Karaoke training occurred once a week for two hours, with an hour of homework assigned weekly. Pulmonary function as measured with spirometry and tongue strength were used as markers for physical functions affected by sarcopenia. Participants were near the threshold for mild cognitive impairment with the Montreal Cognitive Assessment (MoCA) and close to the sarcopenia cut-off with the skeletal muscle mass index. We conducted a single-blinded randomized controlled trial in 26 elderly participants at residential care facilities, who were generally healthy or required the lowest level of care. For the ultimate sensory banquet, take your Japan vacation during the sakura (cherry blossom) season between March and April, when the country is carpeted in pastel-pink blooms.We tested whether karaoke training improves cognitive skills and reduces the risk of physical function impairments. Super-speed bullet trains make ticking off less central cities such as Nagoya, Osaka, and Hiroshima (home to the Hiroshima Peace Memorial Park) possible on a day trip, while food tours of major cities showcase the best of local Japanese cuisine, from sushi to ramen and gyoza (dumplings). Visit hundreds of UNESCO World Heritage–listed shrines and Buddhist temples in Nara ski and snowboard on the frozen slopes of Hokkaido or relax on white-sand beaches lapped by the Pacific Ocean in Okinawa. Must-do activities in and around the city include watching a cabaret show at the Shinjuku Robot Restaurant, witnessing the early-morning tuna auction at Tsukiji Fish Market, and taking a day trip to Hakone to gaze at the snow-capped peak of Mt. Tokyo, the Land of the Rising Sun's capital, is the obvious starting point for any Japan trip. Robots dance to techno beats in Tokyo snow monkeys soak in hot springs in Yamanouchi and geishas serve green tea ceremoniously in Kyoto. In Japan, the past and the future are gloriously juxtaposed.
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