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The effect of exercise on behavioural and psychological symptoms of dementia
 — the EVIDEM-E randomised controlled clinical trial
Author(s)David Lowery, Arlinda Cerga-Pashoja, Steve Iliffe
Journal titleInternational Journal of Geriatric Psychiatry, vol 29, no 8, August 2014
PublisherWiley Blackwell, August 2014
Pagespp 819-827
Sourcewww.orangejournal.org
KeywordsDementia ; Behaviour disorders ; Family care ; Stress ; Psychiatric treatment ; Exercise ; Evaluation ; Clinical surveys.
AnnotationThe objective of this study was to evaluate the effectiveness of a simple dyadic (person with dementia and their main carer) exercise regime as a therapy for the behavioural and psychological symptoms of dementia. The method used was a two arm, pragmatic, randomised, controlled, single-blind, parallel-group trial of a dyadic exercise regime (individually tailored walking regime designed to become progressively intensive and last between 20-30 minutes, at least five times per week). Those invited to take part in the study were community-dwelling individuals with ICD-10 confirmed dementia with the following: clinically significant behavioural and psychological symptoms, a carer willing and able to co-participate in the exercise regime, and no physical conditions or symptoms that would preclude exercise participation. 131 dyads were recruited to the study. There was no significant difference in Behavioural and Psychological Symptoms as measured by the Neuropsychiatric Inventory at week 12 between the group receiving the dyadic exercise regime and those that did not. However there was a significant between-group difference in caregiver burden as measured by the Zarit Caregiver Burden Inventory at week 12 favouring the exercise group. Overall the study found that regular simple exercise did not appear to improve the behavioural and psychological symptoms of dementia but did seem to attenuate caregiver burden. Further study to improve exercise uptake is needed. (JL).
Accession NumberCPA-150529258 A
ClassmarkEA: EP: P6:SJ: QNH: LP: CEA: 4C: 3G

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