Physical activity for people with dementia: a scoping study

BMC Geriatrics

Louise McCabe²  Ruth Jepson¹  Alison Dawson²  Alison Bowes² 

[1] Scottish Collaboration for Public Health Research and Policy, University of Edinburgh, 20 West Richmond Street, Edinburgh, Scotland EH8 9DX, UK;School of Applied Social Science, University of Stirling, Stirling, Scotland FK9 4LA, UK

关键词: Realist review;    Services;    People with dementia;    Physical activity;   

Others  :  856608
DOI  :  10.1186/1471-2318-13-129

 received in 2013-09-06, accepted in 2013-11-13,  发布年份 2013

【 摘 要 】

Background

This scoping study aimed to identify how physical activity may benefit people with dementia; how and/or if current service provide these benefits; and what support they need to do so.

Methods

Methods included an evidence review using literature; mapping current service provision through a survey; and in-depth interviews with a sample of service providers.

Results

The 26 studies included in the review indicated the potential effectiveness of physical activity for people with dementia, including improvements in cognition and mood, behaviour and physical condition. Mechanisms of action and the link with outcomes were poorly defined and implemented.

The mapping survey and related interviews showed that service providers were delivering a range of services broadly consistent with the scientific evidence. They tended to take a holistic view of possible benefits, and focused on enjoyment and well-being, more than specific cognitive, physical and behavioural outcomes highlighted in literature. Service providers needed more evidence based information and resources to develop services and realise their potential.

Conclusion

Despite potential benefits demonstrated in literature and practice, there is a need for further research to optimise interventions and to consider some neglected issues including delivery at home and in communities; impacts for carers; physical activities through ADLs; and individual needs. Studies are needed which take a more holistic approach to the effects of physical activity, and outcomes should be broader and include mental health and wellbeing.

【 授权许可】

   
2013 Bowes et al.; licensee BioMed Central Ltd.

【 图 表 】

【 参考文献 】

• [1]World Health Organisation: Global recommendations on physical activity for health. Geneva: World Health Organisation; 2010.
• [2]Caspersen CJ, Powell KE, Christenson GM: Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Rep 1985, 100:126-131.
• [3]Brookmeyer R, Evans DA, Hebert L, Langa KM, Heeringa SG, Plassman BL, Kukull WA: National estimates of the prevalence of Alzheimer’s disease in the United States. Alzheimers Dement 2011, 7:61-73.
• [4]Wilson RS, Weir DR, Leurgans SE, Evans DA, Hebert LE, Langa KM, Plassman BL, Small BJ, Bennett DA: Sources of variability in estimates of the prevalence of Alzheimer’s disease in the United States. Alzheimers Dement 2011, 7(74):79.
• [5]Alzheimer’s Disease International (ADI): World Alzheimer report. 2009. http://www.alz.co.uk/research/files/WorldAlzheimerReport.pdf webcite
• [6]Kramer FK, Erikson KI: Capitalizing on cortical plasticity: influence of physical activity on cognition and brain function. TRENDS Cogn Sci 2007, 11:342-348.
• [7]Hokkanen L, Rantala L, Remes AM, Harkonen B, Viramo P, Winblad I: Dance and movement therapeutic methods in management of dementia: a randomized, controlled study. J Am Geriatr Soc 2008, 56:771-772.
• [8]Arcoverde C, Deslandes A, Rangel A, Rangel A, Pavao R, Nigri F, Engelhardt E, Laks J: Role of physical activity on the maintenance of cognition and activities of daily living in elderly with Alzheimer’s disease. Arq Neuro-Psiquiat 2008, 66:323-327.
• [9]Teri L, Logsdon RG, McCurry SM: Exercise interventions for dementia and cognitive impairment: the Seattle Protocols. J Nutr Health Aging 2008, 12:391-394.
• [10]Society A’s: Dementia: out of the shadows. London: Alzheimer's Society; 2008.
• [11]Forbes D, Forbes S, Morgan DG, Markle-Reid M, Wood J, Culum I: Physical activity programs for persons with dementia. Cochrane Database Syst Rev 2008., 3CD006489
• [12]Abraham C, Michie S: A taxonomy of behavior change techniques used in interventions. Health Psychol 2008, 27:379-387.
• [13]MRC: Developing and evaluating complex interventions: new guidance. 2008. http://www.mrc.ac.uk/Utilities/Documentrecord/index.htm?d=MRC004871 webcite
• [14]Pawson R, Greenhalgh T, Harvey G, Walshe K: Realist synthesis: an introduction. University of Manchester: ESRC Research Methods Programme; 2004. RMP Methods Paper 2/2004
• [15]Pawson R, Greenhalgh T, Harvey G, Walshe K: Realist review: a new method of systematic review designed for complex policy interventions. J Health Serv Res Po 2005, 10(Suppl 1):21-34.
• [16]Moher D, Liberati A, Tetzlaff J, Altman DG: The PRISMA Group: Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med 2009, 6:e1000097.
• [17]Centre for Reviews and Dissemination (CRD): Undertaking systematic reviews of research on effectiveness: CRD Report No. 4. 2nd edition. 2001.
• [18]Cochrane Effective Practice and Organisation of Care (EPOC) group: Data Extraction Form’, part of the EPOC Data Collection Template’. s. 2002. http://epoc.cochrane.org/epoc-author-resources webcite
• [19]Critical appraisal skills programme. http://www.casp-uk.net/ webcite
• [20]Eggermont LHP, Knolb DL, Hol EM, Swaab DF, Scherder EJA: Hand motor activity, cognition, mood, and the rest–activity rhythm in dementia A clustered RCT. Behav Brain Res 2009, 196:271-278.
• [21]Steinberg M, Leoutsakos J-MS, Podewils LJ, Lyketso CG: Evaluation of a home-based exercise program in the treatment of Alzheimer’s disease: the maximizing independence in dementia (MIND) study. Int J Geriatr Psych 2009, 24:680-685.
• [22]Buettner L, Richeson NE, Yu F, Burgener SC, Buckwalter KC, Beattie E, Bossen AL, Fick DM, Fitzsimmons S, Kolanowski A, Rose K, Pringle Specht JK, Testad I, McKenzie SE: Evidence supporting exercise interventions for persons in early-stage Alzheimer’s disease. Am J Recreation Ther 2008, 7:17-24.
• [23]Heyn P, Abreu BC, Ottenbacher KJ: The effects of exercise training on elderly persons with cognitive impairment and dementia: a meta-analysis. Arch Phys Med Rehab 2004, 85:1694-1704.
• [24]Littbrand H, Rosendahl E, Lindelöf N, Lundin-Olsson L, Gustafson Y, Nyberg L: A high-intensity functional weight-bearing exercise program for older people dependent in activities of daily living and living in residential care facilities: evaluation of the applicability with focus on cognitive function. Phys Ther 2006, 86:489-498.
• [25]Scherder E, Eggermont L, Sergeant J, Boersma F: Physical activity and cognition in Alzheimer’s disease: relationship to vascular risk factors, executive functions and gait. Rev Neuroscience 2007, 18:149-158.
• [26]Palo-Bengtsson L, Ekman S: Emotional response to social dancing and walks in persons with dementia. Am J Alzheimer’s Dis 2002, 17:149-153.
• [27]Baker LD, Frank LL, Foster-Schubert K, Green PS, Wilkinson CW, McTiernan A, Plymate SR, Fishel MA, Stennis Watson G, Cholerton BA, Duncan GE, Mehta PD, Craft S: Effects of aerobic exercise on mild cognitive impairment. Arch Neurol Chicago 2010, 67:71-79.
• [28]Burns JM, Cronk BB, Anderson HS, Donnelly JE, Thomas GP, Harsha A, Brooks WM, Swerdlow RH: Cardiorespiratory fitness and brain atrophy in early Alzheimer’s disease. Neurology 2008, 71:210-216.
• [29]Batman MW: The effects of therapeutic aquatic exercise on patients with Alzheimer’s disease, PhD thesis. Cincinnati, Ohio: The Graduate School of The Union Institute; 1999.
• [30]Dayanim S: The acute effects of a specialized movement program on the verbal abilities of patients with late-stage dementia. Alzheimer’s Care Today 2009, 10:93-98.
• [31]Francese T, Sorrell J, Butler FR: The effects of regular exercise on muscle strength and functional abilities of late stage Alzheimer’s residents. Am J Alzheimer’s Dis 1997, 12:122-127.
• [32]Edwards N, Gardiner M, Ritchie DM, Baldwin K, Sands L: Effect of exercise on negative affect in residents in special care units with moderate to severe dementia. Alz Dis and Assoc Dis 2008, 22:362-368.
• [33]Eggermont LHP, Swaab DF, Hol EM, Scherder EJA: Walking the line: a randomised trial on the effects of a short term walking programme on cognition in dementia. J Neurol Neurosurg Psychiatry 2009, 80:802-804.
• [34]Friedman R, Tappen RM: The effect of planned walking on communication in Alzheimer’s disease. J Am Geriatr Soc 1991, 39:650-654.
• [35]Cotman CW, Berchtold NC: Physical activity and the maintenance of cognition: learning from animal models. Alzheimers Dement 2007, 3:S30-S37.
• [36]Buettner LL, Fitzsimmons S: Recreational therapy exercise on the special care unit: impact on behaviours. Am J Recreation Ther 2004, 3:8-24.
• [37]Rolland Y, Pillard F, Klapouszczak A, Reynish E, Thomas D, Andrieu S, Riviere D, Vellas B: Exercise program for nursing home residents with Alzheimer’s disease: a 1-year randomized, controlled trial. J Am Geriatr Soc 2007, 55:158-165.
• [38]Arakawa-Davies K: Dance/movement therapy and reminiscence: a new approach to senile dementia in Japan. Arts Psychother 1997, 24:291-298.
• [39]Christofoletti G, Oliani MM, Gobbi S, Stella F, Gobbi LTB, Canineu PR: A controlled clinical trial on the effects of motor intervention on balance and cognition in institutionalized elderly patients with dementia. Clin Rehabil 2008, 22:618-626.
• [40]Binder EF: Implementing a structured exercise program for frail nursing home residents with dementia: issues and challenges. J Aging Phys Activ 1995, 1995(3):383-395.
• [41]Hernandez SSS, Coelho FGM, Gobbi S, Stella F: Effects of physical activity on cognitive functions, balance and risk of falls in elderly patients with Alzheimer’s dementia. Rev Bras Fisioter 2010, 14:68-74.
• [42]Van de Winckel A, Feys H, De Weerdt W, Dom R: Cognitive and behavioural effects of music-based exercises in patients with dementia. Clin Rehabil 2004, 18:253-260.
• [43]Holliman DC, Orgassa UC, Forney JP: Developing an interactive physical activity group in a geriatric psychiatry facility. Activities Adapt Aging 2001, 26:57-69.
• [44]Dorner T, Kranz A, Zettl-Wiedner K, Ludwig C, Rieder A, Gisinger C: The effect of structured strength and balance training on cognitive function in frail, cognitive impaired elderly long-term care residents. Aging Clin Exp Res 2007, 19:400-405.
• [45]Yu F, Kolanowski A: Facilitating aerobic exercise training in older adults with Alzheimer’s disease. Geriatr Nurs 2009, 30:250-259.