Exercise training for depressed older adults with Alzheimer's disease
- 1 January 2008
- journal article
- research article
- Published by Informa UK Limited in Aging & Mental Health
- Vol. 12 (1), 72-80
- https://doi.org/10.1080/13607860701529932
Abstract
The purpose of this study was to compare the effects of 16 weeks of a comprehensive exercise routine to supervised walking and social conversation on depression in nursing home residents with Alzheimer's disease (AD). Method: This study was a three-group, repeated-measures design with random assignment to treatment group. Forty-five nursing home residents with moderate to severe AD were randomly assigned to a 16-week programme of comprehensive exercise, supervised walking or social conversation. Raters were blinded to treatment group assignment. Major outcome variables were depression measured by the Cornell Scale for Depression in Dementia, mood measured by the Dementia Mood Assessment Scale and the Alzheimer's Mood Scale, and affect measured by the Observed Affect Scale. Depression was reduced in all three groups with some evidence of superior benefit from exercise. Depression is a common problem with serious and costly consequences for nursing home residents with AD. Exercise as a behavioural approach to treatment of depression in nursing home residents with severe AD evidenced a clear benefit to participants in this study. More research is needed to clarify the relative benefits of different types of exercise in conjunction with or without pharmacological intervention.Keywords
This publication has 29 references indexed in Scilit:
- Treating Apathy in Alzheimer’s DiseaseDementia and Geriatric Cognitive Disorders, 2003
- Assessment and Treatment of Nursing Home Residents with Depression or Behavioral Symptoms Associated with Dementia: A Review of the LiteratureJournal of the American Geriatrics Society, 2003
- Effects of exercise on depressive symptoms in older adults with poorly responsive depressive disorderThe British Journal of Psychiatry, 2002
- The prevalence, diagnosis and treatment of depression in dementia patients in chronic care facilities in the last six months of lifeInternational Journal of Geriatric Psychiatry, 2002
- A Randomized Controlled Trial of Progressive Resistance Training in Depressed EldersThe Journals of Gerontology: Series A, 1997
- Observed Affect in Nursing Home Residents with Alzheimer's DiseaseThe Journals of Gerontology, Series B: Psychological Sciences and Social Sciences, 1996
- Effect of Exercise on DepressionExercise and Sport Sciences Reviews, 1990
- Cornell scale for depression in dementiaBiological Psychiatry, 1988
- Clinical diagnosis of Alzheimer's diseaseNeurology, 1984
- “Mini-mental state”: A practical method for grading the cognitive state of patients for the clinicianJournal of Psychiatric Research, 1975