It is rare for elderly people already suffering from cognitive decline or dementia to undergo PA testing [24]. This is surprising as dementia patients not only support health, but also recommend periodic physical activity to improve quality of life and behavioral and psychological symptoms (BPSD), this is surprising. Most AD patients develop BPSD at some stage of the disease, which is particularly stressful for caregivers and patients. In one study, it is known that regular exercise can prevent weight loss of AD [25], but other studies have shown that mild to severe AD patients have falls, BPSD, risk of cognitive function and nutritional status We reported that there was.
Scarmeas et al. It has been reported that elevated PA levels in AD patients are inversely related to cerebral blood flow in the temporal lobe and parietal lobe [27]. This is explained by the fact that patients with active bodies have higher brain storage.
In addition, postmortem examination showed that physically active patients had a greater burden of disease than patients with similar cognitive dysfunction. This finding supports the brain reserve power hypothesis and suggests that conventional PA retards clinical progress of AD by counteracting the influence of AD related brain pathology. Teri et al. In a randomized clinical trial, a family-based exercise program was investigated to reduce functional dependence and delay the facilitation of AD patients in 153 community-based [28]. Patients and their carers were randomly assigned to the exercise plus behavior management technology group (intervention) or "conventional medical" (control) group. The intervention took place at the patient's home for 3 months. The exercise part is a combination of endurance activity, strength training, balance and flexibility training, and a 12-hour exercise every 30 minutes.
Compared with the control group, the intervention group had more physical activity in 3 months and the body function and depression scores improved. Even two years later, the body function score of the intervention group was significantly improved. Also, because there is a behavioral problem than comparison, the possibility of institutionalization is low (19% versus 50%). Although this research provides valuable new information, it is unclear how much this effect is caused by a combination of exercise, nursing staff training, or both interventions.
Exercise is an important part of the health of each age group. Unfortunately, many elderly people do not have sufficient physical activity or exercise. Being active helps increase vitality, maintain power and flexibility, expand mental function, reduce the risk of health problems, and further relieve chronic pain. Find the activity you like and enter easily with the speed and consistency that your body can handle. Please add various endurance, strength, stretch, balance exercises to your daily work. Exercise options include yoga, walking, swimming, cycling, gardening, and sports classes for older adults. The key to successful exercise is diversity
Elderly people with cognitive dysfunction tend to have poor dementia, disability, and quality of life. Exercise and mental activity can improve the physical function and health-related quality of life (HRQOL), but the combination has not been systematically studied. Psychological activities and eXercise (MAX) trials showed that the combination of psychological activities and exercise for more than 12 weeks improved the cognitive function (primary outcome) of elderly people with cognitive disorders who had sedentary disabilities. Investigate the effect of the combination of two mental activities and exercise programs on physical function and HRQOL (secondary outcome). Participants (126, age 73 ± 6 years old, 65% female) were randomized to 12 weeks of exercise (aerobic exercise or stretching / conditioning, 3 x 60 min / week) and psychological activity (by computer) I assigned. There was no difference between baseline among cognitive function training or educational DVD (3 x 60 min / week) group (p> 0.05). Copyright © 2017 Elsevier Inc. All rights reserved.