Association for Dementia Studies, University of Worcester, Henwick Grove, Worcester WR2 6AJ, UK.
Int J Environ Res Public Health. 2023 Aug 2;20(15):6503. doi: 10.3390/ijerph20156503.
There is increasing interest in physical activity as a response to the harm caused by dementia. The focus has been upon interventions to prevent or delay symptoms or to support people living with the condition to reminisce. Whilst this is welcome, there are other features inherent to physical activity that remain unrecognised or underutilised and, consequently, its full potential for good is unrealised. Most prominent is the ability physical activity has to enable participants to claim and sustain a place in the world through what they do, crucial to a context where the impact of dementia tends to annihilate this for those living with the condition. The article addresses this gap. In doing so, it presents key findings. These include (1) highlighting the fundamental importance of features such as person-centred care, human rights and social citizenship to enabling people with dementia to live lives of quality and (2) identifying synergies with these features and what physical activity can offer; for example, emphasising the value of bringing these together to illustrate how physical activity can contribute to enabling people with dementia to live lives characterised by quality, and the maintenance of their place in the world. The article concludes by suggesting what must come next to ensure physical activity can play the fullest role possible.
人们越来越关注身体活动,将其作为应对痴呆症危害的一种手段。重点一直放在预防或延缓症状的干预措施上,或者支持患有这种疾病的人回忆过去。虽然这是值得欢迎的,但身体活动还有其他一些固有特征尚未得到认可或充分利用,因此,其发挥全部潜力的目标尚未实现。最突出的是,身体活动使参与者能够通过自己的所作所为来宣称并维持在世界上的一席之地,这对于那些患有痴呆症的人来说至关重要,因为痴呆症的影响往往会使他们失去这种地位。本文旨在弥补这一空白。在这样做的过程中,它提出了一些关键发现。这些发现包括:(1)强调以人为本的护理、人权和社会公民权等特征对使痴呆症患者过上有质量的生活至关重要;(2)确定与这些特征的协同作用以及身体活动所能提供的作用;例如,强调将这些特征结合起来的价值,以说明身体活动如何有助于使痴呆症患者过上有质量的生活,并维持他们在世界上的地位。本文最后提出了为确保身体活动能够发挥最大作用,下一步必须采取的措施。