There is no research in academia that compares the
effects of these two interventions (exercise and CBT)
among elderly adults with DS. Both interventions in this
study are based on the effective components for decreasing
DS from previous studies. This study aims to compare the
effectiveness of these two group-based interventions on
primary outcomes (DS), and secondary outcomes (physical
fitness (6-min walk), quality of life, and social support) of
community-dwelling elderly adults with DS.