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为期八周的锻炼计划通过功能、认知和生化指标改善了阿尔茨海默病患者的生活质量。

Eight-week exercise program improved the quality of life of Alzheimer's patients through functional, cognitive, and biochemical parameters.

作者信息

Kar Fatih, Kavlak Yasemin, Yıldız Selda, Yıldız Pınar, Musmul Ahmet, Uslu Sema

机构信息

Department of Basic Sciences, Faculty of Engineering and Natural Sciences, Kütahya Health Sciences University, Kütahya, Turkey.

Elderly Care Programme, Vocational School of Health Services, Eskisehir Osmangazi University, Eskisehir, Turkey.

出版信息

Ir J Med Sci. 2023 Apr;192(2):655-663. doi: 10.1007/s11845-022-03029-3. Epub 2022 May 23.

Abstract

OBJECTIVE

In this study, it was aimed to examine the effect of 8-week exercise in Alzheimer's disease (AD) aged 65 and over through functional, cognitive, and biochemical parameters and irisin metabolism.

METHODS

Two groups consisting of healthy individuals and diagnosed with Alzheimer's over the age of 65 were followed up with a combined exercise program of 45-60 min, 3 days a week, for 8 weeks. At the end of the exercise period, various cognitive and functional tests were performed on the participants, and blood samples were taken for biochemical parameters and irisin level measurements.

RESULTS

In functional evaluations, while there was no difference in pre-exercise measurements of timed performance and quadriceps femoris muscle strength, there was a difference between groups in all other measurements (p < 0.05). Nutritional status increased significantly after exercise in AD individuals. Although there was an increase in mental score values after exercise, it was not statistically significant. Similar to the elderly with Alzheimer's, the improvements in functional tests in the healthy also led to improvements in activities of daily living and auxiliary activities of daily living. The exercise training did not have an effect on the lipid profile in AD patients, but showed an effect on glycemia and irisin levels (p < 0.05).

CONCLUSION

Changes in functional, cognitive, and biochemical parameters after the exercise program improved quality of life in Alzheimer's patients.

摘要

目的

本研究旨在通过功能、认知和生化参数以及鸢尾素代谢,研究为期8周的运动对65岁及以上阿尔茨海默病(AD)患者的影响。

方法

将两组人员纳入研究,一组为健康个体,另一组为65岁以上确诊为阿尔茨海默病的患者,两组均进行每周3天、每次45 - 60分钟的联合运动计划,持续8周。在运动期结束时,对参与者进行各种认知和功能测试,并采集血样以测量生化参数和鸢尾素水平。

结果

在功能评估中,虽然运动前定时表现和股四头肌力量测量无差异,但其他所有测量指标在两组间存在差异(p < 0.05)。AD患者运动后营养状况显著改善。运动后心理评分值虽有提高,但无统计学意义。与患有阿尔茨海默病的老年人相似,健康组功能测试的改善也导致日常生活活动和日常生活辅助活动的改善。运动训练对AD患者的血脂谱无影响,但对血糖和鸢尾素水平有影响(p < 0.05)。

结论

运动计划后功能、认知和生化参数的变化改善了阿尔茨海默病患者的生活质量。

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