Zwol, E. van (Evelien) (2016) The Effects of an Individualized Physical Activity Program on Quality of Life and Daily Physical Activity in Patients with an Acquired Brain Injury or Geriatric Psychiatry Disorder. thesis, Human Movement Sciences.
Full text available on request.Abstract
Patients in nursing homes tend to be physically inactive. Physical inactivity has unfavourable health consequences and is the fourth leading cause of death. Physical activity (PA) contributes to a healthy lifestyle, ensures a longer independent life and improves Quality of Life (QoL), cognition, mood, bone density and physical fitness. Individually tailored PA interventions have better effects on maintenance than standard interventions. Therefore, the aim of this study was to determine the effects of an individualized 9-week PA program on QoL and daily PA in patients with an acquired brain injury (ABI) or geriatric psychiatry disorder. The secondary goal was to investigate the effects of the program on physical fitness, cognitive function, depression and psychotropic drug use. Based on patients’ wishes, an individualized PA program was embedded in patients’ daily routine. In total, nineteen patients completed the program (age 65.3±10.9). PA was measured with the Actiwatch and a self-report questionnaire. QoL was assessed with a questionnaire. Physical fitness included measures of balance, walking speed, endurance, leg strength and grip strength. Cognitive functioning included measures for global cognition, attention, memory, orientation, and consciousness, based on observation scales and questionnaires. Depression was measured using a questionnaire for caregivers. Specialists in geriatric medicine determined psychotropic drug use. After the program, there was a trend for PA to increase but QoL remained unchanged. However, both PA and QoL differed positively in patients who had no major influencing life event, e.g., dying of a spouse. The results were highly variable for cognitive function and physical fitness and affected adversely by negative life events. There were trends for depression to improve while psychotropic drug use had trends to increase, both negatively affected by life events. In conclusion, the present results show only trends for an increase in PA after an individualized program, in the absence of a change in QoL. Future studies should use an experimental design that is agreeable for all and can still have sufficient experimental control, intensity, and duration.
| Item Type: | Thesis (UNSPECIFIED) |
|---|---|
| Supervisor name: | Hortobágyi, prof. dr. T. and Beltman, M. |
| Faculty: | Medical Sciences |
| Date Deposited: | 04 May 2022 08:40 |
| Last Modified: | 04 May 2022 08:40 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/3215 |
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