Reversal of cognitive impairment in a hypotensive elderly population using a passive exercise intervention

Kenneth J McLeod, Astrid Stromhaug Sonostics, Inc, Endicott, NY, USA Background: Cognitive decline in the elderly is strongly associated with cerebral hypoperfusion, a condition that can be reversed with exercise. Adhering to a traditional exercise regimen, however, is challenging for this populat...

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Autores principales:	McLeod KJ, Stromhaug A
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	Cognitive impairment chronic hypotension soleus stimulation executive function Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/878d9c5138864aa9a17668c749c76ff5
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spelling	oai:doaj.org-article:878d9c5138864aa9a17668c749c76ff52021-12-02T04:47:24ZReversal of cognitive impairment in a hypotensive elderly population using a passive exercise intervention1178-1998https://doaj.org/article/878d9c5138864aa9a17668c749c76ff52017-11-01T00:00:00Zhttps://www.dovepress.com/reversal-of-cognitive-impairment-in-a-hypotensive-elderly-population-u-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Kenneth J McLeod, Astrid Stromhaug Sonostics, Inc, Endicott, NY, USA Background: Cognitive decline in the elderly is strongly associated with cerebral hypoperfusion, a condition that can be reversed with exercise. Adhering to a traditional exercise regimen, however, is challenging for this population.Objective: In a pilot clinical study, we evaluated the ability of a “passive” exercise regimen (noninvasive calf muscle pump stimulation) to normalize blood pressure in a chronically hypotensive elderly population and enhance cognitive function.Participants and methods: Ten elderly (82.5±7.5 years) men and women volunteers, residing in a senior living facility in upstate New York, were divided into control (N=5) and intervention (N=5) groups based on initial diastolic blood pressure (DBP); participants with initial DBP <65 mmHg became intervention participants, and those with initial DBP >65 mmHg enrolled in the control group. Body mass, blood pressure, and executive function (using incongruent Stroop and Trailmaking B test) were evaluated weekly for 4 months.Results: At initiation of the study, time to complete the executive function tests in the hypotensive group was almost twice that of the control group. Daily calf muscle pump stimulation (passive exercise) for 1 hour/day, or less, was found to be sufficient to normalize DBP and significantly improve performance on the executive function tests. Keywords: cognitive impairment, chronic hypotension, soleus stimulation, executive functionMcLeod KJStromhaug ADove Medical PressarticleCognitive impairmentchronic hypotensionsoleus stimulationexecutive functionGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 12, Pp 1859-1866 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Cognitive impairment chronic hypotension soleus stimulation executive function Geriatrics RC952-954.6
spellingShingle	Cognitive impairment chronic hypotension soleus stimulation executive function Geriatrics RC952-954.6 McLeod KJ Stromhaug A Reversal of cognitive impairment in a hypotensive elderly population using a passive exercise intervention
description	Kenneth J McLeod, Astrid Stromhaug Sonostics, Inc, Endicott, NY, USA Background: Cognitive decline in the elderly is strongly associated with cerebral hypoperfusion, a condition that can be reversed with exercise. Adhering to a traditional exercise regimen, however, is challenging for this population.Objective: In a pilot clinical study, we evaluated the ability of a “passive” exercise regimen (noninvasive calf muscle pump stimulation) to normalize blood pressure in a chronically hypotensive elderly population and enhance cognitive function.Participants and methods: Ten elderly (82.5±7.5 years) men and women volunteers, residing in a senior living facility in upstate New York, were divided into control (N=5) and intervention (N=5) groups based on initial diastolic blood pressure (DBP); participants with initial DBP <65 mmHg became intervention participants, and those with initial DBP >65 mmHg enrolled in the control group. Body mass, blood pressure, and executive function (using incongruent Stroop and Trailmaking B test) were evaluated weekly for 4 months.Results: At initiation of the study, time to complete the executive function tests in the hypotensive group was almost twice that of the control group. Daily calf muscle pump stimulation (passive exercise) for 1 hour/day, or less, was found to be sufficient to normalize DBP and significantly improve performance on the executive function tests. Keywords: cognitive impairment, chronic hypotension, soleus stimulation, executive function
format	article
author	McLeod KJ Stromhaug A
author_facet	McLeod KJ Stromhaug A
author_sort	McLeod KJ
title	Reversal of cognitive impairment in a hypotensive elderly population using a passive exercise intervention
title_short	Reversal of cognitive impairment in a hypotensive elderly population using a passive exercise intervention
title_full	Reversal of cognitive impairment in a hypotensive elderly population using a passive exercise intervention
title_fullStr	Reversal of cognitive impairment in a hypotensive elderly population using a passive exercise intervention
title_full_unstemmed	Reversal of cognitive impairment in a hypotensive elderly population using a passive exercise intervention
title_sort	reversal of cognitive impairment in a hypotensive elderly population using a passive exercise intervention
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/878d9c5138864aa9a17668c749c76ff5
work_keys_str_mv	AT mcleodkj reversalofcognitiveimpairmentinahypotensiveelderlypopulationusingapassiveexerciseintervention AT stromhauga reversalofcognitiveimpairmentinahypotensiveelderlypopulationusingapassiveexerciseintervention
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Reversal of cognitive impairment in a hypotensive elderly population using a passive exercise intervention

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