Subscribe to RSS
DOI: 10.1055/s-2007-964853
© Georg Thieme Verlag KG Stuttgart · New York
Effect of Regular Exercise on Senile Dementia Patients
Publication History
accepted after revision July 7, 2006
Publication Date:
30 November 2007 (online)
Abstract
Dementia population worldwide is considerable in elderly people. Exercise regulates the brain function, but the mechanism by which it does so is unknown. The effect of regular exercise on cognitive function and exercise capacity in senile dementia patients was investigated. Thirty female patients with senile dementia who participated in the study were divided into two groups: the exercise group (EG, n = 15) and the control group (CG, n = 15). The exercise group completed a regular exercise program, and their cognitive function, activities of daily living and exercise capacity levels were evaluated at baseline, 6 months and after 12 months. Subjects exercised 30 - 60 minutes per day, 2 - 3 times per week for 12 months. Mini-mental state examination (MMSE) (pre: 14.53 ± 5.34, post: 17.47 ± 6.90) and ADL (pre: 14.40 ± 5.32, post: 17.53 ± 5.46) scores were significantly enhanced in the exercise group with senile dementia, compared to those in the control group. Exercise capacities such as cardiopulmonary function (pre: 128.47 ± 55.43, post: 184.40 ± 41.16), muscle strength (pre: 10.07 ± 3.61, post: 13.7 ± 3.90), muscular endurance (pre: 8.13 ± 4.45, post: 12.13 ± 5.14), flexibility (- 1.53 ± .30, post: 2.20 ± .70, balance (pre: 1.73 ± .28, post: 1.20 ± .77), and agility (pre: 21.80 ± 3.24, post: 10.87 ± 2.99) also increased in the exercise group. Our findings showed that regular exercise can enhance cognitive and functional activity scores in dementia patients, suggesting that senile dementia may improve by participating in a regular exercise program.
Key words
mini‐mental state examination - activities of daily living - cardiopulmonary function - muscle strength - muscle endurance - flexibility
References
- 1 Barnes D E, Yaffe K, Satariano W A. A longitudinal study of cardiorespiratory fitness and cognitive function in healthy older adults. J Am Geriatr Soc. 2003; 51 459-465
- 2 Burback D, Molnar F J, St John P. Key methodological features of randomized controlled trials of Alzheimer's disease therapy. Dement Geriatr Cogn Disord. 1999; 10 534-540
- 3 Castro C M, Wilcox S, O'Sullivan P. An exercise program for woman who are caring for relatives with dementia. Psychosom Med. 2002; 64 458-468
- 4 Chaouloff F. Physical exercise and brain monoamines: a review. Acta Physiol Scand. 1989; 137 1-13
- 5 Ganguli M, Dodge H H, Shen C. Alzheimer disease and mortality: a 15-year epidemiological study. Arch Neurol. 2005; 62 779-789
- 6 Heyn P, Abreu B C, Ottenbacher K J. The effects of exercise training on elderly persons with cognitive impairment and dementia: a meta-analysis. Arch Phys Med Rehabil. 2004; 85 1694-1704
- 7 Heyes M P, Gaenett E S, Coates G. Nigrostriatal dopaminergic activity is increased during exhaustive exercise stress in rats. Life Sci. 1988; 42 1537-1542
- 8 Knopman D S, DeKosky S T, Cummings J L. Practice parameter: diagnosis of dementia. Neurology. 2001; 56 1143-1153
- 9 Larson E B, Wang L, Bowen J D. Exercise is associated with reduced risk for incident dementia among persons 65 years of age and older. Ann Intern Med. 2006; 144 73-81
- 10 McGavin C R, Gupta S P, McHardy Jr G. Twelve-minute walking tests for assessing disability in chronic bronchitis. Br Med J. 1976; 1 822-823
- 11 Patel S. Some observations on the spectrum of dementia. Neurol India. 2004; 52 213-214
- 12 Sacks O, Shulman M. Steroid dementia: an overlooked diagnosis?. Neurology. 2004; 64 707-709
- 13 Scherder E, Oosterman J, Swaab D. Recent developments in pain in dementia. Br Med J. 2005; 330 461-464
- 14 Stessman J, Hammerman-Rozenberg R, Maaravi Y. Effect of exercise on ease in performing activities of daily living and instrumental activities of daily living from 70 to 77: the Jerusalem Longitudinal Study. J Am Geriatr Soc. 2002; 50 1934-1938
- 15 Sutoo D, Akiyama K. Regulation of brain function by exercise. Neurobiol Dis. 2003; 13 1-14
- 16 van Praag H, Shubert T, Zhao C, Gage F H. Exercise enhances learning and hippocampal neurogenesis in aged mice. J Neurosci. 2005; 25 8680-8685
PhD Sub Kwak
Department of Leisure and Sport Science
Dong-Eui University
995 Eomgwangno
614 - 714 Busan
Republic of Korea
Email: ysk2003@deu.ac.kr