Comprehensive correction of the health of older women: sustained effectiveness of the block program of «dual tasks» in a two-year study

the aim of the study was to evaluate the correctional and wellness effectiveness and sustainability of a two–year block cognitive activity program (based on the «double tasks» method) for women aged 60-75 years in comparison with the Nordic walking program. Materials and methods. A randomized controlled trial (n=48). The experimental group (EG, n=25) was engaged in a block program (Pilates/gymnastics, walking/orienteering, exercises with objects/games) with integrated cognitive tasks 3 times a week (1st year – with a coach, 2nd year – independently). The control group (KG, n=23) was engaged in Nordic walking. Morphofunctional parameters, physical fitness, cognitive functions and emotional state were assessed before, after 1 and 2 years. Results. After a year, the following indicators improved in EG (p<0,01): a decrease in BMI (-14,7%), waist circumference (-12,0%), SAD/DAD (-5,9%/-5,0%), an increase in body fat (+12,7%), arm strength (+307,9%), flexibility (+261,8%), abdominal strength (+289,1%), endurance (15,0%), overall MMSE score (+10,8%), decreased anxiety (-39,8%) and depression (-34,5%). Most of the changes persisted after self-study. In KG, the changes were minimal and/or less significant. EG was superior to KG in all indicators at both stages (p<0,01 or p<0,05). Conclusion. The block program based on the «double tasks» method is a highly effective and sustainable tool for the comprehensive correction of women's health, surpassing the effectiveness of Nordic walking. The improvements achieved are preserved during the transition to independent studies.

elderly women, motor activity, cognitive exercises, correction, health improvement, cognitive functions, the method of «dual tasks»