Evidence mapPaperPMID 41873597Full record

Trial reportBioMed research international2026

Effectiveness of the Combined Exercise and Cognitive Training System in Enhancing Frontal Lobe Function in Older Adults: A Randomized Control Study.

Kuninori Suzuki, Kazuya Saita, Michiaki Otani, Hitoshi Okamura

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BioMed research international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Kuninori SuzukiDepartment of Psychosocial Rehabilitation, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan, hiroshima-u.ac.jp.
Kazuya SaitaDepartment of Psychosocial Rehabilitation, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan, hiroshima-u.ac.jp.ORCID https://orcid.org/0000-0002-7663-7513
Michiaki OtaniSogo Rehabilitation Laboratory, Yamaguchi, Japan.
Hitoshi OkamuraDepartment of Psychosocial Rehabilitation, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan, hiroshima-u.ac.jp.ORCID https://orcid.org/0000-0002-5629-9342

Funding

Japan Society for the Promotion of Science JP23K14734Mazda Motor Corporation
6 · The paper itself

Abstract

aimThis study was aimed at comparing the effects of a driving-related combined exercise and cognitive training system intervention on frontal lobe function in older adults with an active control group that performed aerobic exercises.

methodsIn this randomized controlled trial, 90 community-dwelling older adults were randomly allocated (1:1) to the intervention (n = 45) or control groups (n = 45). The intervention group participated in a combined exercise-cognitive multitask training program for six consecutive weeks, whereas the active control group performed matched-intensity aerobic exercises during the same period. Cognitive function was assessed using the Trail Making Test Parts A and B (TMT-A and B) and the Frontal Assessment Battery (FAB). Changes in the hemodynamics of the frontopolar cortex (FPC) during the task were measured using portable functional near-infrared spectroscopy (fNIRS). Assessments were conducted at baseline, postintervention, and follow-up time points.

resultsThe final analysis included 44 and 40 participants in the intervention and control groups, respectively. TMT-A and B results and FAB scores showed no significant differences between the groups at any time point. Similarly, fNIRS analysis showed no significant differences in hemodynamic reactivity in the FPC between the intervention and active control groups.

conclusionsThis study demonstrated that the multitask training system did not confer additional benefits beyond aerobic exercise under a low-intensity, short-duration protocol in older adults, with no significant improvements in cognitive performance or frontopolar hemodynamic reactivity. Future studies should incorporate extended intervention periods and evaluate outcomes in diverse demographic populations to establish the additional advantages of driving behavior-related multitask training compared with aerobic exercises.

Indexed as

CognitionCognitive TrainingExerciseExercise TherapyFrontal LobeAgedCognitive EnhancementFemaleHumansMaleSpectroscopy, Near-Infraredcognitive functiondriving behaviordual-taskexercisenear-infrared spectroscopy

Identifiers

PMID41873597
PMCPMC13140802

What Socratic holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.