Abstract details
| Abstract-ID: | 1942 |
| Title of the paper: | Factors Influencing Performance in Square-Stepping Exercise Among Healthy Older Adults |
| Authors: | Fu, H., Huang, S.W., Kao, S.C., Wang, C.H. |
| Institution: | University of Oxford |
| Department: | Nuffield Department of Clinical Neurosciences |
| Country: | United Kingdom |
| Abstract text | Introduction The Square-Stepping Exercise (SSE) is a structured program that integrates both physical and cognitive demands, designed to enhance balance, memory, and fall prevention, particularly among older adults. However, the extent to which SSE relies on physical and/or cognitive abilities remains unclear. This study aims to explore the relationship between these factors in a sample of healthy elderly adults. Method A total of 135 healthy older adults from the local community were recruited and completed a series of assessments, including questionnaires (Geriatric Depression Scale, Mini Mental State Examination, Montreal Cognitive Assessment), memory tests (Forward and Backward Digit Span), and fitness tests (30-Second Sit-to-Stand, Chair Sit-and-Reach, One-Leg Stand, 8-Foot Up-and-Go, Timed Up-and-Go, Functional Reach), along with the SSE. Stepwise ordinal logistic regression was conducted to examine the relationship between these variables and SSE performance, which was defined by the level participants could imitate following the instructors demonstration once or twice. Results We developed three separate models focusing on demographic, mental state, and lower-limb fitness variables. The analysis showed that age, education level (demographic model), Backward Digit Span (mental state model), and performance on the TUG test (lower-limb fitness model) were significantly linked to SSE performance. After combining these factors into a final model, Backward Digit Span emerged as the only variable significantly associated with SSE performance. Discussion In conclusion, this study identified working memory as the strongest predictor of SSE performance among older adults, underscoring the key role that cognitive abilities play in SSE. We propose that, given the significant involvement of cognitive abilities over physical fitness components in SSE, incorporating this exercise into physical activity interventions has the potential to enhance both cognitive and physical abilities in older adults while promoting increased physical activity. |
| Topic: | Psychology |
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