© 2004 BMJ Publishing Group Ltd., Royal College of Psychiatrists, & British Psychological Society
Therapeutics
Regular exercise and behavioural management by caregivers improves physical and mental health of people with Alzheimers disease
Teri L, Gibbons LE, McCurry SM, et al. Exercise plus behavioral management in patients with Alzheimer disease. JAMA 2003;290:201522.
Q Does an exercise programme for people with Alzheimers disease, plus behavioural management by a trained family member, improve mental and physical health compared with routine care?
Key Words: exercise Alzheimers disease
| The first 150 words of the full text of this article appear below. |
Design:
Randomised controlled trial.
Allocation:
Concealed.
Blinding:
Assessors blinded to treatment.
Follow up period:
Twenty four months.
Setting:
Seattle, USA; June 1994 to April 1999.
Patients:
153 people (mean age 78 years, range 5593 years; 59% male) with moderate to severe Alzheimers disease, living in the community, with a caregiver willing to participate in the study.
Intervention:
Three month exercise programme or usual care. The exercise programme consisted of 12 one hour sessions conducted at the participants home, by a healthcare professional, with the aim of promoting at least 30 minutes of moderate exercise per day. In addition, caregivers were educated about dementia, trained to recognise and resolve behavioural problems, and encouraged to increase social and physical activities. Usual care included short term medical treatment and crisis management intervention by healthcare professionals or community services.
Outcomes:
Physical health and function (SF-36, Sickness Impact Profile (SIP)); affective status (Cornell Scale for
University of New South Wales, Sydney, Australia
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