Mobility
Exercise game helps older people improve brain and body function

In a ‘super ageing society’ in which young people are few and older people are many, caring for the older adult population adequately with limited resources is a difficult balancing act to perform.
However, the hope is that by implementing new knowledge of how to keep ageing adults healthy, caring responsibilities may be lightened.
Now a research team have discovered that a game-like intervention called Synapsology helps to improve cognitive function and physical capabilities in older adults.
The findings from the researchers at University of Tsukuba in Japan were published in Alzheimer’s & Dementia.
Prevention
In areas of research such as pathological changes to the brain during ageing (for example, mild cognitive impairment and dementia), a lot remains unknown.
Although drug therapies to treat dementia are available and more are being developed, prevention is arguably the most important area of focus in working toward humankind’s goal of healthy long life.
Convincing evidence exists that dual-task exercises, which are performed by the brain and body simultaneously, have the potential to be beneficial for the physical and mental health of older adults.
However, as highlighted by the World Health Organization, the weak link in this area of research was the lack of translation of dual-task exercises into practice to yield concrete evidence on efficacy.
Exercises
Synapsology combines movement with number counting, calculation, memory, problem-solving, visual colour recognition and enumerating words.
“We conducted a study to assess the effects of 60-minute sessions of Synapsology twice per week,” said Professor Jieun Yoon.
“The exercises combined body movement with tasks that stimulate frontal, temporal and occipital brain activity.
“We found that, in comparison with older adults aged 85 to 97 who did not take part, those who did maintained or improved their cognitive and physical abilities over a period of 24 weeks.”
Synapsology is also a cost-effective intervention, because it doesn’t require special tools or facilities.
This means that the findings of the study were likely to be useful because the Synapsology game can be scaled and adapted.
Future uses
“Furthermore, we used well-known measures to quantify the changes to cognitive and physical function,” added Professor Yoon.
“Which means that both the intervention and the assessment can be extended to different populations of older adults to yield sufficient evidence to support the use of this dual-task intervention at a scale that can have a societal impact.”
Some questions remain – such as, can an intervention help prevent or delay the onset of Alzheimer’s disease?
The team has already begun research that will address this question by simultaneously monitoring biological changes in the brain from the disease and those that may represent cognitive and physical improvements from Synapsology.
News
Cycling may lower dementia risk, study finds

Cycling instead of driving or taking public transport is linked to a 19 per cent lower risk of developing dementia.
An analysis of nearly 480,000 people in Great Britain also found regular cyclists had a 22 per cent lower risk of Alzheimer’s disease compared with those using cars, buses or trains.
More than 55m people worldwide currently live with dementia, with numbers predicted to almost triple by 2050.
Physical activity has been identified as one of 14 factors that could prevent or delay about 45 per cent of cases.
Researchers from the UK Biobank study tracked the health of more than 500,000 people aged 40 to 69, recruited between 2006 and 2010.
Participants, who were aged 56.5 on average, answered questionnaires about which transport modes they used most often for non-work journeys.
Over a median follow-up of 13.1 years, 8,845 developed dementia and 3,956 developed Alzheimer’s disease.
The study examined nonactive travel (car, bus, train), walking, mixed walking (walking with nonactive modes), cycling, and mixed cycling (cycling with other modes).
Brain scans showed that cycling and mixed cycling were most strongly linked to greater hippocampal volumes.
The hippocampus is the part of the brain responsible for memory and learning.
Walking and mixed walking were associated with a 6 per cent lower dementia risk but, unexpectedly, a 14 per cent higher Alzheimer’s risk.
Dr Joe Verghese, professor and chair of neurology at Stony Brook University in New York, who was not involved in the study, said: “This study is the first to show that cycling is linked not only to a lower risk of dementia but also to a larger hippocampus.”
The APOE ε4 gene, the strongest genetic risk factor for Alzheimer’s, also influenced outcomes.
Participants without this gene variant had a 26 per cent lower dementia risk, while carriers had a 12 per cent lower risk.
“Travel modes were self-reported at a single time point, so we don’t know how people’s habits changed over time,” said Dr Sanjula Singh, instructor of neurology at Harvard Medical School.
Singh was not involved in the study.
“Most participants were White and healthier at baseline, so the results may not apply to all communities.
“And, most importantly, as this is an observational study, it cannot prove that cycling directly prevents dementia.
“It only shows an association.”
Older adults who cycle regularly are likely a healthier subgroup, and cycling may also reflect favourable genetics, with risk lowest among those without genetic susceptibility, Verghese said.
Participants choosing active travel were more often women, nonsmokers, more educated, more physically active overall, with lower body mass index and fewer chronic conditions.
Those in the cycling groups were more often men with healthier lifestyles.
The higher Alzheimer’s risk linked with walking could reflect participants already having balance or driving issues, said Dr Glen Finney, behavioural neurologist and director of the Memory and Cognition Program at Geisinger Health System in Pennsylvania.
Walking pace matters too, Finney added. Leisurely walking, especially for short distances, may not give the same benefit as brisker, longer walks.
The study did not report frequency, pace or duration of walking or cycling.
News
Jumping could be key to healthy ageing, study finds

Jumping may help protect ageing bones and cut fracture risks, with research showing short daily routines can strengthen bone density in adults.
High-impact exercise strengthens bones, which weaken as the body’s rate of bone formation slows with age.
Regular jumping can raise bone density – the level of calcium and other minerals that indicates bone strength and fracture risk.
A study involving 60 women aged 25 to 50 found that doing ten high-impact jumps twice a day for four months increased hip bone density.
Dr Larry Tucker, a professor at Brigham Young University, said: “Our study showed significant benefits over time.
“Women have to do the jumps daily to get the benefits. In addition, keep in mind, as women age it’s more and more difficult to improve bone density.”
Women are particularly at risk as they lose bone mass earlier and faster than men, having smaller, thinner bones.
The hormone oestrogen, which falls sharply after menopause, accelerates this decline, according to the Bone Health & Osteoporosis Foundation.
That raises the likelihood of osteoporosis – a disease where bones become fragile enough to fracture from minor knocks or even a cough.
About 10m people in the US live with the condition, more than 8m of them women.
Bone loss, however, affects both sexes, with 44m Americans having low bone density, according to the American Medical Association. Genetics and other health issues also influence how quickly bones weaken.
Lifestyle is described as “pivotal” for bone health by The Ohio State University.
Dr Jackie Buell, a sports dietitian there, highlighted the value of varied nutrition and strength training.
She said: “The nature of the exercise you want to do to help your bones is something that loads the bone, like jumping for the hips or push-ups for the wrists.”
Daily training is not essential. A few dozen jumps done twice weekly could “go a long way in benefiting your bone health throughout your lifespan,” said Pam Bruzina, a professor of nutrition and exercise physiology at the University of Missouri.
Improvements to bone density may be seen in as little as six months. Benefits are seen in younger and older adults, though most people reach peak bone mass in their early thirties.
Some caution is needed. Without sufficient muscle strength or if joint pain is present, jumping may risk injury.
Experts advise people with osteoporosis not to jump unsupervised because of the chance of fractures. Several months of resistance training around the hips and spine can help reduce risks.
Not all jumps are equally effective. Options such as explosive back-and-forth or side-to-side movements, or box jumps, bring the most benefit. Jumping rope is less useful, as bone growth depends on maximising landing impact and skeletal stress.
“Any intervention that slows that loss or mitigates it is better than nothing,” said Jocelyn Wittstein, an associate professor of orthopaedic surgery at Duke University School of Medicine.
“Any load-bearing activity on your legs is better than being sedentary.”
Research
Study reveals six-year biological age gap in young football players

A major football study has found players of the same age can differ biologically by up to six years, raising concerns about fairness in youth development.
Researchers assessed over 1,000 academy players in Scotland’s Club Academy Scotland system, collecting birth dates, current height and weight, and parental height to estimate biological maturity.
The study, carried out between January and April 2024 by the University of Bath and the University of Edinburgh, was commissioned by the Scottish Football Association.
It found that only 80 per cent of boys were developmentally aligned with their calendar age. In one case, a 13.8-year-old had a biological age of 12.3, while another player aged 15 measured biologically at 18.
Late developers – who make up around 15 per cent of the population – were vastly underrepresented in the academy system, confirming a strong bias towards early-developing players.
Professor Sean Cumming is lead researcher from the Department for Health at the University of Bath.
The researcher said: “Academies are often populated by players who have simply matured earlier,.
“This project and the new pilot rule allow us to create more equitable environments for all players to thrive – especially late developers, who are typically underrepresented.”
Based on the findings, the Scottish FA has introduced a pilot policy allowing clubs to group players by biological rather than chronological age.
The aim is to give later-developing players a fairer environment to build confidence and develop their skills among similarly developed peers.
The pilot was announced at the Growth and Maturation Workshop at Hampden Park, where researchers presented the data to clubs and academy staff.
Steve Curryn, Scottish FA PhD researcher from the University of Bath, said: “Only around 80 per cent of boys were developmentally aligned with their calendar age.
“Some players in the same age group differed biologically by up to six years.
“This discrepancy can profoundly impact how players are perceived, selected, and coached.”
The pilot lifts the previous cap of three players who could be moved across age groups, allowing a more tailored approach to long-term athlete development.
Mark Leslie, sports science and data manager at the Scottish FA, said: “The University of Bath’s expertise has provided us with an unprecedented insight into growth and maturation in elite youth football.
“We’re confident this research will have lasting impact not only in Scotland but across global talent pathways.”
The next phase of the project will explore links between growth and injury in academy football.
Selected CAS clubs will track injury rates alongside growth and maturation data to better understand risk during periods of rapid development.
Using this data, the University of Bath will help design and deliver a growth-spurt-specific injury prevention programme.
This will include adjusted training loads, skill-based progressions and individualised strength and conditioning.
The programme is based on a pilot at AFC Bournemouth, where injury rates fell by 86 per cent and injury burden dropped by 90 per cent.
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