Effects of exercise games on improving cognitive function and health promotion in the elderly with dementia

INTERVENTION: Behavioral : All participants in this study will be 52 dementia patients, regardless of cognitive training status, and will be randomly assigned to either the Exergame group or the stationary bike group. Both groups will exercise for 25 minutes a day, 3 days a week, for 1 week; 30 minutes a day, 3 days a week, for 2‐3 weeks; 35 minutes a day, 3 days a week, for 4 weeks; 40 minutes a day, 3 days a week, for 5 weeks; 45 minutes a day, 3 days a week, for 6 weeks; and 50 minutes a day, 3 days a week, for 7‐24 weeks, for a total of 24 weeks. All study participants will undergo pre‐ and post‐exercise assessments, including body composition, functional fitness, gait assessment, subcutaneous fat measurement, blood sampling, comprehensive cognitive function questionnaire, depression scale questionnaire, and EEG tests. In addition, a caregiver will be required to complete the neuropsychiatric inventory and daily living function assessment questionnaire for evaluating functional disability in dementia patients. CONDITION: Mental and behavioural disorders PRIMARY OUTCOME: senior fitness test SECONDARY OUTCOME: 10‐meter walk test Examination of P300/N200 brain waves. Korean Neuropsychological Screening Battery (KNSB) Korean version of Geriatric Depression Scale (GDS) Measurement of epicardial fat is done by measuring the thickness of epicardial fat at maximum systole of the heart using echocardiography. The caregiver‐completed Neuropsychiatric Inventory (NPI) and Activities of Daily Living (ADL) questionnaire. INCLUSION CRITERIA: The subjects will be 52 elderly individuals with dementia aged 60 or older and classified as level 4‐5 on the long‐term care insurance scale, who have mild to moderate dementia with scores of 15‐23 on the Korean version of the Mini Mental State Examination (MMSE‐K), regardless of whether they received cognitive training or not. In addition, they must not have engaged in regular exercise in the past si Xmonths and should have no visual or hearing impairments.