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Evidence-Based Mental Health 2004;7:43; doi:10.1136/ebmh.7.2.43
Copyright © 2004 by BMJ Publishing Group Ltd, Royal College of Psychiatrists, & British Psychological Society.
Evidence-Based Mental Health 2004; 7:43
© 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 Alzheimer’s disease

Teri L, Gibbons LE, McCurry SM, et al. Exercise plus behavioral management in patients with Alzheimer disease. JAMA 2003;290:2015–22.[Abstract/Free Full Text]

Q Does an exercise programme for people with Alzheimer’s disease, plus behavioural management by a trained family member, improve mental and physical health compared with routine care?

Key Words: exercise • Alzheimer’s disease

The first 150 words of the full text of this article appear below.

METHODS

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 55–93 years; 59% male) with moderate to severe Alzheimer’s 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 participant’s 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 . . . [Full text of this article]

Henry Brodaty, MD

University of New South Wales, Sydney, Australia


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