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- W2089452484 abstract "BACKGROUND Physical inactivity is considered the primary precursor to unmet needs for older adults with dementia and exercise has shown potential to benefit healthy, older adults. While no conclusive evidence is available to suggest these benefits extend to older adults with dementia, a growing body of literature targets this question specifically. OBJECTIVE The primary, overarching question asked by this review was: does physical exercise affect performance, quality of life, impairment and physical activity levels of older adults (>65 years) with a diagnosis of dementia? INCLUSION CRITERIA Types of participants: Participants were older aged 65 years and over, with a confirmed dementia diagnosis. Types of intervention(s): Physical exercise interventions were included Types of studies Randomized and quasi-randomized controlled trials were included. Types of outcomes: Four primary outcome measures were the focus on this review: cognition, ability, quality of life and physical activity levels. SEARCH STRATEGY Published material was sourced from the following four databases: MEDLINE, EMBASE, CINAHL, ISI Web of Science. Grey literature was searched for using ALOIS, Google Scholar and ProQuest. Initial keywords included: “cognitive impairment”, “dementia”, “Alzheimer’s disease”, cognitive defect OR cognition disorders AND “exercise”, “physical activity”, exertion, OR functional AND “intervention”, program, training OR treatment AND “older adults, elderly, old age OR geriatric METHODOLOGICAL QUALITY The methodological quality of included studies was assessed using Joanna Briggs Institute Meta Analysis of Statistics Assessment and Review Instrument (JBI-MAStARI) software. DATA COLLECTION Data was extracted from papers included in the review using the standardized data extraction tool from JBI-MAStARI. DATA SYNTHESIS A quantitative meta-analysis was performed where possible. Otherwise, data-synthesis is in the form of narrative review. RESULTS Seventeen studies were included in this review; they evaluated the effectiveness of aerobic, resistance and multimodal exercise interventions on a wide range of outcome measures, including: cognition, general physical function, mobility, strength, balance, flexibility, cardiovascular fitness, quality of life and physical activity levels. Only three studies were found to be of “good” quality and showed benefits for older adults in the domains of: cognition, activities of daily living, mobility, strength and balance. Results from “moderate” and “poor” quality studies were mixed and inconclusive. CONCLUSIONS While potential exists for exercise to benefit the older adult with dementia, no definitive conclusion can be reached, as the volume of “good” quality literature is limited for this population." @default.
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- W2089452484 date "2014-09-01" @default.
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- W2089452484 title "The effects of physical exercise on functional performance, quality of life, cognitive impairment and physical activity levels for older adults aged 65 years and older with a diagnosis of dementia: a systematic review" @default.
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- W2089452484 doi "https://doi.org/10.11124/jbisrir-2014-1714" @default.
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