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Dement Geriatr Cogn Disord. 2018;46(1-2):60-80. doi: 10.1159/000491818. Epub 2018 Aug 24.

Effects of Physical Activity in Nursing Home Residents with Dementia: A Randomized Controlled Trial.

Author information

1
Department of Clinical Neuropsychology, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
2
Department of Neurology, MS Center Amsterdam, Amsterdam University Medical Center, Amsterdam, the Netherlands.
3
tanteLouise, Bergen op Zoom, the Netherlands.

Abstract

BACKGROUND/AIMS:

There is no consensus regarding the optimal nonpharmacological intervention to slow down dementia-related decline. We examined whether physical stimulation interventions were effective in reducing cognitive, physical, mood, and behavioral decline in nursing home residents with dementia.

METHODS:

Eighty-seven nursing home residents with dementia were randomly assigned to 3 physical activity interventions: activities of daily living (ADL) training, multicomponent exercise training, or combined multicomponent exercise and ADL training. Outcomes were measured at baseline, and after 3 and 6 months.

RESULTS:

A 6-month ADL training benefitted executive functions, physical endurance, and depression among men. Exercise training benefitted only grip strength of participants with mild-to-moderate cognitive impairment. A combined training benefitted functional mobility compared to ADL training, depressive symptoms and agitation compared to exercise training, and physical endurance compared to no physical stimulation.

CONCLUSIONS:

ADL training appears to be effective for nursing home residents with moderately severe dementia. It remains unclear whether exercise training is an effective type of stimulation.

KEYWORDS:

Activities of daily living; Behavior; Cognition; Dementia; Exercise; Mood; Nursing home; Physical functions

PMID:
30145595
PMCID:
PMC6187838
DOI:
10.1159/000491818
[Indexed for MEDLINE]
Free PMC Article

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