TY - JOUR
T1 - Effects of Physical Activity in Nursing Home Residents with Dementia
T2 - A Randomized Controlled Trial
AU - Henskens, Marinda
AU - Nauta, Ilse M.
AU - Van Eekeren, Marieke C.A.
AU - Scherder, Erik J.A.
N1 - Funding Information: This study is funded by Stichting tanteLouise, who contributed to the conception and design of the study, helped with data acquisition, and critically revised the manuscript. The study funders had no role in the analysis and interpretation of the data. The authors declare that they have no competing interests. Publisher Copyright: © 2018 The Author(s) Published by S. Karger AG, Basel.
PY - 2018/9/1
Y1 - 2018/9/1
N2 - 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.
AB - 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.
KW - Activities of daily living
KW - Behavior
KW - Cognition
KW - Dementia
KW - Exercise
KW - Mood
KW - Nursing home
KW - Physical functions
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UR - https://www.ncbi.nlm.nih.gov/pubmed/30145595
U2 - https://doi.org/10.1159/000491818
DO - https://doi.org/10.1159/000491818
M3 - Article
C2 - 30145595
SN - 1420-8008
VL - 46
SP - 60
EP - 80
JO - Dementia and geriatric cognitive disorders
JF - Dementia and geriatric cognitive disorders
IS - 1-2
ER -