The effect of a combined physical exercise on cognitive function and mental health in women after menopause

ISRCTN ISRCTN13086152
DOI https://doi.org/10.1186/ISRCTN13086152
Secondary identifying numbers 0557/E5.5/AL.04/2023
Submission date
29/12/2023
Registration date
04/01/2024
Last edited
15/08/2024
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
After menopause, women are more susceptible to a decline in cognitive function compared to men. Exercise is one of the methods used to prevent a rapid decline in cognitive function in older adults. However, the benefits of exercise on cognition vary depending on the doses of exercise intervention (type, intensity, and duration) and the characteristics of the population (gender, general health, and fitness level). A recent study suggests that combining different types of exercises, such as cardiovascular, resistance, balance, and flexibility exercises, might achieve greater improvements in cognitive function. However, there is little evidence of the benefits that come with exercise training specifically for post-menopausal women. This study aims to see if the combined exercise training program consisting of aerobic (brisk walking), resistance, flexibility, and balance exercises, can improve cognitive function in post-menopausal women.

Who can participate?
Female participants between the ages of 50 and 80 years who are at least 12 months postmenopausal, have a minimum educational level of junior high school, and are in good health

What does the study involve?
Initially, participants will take several tests, including a psychological assessment to evaluate mental health and cognitive abilities. They will also have tests for their body weight and height, heart rate, blood pressure, and blood test for glucose levels. After that, participants in the exercise group will engage in exercise training five times per week for two weeks. The duration of the exercise session is 40 to 60 minutes.

What are the possible benefits and risks of participating?
Participants in this study are expected to experience improved fitness and potentially enhanced cognitive abilities after completing the exercise training. At the end of this study, all participants will receive compensation in the form of souvenirs, which will include the sports equipment they used during the study (such as a yoga mat and resistance bands). There is a potential risk of injury during physical exercise. This will be minimized by using the correct warming-up and cooling-down techniques. The exercise session will also be supervised by a trained exercise physiologist.

Where is the study run from?
Airlangga University (Indonesia)

When is the study starting and how long is it expected to run for?
November 2022 to April 2023

Who is funding the study?
Ministry of Research, Technology and Higher Education of the Republic of Indonesia

Who is the main contact?
Dr Raden Argarini, Raden-a@fk.unair.ac.id

Contact information

Dr Raden Argarini
Public, Scientific, Principal Investigator

Jl. Mayjen Prof. Dr. Moestopo No. 47
Surabaya
60132
Indonesia

ORCiD logoORCID ID 0000-0002-5908-6270
Phone +62 (0)315023621
Email raden-a@fk.unair.ac.id

Study information

Study designSingle-center interventional single-blinded non-randomized trial
Primary study designInterventional
Secondary study designNon randomised study
Study setting(s)Community
Study typeQuality of life, Treatment
Participant information sheet Not available in webformat, please use contact details to request a participant information sheet
Scientific titleThe effect of combination exercise on cognitive function in post-menopausal women
Study objectivesCognitive function and mental health will improve following exercise intervention
Ethics approval(s)

Approved 16/02/2023, Ethics Committee of the Faculty of Medicine, Airlangga University (Jl. Mayjen Prof. Dr. Moestopo No. 47, Surabaya, 60132, Indonesia; +62 (0)315020251; kepk@fk.unair.ac.id), ref: 44/EC/KEPK/FKUA/2023

Health condition(s) or problem(s) studiedCognitive function in post-menopausal women
InterventionParticipants will be recruited from women's organizations that participated in the Family Welfare Empowerment Program in Surabaya, East Java, Indonesia.

The participants who met the inclusion criteria will be allocated to the exercise training group (EX group). Age-matched participants will be recruited from the neighborhood for the control group (CON group).

The participants in the EX group will perform a 2-week exercise program that includes a combination of aerobic, strength, balance, and flexibility exercises. On the other hand, participants in the CON group will be asked to continue with their usual activities.
Intervention typeBehavioural
Primary outcome measureCognitive function:
1. Executive function measured using Stroop test
2. Global cognitive function measured using Mini Mental Health Examination (MMSE)
All the outcomes will be measured before and after the exercise intervention in the EX group or before and at 2 weeks in the CON group
Secondary outcome measuresMental health measured using the Depression, Anxiety and Stress Scale - 21 Items (DASS-21) questionnaire before and after the exercise intervention
Overall study start date07/11/2022
Completion date27/04/2023

Eligibility

Participant type(s)Healthy volunteer
Age groupSenior
Lower age limit50 Years
Upper age limit80 Years
SexFemale
Target number of participants28
Total final enrolment30
Key inclusion criteria1. Women aged 50-80 years old who are at least 12 months postmenopausal
2. Minimum educational level of junior high school)
3. Did not have a history of stroke or any neurological problems, recent surgery, severe hearing or visual impairment, recent cardiovascular diseases (such as ischemic heart diseases and heart failure), mental health problems, dementia or moderate to severe cognitive impairment (defined as score of less than 21 on the MMSE
Key exclusion criteriaHave a musculoskeletal condition that impairs their ability to undertake exercise training
Date of first enrolment27/02/2023
Date of final enrolment13/04/2023

Locations

Countries of recruitment

  • Indonesia

Study participating centre

Airlangga University
Faculty of Medicine
Jl. Mayjen Prof. Dr. Moestopo No. 47
Surabaya
60132
Indonesia

Sponsor information

Ministry of Research, Technology and Higher Education of the Republic of Indonesia
Government

Kompleks Kementerian Pendidikan, Kebudayaan, Riset, dan Teknologi
Jalan Jenderal Sudirman, Senayan
Jakarta Pusat
Jakarta
10270
Indonesia

Phone +62 (0)2157946104
Email dikti@kemdikbud.go.id
Website http://dikti.kemdikbud.go.id

Funders

Funder type

Government

Kementerian Riset, Teknologi dan Pendidikan Tinggi
Government organisation / National government
Alternative name(s)
Kementerian Riset, Teknologi, dan Pendidikan Tinggi, Kementerian Riset Teknologi Dan Pendidikan Tinggi Republik Indonesia, Ministry of Research, Technology and Higher Education, Kementerian Ristek Dikti, Kementerian Riset dan Teknologi, Ministry of Research, Technology and Higher Education of the Republic of Indonesia
Location
Indonesia

Results and Publications

Intention to publish date26/03/2024
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planPlanned publication in a high-impact peer-reviewed journal

Added 13/02/2024:
The researchers are in the revision process for a high-impact journal.
IPD sharing planDe-identified datasets generated/analyzed during this study will be shared on request to Raden Argarini (raden-a@fk.unair.ac.id) and with a data use agreement. The data will be available until 02/12/2024. Consent from participants was required and obtained

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article 14/08/2024 15/08/2024 Yes No

Editorial Notes

15/08/2024: Publication reference added.
13/02/2024: The following changes were made to the study record:
1. Publication and dissemination plan updated.
2. The intention to publish date was changed from 26/02/2024 to 26/03/2024.
03/01/2024: Study's existence confirmed by the Ethics Committee of the Faculty of Medicine, Airlangga University.