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Related Experiment Videos

Physical activity programs for persons with dementia.

Dorothy Forbes1, Sean Forbes, Debra G Morgan

  • 1H33 Health Sciences Addition, School of Nursing, University of Western Ontario, London, Ontario, Canada, N6A 5C1. dforbes6@uwo.ca

The Cochrane Database of Systematic Reviews
|July 23, 2008
PubMed
Summary
This summary is machine-generated.

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Physical activity programs show insufficient evidence for benefiting people with dementia. More research is needed to determine if exercise improves cognition, function, or mood in dementia patients.

Area of Science:

  • Gerontology
  • Neurology
  • Rehabilitation

Background:

  • Physical activity may delay dementia onset and slow cognitive decline in healthy older adults.
  • Animal models suggest physical activity can mitigate dementia pathophysiology.
  • Defining physical activity as 'usual care plus physical activity' is crucial for study interpretation.

Purpose of the Study:

  • To evaluate if physical activity programs maintain or improve cognition, function, behavior, depression, and mortality in older adults with dementia compared to usual care.
  • To assess the indirect impact of physical activity on family caregivers' health, quality of life, and mortality.
  • To determine if physical activity programs reduce healthcare service utilization in individuals with dementia and their caregivers.

Main Methods:

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  • Searched multiple databases (Cochrane, MEDLINE, EMBASE, etc.) up to September 2007.
  • Included randomized controlled trials comparing physical activity programs to usual care for people with dementia.
  • Two reviewers independently assessed trial relevance and quality, extracting and pooling data where appropriate.

    • Main Results:

    • Only two of four eligible trials were included in analyses due to unavailable data.
    • Insufficient evidence exists regarding the effectiveness of physical activity programs for managing dementia symptoms.
    • Family caregiver outcomes and healthcare service use were not reported in the included trials.

    Conclusions:

    • Current evidence is insufficient to determine the benefits of physical activity programs for individuals with dementia.
    • Further high-quality trials are needed to investigate the impact of physical activity on dementia patients and their caregivers.