Exercise + Music for Aging

(iSTEP-2 Trial)

This trial explores how music can make exercise more enjoyable for older adults who currently engage in little physical activity. The researchers aim to determine if personalized music playlists, matched to exercise tempo, can improve mood and encourage regular exercise. Participants will be divided into two groups: one will exercise with these music playlists using an exercise intervention with Rhythmic Auditory Stimulation (RAS), and the other will exercise without them. Suitable candidates are those over 65, who can walk unaided, and who engage in less than 90 minutes of moderate activity each week.

As an unphased trial, this study offers a unique opportunity to explore innovative ways to enhance the exercise experience.

The trial does not specify if you need to stop taking your current medications. However, if you are using medications for cognitive impairment or have changed the dosage of medications for anxiety or depression in the last 6 months, you may not be eligible to participate.

Research has shown that Rhythmic Auditory Stimulation (RAS) during exercise is safe and well-received. Several studies have examined its effects on older adults. One study found that RAS is a simple method that improves movement, balance, and mobility without causing health problems. Another study found that RAS can enhance walking. Importantly, no serious side effects were reported.

Researchers are excited about the Exercise intervention with Rhythmic Auditory Stimulation (EX+RAS) trial because it introduces a unique blend of physical activity and music to enhance exercise experiences for aging individuals. Traditional exercise programs might not include any auditory component, which is where RAS stands out. By using rhythmic music playlists specifically designed to sync with exercise routines, this approach might boost motivation and adherence to regular physical activity. This could potentially make exercising more enjoyable and effective, promoting healthier aging.

Studies have shown that exercising with music or rhythmic cues can help older adults improve movement, balance, and mobility. Research indicates that rhythmic auditory stimulation (RAS) enhances walking by improving speed, stride length, and rhythm. Evidence also suggests that RAS may lower the risk of falls and improve brain functions like memory and attention in older people. In this trial, participants in the exercise intervention with RAS (EX+RAS) arm will use RAS playlists during exercise sessions, potentially making exercise more enjoyable and effective. Meanwhile, participants in the exercise intervention without RAS (EX) arm will follow the same exercise prescription without RAS playlists. These findings support the idea that RAS could help older adults maintain a regular exercise routine.⁴⁶⁷⁸⁹