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首页> 外文期刊>Dementia and geriatric cognitive disorders >Review of effects of physical activity on strength, balance, mobility and ADL performance in elderly subjects with dementia.
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Review of effects of physical activity on strength, balance, mobility and ADL performance in elderly subjects with dementia.

机译：综述体育锻炼对老年痴呆症患者力量，平衡，活动能力和ADL表现的影响。

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BACKGROUND/AIMS: Elderly individuals with dementia are vulnerable for a decline in physical functioning and basic activities of daily living (BADL) which can lead to a decline in autonomy and participation. This study reviews the effect of physical activity on physical functioning and BADL in elderly subjects with dementia. METHODS: A systematic search of the literature was performed. Key words related to the elderly, dementia, exercise interventions and physical outcome measures were used. RESULTS: Sixteen studies were included. It was found that physical activity was beneficial in all stages of dementia. Multicomponent interventions (e.g. a combination of endurance, strength and balance) led to larger improvements in gait speed, functional mobility and balance, compared to progressive resistance training alone. BADL and endurance improved but were only assessed in multicomponent interventions. Lower-limb strength improved equally in multicomponent interventions and progressive resistance training. CONCLUSION: Multicomponent interventions can improve physical functioning and BADL in elderly subjects regardless of the stage of dementia. The best results were obtained in the interventions with the largest training volume. However, the small number of high-quality studies, and heterogeneity of the participants and interventions prevent us from drawing firm conclusions. Recommendations are given with respect to methodological issues, further research and practical guidelines.
机译：背景/目的：老年痴呆症患者的身体机能和日常生活基本活动（BADL）下降很容易受到伤害，这可能导致自主性和参与性下降。这项研究回顾了体育活动对老年痴呆症患者身体功能和BADL的影响。方法：对文献进行系统的检索。使用与老年人，痴呆症，运动干预和体力指标有关的关键词。结果：包括十六项研究。已发现体育锻炼在痴呆的所有阶段都是有益的。与仅进行渐进式阻力训练相比，多组分干预（例如，耐力，力量和平衡的组合）导致步态速度，功能活动性和平衡的改善更大。 BADL和耐力得到改善，但仅在多组分干预中进行了评估。下肢力量在多组分干预和进行性阻力训练中同样得到改善。结论：无论痴呆症的分期如何，多组分干预措施均可改善老年受试者的身体机能和BADL。在培训量最大的干预措施中获得了最佳结果。但是，少量高质量的研究以及参与者和干预措施的异质性使我们无法得出明确的结论。针对方法问题，进一步的研究和实践指南提出了建议。

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