Taatgen, L. (Louise) (2017) To attend or not to attend: adherence and compliance related to the cognitive effects of combined aerobic and resistance exercise in dementia patients. thesis, Human Movement Sciences.
Full text available on request.Abstract
Background: Previous research suggest that a combination of aerobic and strength exercises positively influences cognitive function in elderly with dementia. Differences in adherence and compliance may contribute to individual differences in cognitive response to exercise. The influence of adherence and compliance on cognitive response to exercise in elderly with dementia is not examined before. Objective: The aim of this study is to examine the relation between rate of adherence and compliance and the cognitive effects of a combined strength and aerobic exercise intervention in older people with dementia. Method: This study has a single blind randomized controlled trial design. The experimental group (n = 30, age = 80.7 ± 7.60) received alternating aerobic and strength training three times a week during 24 weeks with an intensity increase half-way. The control group (n = 23, age = 82.2 ± 8.01) received play and relaxation activities or low-intensity flexibility exercises with matched attention. Cognitive measures were assessed at pre-test (wk 0), half-way (wk 12) and post-test (wk 24). The coaches recorded adherence and compliance using personal diaries. Results: The experimental group did not improve over the total intervention period of 24 weeks on cognitive function. Overall, no strong relationships between adherence and compliance and cognition were found. Participants with a higher adherence rate in the first 12 weeks of the intervention improved significantly more on the Stroop test with a moderate correlation coefficient of r = 0.45 between adherence and gain score. Mean quality of the strength session appeared to be the compliance variable that was most strongly related to change in cognitive function. Conclusion: No strong relationships were found between adherence and compliance and cognition. The influence of adherence and compliance on cognitive response to exercise in elderly with dementia is not examined before. This fact in combination with the limitations of a long intervention period that gives room for drop-out, disturbances and variation and the use of gain scores, gives need for more research in this field.
| Item Type: | Thesis (UNSPECIFIED) |
|---|---|
| Supervisor name: | Heuvelen, dr. M.J.G. van and Sanders, L.M.J. |
| Faculty: | Medical Sciences |
| Date Deposited: | 11 May 2022 09:23 |
| Last Modified: | 11 May 2022 09:23 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/3271 |
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