The association between physical performance, brainwave activity, and cognitive function in urban community-dwelling older adults

Main Article Content

Potchara Chinnasee
Yutthana Riansoi
Thanatpong Sukwong
Chamnan Chinnasee
Sirithip Wasinrat

Abstract

Background: The aging population faces significant challenges related to cognitive decline and dementia, which negatively impact quality of life and impose a burden on families and healthcare systems. Physical fitness and electroencephalography (EEG) are pivotal in addressing these issues, as regular physical activity not only improves overall health but also supports cognitive function, potentially delaying cognitive decline. This study investigates the relationship between physical fitness, brainwave activity, and dementia in urban elderly communities, emphasizing the need for effective strategies to combat these challenges.


Methods: This cross-sectional study involved 40 older adults from the Senanives Community Project 1 in Bangkok, selected through purposive random sampling with inclusion and exclusion criteria. Participants were assessed for cognitive health using the MSET10, physical fitness through the Senior Fitness Test (SFT), and brainwave activity via EEG. Safety measures and clear explanations ensured accurate data collection. Descriptive statistics and Pearson's correlation were used to analyze the relationships between physical fitness, brainwave activity, and dementia risk at a significance level of 0.05.


Results: It was found that the older adults had MSET10 scores indicating mild cognitive impairment. Significant correlations were found between dementia and physical fitness components, including flexibility (r=0.41, p<0.01), agility (r=-0.33, p=0.01), and cardiorespiratory endurance (r=0.34, p<0.01). Beta2 EEG activity in the right occipital lobe (r=0.26, p=0.05), as well as Delta2 and Beta2 activity in the right central lobe (r=-0.33 and r=0.34, p=0.01 for both), were linked to dementia. Additionally, Beta2 brainwaves in the left frontal lobe (r=0.31, p<0.05) and Delta2 and Beta2 brainwaves in the right frontal lobe (r=-0.28 and r=0.31, p<0.05 for both) showed significant associations with cognitive function.


Conclusion: In summary, the relationship between physical fitness, electroencephalogram (EEG) activity, and cognitive impairment in older adults highlights several key components: flexibility, cardiorespiratory endurance, and agility. These factors have a significant influence on the risk of cognitive decline. Additionally, beta2 and delta2 brain waves are associated with cognitive impairment, as they are related to attention and memory. Therefore, exercise programs should be designed to enhance these aspects of physical fitness in order to prevent cognitive decline and stimulate brain function.

Article Details

How to Cite
Chinnasee, P., Riansoi, Y. ., Sukwong, T. ., Chinnasee, C. ., & Wasinrat, S. (2025). The association between physical performance, brainwave activity, and cognitive function in urban community-dwelling older adults. Journal of Public Health Research and Innovation, 3(3), 1–14. https://doi.org/10.55164/jphri.v3i3.281444
Section
Research Article

References

Jones, C.H., Dolsten, M. Healthcare on the brink: navigating the challenges of an aging society in the United States. npj Aging. 2024;10(1):22.

World Health Organization. Aging and health [Internet]. Geneva: World Health Organization; 2024 [cited 2024 Oct 1]. Available from: https://www.who.int/news-room/fact-sheets/detail/ageing-and-health.

Hong, C., Sun, L., Liu, G., Guan, B., Li, C., Luo, Y. Response of global health towards the challenges presented by population aging. China CDC weekly. 2023;5(39):884-7.

Medici, A.C. Health sector challenges and policies in the context of ageing populations. United Nations, Department of Economics and Social Affairs, Population Division. 2021.

Sander, M., Oxlund, B., Jespersen, A., Krasnik, A., Mortensen, E.L., Westendorp, R.G., et al. The challenges of human population ageing. Age and ageing. 2015;44(2):185-7.

Healthline. Health-related components of fitness [Internet]. New York: Healthline; 2024 [cited 2024 Dec 9]. Available from: https://www.healthline.com/health/fitness/health-related-components-of-fitness.

National Institute on Aging. Four types of exercise can improve your health and physical activity [Internet] Bethesda (MD): NIA; 2024 [cited 2024 Dec 9]. Available from: https://www.nia.nih.gov/health/exercise-and-physical-activity/four-types-exercise-can-improve-your-health-and-physical.

Granacher, U., Gollhofer, A., Hortobágyi, T., Kressig, R.W., Muehlbauer, T. The importance of trunk muscle strength for balance, functional performance, and fall prevention in seniors: a systematic review. Sports medicine (Auckland, NZ). 2013;43(7):627-41.

Thomas, E., Battaglia, G., Patti, A., Brusa, J., Leonardi, V., Palma, A., et al. Physical activity programs for balance and fall prevention in elderly: A systematic review. Medicine. 2019;98(27):e16218.

Todd, N.P.M., Govender, S., Hochstrasser, D., Keller, P.E., Colebatch, J.G. Distinct movement related changes in EEG and ECeG power during finger and foot movement. Neuroscience Letters. 2025;853:138207.

Voss, M.W., Soto, C., Yoo, S., Sodoma, M., Vivar, C., van Praag, H. Exercise and Hippocampal Memory Systems. Trends in Cognitive Sciences. 2019;23(4):318-33.

Harnirattisai, T., Thongtawee, B., Raetong, P. The effects of a physical activity program for fall prevention among Thai older adults. Pacific Rim International Journal of Nursing Research. 2015;19(1):4-18.

Kraitap, P., Rudtanasudjatum, K., Tadkatuk, A., Khaokhiew, T. The PREBRA exercise model for reducing factors causing dementia among aging females in Thailand. Journal of The Department of Medical Services. 2019;44(4):96-104.

Kraitap., P., Rudtanasudjatum., K., Tadkatuk., A., Khaokhiew., T. Physical activity and reducing the risk factors for dementia among the aging female. Journal of Health Science. 2019;28(4):650-9.

Iuliano, E., di Cagno, A., Cristofano, A., Angiolillo, A., D’Aversa, R., Ciccotelli, S., et al. Physical exercise for prevention of dementia (EPD) study: background, design and methods. BMC Public Health. 2019;19(1):659.

Niedermeyer, E., Schomer, D.L., da Silva, F.H.L. Niedermeyer's Electroencephalography: Basic Principles, Clinical Applications, and Related Fields: Wolters Kluwer/Lippincott Williams & Wilkins Health; 2011.

Zając-Lamparska L, Zabielska-Mendyk E, Zapała D, Augustynowicz P. Compensatory brain activity pattern is not present in older adults during the n-back task performance-Findings based on EEG frequency analysis. Front Psychol. 2024;15:1371035.

Erickson, K.I., Donofry, S.D., Sewell, K.R., Brown, B.M., Stillman, C.M. Cognitive aging and the promise of physical activity. Annual Review of Clinical Psychology. 2022;18(1):417-42.

Erickson, K.I., Voss, M.W., Prakash, R.S., Basak, C., Szabo, A., Chaddock, L., et al. Exercise training increases size of hippocampus and improves memory. Proceedings of the national academy of sciences. 2011;108(7):3017-22.

Rikli, R.E., Jones, C.J. Senior Fitness Test Manual: Human Kinetics; 2013.

Kim, J.H., Choi, S.H., Lim, S., Kim, K.W., Lim, J.Y., Cho, N.H., et al. Assessment of appendicular skeletal muscle mass by bioimpedance in older community-dwelling Korean adults. Archives of Gerontology and Geriatrics. 2014;58(3):303-7.

Kim, M.J., Kim, T.Y., Choi, Y.A., Chin, J.H., Lee, S.Y. A study on the characteristics of standing posture of elderly women with sarcopenia in Korea. Journal of exercise rehabilitation. 2018;14(3):481-8.

Seesen, M., Sirikul, W., Ruangsuriya, J., Griffiths, J., Siviroj, P. Cognitive Frailty in Thai Community-Dwelling Elderly: Prevalence and Its Association with Malnutrition. Nutrients. 2021;13(12):4239.

Boongird, P. Mental State Examination T10. Dementia Association of Thailand Newsletter. 2018;10:1-4.

Rikli, R.E., Jones, C.J. Development and validation of criterion-referenced clinically relevant fitness standards for maintaining physical independence in later years. The Gerontologist. 2013;53(2):255-67.

Jiménez-Maldonado, A., Rentería, I., Johnson, D.K., Moncada-Jiménez, J., García-Suárez, P.C. Physical exercise and cognition in older adults, a scientific approach scanty reported in Latin America and Caribbean populations. Frontiers in Sports and Active Living. 2024;6:1368593.

Northey, J.M., Cherbuin, N., Pumpa, K.L., Smee, D.J., Rattray, B. Exercise interventions for cognitive function in adults older than 50: a systematic review with meta-analysis. British Journal of Sports Medicine. 2018;52(3):154-60.

Bherer, L., Erickson, K.I., Liu-Ambrose, T. A review of the effects of physical activity and exercise on cognitive and brain functions in older adults. Journal of aging research. 2013;2013(1):657508.

American Academy of Neurology. AAN recommends exercise for people with MCI. Neurology Reviews. 2018;26(2):17-9.

Sheppard, J.M., Young, W.B. Agility literature review: classifications, training and testing. Journal of sports sciences. 2006;24(9):919-some mental disorders. Medical journal of the Islamic Republic of Iran. 2017;31:53.

Manderoos, S., Wasenius, N.S., Laine, M.K., Kujala,U.M., Mälkiä, E.A., Kaprio, J., et al. Power of lower extremities and age were the main determinants on the agility test for adults in a cohort of men aged 66–91 years. European Journal of Physiotherapy.

;23(2):122-31.

Castillo de Lima V, Castaño LAA, Sampaio RAC, Sampaio PYS, Teixeira CVL, Uchida MC. Effect of agility ladder training with a cognitive task (dual task) on physical and cognitive functions: a randomized study. Front Public Health. 2023;11:1159343.

Kawabata, M., Gan, S.R., Shen-Hsing, A.C. Effects of Square Stepping Exercise on cognitive, physical, psychological, and group functioning in sedentary older adults: A center-based hybrid trial. BMC Geriatrics. 2024;24(1):374.

Herold, F., Theobald, P., Gronwald, T., Kaushal, N., Zou, L., de Bruin, E.D., et al. The best of two worlds to promote healthy cognitive aging: definition and classification approach of hybrid physical training interventions. JMIR aging. 2024;7:e56433.

Song, C.-Y., Yuan, W. Effectiveness of an intervention combining motor–cognitive training and arch support insoles in improving the physical performance of older adults with mild cognitive impairment: A randomized controlled trial. Geriatric Nursing.

;63:597-603.

Addante RJ, Yousif M, Valencia R, Greenwood C, Marino R. BOOSTING BRAIN WAVES IMPROVES MEMORY. Frontiers for young minds. 2021;9.

Lazarou I, Oikonomou VP, Mpaltadoros L, Grammatikopoulou M, Alepopoulos V, Stavropoulos TG, et al. Eliciting brain waves of people with cognitive impairment during meditation exercises using portable electroencephalography in a smart-home environment: a pilot study. Frontiers in aging neuroscience. 2023;15:1167410.

Roohi-Azizi M, Azimi L, Heysieattalab S, Aamidfar M. Changes of the brain's bioelectrical activity in cognition, consciousness, and some mental disorders. Medical journal of the Islamic Republic of Iran. 2017;31:53.

Adra, N., Dümmer, L.W., Paixao, L., Tesh, R.A., Sun, H., Ganglberger, W., et al. Decoding information about cognitive health from the brainwaves of sleep. Scientific Reports. 2023;13(1):11448.

YudyHendrayana, JajatDarajatKusumah Negara, Nuryadi, AgusGumilar, Martina Lesyiana. he Impact of Beta Brain Waves in Improving Cognitive Function through Brain Jogging Applications. International Journal of Human Movement and Sports Sciences.

;8(6A):73-7.