Effect of Exercise on Behavioral Symptoms and Pain in Patients With Dementia Living in Nursing Homes.

IF 2.7 4区医学 Q2 CLINICAL NEUROLOGY

American Journal of Alzheimers Disease and Other Dementias Pub Date : 2019-03-01 Epub Date: 2018-10-03 DOI:10.1177/1533317518803773

Mathieu Maltais, Yves Rolland, Bruno Vellas, Paul-Emile Haÿ, Didier Armaingaud, Philippe Cestac, Laure Rouch, Matteo Cesari, Philipe de Souto Barreto

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引用次数: 0

Abstract

Objectives: Examine the effects of a 6-month exercise intervention on neuropsychiatric symptoms, pain, and medication consumption in older people with dementia (PWD) living in nursing homes (NH).

Methods: Ninety-one older PWD living in NH performed a 6-month structured exercise intervention (n = 44) or a social activity intervention (n = 47). Neuropsychiatric symptoms were measured by the neuropsychiatric inventory (NPI), pain was assessed using the Algoplus scale, and dementia-related drug prescriptions were obtained for all participants.

Results: Between-group analysis found a nonsignificant difference that could be of clinical relevance: a 4-point difference in the NPI and 1.3-point difference in the reduction of the number of medications favoring exercisers. No significant differences were found for pain, and a trend was found for an increase in medication consumption in the social group.

Conclusion: Exercise effects did not differ from social intervention effects on neuropsychiatric symptoms, pain, and medication consumption in older PWD living in NH.

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运动对养老院痴呆症患者行为症状和疼痛的影响

目标：研究为期 6 个月的运动干预对养老院痴呆症老年人的神经精神症状、疼痛和药物消耗的影响：研究为期 6 个月的运动干预对居住在疗养院（NH）的老年痴呆症患者（PWD）的神经精神症状、疼痛和药物消耗的影响：91名住在疗养院的老年痴呆症患者接受了为期6个月的结构化运动干预（44人）或社会活动干预（47人）。所有参与者的神经精神症状均通过神经精神量表（NPI）进行测量，疼痛通过Algoplus量表进行评估，并获得了与痴呆症相关的药物处方：组间分析发现了可能具有临床意义的非显著性差异：NPI 差异为 4 分，运动者在减少药物数量方面的差异为 1.3 分。在疼痛方面没有发现明显差异，但发现社会组的用药量有增加的趋势：结论：对于居住在新罕布什尔州的老年残疾人来说，运动效果与社会干预效果在神经精神症状、疼痛和药物消耗方面没有差异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American Journal of Alzheimers Disease and Other Dementias GERIATRICS & GERONTOLOGY-CLINICAL NEUROLOGY

CiteScore

5.40

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： American Journal of Alzheimer''s Disease and other Dementias® (AJADD) is for professionals on the frontlines of Alzheimer''s care, dementia, and clinical depression--especially physicians, nurses, psychiatrists, administrators, and other healthcare specialists who manage patients with dementias and their families. This journal is a member of the Committee on Publication Ethics (COPE).