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Effects of a high-intensity functional exercise programme on depressive symptoms and psychological well-being among older people living in residential care facilities
 — a cluster-randomized controlled trial
Author(s)Mia Conradsson, Håkan Littbrand, Nina Lindelöf
Journal titleAging & Mental Health, vol 14, no 5, July 2010
PublisherTaylor & Francis, July 2010
Pagespp 565-576
Sourcehttp://www.tandfonline.com
KeywordsResidents [care homes] ; Exercise ; Depression ; Symptoms ; Well being ; Clinical surveys ; Longitudinal surveys ; Sweden.
AnnotationThe effects of a high-intensity functional exercise programme on depressive symptoms and psychological well-being among older people dependent in activities of daily living (ADL) and living in residential care facilities were evaluated in this Swedish cluster-randomised controlled study. Participants were 191 older people, aged 65-100, dependent in activities of daily living (ADL) and with Mini Mental State Examination (MMSE) scores between 10 and 30. One hundred (52%) of the participants had a diagnosed dementia disorder. A high-intensity functional weight-bearing exercise programme and a control activity were performed in groups. Sessions were held five times over each two week period for three months, a total of 29 times. The outcome measures, Geriatric Depression Scale (GDS-15) and Philadelphia Geriatric Center Morale Scale (PGCMS) were blindly assessed at baseline, three and six months. At baseline, mean ± SD (range) for GDS was 4.4 ± 3.2 (0-14), and for PGCMS 11.0 ± 3.5 (2-17). There were no significant differences in GDS or PGCMS between the exercise and the control group at the three and six month follow-ups in the total sample. Among people with dementia, there was a between-group difference at three months in PGCMS scores in favour of the exercise group. A high-intensity functional exercise programme seems generally not to influence depressive symptoms or psychological well-being among older people dependent in ADL and living in residential care facilities. An individualized and multifactorial intervention may be needed in this group. However, an exercise programme as a single intervention may have a short-term effect on well-being among people with dementia. (KJ/RH).
Accession NumberCPA-100927216 A
ClassmarkKX: CEA: ENR: CT: D:F:5HH: 3G: 3J: 76P

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