Research highlights the benefits of regular traditional multicomponent training in older adults. The potential effect of exergames on perceptive–cognitive and physical function in prefrail older adults is still little explored. The study aimed to compare the effects of two physical exercise training programs (exergaming vs. traditional multicomponent) on perceptive–cognitive and physical functions of prefrail older adults. This study was a randomized controlled trial having 66 prefrail older adults assigned to two groups (exergame group [EG]: n = 32, 70.84 ± 4.53 years; multicomponent group [MG]: n = 34, 70.76 ± 5.60 years). Frailty phenotype, fall history, basic and advanced cognition, perceptual, physical (mobility, gait speed, and balance), and muscle (strength and power) functions were evaluated. Intervention was conducted during 12 weeks. The EG and MG performed similar exercise routines involving the main lower limb muscle groups required in daily activities. A mixed model analysis of variance (ANOVA) and effect size (d) revealed that both programs were effective in postponing frailty status, reducing the fear of falling (EG: d = 1.65; MG: d = 1.40), increasing fall risk awareness (EG: d = 2.14; MG: d = 1.60), improving cognitive status (EG: d = 0.83–2.61; MG: d = 0.86–1.43), muscle (EG: d = 0.54; MG: d = 0.51–0.73), and physical function (EG: d = 0.97–1.55; MG: d = 1.01–2.23). The exergame training might be a better alternative to improve cognition, whereas the multicomponent program may be a better option to provide physical function gains.

中文翻译：

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体弱前老年人的感知-认知和身体功能：运动游戏与传统的多组分训练

研究强调了对老年人进行常规传统多组分训练的好处。运动游戏对体弱前老年人的感知-认知和身体功能的潜在影响仍然很少被探索。该研究旨在比较两种体育锻炼训练计划（运动与传统的多组分运动）对体弱前老年人的感知-认知和身体功能的影响。本研究是一项随机对照试验，将 66 名体弱前期老年人分为两组（运动组 [EG]：n  = 32, 70.84 ± 4.53 岁；多组分组 [MG]：n = 34, 70.76 ± 5.60 年）。评估了虚弱表型、跌倒史、基本和高级认知、知觉、身体（活动性、步态速度和平衡）和肌肉（力量和爆发力）功能。干预是在 12 周内进行的。EG 和 MG 执行类似的锻炼程序，涉及日常活动所需的主要下肢肌肉群。方差 (ANOVA) 和效应大小 ( d )的混合模型分析表明，这两个程序都可以有效推迟虚弱状态，减少对跌倒的恐惧（EG：d  = 1.65；MG：d  = 1.40），提高跌倒风险意识（ EG：d  = 2.14；MG：d  = 1.60），改善认知状态（EG：d  = 0.83–2.61；MG：d  = 0.86–1.43）、肌肉（EG：d  = 0.54；MG：d  = 0.51–0.73）和身体功能（EG：d  = 0.97–1.55；MG：d  = 1.01–2.23）。运动游戏训练可能是提高认知能力的更好选择，而多组分计划可能是提供身体机能增益的更好选择。