Institute of Medical Psychology and Medical Sociology, University Medicine Rostock, Gehlsheimer Str. 20 Rostock, 18147, Rostock, Germany.
German Center for Neurodegenerative Diseases (DZNE), Greifswald, Germany.
BMC Geriatr. 2021 Apr 23;21(1):270. doi: 10.1186/s12877-021-02201-1.
To (a) describe the pattern of leisure time physical activities (LTPA) in community-dwelling persons who have been screened positive for dementia and (b) determine the health-related and sociodemographic factors associated with LTPA.
Data of the general practitioner-based, randomized, controlled intervention trial, DelpHi-MV (Dementia: life- and person-centered help in Mecklenburg-Western Pomerania) were used. Patients aged 70 years or older, who lived at home and had a DemTect< 9 were informed about the study by their General practitioners and invited to participate. Data from 436 participants with complete baseline data were used. Standardized, computer-assisted assessments were made during face-to-face interviews at the participants' homes.
Two hundred thirty-eight patients (54.6%) carried out LTPA (men 58.4%, women 51.8%). Physically active patients mentioned one to two different activities; diversity of LTPA was higher for men than for women. The most-frequently mentioned types of activity were gardening (35.3%), cycling (24.1%) and mobility training (12.4%); there was only a statistically significant difference between men and women in cycling, χ(1) = 21.47, p < .001. The odds of LTPA increased with increasing quality of life (OR = 2.41), lower impairments in activities of daily living (OR = 0.85), and living in a rural environment (OR = 2.02).
Our findings suggest that people who have been screened positive for dementia living in a rural area are more likely to be active than people living in an urban area. Following studies should investigate whether this difference has an effect on the progression of dementia.
ClinicalTrial.gov Identifier NCT01401582 .
（a）描述已被筛查出患有痴呆症的社区居民的闲暇时间体力活动（LTPA）模式，（b）确定与 LTPA 相关的健康相关和社会人口学因素。
使用基于全科医生的、随机的、对照干预试验 DelpHi-MV（痴呆症：在梅克伦堡-西波美拉尼亚的生活和以人为本的帮助）的数据。年龄在 70 岁或以上、居住在家中且 DemTect<9 的患者由他们的全科医生告知研究情况，并邀请他们参加。使用了 436 名基线数据完整的参与者的数据。在参与者家中进行了面对面访谈，使用标准化的计算机辅助评估。
238 名患者（54.6%）进行了 LTPA（男性 58.4%，女性 51.8%）。积极运动的患者提到一到两种不同的活动；男性的 LTPA 多样性高于女性。最常提到的活动类型是园艺（35.3%）、骑自行车（24.1%）和运动训练（12.4%）；男性和女性在骑自行车方面存在统计学显著差异，χ(1) = 21.47，p < .001。LTPA 的可能性随着生活质量的提高（OR = 2.41）、日常生活活动能力下降（OR = 0.85）和生活在农村环境中（OR = 2.02）而增加。
我们的研究结果表明，居住在农村地区的被筛查出患有痴呆症的患者比居住在城市地区的患者更有可能活跃。未来的研究应调查这种差异是否对痴呆症的进展有影响。
ClinicalTrials.gov 标识符 NCT01401582。
