Effects of the Physical Activity and Cognitive Training Program

Inclusion Criteria: * Age 65 year and older * Able to communicate verbally * Able to discern 5\*5 cm2 picture from a viewing distance of 20 cm * Able to hear a sound of normal speech from a distance of 20 cm * Able to sit in a chair or wheelchair independently for more than 30 minutes without changes in vital signs and awareness and without physical discomfort * Has cognitive decline status assessing by CASI 2.0 * Lived in long-term care facilities during the study Exclusion Criteria: * Complete aphasia, blindness, deafness or completely dependent * Unstable angina, arrythmia, myocardial infarction history, postural hypotension, transient cerebral hypoxia or other psychiatric disorders except depression * Thrombophlebitis, or malignancy of the limbs. * Refusal by patient or family member. * Others. Reason to be well documented.