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Centre- versus home-based exercise among people with mci and mild dementia: study protocol for a randomized
Laura E Middleton1, Sandra E Black2, Nathan Herrmann2
1University of Waterloo, 200 University Ave W (BMH 1114), Waterloo, ON, N2L 3G1, Canada. laura.middleton@uwaterloo.ca.
BMC Geriatrics
|January 27, 2018
Summary
This study compares center-based (CB) versus home-based (HB) exercise programs for individuals with mild cognitive impairment (MCI) or mild dementia. Identifying effective exercise delivery is crucial for dementia prevention and therapy.
Area of Science:
- Gerontology
- Neurology
- Exercise Science
Background:
- Dementia affects millions globally, with no cure; alternative therapies like exercise are vital.
- Barriers to exercise for individuals with dementia include cognitive, physical, and social challenges.
- Effective exercise delivery models are needed to overcome these barriers and promote physical activity.
Purpose of the Study:
- To compare the effectiveness of center-based (CB) versus home-based (HB) exercise for achieving physical activity guidelines in individuals with MCI or mild dementia.
- To evaluate the cost-effectiveness and influencing factors of different exercise delivery methods.
- To assess the impact of exercise interventions on physical function, cognition, mood, and quality of life.
Main Methods:
- Randomized parallel-group trial involving community-dwelling adults aged 50+ with MCI or mild dementia.
- Participants randomized to CB exercise (weekly group sessions plus independent exercise) or HB exercise (independent exercise with monthly phone support).
- Primary outcome: achievement of 150 min/week moderate activity via activity monitor; secondary outcomes: cost-effectiveness, influencing factors; tertiary outcomes: physical function, cognition, mood, quality of life.
Main Results:
- This section is to be filled once the study is completed and results are available.
Conclusions:
- This study will identify feasible and cost-effective exercise delivery options for individuals with MCI and mild dementia.
- Findings will inform the implementation of exercise recommendations for dementia prevention and therapy.
- Results are essential for complementing ongoing clinical trials and developing targeted interventions.
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