Universität zu Köln

Fleiner, Tim, Dauth, Hannah, Gersie, Marleen, Zijlstra, Wiebren and Haussermann, Peter (2017). Structured physical exercise improves neuropsychiatric symptoms in acute dementia care: a hospital-based RCT. Alzheimers Res. Ther., 9. LONDON: BMC. ISSN 1758-9193

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Abstract

Background: The primary objective of this trial is to investigate the effects of a short-term exercise program on neuropsychiatric signs and symptoms in acute hospital dementia care. Methods: Within a hospital-based randomized controlled trial, the intervention group conducted a 2-week exercise program with four 20-min exercise sessions on 3 days per week. The control group conducted a social stimulation program. Effects on neuropsychiatric signs and symptoms were measured via the Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change, the Neuropsychiatric Inventory, and the Cohen-Mansfield Agitation Inventory. The antipsychotic and sedative dosage was quantified by olanzapine and diazepam equivalents. Results: Eighty-five patients were randomized via minimization to an intervention group (IG) and a control group (CG). Seventy patients (82%) (mean age 80 years, 33 females, mean Mini Mental State Examination score 18.3 points) completed the trial. As compared to the CG (n = 35), the IG (n = 35) showed significantly reduced neuropsychiatric signs and symptoms. Especially, agitated behavior and lability improved. There were no between-group differences concerning antipsychotic and benzodiazepine medication. Conclusions: This exercise program is easily applicable in hospital dementia care and significantly reduces neuropsychiatric signs and symptoms in patients suffering from predominantly moderate stages of dementia.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Fleiner, Tim UNSPECIFIED UNSPECIFIED UNSPECIFIED Dauth, Hannah UNSPECIFIED UNSPECIFIED UNSPECIFIED Gersie, Marleen UNSPECIFIED UNSPECIFIED UNSPECIFIED Zijlstra, Wiebren UNSPECIFIED UNSPECIFIED UNSPECIFIED Haussermann, Peter UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-221405
DOI:	10.1186/s13195-017-0289-z
Journal or Publication Title:	Alzheimers Res. Ther.
Volume:	9
Date:	2017
Publisher:	BMC
Place of Publication:	LONDON
ISSN:	1758-9193
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language CONFUSION ASSESSMENT METHOD; PSYCHOLOGICAL SYMPTOMS; AGITATION; PREVALENCE; INVENTORY Multiple languages Clinical Neurology; Neurosciences Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/22140