Abstract
Background
Physical exercise interventions have benefits for older individuals and improve the
health and well-being of individuals living with a dementia, specifically those living
in nursing homes.
Purpose
Report evidence from randomized controlled trials and cluster randomized control trials
that evaluated the effects of physical exercise interventions on individuals living
with a dementia in nursing homes.
Data sources
Web of Science, Scopus, Science Direct, Academic Search Complete, Proquest Central,
British Medical Journal Database, PubMed, Cochrane Library, PEDro, Informit, Informa,
and Nursing Consult were searched for relevant clinical trials and snowballing of
recommended studies.
Study selection
One reviewer screened articles on inclusion criteria and identified relevant studies.
Data extraction
Data extraction was performed by 1 reviewer and checked by second and third reviewers.
Two authors assessed the methodological quality and risk of bias of the relevant studies.
Data synthesis
Twelve study populations consisting of individuals living with a dementia in nursing
homes were included (n = 901). Different types of physical exercises were undertaken:
multimodal (n = 6), walking (n = 5), music and movement (n = 2), and hand exercises
(n = 1). The parameters of the interventions varied across the studies. Most of the
studies reported significant positive effects of physical exercise on cognition, agitation,
mood, mobility, and functional ability for individuals living with dementia in nursing
homes.
Limitations
The main limitations were the heterogeneity of design, small samples, and short interventions.
Conclusions
There is emerging evidence that physical exercise significantly benefits individuals
living with a dementia in nursing homes. Higher quality research is required adopting
more rigorous methods, including longer interventions and larger samples to determine
optimum parameters of the physical exercise interventions evaluated.
Keywords
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Article info
Publication history
Published online: September 29, 2015
Footnotes
The authors declare no conflicts of interest.
Identification
Copyright
© 2016 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved.
