Trial reportZhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences2026
[Effects of exergame combined with elastic band resistance training on exercise self-efficacy and physical activity levels in older adults with cognitive frailty: A mixed-methods study].
Trial report in Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectivesCognitive frailty is a geriatric syndrome characterized by the coexistence of physical frailty and mild cognitive impairment. It is a strong predictor of adverse health outcomes including disability, dementia, falls, and mortality. Exergaming can enhance exercise appeal and immersion, while elastic band resistance training can safely and effectively improve muscle function. Nevertheless, few studies have systematically integrated these two approaches, and most evaluations have focused on quantitative outcomes without exploring participants' subjective experiences. This mixed-methods study aims to evaluate the effects of a combined exergaming and resistance training intervention on exercise self-efficacy and physical activity levels in community-dwelling older adults with cognitive frailty.
methodsAn explanatory sequential mixed-methods design was adopted. A total of 79 community-dwelling older adults with cognitive frailty were randomly assigned using a random number table method to an intervention group (
resultsThe exercise adherence rate in the intervention group was 86.5%. After 12 weeks of intervention, improvements in IPAQ-SF scores [adjusted mean difference (MD)=586.1 MET-min/week, 95%
conclusionsExergame combined with elastic band resistance training effectively improves exercise self-efficacy and physical activity levels among community-dwelling older adults with cognitive frailty. The beneficial effects of this intervention may be attributed to its positive impacts on enhancing exercise enjoyment, promoting health perceptions, and improving social interaction. This program provides a practical exercise intervention model that integrates enjoyment and scientific rigor for community-dwelling older adults with cognitive frailty.
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