Physical Activity in Severe Dementia Is Associated With Agitation Rather Than Cognitive Function.

IF 2.5 4区化学 Q3 CHEMISTRY, ANALYTICAL International Journal of Environmental Analytical Chemistry Pub Date : 2020-01-01 Epub Date: 2019-09-18 DOI:10.1177/1533317519871397

Daiki Ishimaru, Hiroyuki Tanaka, Yuma Nagata, Shinichi Takabatake, Takashi Nishikawa

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Abstract

Background: The authors examined associations between physical activity, cognitive function, activities of daily living, and behavioral and psychological dementia symptoms (BPSD) in severe and moderate dementia.

Methods: A cross-sectional study was conducted to assess severe and moderate dementia groups according to the Clinical Dementia Rating. An actigraphy measured physical activity. Other measures included Mini-Mental State Examination, Cognitive Test for Severe Dementia, Hyogo Activities of Daily Living Scale, and Neuropsychiatric Inventory-Nursing Home.

Results: Sixty-three participants were assessed (mean age = 89.3 ± 6.4). Physical activity was not associated with cognitive function among participants with severe dementia, although there was a trend-level association with cognitive function among those with moderate dementia. Physical activity was significantly associated with BPSD, specifically agitation/aggression symptoms, for participants with severe dementia, and there was a trend-level association with anxiety for participants with moderate dementia.

Conclusions: Physical activity appears to be associated with BPSD among individuals in the advanced stages of dementia.

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严重痴呆症患者的体育锻炼与躁动而非认知功能有关。

研究背景作者研究了重度和中度痴呆症患者的体力活动、认知功能、日常生活活动以及行为和心理痴呆症状（BPSD）之间的关系：一项横断面研究根据临床痴呆评级对重度和中度痴呆组进行了评估。活动记录仪测量了体力活动。其他测量方法包括迷你精神状态检查、重度痴呆认知测试、兵库日常生活活动量表和养老院神经精神清单：63名参与者接受了评估（平均年龄=89.3 ± 6.4）。在重度痴呆症患者中，体育锻炼与认知功能无关，但在中度痴呆症患者中，体育锻炼与认知功能有一定的相关性。对于重度痴呆症患者来说，体育锻炼与BPSD（特别是激动/攻击症状）有明显的相关性，而对于中度痴呆症患者来说，体育锻炼与焦虑有一定的相关性：结论：在痴呆症晚期患者中，体育锻炼似乎与BPSD有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Environmental Analytical Chemistry 环境科学-分析化学

CiteScore

5.90

自引率

7.70%

发文量

373

审稿时长

4.4 months

期刊介绍： International Journal of Environmental Analytical Chemistry comprises original research on all aspects of analytical work related to environmental problems. This includes analysis of organic, inorganic and radioactive pollutants in air, water, sediments and biota; and determination of harmful substances, including analytical methods for the investigation of chemical or metabolic breakdown patterns in the environment and in biological samples. The journal also covers the development of new analytical methods or improvement of existing ones useful for the control and investigation of pollutants or trace amounts of naturally occurring active chemicals in all environmental compartments. Development, modification and automation of instruments and techniques with potential in environment sciences are also part of the journal. Case studies are also considered, particularly for areas where information is scarce or lacking, providing that reported data is significant and representative, either spatially or temporally, and quality assured. Owing to the interdisciplinary nature of this journal, it will also include topics of interest to researchers in the fields of medical science (health sciences), toxicology, forensic sciences, oceanography, food sciences, biological sciences and other fields that, in one way or another, contribute to the knowledge of our environment and have to make use of analytical chemistry for this purpose.