Sundown Syndrome, Sleep Quality, and Walking Among Community-Dwelling People With Alzheimer Disease

Yen-Hua, Shih; Pai, Ming‐Chyi; Huang, Ying-Che; Wang, Jing-Jy

doi:10.1016/j.jamda.2016.10.016

Cited by 25 publications

(29 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…26 Similarly, Shih et al also demonstrated that the longer the weekly duration of walking is linked to better the sleep quality, the less sundown syndrome. 30 found in the exercise group. 31 Therefore, exercise in AD may be associated, at least in some patients, with increased distress apart from its many beneficial effects.…”

Section: Key Pointsmentioning

confidence: 76%

“…In an RCT by McCurry et al, patients with better adherence to walking (≥4 d/wk) had significantly less total wake time and better sleep efficiency . Similarly, Shih et al also demonstrated that the longer the weekly duration of walking is linked to better the sleep quality, the less sundown syndrome Nascimento. et al found that 3 one‐hour sessions per week of a multimodal exercise program for 6 months improved sleep disturbances in exercise group, compared with a control group …”

Section: Does Physical Activity Reduce Nps?mentioning

confidence: 98%

“…It was reported that when aerobic and functional balance exercises were performed to patients with AD over 6 months for 60 minutes 3 times per week, caregiver's burden significantly decreased compared with controls . Moreover, walking with relatives and regular long walking time can relieve sundown syndrome and improve sleep quality, which are major factors of caregiver burden . On the other hand, balance‐gait impairments, falls, or fear of falling, which are more frequent in older patients with dementia, may result in a decline in daily living activities, which leads to decreased functional ability and a loss of independence .…”

Section: Potential Mechanisms Of Physical Activity On Npsmentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Role of physical activity in ameliorating neuropsychiatric symptoms in Alzheimer disease: A narrative review

Veronese

Solmi

Basso³

et al. 2018

Int J Geriat Psychiatry

View full text Add to dashboard Cite

show abstract

Section: Key Pointsmentioning

confidence: 76%

Section: Does Physical Activity Reduce Nps?mentioning

confidence: 98%

Section: Potential Mechanisms Of Physical Activity On Npsmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Role of physical activity in ameliorating neuropsychiatric symptoms in Alzheimer disease: A narrative review

Veronese

Solmi

Basso³

et al. 2018

Int J Geriat Psychiatry

View full text Add to dashboard Cite

show abstract

“…More than 30 min of walking twice a week reduces neuropsychiatric symptoms in PwD, thus also reducing the caregivers’ burden (Christofoletti et al, ; Thune‐Boyle, Iliffe, Cerga‐Pashoja, Lowery, & Warner, ). In addition, the more the continued walking over time, the lower the incidence of sundown syndrome (Shih, Pai, Huang, & Wang, ). Venturelli et al () reported that after walking was implemented for 3 months, 5 days/week, 1 hr before sunset, both sundowning agitation and salivary cortisol levels were significantly reduced.…”

Section: Introductionmentioning

confidence: 99%

Effects of walking on sundown syndrome in community‐dwelling people with Alzheimer’s disease

Shih

Pai

Lin

et al. 2019

Int J Older People Nursing

View full text Add to dashboard Cite

Background: Sundown syndrome is an important care issue for people with dementia (PwD) and for family caregivers. Walking is a safe and simple physical activity for most PwD, yet no research has explored the effects of different long-term walking periods on sundown syndrome. Objectives:This study aimed to determine the effects of walking on sundown syndrome, and to identify whether different walking time periods would show different effects on sundown syndrome in community-dwelling people with Alzheimer's disease. Methods:A quasi-experimental designed study with repeated measurements was conducted. Sixty PwD were recruited and assigned to either the control group or the morning or afternoon walking group according to their caregiver's preference. The participants in the two walking groups completed an average of 120-min walking per week, accompanied by their caregivers. Forty-six achieved the 6-month intervention.Four measurements were taken, one at the pretest and one at weeks 8, 16 and 24.The Chinese version of the Cohen-Mansfield Agitation Inventory, community form (C-CMAI) was used to assess the severity of the sundown syndrome. The generalised estimating equation (GEE) was applied for the longitudinal data analysis. Results:There was a significant change across the study period (p = .048) in the morning walking group, indicating that the score for sundown syndrome decreased when PwD walked in the morning. Considering group effects, compared to the control group, the C-CMAI scores significantly decreased after 16 weeks of walking in the afternoon walking group (p = .001) and after 24 weeks in both the morning and afternoon walking groups (p = .001), indicating that after PwD had walked for 16 weeks, sundown syndrome ameliorated in the afternoon group and continually decreased after 24 weeks in both the morning and afternoon groups. However, there was no significant group difference between the morning and afternoon walking groups during the 24-week walking intervention. Conclusions:The results indicated that both morning walking and afternoon walking are beneficial for ameliorating the symptoms of sundown syndrome; however, walking in the afternoon may have a faster effect on the symptoms than walking in How to cite this article: Shih Y-H, Pai M-C, Lin H-S, Sung P-S, Wang J-J. Effects of walking on sundown syndrome in community-dwelling people with Alzheimer's disease. Int J Older People Nurs. 2020;15:e12292. https ://doi.

show abstract

Sleep–wake behavior, perceived fatigability, and cognitive reserve in older adults

Kerner,

Goldberg,

Cohen

et al. 2024

Alzheimer's & Dementia

View full text Add to dashboard Cite

INTRODUCTIONThe effects of sleep–wake behavior on perceived fatigability and cognitive abilities when performing daily activities have not been investigated across levels of cognitive reserve (CR).METHODSCR Index Questionnaire (CRIq) data were collected and subjected to moderated mediation analysis.RESULTSIn amnestic mild cognitive impairment (aMCI; n = 41), CR moderated sleep‐related impairments (SRIs), and fatigability at low CR (CRIq < 105.8, p = 0.004) and mean CR (CRIq = 126.9, p = 0.03) but not high CR (CRIq > 145.9, p = 0.65) levels. SRI affected cognitive abilities mediated by fatigability at low CR (p < 0.001) and mean CR (p = 0.003) levels. In healthy controls (n = 13), SRI in fatigability did not alter cognitive abilities across CR levels; controls had higher leisure scores than patients with aMCI (p = 0.003, effect size = 0.93).DISCUSSIONSRI can amplify impaired cognitive abilities through exacerbation of fatigability in patients with aMCI with below‐mean CR. Therefore, improving sleep–wake regulation and leisure activities may protect against fatigability and cognitive decline.Highlights Clinical fatigue and fatigability cannot be alleviated by rest. Clinical fatigability disrupts daily activities during preclinical Alzheimer's. High cognitive reserve mitigates sleep–wake disturbance effects. High cognitive reserve attenuates clinical fatigability effects on daily functioning. Untreated obstructive sleep apnea potentiates Alzheimer's pathology in the brain.

show abstract

Sundown Syndrome, Sleep Quality, and Walking Among Community-Dwelling People With Alzheimer Disease

Cited by 25 publications

References 38 publications

Role of physical activity in ameliorating neuropsychiatric symptoms in Alzheimer disease: A narrative review

Role of physical activity in ameliorating neuropsychiatric symptoms in Alzheimer disease: A narrative review

Effects of walking on sundown syndrome in community‐dwelling people with Alzheimer’s disease

Sleep–wake behavior, perceived fatigability, and cognitive reserve in older adults

Contact Info

Product

Resources

About