Predictors of short- and long-term adherence to a daily walking program in persons with Alzheimer's disease.

Predictors of short- and long-term adherence to a daily walking program in persons with Alzheimer's disease.
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DOI:
10.1177/1533317510376173
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发表时间:
2010-09
期刊:
American journal of Alzheimer's disease and other dementias
影响因子:
--
通讯作者:
Teri L
Teri L
中科院分区:
其他
文献类型:
--
作者:
McCurry SM;Pike KC;Logsdon RG;Vitiello MV;Larson EB;Teri L

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研究社区阿尔茨海默病(AD)患者坚持步行计划的相关因素。分析了66名AD参与者的数据,要求他们每天连续步行30分钟。从每日日志中获得依从性数据(步行天数、步行分钟数、步行30分钟以上的天数)。预测变量包括年龄、配偶关系、健康限制、抑郁、参与者痴呆严重程度和行为障碍、照顾者压力和痴呆管理方式。在第1周,与基线相比,参与者每周步行的天数显著增加(p<.0001)。然而,步行频率和持续时间在六个月内下降。不走路的人有更高的行为中断分数。回归分析表明,走路多的参与者抑郁程度较低。步行参与者的照顾者往往是配偶,并报告较少的压力。参与者和照顾者的因素(参与者的行为中断,抑郁症,照顾者的压力和配偶关系)影响社区居住的AD患者是否坚持步行计划。
To examine factors associated with adherence to a walking program in community-dwelling individuals with Alzheimer’s disease (AD). Data were analyzed for 66 AD participants asked to walk 30 continuous minutes/day. Adherence data (number of days walked, minutes walked, days walked 30+ minutes) were obtained from daily logs. Predictor variables included age, spousal relationship, health limitations, depression, participant dementia severity and behavioral disturbance, and caregiver stress and dementia management style. During Week 1, participants significantly (p<.0001) increased number of days walked/week compared to baseline. However, walking frequency and duration declined over six months. Non-walkers had higher behavioral disruption scores. Regression analyses indicated that participants who walked more were less depressed. Caregivers of walking participants tended to be spouses, and reported less stress. Both participant and caregiver factors (participant behavioral disruption, depression; caregiver stress and spousal relationship) impacted whether community-dwelling individuals with AD adhered to a walking program.
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