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dc.contributor.authorTelenius, Elisabeth Wikenen_US
dc.contributor.authorEngedal, Knuten_US
dc.contributor.authorBergland, Astriden_US
dc.date.accessioned2016-02-24T09:48:38Z
dc.date.available2016-02-24T09:48:38Z
dc.date.issued2015en_US
dc.identifier.citationTelenius, E.W., Engedal, K. & Bergland, A. (2015). Effect of a high-intensity exercise program on physical function and mental health in nursing home residents with dementia: An assessor blinded randomized controlled trial. PLoS ONE, 10(5). doi: 10.1371/journal.pone.0126102en_US
dc.identifier.issn1932-6203en_US
dc.identifier.otherFRIDAID 1243209en_US
dc.identifier.urihttps://hdl.handle.net/10642/3063
dc.description.abstractDementia is among the leading causes of functional loss and disability in older adults. Research has demonstrated that nursing home patients without dementia can improve their function in activities of daily living, strength, balance and mental well being by physical exercise. The evidence on effect of physical exercise among nursing home patients with dementia is scarce and ambiguous. Thus, the primary objective of this study was to investigate the effect of a high intensity functional exercise program on the performance of balance in nursing home residents with dementia. The secondary objective was to examine the effect of this exercise on muscle strength, mobility, activities of daily living, quality of life and neuropsychiatric symptoms. Design and Methods This single blinded randomized controlled trial was conducted among 170 persons with dementia living in nursing homes. Mean age was 86.7 years (SD = 7.4) and 74% were women. The participants were randomly allocated to an intervention (n = 87) or a control group (n = 83). The intervention consisted of intensive strengthening and balance exercises in small groups twice a week for 12 weeks. The control condition was leisure activities. Results The intervention group improved the score on Bergs Balance Scale by 2.9 points, which was significantly more than the control group who improved by 1.2 points (p = 0.02). Having exercised 12 times or more was significantly associated with improved strength after intervention (p<0.05). The level of apathy was lower in the exercise group after the intervention, compared to the control group (p = 0.048). Conclusion The results from our study indicate that a high intensity functional exercise program improved balance and muscle strength as well as reduced apathy in nursing home patients with dementia.en_US
dc.language.isoengen_US
dc.publisherPublic Library of Scienceen_US
dc.relation.ispartofseriesPLoS ONE;10(5)en_US
dc.subjectDementiaen_US
dc.subjectNursing homesen_US
dc.subjectExerciseen_US
dc.subjectElderlyen_US
dc.subjectDepressionen_US
dc.subjectAlzheimer's diseaseen_US
dc.subjectBalanceen_US
dc.subjectFallsen_US
dc.titleEffect of a high-intensity exercise program on physical function and mental health in nursing home residents with dementia: An assessor blinded randomized controlled trialen_US
dc.typeJournal articleen_US
dc.typePeer revieweden_US
dc.description.versionCopyright: © 2015 Telenius et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
dc.identifier.doihttp://dx.doi.org/10.1371/journal.pone.0126102


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