Physical Activity Component of the Greek Interventional Geriatric Study to Prevent Cognitive Impairment and Disability (GINGER): Protocol Development and Feasibility Study.
Autor: | Billis E; Laboratory of Clinical Physiotherapy and Research, Department of Physiotherapy, School of Health Rehabilitation Sciences, University of Patras, 26504 Patras, Greece., Nastou E; Laboratory of Clinical Physiotherapy and Research, Department of Physiotherapy, School of Health Rehabilitation Sciences, University of Patras, 26504 Patras, Greece.; Patras Dementia Day Care Center, Corporation for Succor and Care of Elderly and Disabled-FRODIZO, 26226 Patras, Greece., Lampropoulou S; Laboratory of Clinical Physiotherapy and Research, Department of Physiotherapy, School of Health Rehabilitation Sciences, University of Patras, 26504 Patras, Greece., Tsekoura M; Laboratory of Clinical Physiotherapy and Research, Department of Physiotherapy, School of Health Rehabilitation Sciences, University of Patras, 26504 Patras, Greece., Dimakopoulou E; Athens Association of Alzheimer's Disease and Related Disorders, 15123 Maroussi, Greece., Mastoras N; Ioannina Dementia Day Care Centre, 45221 Ioannina, Greece., Fragiadaki IM; Day Care Center for Alzheimer's Disease PAGNH 'Nefeli', University Hospital of Heraklion, 71500 Crete, Greece., Siopis E; Laboratory of Clinical Physiotherapy and Research, Department of Physiotherapy, School of Health Rehabilitation Sciences, University of Patras, 26504 Patras, Greece., Michalopoulos N; Laboratory of Clinical Physiotherapy and Research, Department of Physiotherapy, School of Health Rehabilitation Sciences, University of Patras, 26504 Patras, Greece., Sakka P; Athens Association of Alzheimer's Disease and Related Disorders, 15123 Maroussi, Greece., Koula M; Ioannina Dementia Day Care Centre, 45221 Ioannina, Greece., Basta M; Day Care Center for Alzheimer's Disease PAGNH 'Nefeli', University Hospital of Heraklion, 71500 Crete, Greece.; Department of Psychiatry, University Hospital of Heraklion, Medical School, University of Crete, 71003 Heraklion, Greece., Alexopoulos P; Patras Dementia Day Care Center, Corporation for Succor and Care of Elderly and Disabled-FRODIZO, 26226 Patras, Greece.; Mental Health Services, Patras University General Hospital, Department of Medicine, School of Health Sciences, University of Patras, 26504 Patras, Greece.; Global Brain Health Institute, Medical School, Trinity College Dublin, The University of Dublin, D02 X9W9 Dublin, Ireland.; Department of Psychiatry and Psychotherapy, Klinikum rechts der Isar, Faculty of Medicine, Technical University of Munich, 81675 Munich, Germany. |
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Jazyk: | angličtina |
Zdroj: | Healthcare (Basel, Switzerland) [Healthcare (Basel)] 2024 Nov 15; Vol. 12 (22). Date of Electronic Publication: 2024 Nov 15. |
DOI: | 10.3390/healthcare12222282 |
Abstrakt: | Background/objectives: Individuals with subjective cognitive decline (SCD) have an increased risk of developing dementia, while non-pharmacological multicomponent lifestyle interventions are recommended for prevention/management. The Greek Interventional Geriatric Initiative to Prevent Cognitive Impairment and Disability (GINGER) is such a multicomponent approach, encompassing simultaneous interventions (cognitive training, depression and sleep management, etc.). Exercise/Physical activity (PA) is suggested as one such intervention. This study (i) presents the exercise protocol developed for GINGER and (ii) explores its feasibility (acceptability, applicability, adherence, users' satisfaction and reliability). Methods: Exercise/PA protocol development, targeting SCD individuals aged > 55 years, utilized relevant guidelines/literature followed by focus group involving exercise specialists. Data were synthesized through consensus to design optimal exercise interventions prescribed on participant's physical capacity (heart rate, exertion, etc.), comprising 6-month combined aerobic, strengthening, balance and dual-task exercises, delivered 3 times/weekly in two group-based supervised sessions (in-person and online) and one home-based session. Physical outcomes include balance, aerobic capacity [2-Minute Walk Test (2 MWT), IPAQ-7], strength [Hand Grip Strength (HGS), Sit-to-Stand], fear of falling. Eligibility for entering intervention is low IPAQ-7, 2 MWT or HGS scoring. Feasibility was explored with adherence (exercise diaries and Exercise Adherence Rating Scale) and satisfaction (Patient Satisfaction Questionnaire) Results: Intervention was easily delivered with good reliability across testers' assessments on 13 SCD participants (ICCs = 0.62-0.99), and improved physical outcomes, whereas users' adherence and satisfaction scored highly. Conclusions: The exercise protocol for SCD was feasible, acceptable, applicable, reliable, demonstrating adherence and satisfaction, while improving physical parameters. It is thus integrated in the GINGER study, where multiple simultaneous interventions will take place to prevent/enhance cognitive function. |
Databáze: | MEDLINE |
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