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The Cognitive and spOrt Virtual EPIC Training Study

Not Applicable
Completed
Conditions
Aging
Interventions
Other: Physical exercise training
Other: Cognitive training
Registration Number
NCT04635462
Lead Sponsor
Louis Bherer
Brief Summary

The proposed COVEPIC trial is designed to document the effects of remote monitoring of physical exercise and home-based cognitive training on cognitive and physical functions in older adults.

Detailed Description

Due to the actual pandemic of COVID-19 around the world, social distancing is recommended, which causes a reduction of social interaction and physical activity. Therefore, this health crisis may have collateral effects on cognitive, physical, and psychological health, especially in elderly people who are more likely to be isolated, and for whom social distancing is of paramount importance. Physical exercise practice has been demonstrated to improve cognitive functioning, along with mobility and physical capacity, and to promote psychological well-being. This is the reason why governmental health authorities, as well as the scientific community recommend to stay physically active, especially in this pandemic period. However, in the current context full-time physical training in sport centres cannot be largely promoted. Effective solutions to help older adults in maintaining regular and efficient physical exercise while maintaining social distancing, are thus needed. Consequently, the current project proposes first to investigate the potential of a remote monitoring of physical activity to promote cognitive, physical and psychological health of older adults. Also, considering the added benefits of combining cognitive training to physical exercise to further enhance health and cognition in seniors, this project also addresses the added benefits of a multidomain intervention combining a physical exercise intervention with a home-based cognitive training.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
127
Inclusion Criteria
  • Adult aged 50 and older
  • Have access to internet
  • Have access to a tablet (i.e. iPad or Android) or a computer
Exclusion Criteria
  • Non-cardiopulmonary limitation to exercise (e.g., arthritis)
  • Severe exercise intolerance
  • Respiratory disease (e.g., asthma, COPD, COVID-19)
  • Mini Mental Scale Examination (MMSE) telephone version lower than 19/23
  • Diagnostic of cardiovascular disease (e.g., chronic systolic and diastolic heart failure, somatic aortic stenosis, atrial fibrillation, malignant arrhythmias, documented atherosclerotic disease).

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Multidomain interventionCognitive trainingThe multidomain intervention will combine a remote monitoring of home-based cognitive training with physical exercise training for 6-month.
Multidomain interventionPhysical exercise trainingThe multidomain intervention will combine a remote monitoring of home-based cognitive training with physical exercise training for 6-month.
Physical exercise interventionPhysical exercise trainingThe physical exercises intervention will include the remote monitoring of physical exercise training for 6-month.
Primary Outcome Measures
NameTimeMethod
Change in executive functionsBaseline and post-intervention at 6 months.

Validated remote version of neuropsychological tests and iPad tests (Composite Z-score).

Change in episodic memoryBaseline and post-intervention at 6 months.

Validated remote version of neuropsychological tests and iPad tests (Composite Z-score).

Change in processing speedBaseline and post-intervention at 6 months.

Validated remote version of neuropsychological tests and iPad tests (Composite Z-score).

Change in general cognitive functioningBaseline and post-intervention at 6 months.

Validated remote version of Montreal Cognitive Assessment (0-28 score, with a higher score indicating a better cognitive functioning).

Secondary Outcome Measures
NameTimeMethod
Change in Walking speedBaseline and post-intervention at 6 months.

4-meter walking test (m/s).

Change in Functional mobilityBaseline and post-intervention at 6 months.

Timed up and Go test (s).

Change in Balance performanceBaseline and post-intervention at 6 months.

Timed one-leg standing test (s).

Change in Lower limb muscles strengthBaseline and post-intervention at 6 months.

Timed Sit-to-Stand test (s).

Change in Cardiorespiratory fitnessBaseline and post-intervention at 6 months.

Matthews cardiorespiratory fitness questionnaire (the score is an estimation of individual VO2 max (ml.kg.min) and range from 15-50, with a higher score indicating a higher VO2max).

Trial Locations

Locations (1)

Preventive medicine and physical activity centre (centre EPIC), Montreal Heart Institute

🇨🇦

Montréal, Quebec, Canada

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