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患有老年痴呆症的老年人锻炼障碍:一项横断面研究。

Exercise Barriers in Older Individuals with Alzheimer's Disease: A Cross-Sectional Study.

机构信息

Department of Health Care Services, Fethiye Vocational School of Health Services, Muğla Sıtkı Koçman University, 48200 Muğla, Turkey.

Department of Health Care Services, Köyceğiz Vocational School of Health Services, Muğla Sıtkı Koçman University, 48800 Muğla, Turkey.

出版信息

Medicina (Kaunas). 2024 Sep 16;60(9):1510. doi: 10.3390/medicina60091510.

DOI:10.3390/medicina60091510
PMID:39336551
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11434187/
Abstract

: Defining the exercise habits of individuals with Alzheimer's Disease (AD) may help to determine optimal rehabilitation programs. This study aimed to investigate the physical and psychological parameters associated with exercise barriers in older individuals with AD, with the goal of informing more effective rehabilitation programs. : A cross-sectional prospective study was conducted with 50 individuals with AD. The individuals were evaluated with the Exercise Benefit/Barriers Scale (EBBS), the Mini-Mental State Examination (MMSE), the Five Times Sit to Stand Test (FTSTS), the Barthel Index (BI), the Tampa Scale for Kinesiophobia (TSK), and the Hospital Anxiety and Depression Scale (HADS). : There was a significant positive correlation between age with EBBS-Exercise Barriers (r = 0.308; = 0.029) and EBBS-Total Score (r = 0.295; = 0.038). There were significant negative correlations between the time of diagnosis with EBBS-Exercise Benefits (r = -0.569; = 0.000), EBBS-Exercise Barriers (r = -0.324; = 0.022), and EBBS-Total Score (r = -0.508; = 0.000). There was a positive correlation between MMSE and EBBS-Exercise Benefits (r = 0.465; = 0.001), EBBS-Exercise Barriers (r = 0.471; = 0.001) and EBBS-Total Score (r = 0.519; = 0.000). There were significant positive correlations between FTSTS and EBBS-Exercise Barriers (r = 0.340; = 0.016), and EBBS-Total Score (r = 0.280; = 0.049). There were positive correlations between BI and EBBS-Exercise Benefits (r = 0.362; = 0.010), EBBS-Exercise Barriers (r = 0.377; = 0.007), and EBBS-Total Score (r = 0.405; = 0.004). : Exercise barriers/benefits were associated with cognition and post-diagnosis duration in individuals with AD. Individuals with lower physical function had lower exercise perception. In addition, living with relatives or caregivers led to better exercise benefit scores.

摘要

定义阿尔茨海默病(AD)患者的运动习惯有助于确定最佳康复方案。本研究旨在调查与 AD 老年患者运动障碍相关的身体和心理参数,以期为更有效的康复方案提供信息。

本研究为一项横断面前瞻性研究,共纳入 50 名 AD 患者。采用运动益处/障碍量表(EBBS)、简易精神状态检查量表(MMSE)、五次坐站测试(FTSTS)、巴氏指数(BI)、明尼苏达运动恐惧调查表(TSK)和医院焦虑抑郁量表(HADS)对患者进行评估。

结果显示,年龄与 EBBS-运动障碍(r = 0.308; = 0.029)和 EBBS 总分(r = 0.295; = 0.038)呈正相关。诊断时间与 EBBS-运动益处(r = -0.569; = 0.000)、EBBS-运动障碍(r = -0.324; = 0.022)和 EBBS 总分(r = -0.508; = 0.000)呈负相关。MMSE 与 EBBS-运动益处(r = 0.465; = 0.001)、EBBS-运动障碍(r = 0.471; = 0.001)和 EBBS 总分(r = 0.519; = 0.000)呈正相关。FTSTS 与 EBBS-运动障碍(r = 0.340; = 0.016)和 EBBS 总分(r = 0.280; = 0.049)呈正相关。BI 与 EBBS-运动益处(r = 0.362; = 0.010)、EBBS-运动障碍(r = 0.377; = 0.007)和 EBBS 总分(r = 0.405; = 0.004)呈正相关。

结论

AD 患者的运动障碍/益处与认知功能和诊断后时间有关。身体功能较低的患者运动感知能力较低。此外,与亲属或照顾者一起生活有助于提高运动益处评分。