Strategies to engage older adults with behavioral and psychological symptoms of dementia in exercise: A multiple case study

Yu, Fang; Greimel, Susan; Kelly, Kaitlin; Wyman, Jean F.

doi:10.1016/j.apnr.2017.05.002

Cited by 2 publications

(2 citation statements)

References 13 publications

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“…Moreover, visual and hearing impairments vary greatly among individuals with DS, which can impact exercise learning. Associated with these factors, 70% of adults with DS develop AD-like neuropathology by 40 years of age and exercise adherence for persons with AD can be very challenging given their unique AD symptoms combinations (e.g., behavioral, and psychological symptoms of dementia) ( Yu et al, 2017 ; Antonarakis et al, 2020 ). Unfortunately, there are no effective interventions to significantly delay or prevent the onset of AD, but people with DS need to be physically active as part of a healthy aging plan ( Pape et al, 2021 ).…”

Section: Discussionmentioning

confidence: 99%

Resistance training and Down Syndrome: A narrative review on considerations for exercise prescription and safety

Melo

Neto²,

Fonseca³

et al. 2022

Front. Physiol.

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The current manuscript reviews the literature on the health effects of resistance training (RT) for individuals with Down syndrome (DS), focusing on this training modality’s methodology, application, and safety. The literature has mentioned that early aging in this population is associated with loss of muscle strength, lower lean and bone mass, and increased obesity. It is necessary to propose non-pharmacological measures for prevention and health promotion. Thus, this review suggests a current research-based RT guide for individuals with DS. This review is divided into three sections: Section 2 briefly reviews DS and the effects on structural and functional decline and how exercise and physical activity can influence health aspects in this population; Section 3 summarizes the evidence for RT prescription; Section 4 briefly reviews the health and potential benefits of RT in individuals with DS. The findings from this review suggest that most individuals with DS should engage in moderate-intensity RT at least 2 days a week and perform RT on the major muscle groups and include balance training. The RT program should be modified and adapted according to individuals’ characteristics and limitations. RT promotes positive, health-related benefits such as increasing strength, improving body composition, improving functional capacity and balance, reducing inflammatory status and oxidative stress, and improving the immune system. The RT protocols summarized in this current review provide guidance, critical conclusions, and novel research settings, which could be useful to coaches, clinicians, and researchers to effectively design RT program for individuals with DS.

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Section: Discussionmentioning

confidence: 99%

Resistance training and Down Syndrome: A narrative review on considerations for exercise prescription and safety

Melo

Neto²,

Fonseca³

et al. 2022

Front. Physiol.

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“…In addition, increasing pleasant events, such as providing a delicious treat before the PA, can help to overcome behavioural problems [61,72]. On top of these common strategies, individualized non-pharmacological strategies are necessary to address the unique symptoms of people with dementia [73,74]. For example, depending on the person, people with anxiety may need more reassurance or distractions during exercise and may benefit from routine schedules [73].…”

Section: New Findings On the Intrapersonal Level 421 Physical Or Ment...mentioning

confidence: 99%

Factors Affecting Physical Activity in People with Dementia: A Systematic Review and Narrative Synthesis

Feenstra,

de Bruin,

van Heuvelen

2023

Behavioral Sciences

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Physical activity (PA) has positive effects on the physical and cognitive functioning of people with dementia. Knowledge about what limits and stimulates people with dementia to participate in PA is essential to promote effective PA implementation and enhance PA levels. Previous reviews primarily included opinion-based studies, using data from interviews, focus groups or dyads. By including implementation studies, we aimed to elaborate on previous reviews by identifying new barriers to PA and new facilitators and motivators for PA. We conducted systematic searches in Pubmed, PsychInfo and Web of Science for studies published up to the 21st of September 2021. Search terms were related to the population of people with dementia, PA interventions and implementation outcomes. Studies were included if PA participation was investigated during actual PA implementation. No restrictions were made regarding study design, date of publication, PA type or outcome measures. Studies not implementing PA or not evaluating the implementation were excluded. Based on 13 empirical studies, we identified 35 barriers, 19 facilitators and 12 motivators. Of these, 21 barriers, 11 facilitators and 4 motivators were not identified by previous reviews. New factors are related to the support for people with dementia from informal and formal caregivers, e.g., revealing the importance of a trusting relationship. Furthermore, support for staff from the institution or an external party is needed to overcome doubts about PA, for example, related to safety and effects. New factors also suggested specific recommendations for the content and organization of the PA intervention, for instance, related to how to give instructions. Overall, factors affecting PA identified with opinion-based or implementation studies are complementary. Our extended overview shows the complexity of PA implementation and may help to personalize PA, develop implementation strategies, facilitate actual PA implementation and free up resources needed for effective implementation.

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Strategies to engage older adults with behavioral and psychological symptoms of dementia in exercise: A multiple case study

Cited by 2 publications

References 13 publications

Resistance training and Down Syndrome: A narrative review on considerations for exercise prescription and safety

Resistance training and Down Syndrome: A narrative review on considerations for exercise prescription and safety

Factors Affecting Physical Activity in People with Dementia: A Systematic Review and Narrative Synthesis

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