Agility training to integratively promote neuromuscular, cardiorespiratory and cognitive function in healthy older adults: a one-year randomized-controlled trial

Background Exercise training recommendations for seniors include the targeted training of strength, balance, endurance and flexibility domains. Agility training (AT) is conceptualized as a multi-component and time-efficient training framework for older adults to improve physical, functional and cognitive health domains that are relevant for maintaining activities of daily living. The aim of this one-year trial was to comparatively evaluate the effects of agility training on physical and cognitive function. Methods Seventy-nine healthy older adults (AT: 61.5% female, 70.8 ± 4.8 years, 27.7 ± 4.2 kg/$ m^{2} $; CG: 60.5% female, 69.6 ± 4.7 years, 27.5 ± 4.4 kg/$ m^{2} $) took part in this one-year randomized controlled intervention and were either assigned to the agility training group (AT) with two weekly 60 min AT sessions or to the control group (CG), receiving no treatment. Participants were assessed pre, intermediate and post intervention for strength and power, balance, gait speed under multi-task conditions, aerobic capacity as well as cognitive performance. Linear mixed effects models were used to analyze the effect of treatment over time. Results Fifty-four participants (AG: 25, CG: 29) were analyzed, most drop-outs attributed to COVID-19 (17/30 dropouts). Adherence was good (75%) of 90 offered sessions. Notable effects in favor of AT were found for gait parameters in single (d = 0.355, Δ = 4.3%), dual (d = 0.375, Δ = 6.1%) and triple (d = 0.376, Δ = 6.4%) task conditions, counter movement jump performance (strength and power) (d = 0.203, Δ = 6.9%), static one leg balance (d = 0.256, Δ = 12.33%) and n-back reaction time (cognitive performance) (d = 0.204, Δ = 3.8%). No effects were found for the remaining outcomes (d < 0.175). Conclusion AT might serve as an integrative training approach for older adults particularly improving gait and lower limb power parameters. It seems suitable to improve a broad range of seniors’ health domains and should replace isolated training of these domains. However, individual variation and progression of exercises should be considered when programming agility training providing adequate challenges throughout a long-term intervention for all participants. Trial registration DRKS, DRKS00017469. Registered 19 June 2019—Retrospectively registered. Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Lichtenstein, Eric [verfasserIn] Held, Steffen Rappelt, Ludwig Zacher, Jonas Eibl, Angi Ludyga, Sebastian Faude, Oliver Donath, Lars

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2023

Schlagwörter:	older adults agility training strength balance cognition multicomponent exercise fall prevention

Anmerkung:	© The Author(s) 2023

Übergeordnetes Werk:	Enthalten in: European review of aging and physical activity - Berlin : Springer, 2006, 20(2023), 1 vom: 11. Nov.
Übergeordnetes Werk:	volume:20 ; year:2023 ; number:1 ; day:11 ; month:11

Links:	Volltext

DOI / URN:	10.1186/s11556-023-00331-6

Katalog-ID:	SPR053708741

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520			\|a Background Exercise training recommendations for seniors include the targeted training of strength, balance, endurance and flexibility domains. Agility training (AT) is conceptualized as a multi-component and time-efficient training framework for older adults to improve physical, functional and cognitive health domains that are relevant for maintaining activities of daily living. The aim of this one-year trial was to comparatively evaluate the effects of agility training on physical and cognitive function. Methods Seventy-nine healthy older adults (AT: 61.5% female, 70.8 ± 4.8 years, 27.7 ± 4.2 kg/$ m^{2} $; CG: 60.5% female, 69.6 ± 4.7 years, 27.5 ± 4.4 kg/$ m^{2} $) took part in this one-year randomized controlled intervention and were either assigned to the agility training group (AT) with two weekly 60 min AT sessions or to the control group (CG), receiving no treatment. Participants were assessed pre, intermediate and post intervention for strength and power, balance, gait speed under multi-task conditions, aerobic capacity as well as cognitive performance. Linear mixed effects models were used to analyze the effect of treatment over time. Results Fifty-four participants (AG: 25, CG: 29) were analyzed, most drop-outs attributed to COVID-19 (17/30 dropouts). Adherence was good (75%) of 90 offered sessions. Notable effects in favor of AT were found for gait parameters in single (d = 0.355, Δ = 4.3%), dual (d = 0.375, Δ = 6.1%) and triple (d = 0.376, Δ = 6.4%) task conditions, counter movement jump performance (strength and power) (d = 0.203, Δ = 6.9%), static one leg balance (d = 0.256, Δ = 12.33%) and n-back reaction time (cognitive performance) (d = 0.204, Δ = 3.8%). No effects were found for the remaining outcomes (d < 0.175). Conclusion AT might serve as an integrative training approach for older adults particularly improving gait and lower limb power parameters. It seems suitable to improve a broad range of seniors’ health domains and should replace isolated training of these domains. However, individual variation and progression of exercises should be considered when programming agility training providing adequate challenges throughout a long-term intervention for all participants. Trial registration DRKS, DRKS00017469. Registered 19 June 2019—Retrospectively registered.
520			\|a Key messages - This is the first long-term randomized controlled trial that evaluates the efficacy of an agility training for older adults with regard to different neuromuscular, cognitive and cardiovascular performance measures. - Agility training has a high adherence rate of 75% and a low drop-out rate (16.5%) over a whole year. - Small effects in favor of the agility training group were revealed for functional neuromuscular performance but not for maximum strength, dynamic balance, cardiovascular capacity, or cognitive function. - Future studies should include higher and progressive loads/intensities or challenging tasks to foster neuromuscular, cognitive and cardiovascular adaptations when training healthy older adults.
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allfields	10.1186/s11556-023-00331-6 doi (DE-627)SPR053708741 (SPR)s11556-023-00331-6-e DE-627 ger DE-627 rakwb eng Lichtenstein, Eric verfasserin (orcid)0000-0002-5860-9068 aut Agility training to integratively promote neuromuscular, cardiorespiratory and cognitive function in healthy older adults: a one-year randomized-controlled trial 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Background Exercise training recommendations for seniors include the targeted training of strength, balance, endurance and flexibility domains. Agility training (AT) is conceptualized as a multi-component and time-efficient training framework for older adults to improve physical, functional and cognitive health domains that are relevant for maintaining activities of daily living. The aim of this one-year trial was to comparatively evaluate the effects of agility training on physical and cognitive function. Methods Seventy-nine healthy older adults (AT: 61.5% female, 70.8 ± 4.8 years, 27.7 ± 4.2 kg/$ m^{2} $; CG: 60.5% female, 69.6 ± 4.7 years, 27.5 ± 4.4 kg/$ m^{2} $) took part in this one-year randomized controlled intervention and were either assigned to the agility training group (AT) with two weekly 60 min AT sessions or to the control group (CG), receiving no treatment. Participants were assessed pre, intermediate and post intervention for strength and power, balance, gait speed under multi-task conditions, aerobic capacity as well as cognitive performance. Linear mixed effects models were used to analyze the effect of treatment over time. Results Fifty-four participants (AG: 25, CG: 29) were analyzed, most drop-outs attributed to COVID-19 (17/30 dropouts). Adherence was good (75%) of 90 offered sessions. Notable effects in favor of AT were found for gait parameters in single (d = 0.355, Δ = 4.3%), dual (d = 0.375, Δ = 6.1%) and triple (d = 0.376, Δ = 6.4%) task conditions, counter movement jump performance (strength and power) (d = 0.203, Δ = 6.9%), static one leg balance (d = 0.256, Δ = 12.33%) and n-back reaction time (cognitive performance) (d = 0.204, Δ = 3.8%). No effects were found for the remaining outcomes (d < 0.175). Conclusion AT might serve as an integrative training approach for older adults particularly improving gait and lower limb power parameters. It seems suitable to improve a broad range of seniors’ health domains and should replace isolated training of these domains. However, individual variation and progression of exercises should be considered when programming agility training providing adequate challenges throughout a long-term intervention for all participants. Trial registration DRKS, DRKS00017469. Registered 19 June 2019—Retrospectively registered. Key messages - This is the first long-term randomized controlled trial that evaluates the efficacy of an agility training for older adults with regard to different neuromuscular, cognitive and cardiovascular performance measures. - Agility training has a high adherence rate of 75% and a low drop-out rate (16.5%) over a whole year. - Small effects in favor of the agility training group were revealed for functional neuromuscular performance but not for maximum strength, dynamic balance, cardiovascular capacity, or cognitive function. - Future studies should include higher and progressive loads/intensities or challenging tasks to foster neuromuscular, cognitive and cardiovascular adaptations when training healthy older adults. older adults (dpeaa)DE-He213 agility training (dpeaa)DE-He213 strength (dpeaa)DE-He213 balance (dpeaa)DE-He213 cognition (dpeaa)DE-He213 multicomponent exercise (dpeaa)DE-He213 fall prevention (dpeaa)DE-He213 Held, Steffen aut Rappelt, Ludwig aut Zacher, Jonas aut Eibl, Angi aut Ludyga, Sebastian aut Faude, Oliver aut Donath, Lars aut Enthalten in European review of aging and physical activity Berlin : Springer, 2006 20(2023), 1 vom: 11. Nov. (DE-627)512663971 (DE-600)2236925-9 1861-6909 nnns volume:20 year:2023 number:1 day:11 month:11 https://dx.doi.org/10.1186/s11556-023-00331-6 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_2010 GBV_ILN_2014 GBV_ILN_2190 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4277 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 20 2023 1 11 11
spelling	10.1186/s11556-023-00331-6 doi (DE-627)SPR053708741 (SPR)s11556-023-00331-6-e DE-627 ger DE-627 rakwb eng Lichtenstein, Eric verfasserin (orcid)0000-0002-5860-9068 aut Agility training to integratively promote neuromuscular, cardiorespiratory and cognitive function in healthy older adults: a one-year randomized-controlled trial 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Background Exercise training recommendations for seniors include the targeted training of strength, balance, endurance and flexibility domains. Agility training (AT) is conceptualized as a multi-component and time-efficient training framework for older adults to improve physical, functional and cognitive health domains that are relevant for maintaining activities of daily living. The aim of this one-year trial was to comparatively evaluate the effects of agility training on physical and cognitive function. Methods Seventy-nine healthy older adults (AT: 61.5% female, 70.8 ± 4.8 years, 27.7 ± 4.2 kg/$ m^{2} $; CG: 60.5% female, 69.6 ± 4.7 years, 27.5 ± 4.4 kg/$ m^{2} $) took part in this one-year randomized controlled intervention and were either assigned to the agility training group (AT) with two weekly 60 min AT sessions or to the control group (CG), receiving no treatment. Participants were assessed pre, intermediate and post intervention for strength and power, balance, gait speed under multi-task conditions, aerobic capacity as well as cognitive performance. Linear mixed effects models were used to analyze the effect of treatment over time. Results Fifty-four participants (AG: 25, CG: 29) were analyzed, most drop-outs attributed to COVID-19 (17/30 dropouts). Adherence was good (75%) of 90 offered sessions. Notable effects in favor of AT were found for gait parameters in single (d = 0.355, Δ = 4.3%), dual (d = 0.375, Δ = 6.1%) and triple (d = 0.376, Δ = 6.4%) task conditions, counter movement jump performance (strength and power) (d = 0.203, Δ = 6.9%), static one leg balance (d = 0.256, Δ = 12.33%) and n-back reaction time (cognitive performance) (d = 0.204, Δ = 3.8%). No effects were found for the remaining outcomes (d < 0.175). Conclusion AT might serve as an integrative training approach for older adults particularly improving gait and lower limb power parameters. It seems suitable to improve a broad range of seniors’ health domains and should replace isolated training of these domains. However, individual variation and progression of exercises should be considered when programming agility training providing adequate challenges throughout a long-term intervention for all participants. Trial registration DRKS, DRKS00017469. Registered 19 June 2019—Retrospectively registered. Key messages - This is the first long-term randomized controlled trial that evaluates the efficacy of an agility training for older adults with regard to different neuromuscular, cognitive and cardiovascular performance measures. - Agility training has a high adherence rate of 75% and a low drop-out rate (16.5%) over a whole year. - Small effects in favor of the agility training group were revealed for functional neuromuscular performance but not for maximum strength, dynamic balance, cardiovascular capacity, or cognitive function. - Future studies should include higher and progressive loads/intensities or challenging tasks to foster neuromuscular, cognitive and cardiovascular adaptations when training healthy older adults. older adults (dpeaa)DE-He213 agility training (dpeaa)DE-He213 strength (dpeaa)DE-He213 balance (dpeaa)DE-He213 cognition (dpeaa)DE-He213 multicomponent exercise (dpeaa)DE-He213 fall prevention (dpeaa)DE-He213 Held, Steffen aut Rappelt, Ludwig aut Zacher, Jonas aut Eibl, Angi aut Ludyga, Sebastian aut Faude, Oliver aut Donath, Lars aut Enthalten in European review of aging and physical activity Berlin : Springer, 2006 20(2023), 1 vom: 11. Nov. (DE-627)512663971 (DE-600)2236925-9 1861-6909 nnns volume:20 year:2023 number:1 day:11 month:11 https://dx.doi.org/10.1186/s11556-023-00331-6 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_2010 GBV_ILN_2014 GBV_ILN_2190 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4277 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 20 2023 1 11 11
allfields_unstemmed	10.1186/s11556-023-00331-6 doi (DE-627)SPR053708741 (SPR)s11556-023-00331-6-e DE-627 ger DE-627 rakwb eng Lichtenstein, Eric verfasserin (orcid)0000-0002-5860-9068 aut Agility training to integratively promote neuromuscular, cardiorespiratory and cognitive function in healthy older adults: a one-year randomized-controlled trial 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Background Exercise training recommendations for seniors include the targeted training of strength, balance, endurance and flexibility domains. Agility training (AT) is conceptualized as a multi-component and time-efficient training framework for older adults to improve physical, functional and cognitive health domains that are relevant for maintaining activities of daily living. The aim of this one-year trial was to comparatively evaluate the effects of agility training on physical and cognitive function. Methods Seventy-nine healthy older adults (AT: 61.5% female, 70.8 ± 4.8 years, 27.7 ± 4.2 kg/$ m^{2} $; CG: 60.5% female, 69.6 ± 4.7 years, 27.5 ± 4.4 kg/$ m^{2} $) took part in this one-year randomized controlled intervention and were either assigned to the agility training group (AT) with two weekly 60 min AT sessions or to the control group (CG), receiving no treatment. Participants were assessed pre, intermediate and post intervention for strength and power, balance, gait speed under multi-task conditions, aerobic capacity as well as cognitive performance. Linear mixed effects models were used to analyze the effect of treatment over time. Results Fifty-four participants (AG: 25, CG: 29) were analyzed, most drop-outs attributed to COVID-19 (17/30 dropouts). Adherence was good (75%) of 90 offered sessions. Notable effects in favor of AT were found for gait parameters in single (d = 0.355, Δ = 4.3%), dual (d = 0.375, Δ = 6.1%) and triple (d = 0.376, Δ = 6.4%) task conditions, counter movement jump performance (strength and power) (d = 0.203, Δ = 6.9%), static one leg balance (d = 0.256, Δ = 12.33%) and n-back reaction time (cognitive performance) (d = 0.204, Δ = 3.8%). No effects were found for the remaining outcomes (d < 0.175). Conclusion AT might serve as an integrative training approach for older adults particularly improving gait and lower limb power parameters. It seems suitable to improve a broad range of seniors’ health domains and should replace isolated training of these domains. However, individual variation and progression of exercises should be considered when programming agility training providing adequate challenges throughout a long-term intervention for all participants. Trial registration DRKS, DRKS00017469. Registered 19 June 2019—Retrospectively registered. Key messages - This is the first long-term randomized controlled trial that evaluates the efficacy of an agility training for older adults with regard to different neuromuscular, cognitive and cardiovascular performance measures. - Agility training has a high adherence rate of 75% and a low drop-out rate (16.5%) over a whole year. - Small effects in favor of the agility training group were revealed for functional neuromuscular performance but not for maximum strength, dynamic balance, cardiovascular capacity, or cognitive function. - Future studies should include higher and progressive loads/intensities or challenging tasks to foster neuromuscular, cognitive and cardiovascular adaptations when training healthy older adults. older adults (dpeaa)DE-He213 agility training (dpeaa)DE-He213 strength (dpeaa)DE-He213 balance (dpeaa)DE-He213 cognition (dpeaa)DE-He213 multicomponent exercise (dpeaa)DE-He213 fall prevention (dpeaa)DE-He213 Held, Steffen aut Rappelt, Ludwig aut Zacher, Jonas aut Eibl, Angi aut Ludyga, Sebastian aut Faude, Oliver aut Donath, Lars aut Enthalten in European review of aging and physical activity Berlin : Springer, 2006 20(2023), 1 vom: 11. Nov. (DE-627)512663971 (DE-600)2236925-9 1861-6909 nnns volume:20 year:2023 number:1 day:11 month:11 https://dx.doi.org/10.1186/s11556-023-00331-6 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_2010 GBV_ILN_2014 GBV_ILN_2190 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4277 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 20 2023 1 11 11
allfieldsGer	10.1186/s11556-023-00331-6 doi (DE-627)SPR053708741 (SPR)s11556-023-00331-6-e DE-627 ger DE-627 rakwb eng Lichtenstein, Eric verfasserin (orcid)0000-0002-5860-9068 aut Agility training to integratively promote neuromuscular, cardiorespiratory and cognitive function in healthy older adults: a one-year randomized-controlled trial 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Background Exercise training recommendations for seniors include the targeted training of strength, balance, endurance and flexibility domains. Agility training (AT) is conceptualized as a multi-component and time-efficient training framework for older adults to improve physical, functional and cognitive health domains that are relevant for maintaining activities of daily living. The aim of this one-year trial was to comparatively evaluate the effects of agility training on physical and cognitive function. Methods Seventy-nine healthy older adults (AT: 61.5% female, 70.8 ± 4.8 years, 27.7 ± 4.2 kg/$ m^{2} $; CG: 60.5% female, 69.6 ± 4.7 years, 27.5 ± 4.4 kg/$ m^{2} $) took part in this one-year randomized controlled intervention and were either assigned to the agility training group (AT) with two weekly 60 min AT sessions or to the control group (CG), receiving no treatment. Participants were assessed pre, intermediate and post intervention for strength and power, balance, gait speed under multi-task conditions, aerobic capacity as well as cognitive performance. Linear mixed effects models were used to analyze the effect of treatment over time. Results Fifty-four participants (AG: 25, CG: 29) were analyzed, most drop-outs attributed to COVID-19 (17/30 dropouts). Adherence was good (75%) of 90 offered sessions. Notable effects in favor of AT were found for gait parameters in single (d = 0.355, Δ = 4.3%), dual (d = 0.375, Δ = 6.1%) and triple (d = 0.376, Δ = 6.4%) task conditions, counter movement jump performance (strength and power) (d = 0.203, Δ = 6.9%), static one leg balance (d = 0.256, Δ = 12.33%) and n-back reaction time (cognitive performance) (d = 0.204, Δ = 3.8%). No effects were found for the remaining outcomes (d < 0.175). Conclusion AT might serve as an integrative training approach for older adults particularly improving gait and lower limb power parameters. It seems suitable to improve a broad range of seniors’ health domains and should replace isolated training of these domains. However, individual variation and progression of exercises should be considered when programming agility training providing adequate challenges throughout a long-term intervention for all participants. Trial registration DRKS, DRKS00017469. Registered 19 June 2019—Retrospectively registered. Key messages - This is the first long-term randomized controlled trial that evaluates the efficacy of an agility training for older adults with regard to different neuromuscular, cognitive and cardiovascular performance measures. - Agility training has a high adherence rate of 75% and a low drop-out rate (16.5%) over a whole year. - Small effects in favor of the agility training group were revealed for functional neuromuscular performance but not for maximum strength, dynamic balance, cardiovascular capacity, or cognitive function. - Future studies should include higher and progressive loads/intensities or challenging tasks to foster neuromuscular, cognitive and cardiovascular adaptations when training healthy older adults. older adults (dpeaa)DE-He213 agility training (dpeaa)DE-He213 strength (dpeaa)DE-He213 balance (dpeaa)DE-He213 cognition (dpeaa)DE-He213 multicomponent exercise (dpeaa)DE-He213 fall prevention (dpeaa)DE-He213 Held, Steffen aut Rappelt, Ludwig aut Zacher, Jonas aut Eibl, Angi aut Ludyga, Sebastian aut Faude, Oliver aut Donath, Lars aut Enthalten in European review of aging and physical activity Berlin : Springer, 2006 20(2023), 1 vom: 11. Nov. (DE-627)512663971 (DE-600)2236925-9 1861-6909 nnns volume:20 year:2023 number:1 day:11 month:11 https://dx.doi.org/10.1186/s11556-023-00331-6 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_2010 GBV_ILN_2014 GBV_ILN_2190 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4277 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 20 2023 1 11 11
allfieldsSound	10.1186/s11556-023-00331-6 doi (DE-627)SPR053708741 (SPR)s11556-023-00331-6-e DE-627 ger DE-627 rakwb eng Lichtenstein, Eric verfasserin (orcid)0000-0002-5860-9068 aut Agility training to integratively promote neuromuscular, cardiorespiratory and cognitive function in healthy older adults: a one-year randomized-controlled trial 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Background Exercise training recommendations for seniors include the targeted training of strength, balance, endurance and flexibility domains. Agility training (AT) is conceptualized as a multi-component and time-efficient training framework for older adults to improve physical, functional and cognitive health domains that are relevant for maintaining activities of daily living. The aim of this one-year trial was to comparatively evaluate the effects of agility training on physical and cognitive function. Methods Seventy-nine healthy older adults (AT: 61.5% female, 70.8 ± 4.8 years, 27.7 ± 4.2 kg/$ m^{2} $; CG: 60.5% female, 69.6 ± 4.7 years, 27.5 ± 4.4 kg/$ m^{2} $) took part in this one-year randomized controlled intervention and were either assigned to the agility training group (AT) with two weekly 60 min AT sessions or to the control group (CG), receiving no treatment. Participants were assessed pre, intermediate and post intervention for strength and power, balance, gait speed under multi-task conditions, aerobic capacity as well as cognitive performance. Linear mixed effects models were used to analyze the effect of treatment over time. Results Fifty-four participants (AG: 25, CG: 29) were analyzed, most drop-outs attributed to COVID-19 (17/30 dropouts). Adherence was good (75%) of 90 offered sessions. Notable effects in favor of AT were found for gait parameters in single (d = 0.355, Δ = 4.3%), dual (d = 0.375, Δ = 6.1%) and triple (d = 0.376, Δ = 6.4%) task conditions, counter movement jump performance (strength and power) (d = 0.203, Δ = 6.9%), static one leg balance (d = 0.256, Δ = 12.33%) and n-back reaction time (cognitive performance) (d = 0.204, Δ = 3.8%). No effects were found for the remaining outcomes (d < 0.175). Conclusion AT might serve as an integrative training approach for older adults particularly improving gait and lower limb power parameters. It seems suitable to improve a broad range of seniors’ health domains and should replace isolated training of these domains. However, individual variation and progression of exercises should be considered when programming agility training providing adequate challenges throughout a long-term intervention for all participants. Trial registration DRKS, DRKS00017469. Registered 19 June 2019—Retrospectively registered. Key messages - This is the first long-term randomized controlled trial that evaluates the efficacy of an agility training for older adults with regard to different neuromuscular, cognitive and cardiovascular performance measures. - Agility training has a high adherence rate of 75% and a low drop-out rate (16.5%) over a whole year. - Small effects in favor of the agility training group were revealed for functional neuromuscular performance but not for maximum strength, dynamic balance, cardiovascular capacity, or cognitive function. - Future studies should include higher and progressive loads/intensities or challenging tasks to foster neuromuscular, cognitive and cardiovascular adaptations when training healthy older adults. older adults (dpeaa)DE-He213 agility training (dpeaa)DE-He213 strength (dpeaa)DE-He213 balance (dpeaa)DE-He213 cognition (dpeaa)DE-He213 multicomponent exercise (dpeaa)DE-He213 fall prevention (dpeaa)DE-He213 Held, Steffen aut Rappelt, Ludwig aut Zacher, Jonas aut Eibl, Angi aut Ludyga, Sebastian aut Faude, Oliver aut Donath, Lars aut Enthalten in European review of aging and physical activity Berlin : Springer, 2006 20(2023), 1 vom: 11. Nov. (DE-627)512663971 (DE-600)2236925-9 1861-6909 nnns volume:20 year:2023 number:1 day:11 month:11 https://dx.doi.org/10.1186/s11556-023-00331-6 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_2010 GBV_ILN_2014 GBV_ILN_2190 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4277 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 20 2023 1 11 11
language	English
source	Enthalten in European review of aging and physical activity 20(2023), 1 vom: 11. Nov. volume:20 year:2023 number:1 day:11 month:11
sourceStr	Enthalten in European review of aging and physical activity 20(2023), 1 vom: 11. Nov. volume:20 year:2023 number:1 day:11 month:11
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	older adults agility training strength balance cognition multicomponent exercise fall prevention
isfreeaccess_bool	true
container_title	European review of aging and physical activity
authorswithroles_txt_mv	Lichtenstein, Eric @@aut@@ Held, Steffen @@aut@@ Rappelt, Ludwig @@aut@@ Zacher, Jonas @@aut@@ Eibl, Angi @@aut@@ Ludyga, Sebastian @@aut@@ Faude, Oliver @@aut@@ Donath, Lars @@aut@@
publishDateDaySort_date	2023-11-11T00:00:00Z
hierarchy_top_id	512663971
id	SPR053708741
language_de	englisch
fullrecord	<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000naa a22002652 4500</leader><controlfield tag="001">SPR053708741</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20231112064636.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">231112s2023 xx \|\|\|\|\|o 00\| \|\|eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.1186/s11556-023-00331-6</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)SPR053708741</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(SPR)s11556-023-00331-6-e</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="100" ind1="1" ind2=" "><subfield code="a">Lichtenstein, Eric</subfield><subfield code="e">verfasserin</subfield><subfield code="0">(orcid)0000-0002-5860-9068</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Agility training to integratively promote neuromuscular, cardiorespiratory and cognitive function in healthy older adults: a one-year randomized-controlled trial</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2023</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="500" ind1=" " ind2=" "><subfield code="a">© The Author(s) 2023</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Background Exercise training recommendations for seniors include the targeted training of strength, balance, endurance and flexibility domains. Agility training (AT) is conceptualized as a multi-component and time-efficient training framework for older adults to improve physical, functional and cognitive health domains that are relevant for maintaining activities of daily living. The aim of this one-year trial was to comparatively evaluate the effects of agility training on physical and cognitive function. Methods Seventy-nine healthy older adults (AT: 61.5% female, 70.8 ± 4.8 years, 27.7 ± 4.2 kg/$ m^{2} $; CG: 60.5% female, 69.6 ± 4.7 years, 27.5 ± 4.4 kg/$ m^{2} $) took part in this one-year randomized controlled intervention and were either assigned to the agility training group (AT) with two weekly 60 min AT sessions or to the control group (CG), receiving no treatment. Participants were assessed pre, intermediate and post intervention for strength and power, balance, gait speed under multi-task conditions, aerobic capacity as well as cognitive performance. Linear mixed effects models were used to analyze the effect of treatment over time. Results Fifty-four participants (AG: 25, CG: 29) were analyzed, most drop-outs attributed to COVID-19 (17/30 dropouts). Adherence was good (75%) of 90 offered sessions. Notable effects in favor of AT were found for gait parameters in single (d = 0.355, Δ = 4.3%), dual (d = 0.375, Δ = 6.1%) and triple (d = 0.376, Δ = 6.4%) task conditions, counter movement jump performance (strength and power) (d = 0.203, Δ = 6.9%), static one leg balance (d = 0.256, Δ = 12.33%) and n-back reaction time (cognitive performance) (d = 0.204, Δ = 3.8%). No effects were found for the remaining outcomes (d < 0.175). Conclusion AT might serve as an integrative training approach for older adults particularly improving gait and lower limb power parameters. It seems suitable to improve a broad range of seniors’ health domains and should replace isolated training of these domains. However, individual variation and progression of exercises should be considered when programming agility training providing adequate challenges throughout a long-term intervention for all participants. Trial registration DRKS, DRKS00017469. 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author	Lichtenstein, Eric
spellingShingle	Lichtenstein, Eric misc older adults misc agility training misc strength misc balance misc cognition misc multicomponent exercise misc fall prevention Agility training to integratively promote neuromuscular, cardiorespiratory and cognitive function in healthy older adults: a one-year randomized-controlled trial
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topic_title	Agility training to integratively promote neuromuscular, cardiorespiratory and cognitive function in healthy older adults: a one-year randomized-controlled trial older adults (dpeaa)DE-He213 agility training (dpeaa)DE-He213 strength (dpeaa)DE-He213 balance (dpeaa)DE-He213 cognition (dpeaa)DE-He213 multicomponent exercise (dpeaa)DE-He213 fall prevention (dpeaa)DE-He213
topic	misc older adults misc agility training misc strength misc balance misc cognition misc multicomponent exercise misc fall prevention
topic_unstemmed	misc older adults misc agility training misc strength misc balance misc cognition misc multicomponent exercise misc fall prevention
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title	Agility training to integratively promote neuromuscular, cardiorespiratory and cognitive function in healthy older adults: a one-year randomized-controlled trial
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title_full	Agility training to integratively promote neuromuscular, cardiorespiratory and cognitive function in healthy older adults: a one-year randomized-controlled trial
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author_browse	Lichtenstein, Eric Held, Steffen Rappelt, Ludwig Zacher, Jonas Eibl, Angi Ludyga, Sebastian Faude, Oliver Donath, Lars
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title_sort	agility training to integratively promote neuromuscular, cardiorespiratory and cognitive function in healthy older adults: a one-year randomized-controlled trial
title_auth	Agility training to integratively promote neuromuscular, cardiorespiratory and cognitive function in healthy older adults: a one-year randomized-controlled trial
abstract	Background Exercise training recommendations for seniors include the targeted training of strength, balance, endurance and flexibility domains. Agility training (AT) is conceptualized as a multi-component and time-efficient training framework for older adults to improve physical, functional and cognitive health domains that are relevant for maintaining activities of daily living. The aim of this one-year trial was to comparatively evaluate the effects of agility training on physical and cognitive function. Methods Seventy-nine healthy older adults (AT: 61.5% female, 70.8 ± 4.8 years, 27.7 ± 4.2 kg/$ m^{2} $; CG: 60.5% female, 69.6 ± 4.7 years, 27.5 ± 4.4 kg/$ m^{2} $) took part in this one-year randomized controlled intervention and were either assigned to the agility training group (AT) with two weekly 60 min AT sessions or to the control group (CG), receiving no treatment. Participants were assessed pre, intermediate and post intervention for strength and power, balance, gait speed under multi-task conditions, aerobic capacity as well as cognitive performance. Linear mixed effects models were used to analyze the effect of treatment over time. Results Fifty-four participants (AG: 25, CG: 29) were analyzed, most drop-outs attributed to COVID-19 (17/30 dropouts). Adherence was good (75%) of 90 offered sessions. Notable effects in favor of AT were found for gait parameters in single (d = 0.355, Δ = 4.3%), dual (d = 0.375, Δ = 6.1%) and triple (d = 0.376, Δ = 6.4%) task conditions, counter movement jump performance (strength and power) (d = 0.203, Δ = 6.9%), static one leg balance (d = 0.256, Δ = 12.33%) and n-back reaction time (cognitive performance) (d = 0.204, Δ = 3.8%). No effects were found for the remaining outcomes (d < 0.175). Conclusion AT might serve as an integrative training approach for older adults particularly improving gait and lower limb power parameters. It seems suitable to improve a broad range of seniors’ health domains and should replace isolated training of these domains. However, individual variation and progression of exercises should be considered when programming agility training providing adequate challenges throughout a long-term intervention for all participants. Trial registration DRKS, DRKS00017469. Registered 19 June 2019—Retrospectively registered. Key messages - This is the first long-term randomized controlled trial that evaluates the efficacy of an agility training for older adults with regard to different neuromuscular, cognitive and cardiovascular performance measures. - Agility training has a high adherence rate of 75% and a low drop-out rate (16.5%) over a whole year. - Small effects in favor of the agility training group were revealed for functional neuromuscular performance but not for maximum strength, dynamic balance, cardiovascular capacity, or cognitive function. - Future studies should include higher and progressive loads/intensities or challenging tasks to foster neuromuscular, cognitive and cardiovascular adaptations when training healthy older adults. © The Author(s) 2023
abstractGer	Background Exercise training recommendations for seniors include the targeted training of strength, balance, endurance and flexibility domains. Agility training (AT) is conceptualized as a multi-component and time-efficient training framework for older adults to improve physical, functional and cognitive health domains that are relevant for maintaining activities of daily living. The aim of this one-year trial was to comparatively evaluate the effects of agility training on physical and cognitive function. Methods Seventy-nine healthy older adults (AT: 61.5% female, 70.8 ± 4.8 years, 27.7 ± 4.2 kg/$ m^{2} $; CG: 60.5% female, 69.6 ± 4.7 years, 27.5 ± 4.4 kg/$ m^{2} $) took part in this one-year randomized controlled intervention and were either assigned to the agility training group (AT) with two weekly 60 min AT sessions or to the control group (CG), receiving no treatment. Participants were assessed pre, intermediate and post intervention for strength and power, balance, gait speed under multi-task conditions, aerobic capacity as well as cognitive performance. Linear mixed effects models were used to analyze the effect of treatment over time. Results Fifty-four participants (AG: 25, CG: 29) were analyzed, most drop-outs attributed to COVID-19 (17/30 dropouts). Adherence was good (75%) of 90 offered sessions. Notable effects in favor of AT were found for gait parameters in single (d = 0.355, Δ = 4.3%), dual (d = 0.375, Δ = 6.1%) and triple (d = 0.376, Δ = 6.4%) task conditions, counter movement jump performance (strength and power) (d = 0.203, Δ = 6.9%), static one leg balance (d = 0.256, Δ = 12.33%) and n-back reaction time (cognitive performance) (d = 0.204, Δ = 3.8%). No effects were found for the remaining outcomes (d < 0.175). Conclusion AT might serve as an integrative training approach for older adults particularly improving gait and lower limb power parameters. It seems suitable to improve a broad range of seniors’ health domains and should replace isolated training of these domains. However, individual variation and progression of exercises should be considered when programming agility training providing adequate challenges throughout a long-term intervention for all participants. Trial registration DRKS, DRKS00017469. Registered 19 June 2019—Retrospectively registered. Key messages - This is the first long-term randomized controlled trial that evaluates the efficacy of an agility training for older adults with regard to different neuromuscular, cognitive and cardiovascular performance measures. - Agility training has a high adherence rate of 75% and a low drop-out rate (16.5%) over a whole year. - Small effects in favor of the agility training group were revealed for functional neuromuscular performance but not for maximum strength, dynamic balance, cardiovascular capacity, or cognitive function. - Future studies should include higher and progressive loads/intensities or challenging tasks to foster neuromuscular, cognitive and cardiovascular adaptations when training healthy older adults. © The Author(s) 2023
abstract_unstemmed	Background Exercise training recommendations for seniors include the targeted training of strength, balance, endurance and flexibility domains. Agility training (AT) is conceptualized as a multi-component and time-efficient training framework for older adults to improve physical, functional and cognitive health domains that are relevant for maintaining activities of daily living. The aim of this one-year trial was to comparatively evaluate the effects of agility training on physical and cognitive function. Methods Seventy-nine healthy older adults (AT: 61.5% female, 70.8 ± 4.8 years, 27.7 ± 4.2 kg/$ m^{2} $; CG: 60.5% female, 69.6 ± 4.7 years, 27.5 ± 4.4 kg/$ m^{2} $) took part in this one-year randomized controlled intervention and were either assigned to the agility training group (AT) with two weekly 60 min AT sessions or to the control group (CG), receiving no treatment. Participants were assessed pre, intermediate and post intervention for strength and power, balance, gait speed under multi-task conditions, aerobic capacity as well as cognitive performance. Linear mixed effects models were used to analyze the effect of treatment over time. Results Fifty-four participants (AG: 25, CG: 29) were analyzed, most drop-outs attributed to COVID-19 (17/30 dropouts). Adherence was good (75%) of 90 offered sessions. Notable effects in favor of AT were found for gait parameters in single (d = 0.355, Δ = 4.3%), dual (d = 0.375, Δ = 6.1%) and triple (d = 0.376, Δ = 6.4%) task conditions, counter movement jump performance (strength and power) (d = 0.203, Δ = 6.9%), static one leg balance (d = 0.256, Δ = 12.33%) and n-back reaction time (cognitive performance) (d = 0.204, Δ = 3.8%). No effects were found for the remaining outcomes (d < 0.175). Conclusion AT might serve as an integrative training approach for older adults particularly improving gait and lower limb power parameters. It seems suitable to improve a broad range of seniors’ health domains and should replace isolated training of these domains. However, individual variation and progression of exercises should be considered when programming agility training providing adequate challenges throughout a long-term intervention for all participants. Trial registration DRKS, DRKS00017469. Registered 19 June 2019—Retrospectively registered. Key messages - This is the first long-term randomized controlled trial that evaluates the efficacy of an agility training for older adults with regard to different neuromuscular, cognitive and cardiovascular performance measures. - Agility training has a high adherence rate of 75% and a low drop-out rate (16.5%) over a whole year. - Small effects in favor of the agility training group were revealed for functional neuromuscular performance but not for maximum strength, dynamic balance, cardiovascular capacity, or cognitive function. - Future studies should include higher and progressive loads/intensities or challenging tasks to foster neuromuscular, cognitive and cardiovascular adaptations when training healthy older adults. © The Author(s) 2023
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title_short	Agility training to integratively promote neuromuscular, cardiorespiratory and cognitive function in healthy older adults: a one-year randomized-controlled trial
url	https://dx.doi.org/10.1186/s11556-023-00331-6
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author2	Held, Steffen Rappelt, Ludwig Zacher, Jonas Eibl, Angi Ludyga, Sebastian Faude, Oliver Donath, Lars
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up_date	2024-07-03T21:27:48.851Z
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fullrecord_marcxml	<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000naa a22002652 4500</leader><controlfield tag="001">SPR053708741</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20231112064636.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">231112s2023 xx \|\|\|\|\|o 00\| \|\|eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.1186/s11556-023-00331-6</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)SPR053708741</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(SPR)s11556-023-00331-6-e</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="100" ind1="1" ind2=" "><subfield code="a">Lichtenstein, Eric</subfield><subfield code="e">verfasserin</subfield><subfield code="0">(orcid)0000-0002-5860-9068</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Agility training to integratively promote neuromuscular, cardiorespiratory and cognitive function in healthy older adults: a one-year randomized-controlled trial</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2023</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="500" ind1=" " ind2=" "><subfield code="a">© The Author(s) 2023</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Background Exercise training recommendations for seniors include the targeted training of strength, balance, endurance and flexibility domains. Agility training (AT) is conceptualized as a multi-component and time-efficient training framework for older adults to improve physical, functional and cognitive health domains that are relevant for maintaining activities of daily living. The aim of this one-year trial was to comparatively evaluate the effects of agility training on physical and cognitive function. Methods Seventy-nine healthy older adults (AT: 61.5% female, 70.8 ± 4.8 years, 27.7 ± 4.2 kg/$ m^{2} $; CG: 60.5% female, 69.6 ± 4.7 years, 27.5 ± 4.4 kg/$ m^{2} $) took part in this one-year randomized controlled intervention and were either assigned to the agility training group (AT) with two weekly 60 min AT sessions or to the control group (CG), receiving no treatment. Participants were assessed pre, intermediate and post intervention for strength and power, balance, gait speed under multi-task conditions, aerobic capacity as well as cognitive performance. Linear mixed effects models were used to analyze the effect of treatment over time. Results Fifty-four participants (AG: 25, CG: 29) were analyzed, most drop-outs attributed to COVID-19 (17/30 dropouts). Adherence was good (75%) of 90 offered sessions. Notable effects in favor of AT were found for gait parameters in single (d = 0.355, Δ = 4.3%), dual (d = 0.375, Δ = 6.1%) and triple (d = 0.376, Δ = 6.4%) task conditions, counter movement jump performance (strength and power) (d = 0.203, Δ = 6.9%), static one leg balance (d = 0.256, Δ = 12.33%) and n-back reaction time (cognitive performance) (d = 0.204, Δ = 3.8%). No effects were found for the remaining outcomes (d < 0.175). Conclusion AT might serve as an integrative training approach for older adults particularly improving gait and lower limb power parameters. It seems suitable to improve a broad range of seniors’ health domains and should replace isolated training of these domains. However, individual variation and progression of exercises should be considered when programming agility training providing adequate challenges throughout a long-term intervention for all participants. Trial registration DRKS, DRKS00017469. Registered 19 June 2019—Retrospectively registered.</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Key messages - This is the first long-term randomized controlled trial that evaluates the efficacy of an agility training for older adults with regard to different neuromuscular, cognitive and cardiovascular performance measures. - Agility training has a high adherence rate of 75% and a low drop-out rate (16.5%) over a whole year. - Small effects in favor of the agility training group were revealed for functional neuromuscular performance but not for maximum strength, dynamic balance, cardiovascular capacity, or cognitive function. - Future studies should include higher and progressive loads/intensities or challenging tasks to foster neuromuscular, cognitive and cardiovascular adaptations when training healthy older adults.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">older adults</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">agility training</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">strength</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">balance</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">cognition</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">multicomponent exercise</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">fall prevention</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Held, Steffen</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Rappelt, Ludwig</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Zacher, Jonas</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Eibl, Angi</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Ludyga, Sebastian</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Faude, Oliver</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Donath, Lars</subfield><subfield code="4">aut</subfield></datafield><datafield tag="773" ind1="0" ind2="8"><subfield code="i">Enthalten in</subfield><subfield code="t">European review of aging and physical activity</subfield><subfield code="d">Berlin : Springer, 2006</subfield><subfield code="g">20(2023), 1 vom: 11. 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Agility training to integratively promote neuromuscular, cardiorespiratory and cognitive function in healthy older adults: a one-year randomized-controlled trial

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