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Am J Alzheimers Dis Other Demen. 2010 Sep;25(6):505-12. doi: 10.1177/1533317510376173. Epub 2010 Jul 26.

Predictors of short- and long-term adherence to a daily walking program in persons with Alzheimer's disease.

Author information

1
Department of Psychosocial and Community Health, University of Washington, Seattle, 98115, USA. smccurry@u.washington.edu

Abstract

OBJECTIVE:

To examine factors associated with adherence to a walking program in community-dwelling individuals with Alzheimer's disease (AD).

METHODS:

Data were analyzed for 66 participants with AD asked to walk 30 continuous minutes per day. Adherence data (number of days walked, minutes walked, days walked 30+ minutes) were obtained from daily logs. Predictor variables included age, spousal relationship, health limitations, depression, participant dementia severity and behavioral disturbance, and caregiver stress and dementia management style.

RESULTS:

During week 1, participants significantly (P < .0001) increased number of days walked/week compared to baseline. However, walking frequency and duration declined over 6 months. Nonwalkers had higher behavioral disruption scores. Regression analyses indicated that participants who walked more were less depressed. Caregivers of walking participants tended to be spouses, and reported less stress.

CONCLUSIONS:

Both participant and caregiver factors (participant behavioral disruption and depression; caregiver stress and spousal relationship) impacted whether community-dwelling individuals with AD adhered to a walking program.

PMID:
20660515
PMCID:
PMC2935497
DOI:
10.1177/1533317510376173
[Indexed for MEDLINE]
Free PMC Article

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