Adherence to exercise interventions in older people with mild cognitive impairment and dementia: A systematic review and meta-analysis
Adherence to physical exercise is associated with multiple benefits in people with mild cognitive impairment (MCI) and dementia. Given the gap in research, this systematic literature review aimed to determine in the context of exercise intervention studies for people with MCI and dementia: 1. How ad...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2020-09-01
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| Series: | Preventive Medicine Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2211335520300991 |
| _version_ | 1819260835608920064 |
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| author | Claudio Di Lorito Alessandro Bosco Vicky Booth Sarah Goldberg Rowan H. Harwood Veronika Van der Wardt |
| author_facet | Claudio Di Lorito Alessandro Bosco Vicky Booth Sarah Goldberg Rowan H. Harwood Veronika Van der Wardt |
| author_sort | Claudio Di Lorito |
| collection | DOAJ |
| description | Adherence to physical exercise is associated with multiple benefits in people with mild cognitive impairment (MCI) and dementia. Given the gap in research, this systematic literature review aimed to determine in the context of exercise intervention studies for people with MCI and dementia: 1. How adherence is defined, monitored and recorded; 2. Adherence rates; 3. Attrition, compliance and adverse events and 4. Intervention characteristics associated with adherence. Embase, Medline, PsychInfo, SPORTDiscus, AMED, CINAHL and the International Bibliography of Social Sciences were searched in November 2018. The data were analyzed through descriptive and correlation/inferential statistics. Forty-one studies were included, 34 involving participants with dementia (n = 2149) and seven participants with MCI (n = 970). Half of the studies operationally defined adherence. Mean adherence rate was 70% [CI, 69–73%]. Adherence was significantly associated with endurance/resistance training, and interventions not including walking. The review found a lack of consistency around reporting of adherence and of key variables mediating adherence, including compliance, attrition and adverse events. Further research using more reliable measures is needed to confirm whether a correlation exists between length of interventions and adherence in participants with MCI and dementia and to identify the factors or strategies that mediate adherence in this population. Relevant implications for practice include a consideration in the development of new interventions of elements associated with higher adherence in this review, such as endurance/resistance training, and the provision of exercise in group formats. |
| first_indexed | 2024-12-23T19:32:13Z |
| format | Article |
| id | doaj.art-1f083d573e4148bb911b0cdfa45a6a31 |
| institution | Directory Open Access Journal |
| issn | 2211-3355 |
| language | English |
| last_indexed | 2024-12-23T19:32:13Z |
| publishDate | 2020-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Preventive Medicine Reports |
| spelling | doaj.art-1f083d573e4148bb911b0cdfa45a6a312022-12-21T17:33:53ZengElsevierPreventive Medicine Reports2211-33552020-09-0119101139Adherence to exercise interventions in older people with mild cognitive impairment and dementia: A systematic review and meta-analysisClaudio Di Lorito0Alessandro Bosco1Vicky Booth2Sarah Goldberg3Rowan H. Harwood4Veronika Van der Wardt5Division of Rehabilitation, Ageing and Wellbeing, School of Medicine, University of Nottingham, Queen’s Medical Centre, Nottingham NG7 2UH, United Kingdom; Corresponding author: Room B109, Division of Rehabilitation, Ageing and Wellbeing, School of Medicine, University of Nottingham, Queen’s Medical Centre, Nottingham NG7 2UH, United Kingdom.Division of Psychiatry and Applied Psychology, School of Medicine, University of Nottingham, Institute of Mental Health, Triumph Road, Nottingham NG7 2TU, United KingdomDivision of Rehabilitation, Ageing and Wellbeing, School of Medicine, University of Nottingham, Queen’s Medical Centre, Nottingham NG7 2UH, United KingdomSchool of Health Sciences, University of Nottingham, Queen’s Medical Centre, Nottingham NG7 2UH, United KingdomSchool of Health Sciences, University of Nottingham, Queen’s Medical Centre, Nottingham NG7 2UH, United KingdomWissenschaftliche Mitarbeiterin, Zentrum für Methodenwissenschaften und Gesundheitsforschung Abteilung für Allgemeinmedizin, Präventive und Rehabilitative Medizin, Philipps-Universität Marburg Karl-von-Frisch-Straße 4, 35032 Marburg, GermanyAdherence to physical exercise is associated with multiple benefits in people with mild cognitive impairment (MCI) and dementia. Given the gap in research, this systematic literature review aimed to determine in the context of exercise intervention studies for people with MCI and dementia: 1. How adherence is defined, monitored and recorded; 2. Adherence rates; 3. Attrition, compliance and adverse events and 4. Intervention characteristics associated with adherence. Embase, Medline, PsychInfo, SPORTDiscus, AMED, CINAHL and the International Bibliography of Social Sciences were searched in November 2018. The data were analyzed through descriptive and correlation/inferential statistics. Forty-one studies were included, 34 involving participants with dementia (n = 2149) and seven participants with MCI (n = 970). Half of the studies operationally defined adherence. Mean adherence rate was 70% [CI, 69–73%]. Adherence was significantly associated with endurance/resistance training, and interventions not including walking. The review found a lack of consistency around reporting of adherence and of key variables mediating adherence, including compliance, attrition and adverse events. Further research using more reliable measures is needed to confirm whether a correlation exists between length of interventions and adherence in participants with MCI and dementia and to identify the factors or strategies that mediate adherence in this population. Relevant implications for practice include a consideration in the development of new interventions of elements associated with higher adherence in this review, such as endurance/resistance training, and the provision of exercise in group formats.http://www.sciencedirect.com/science/article/pii/S2211335520300991Systematic reviewMild cognitive impairmentDementiaAdherencePhysical exercisePhysical activity |
| spellingShingle | Claudio Di Lorito Alessandro Bosco Vicky Booth Sarah Goldberg Rowan H. Harwood Veronika Van der Wardt Adherence to exercise interventions in older people with mild cognitive impairment and dementia: A systematic review and meta-analysis Preventive Medicine Reports Systematic review Mild cognitive impairment Dementia Adherence Physical exercise Physical activity |
| title | Adherence to exercise interventions in older people with mild cognitive impairment and dementia: A systematic review and meta-analysis |
| title_full | Adherence to exercise interventions in older people with mild cognitive impairment and dementia: A systematic review and meta-analysis |
| title_fullStr | Adherence to exercise interventions in older people with mild cognitive impairment and dementia: A systematic review and meta-analysis |
| title_full_unstemmed | Adherence to exercise interventions in older people with mild cognitive impairment and dementia: A systematic review and meta-analysis |
| title_short | Adherence to exercise interventions in older people with mild cognitive impairment and dementia: A systematic review and meta-analysis |
| title_sort | adherence to exercise interventions in older people with mild cognitive impairment and dementia a systematic review and meta analysis |
| topic | Systematic review Mild cognitive impairment Dementia Adherence Physical exercise Physical activity |
| url | http://www.sciencedirect.com/science/article/pii/S2211335520300991 |
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