l'intention des moniteurs. Paris: Centre de Psychologie Appliquée, 1987.
Kessels 2000
- , , , . Cognitive functioning after whiplash injury: a meta-analysis. Journal of the International Neuropsychological Society 2000;6:271-8.
Landis 1977
- , . The measurement of observer agreement for categorical data. Biometrics 1977;33:157-74.
Laurin 2001
- , , , , . Physical activity and risk of cognitive impairment and dementia in elderly persons. Archives of Neurology 2001;58:498-504.
Lemura 2000
- , , . The effects of physical training of functional capacity in adults. Ages 46 to 90: a meta-analysis. Journal of Sports Medicine and Physical Fitness 2000;40:1-10.
Lezak 2004
- , , . Neuropsychological assessment. New York: Oxford University Press, 2004.
Martin 2003
- , . Are changes in cognitive functioning in older adults related to changes in subjective complaints?. Experimental Aging Research 2003;29:335-52.
McAuley 2004
- , , . Cardiovascular function in older adults: a brief review. Brain, Behavior and Immunity 2004;18:214-20.
Newson 2006
- , . The nature of subjective cognitive complaints of older adults. International Journal of Aging and Human Development 2006;63:139-51.
Podewils 2005
- , , , , , , et al. Physical activity, APOE genotype, and dementia risk: findings from the Cardiovascular Health Cognition Study. American Journal of Epidemiology 2005;161:639-51.
Prins 2002
- , , , , , , et al. Homocysteine and cognitive function in the elderly: the Rotterdam Scan Study. Neurology 2002;59:1375-80.
Richards 2003
- , , . Does active leisure protect cognition? Evidence from a national birth cohort. Social Science & Medicine 2003;56:785-92.
Rogers 1990
- , , . After reaching retirement age physical activity sustains cerebral perfusion and cognition. Journal of the American Geriatrics Society 1990;38:123-8.
Salthouse 2003
- . Memory aging from 18 to 80. Alzheimer's Disease and Associated Disorders 2003;17:162-7.
Salthouse 2007
- . Mental exercise and mental aging. Perspectives on Psychological Science 2007;1:68-86. Direct Link:
Schuit 2001
- , , , . Physical activity and cognitive decline, the role of the apolipoprotein e4 allele. Medical Science and Sports Exercise 2001;33:772-7.
Sturman 2005
- , , , , , . Physical activity, cognitive activity, and cognitive decline in a biracial community population. Archives of Neurology 2005;62:1750-4.
van Gelder 2004
- , , , , , . Physical activity in relation to cognitive decline in elderly men. The FINE Study. Neurology 2004;63:2316-21.
Verhaeghen 1997
- , . Meta-analyses of age-cognition relations in adulthood: estimates of linear and nonlinear age effects and structural models. Psychological Bulletin 1997;122:231-49.
Weuve 2004
- , , , , , . Physical activity, including walking, and cognitive function in older women. JAMA 2004;292:1454-61.
WPP 2006
- , . United Nations [cited 2007 Nov 15]. http://esa.un.org/unpp/.
Yaffe 2001
- , , , , . A prospective study of physical activity and cognitive decline in elderly women. Archives of Internal Medicine 2001;161:1703-8.
