Effect of open and locked exercise on cognitive function in older adults
DOI:
https://doi.org/10.12775/QS.2025.38.58227Keywords
open skill exercise, closed skill exercise, cognitive function, the elderlyAbstract
Objective: The extension of life span and the decrease of fertility rate in the elderly population lead to the increasing aging proportion, and the natural growth of age is accompanied by aging. Cognitive diseases will emerge in large numbers at this stage, affecting the cognitive function of the elderly. Methods: The purpose of this review is to comprehensively explore the effects of open movement and locked exercise on cognitive function in the elderly. It discuss the specific effects and related neurobiological mechanisms of different types of exercise on cognitive function (including attention, memory, executive ability, etc.) in the elderly. Results: Open sports can effectively improve attention, executive function and cognitive flexibility in the elderly, and closed sports can have positive effects on memory and concentration by enhancing brain neuroplasticity and regulating neurotransmitters. Conclusion: although two types of movement on the cognitive function of the elderly has its emphasis, but overall, compared with closed movement, open movement in the elderly specific cognitive function (such as executive function, inhibitory control, task conversion, etc.) show more prominent effect, and help to reduce the brain caused by the age of atrophy and the risk of neurodegenerative changes.
References
[1]Cohen-Mansfield J , Shmotkin D , Hazan H .The effect of homebound status on older persons.[J].Journal of the American Geriatrics Society, 2010, 58(12):2358-2362.DOI:10.1111/j.1532-5415.2010.03172.x.
[2]Bauer J M , Kaiser M J , Sieber C C .Evaluation of nutritional status in older persons: nutritional screeningand assessment.[J].Current Opinion in Clinical Nutrition & Metabolic Care, 2010, 13(1):8-13.DOI:10.1097/MCO.0b013e32833320e3.
[3]Cohen-Mansfield J , Shmotkin D , Hazan H .Homebound older persons: Prevalence, characteristics, and longitudinal predictors[J].Archives of Gerontology & Geriatrics, 2012, 54(1):55-60.DOI:10.1016/j.archger.2011.02.016.
[4]Schaie K W. Historical processes and patterns of cognitive aging[J]. Handbook of cognitive aging: Interdisciplinary perspectives, 2008: 368-383.
[5]Grigsby J , Kaye K , Baxter J ,et al.Executive cognitive abilities and functional status among community-dwelling older persons in the San Luis Valley Health and Aging Study.[J].Journal of the American Geriatrics Society, 1998, 46(5):590-6.DOI:10.1111/j.1532-5415.1998.tb01075.x.
[6]Korten A E , Henderson A S , Christensen H ,et al.A prospective study of cognitive function in the elderly[J].Psychological Medicine, 1997, 27(4):919-930.DOI:10.1017/S0033291797005217.
[7]Lezak M D. Neuropsychological assessment[M]. Oxford University Press, USA, 2004.
[8]Carlson S M. Developmentally sensitive measures of executive function in preschool children[M]//Measurement of executive function in early childhood. Psychology Press, 2016: 595-616.
[9]Miyake A, Friedman N P, Emerson M J, et al. The unity and diversity of executive functions and their contributions to complex “frontal lobe” tasks: A latent variable analysis[J]. Cognitive psychology, 2000, 41(1): 49-100.
[10]Plassman B L , Langa K M , Fisher G G ,et al.Prevalence of Cognitive Impairment without Dementia in the United State[J].Annals of Internal Medicine, 2008, 148(6):427-434.DOI:10.7326/0003-4819-148-6-200803180-00005.
[11]Agüero-Torres H, Qiu C, Winblad B, et al. Dementing disorders in the elderly: evolution of disease severity over 7 years[J]. Alzheimer Disease & Associated Disorders, 2002, 16(4): 221-227.
[12]Anderson N D. State of the science on mild cognitive impairment (MCI)[J]. CNS spectrums, 2019, 24(1): 78-87.
[13]Livingston G , Huntley J , Sommerlad A ,et al.Dementia prevention, intervention, and care: 2020 report of the Lancet Commission[J].The Lancet, 2020, 396(10248).DOI:10.1016/S0140-6736(20)30367-6.
[14]Young J , Angevaren M , Rusted J ,et al.Aerobic exercise to improve cognitive function in older people without known cognitive impairment[J].Cochrane Database of Systematic Reviews, 2015.DOI:10.1002/14651858.cd005381.pub4.
[15]U.S. Department of Health.2008 Physical activity guidelines for Americans[J]. 2008.
[16]Piercy K L, Troiano R P, Ballard R M, et al. The physical activity guidelines for Americans[J]. Jama, 2018, 320(19): 2020-2028.
[17]Yamasaki T .Preventive Strategies for Cognitive Decline and Dementia: Benefits of Aerobic Physical Activity, Especially Open-Skill Exercise[J].brain sciences, 2023, 13(3).DOI:10.3390/brainsci13030521.
[18]Mazzeo R S,Cavanagh P.American College of Sports Medicine Position Stand. Exercise and physical activity for older adults[J]. Medicine and science in sports and exercise, 2018,30,1998 (7): 992-1008. DOI:10.1249/MSS.0b013e3181a0c95c.
[19]Miyake A , Friedman N P , Emerson M J ,et al.The Unity and Diversity of Executive Functions and Their Contributions to Complex "Frontal Lobe" Tasks: A Latent Variable Analysis[J].Cognitive Psychology, 2000.DOI:10.1006/cogp.1999.0734.
[20]Poulton E C. On prediction in skilled movements[J]. Psychological bulletin, 1957, 54(6): 467.
[21]Schmidt R A , Wrisberg C A .Motor learning and performance : a situation-based learning approach[M].Human Kinetics,2008.
[22]Zhu H , Chen A , Guo W ,et al.Which Type of Exercise Is More Beneficial for Cognitive Function? A Meta-Analysis of the Effects of Open-Skill Exercise versus Closed-Skill Exercise among Children, Adults, and Elderly Populations[J].Applied Sciences, 2020(8).DOI:10.3390/app10082737.
[23]Wang Y, Ji Q, Zhou C, et al. Brain mechanisms linking language processing and open motor skill training[J]. Frontiers in Human Neuroscience, 2022, 16: 911894.
[24]B F D R A , A F T , A T A ,et al.Neural correlates of fast stimulus discrimination and response selection in top-level fencers[J].Neuroscience Letters, 2006, 408( 2):113-118.DOI:10.1016/j.neulet.2006.08.085.
[25]Adams J A .A closed-loop theory of motor learning[J].Journal of motor behavior, 1971, 3(2):111.DOI:10.1080/00222895.1971.10734898.
[26]Gu Q , Zou L , Loprinzi P D ,et al.Effects of Open Versus Closed Skill Exercise on Cognitive Function: A Systematic Review[J].Frontiers in Psychology, 2019, 10:1707-.DOI:10.3389/fpsyg.2019.01707.
[27]Raz N , Gunning F M , Head D ,et al.Selective aging of the human cerebral cortex observed in vivo: differential vulnerability of the prefrontal gray matter.[J].Cerebral Cortex, 2015(3):268-282.DOI:10.1093/cercor/7.3.268.
[28]Buckner R L , Hughes H .Memory and executive function in aging and AD: multiple factors that cause decline and reserve factors that compensate.[J].Neuron, 2004, 44(1):195-208.DOI:10.1016/j.neuron.2004.09.006.
[29]Ylikoski A , Erkinjuntti T , Raininko R ,et al.White Matter Hyperintensities on MRI in the Neurologically Nondiseased Elderly[J].Stroke, 1995, 26(7):1171-1177.DOI:10.1161/01.STR.26.7.1171.
[30]Jan,Cees,De,et al.Cerebral white matter lesions and cognitive function: The Rotterdam scan study[J].Annals of Neurology, 2000.DOI:10.1002/1531-8249(200002)47:2<145::AID-ANA3>3.0.CO;2-P.
[31]Albert, M. S .The ageing brain: normal and abnormal memory.[J].Philosophical Transactions of the Royal Society of London, 1997, 352(1362):1703-1709.DOI:10.1098/rstb.1997.0152.
[32]Fabian,Sonja,Schnelle,et al.Combined omega-3 fatty acids, aerobic exercise and cognitive stimulation prevents decline in gray matter volume of the frontal, parietal and cingulate cortex in patients with mild cognitive impairment[J].Neuroimage, 2016.DOI:10.1016/j.neuroimage.2015.09.050.
[33]Tyler, W. J .From Acquisition to Consolidation: On the Role of Brain-Derived Neurotrophic Factor Signaling in Hippocampal-Dependent Learning[J].Learning & Memory, 2002, 9(5):224.DOI:10.1101/lm.51202.
[34]Connor B, Young D, Yan Q, et al. Brain-derived neurotrophic factor is reduced in Alzheimer's disease[J]. Molecular brain research, 1997, 49(1-2): 71-81.
[35]Hennigan A, O'callaghan R M, Kelly A M. Neurotrophins and their receptors: roles in plasticity, neurodegeneration and neuroprotection[J]. 2007.
[36]Kelvin,Y,Liang,et al.Exercise and Alzheimer's disease biomarkers in cognitively normal older adults[J].Annals of Neurology, 2010, 68(3):311-318.DOI:10.1002/ana.22096.
[37]Stillman C M, Lopez O L, Becker J T, et al. Physical activity predicts reduced plasma β amyloid in the Cardiovascular Health Study[J]. Annals of clinical and translational neurology, 2017, 4(5): 284-291.
[38]Erickson K I , Raji C A , Lopez O L ,et al.Physical activity predicts gray matter volume in late adulthood: the Cardiovascular Health Study.[J].Neurology, 2010, 75(16):1415.DOI:10.1212/WNL.0b013e3181f88359.
[39]María Beatriz Jurado,Mónica Rosselli.The Elusive Nature of Executive Functions: A Review of our Current Understanding[J].Springer US, 2007(3).DOI:10.1007/S11065-007-9040-Z.
[40]Chan J S Y , Wong A C N , Liu Y ,et al.Fencing expertise and physical fitness enhance action inhibition[J].Psychology of Sport & Exercise, 2011, 12(5):509-514.DOI:10.1016/j.psychsport.2011.04.006.
[41]Hillman C H , Kramer A F , Belopolsky A V ,et al.A cross-sectional examination of age and physical activity on performance and event-related brain potentials in a task switching paradigm.[J].International Journal of Psychophysiology, 2006, 59(1):30-39.DOI:10.1016/j.ijpsycho.2005.04.009.
[42]Dai C T , Chang Y K , Huang C J ,et al.Exercise mode and executive function in older adults: An ERP study of task-switching[J].Brain Cogn, 2013, 83(2):153-162.DOI:10.1016/j.bandc.2013.07.007.
[43]Wang B , Guo W .Exercise mode and attentional networks in older adults: a cross-sectional study[J].PeerJ, 2020, 8(4):e8364.DOI:10.7717/peerj.8364.
[44]Wei G , Biye W , Yue L ,et al.The relationship between different exercise modes and visuospatial working memory in older adults: a cross-sectional study[J].PeerJ, 2016, 4:e2254.DOI:10.7717/peerj.2254.
[45]Tsai C L , Wang C H , Pan C Y ,et al.The effects of different exercise types on visuospatial attention in the elderly[J].Psychology of Sport & Exercise, 2016:130-138.DOI:10.1016/j.psychsport.2016.06.013.
[46]Raz N , Lindenberger U , Rodrigue K M ,et al.Regional Brain Changes in Aging Healthy Adults: General Trends, Individual Differences and Modifiers[J].Cerebral Cortex, 2005, 15(11):1676-1689.DOI:10.1093/cercor/bhi044.
[47]Sayal N .Exercise training increases size of hippocampus and improves memory PNAS (2011) vol. 108 | no. 7 | 3017-3022.[J].Proceedings of the National Academy of Sciences of the United States of America, 2015, 108(7):3017-3022.DOI:10.1073/pnas.1015950108.
[48]Erickson K I , Prakash R S , Voss M W ,et al.Aerobic fitness is associated with hippocampal volume in elderly humans.[J].Hippocampus, 2010, 19(10):1030-1039.DOI:10.1002/hipo.20547.
[49]Chia-Liang T , Chien-Yu P , Fu-Chen C ,et al.Open- and Closed-Skill Exercise Interventions Produce Different Neurocognitive Effects on Executive Functions in the Elderly: A 6-Month Randomized, Controlled Trial[J].Frontiers in Aging Neuroscience, 2017, 9.DOI:10.3389/fnagi.2017.00294.
[50]Fuzhong,Li,K,et al.Tai Chi and Self-Rated Quality of Sleep and Daytime Sleepiness in Older Adults: A Randomized Controlled Trial[J].Journal of the American Geriatrics Society, 2004.DOI:10.1111/j.1532-5415.2004.52255.x.
[51]Taylor-Piliae R E .The Effectiveness of Tai Chi Exercise in Improving Aerobic Capacity: An Updated Meta-Analysis[J].Medicine and sport science, 2008, 52:40-53.DOI:10.1159/000134283.
[52]Sally,M,Miller,et al.Effects of Tai Chi on cognitive function in community-dwelling older adults: A review[J].Geriatric Nursing, 2014, 35(1):9-19.DOI:10.1016/j.gerinurse.2013.10.013.
[53]Jia R, Liang J, Xu Y, et al. Effects of physical activity and exercise on the cognitive function of patients with Alzheimer disease: a meta-analysis[J]. BMC geriatrics, 2019, 19: 1-14.
[54]Fuezeki E, Engeroff T, Banzer W. Health benefits of light-intensity physical activity: a systematic review of accelerometer data of the National Health and Nutrition Examination Survey (NHANES)[J]. Sports medicine, 2017, 47: 1769-1793.
[55]Diamond A .Effects of Physical Exercise on Executive Functions: Going beyond Simply Moving to Moving with Thought.[J].Annals of sports medicine and research, 2015, 2(1):1011-1011.
[56]Behrendt T , Kirschnick F , Krger L ,et al.Comparison of the effects of open vs closed skill exercise on the acute and chronic BDNF, IGF-1 and IL-6 response in older healthy adults[J].BMC neuroscience, 2021, 22(1):71.DOI:10.1186/s12868-021-00675-8.
[57]Lai J, Zhang Z, Ni G, et al. The influence of open-skill and closed-skill sports on executive functions: a systematic review[J]. British Journal of Hospital Medicine, 2024, 85(7): 1-16.
[58]Yamasaki T. Benefits of table tennis for brain health maintenance and prevention of dementia[J]. Encyclopedia, 2022, 2(3): 1577-1589.
[59]Biernat E, Buchholtz S, Krzepota J. Eye on the ball: table tennis as a pro-health form of leisure-time physical activity[J]. International journal of environmental research and public health, 2018, 15(4): 738.
[60]Mousset K , Violette L ,Aurélie pron.The ITTF and Olympic recognition of table tennis: from pure amateurism to the Asian markets (1926–1988)[J].[2025-01-11].
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