Feasibility of Measuring Physical Activity Using Accelerometry in Hospitalized and Community-Living Older People with Cognitive Impairment

2014 ◽  
Vol 62 (2) ◽  
pp. 388-390 ◽  
Author(s):  
Ariane A. van Loevezijn ◽  
Ian D. Cameron ◽  
Susan E. Kurrle ◽  
David van Bodegom
2020 ◽  
Vol 77 (2) ◽  
pp. 689-699
Author(s):  
Maurizio Gallucci ◽  
Anna Paola Mazzarolo ◽  
Lucia Focella ◽  
Cinzia Piovesan ◽  
Manuela Mazzetto ◽  
...  

Background: Frailty is a condition of increased vulnerability to exogenous and endogenous stressors, which is correlated with aging, functional decline, institutionalization, hospitalization, and mortality. Given the multifaceted nature of frailty, programs aimed at its prevention are recommended to act on multiple domains. Objective: The present intervention program aimed at assessing the effects of combined physical and cognitive training in older people with mild cognitive impairment (MCI) and at investigating how their frailty status changed over one year of follow-up. Methods: Two-hundred and seven participants were recruited among outpatients of the Cognitive Impairment Center who agreed to receive a comprehensive assessment. Forty-six participants, who joined a structured program of physical activity and group readings for a period of one year, were defined as active. The remaining 161, who decided not to engage in those activities, were considered controls. In both groups, frailty status was assessed at baseline and over one year of follow-up. Results: Control participants showed twice the risk of becoming frail at 12 months compared with those in the active group. Participants in the active group had more than three times the probability of improving their frailty status compared with the control group from T0 to T12. Age and NPI scores were significantly associated with worsening frailty status. When analyses were restricted to participants who were robust at baseline, the frailty status varied significantly between groups over time. Conclusion: Findings of the present study confirm the beneficial effects of physical activity and reading to prevent frailty in older people with MCI.


2011 ◽  
Vol 19 (4) ◽  
pp. 347-372 ◽  
Author(s):  
Klaus Hauer ◽  
Stephen R. Lord ◽  
Ulrich Lindemann ◽  
Sarah E. Lamb ◽  
Kamiar Aminian ◽  
...  

The purpose of this study was to validate a new interview-administered physical activity questionnaire (Assessment of Physical Activity in Frail Older People; APAFOP) in older people with and without cognitive impairment. The authors assessed feasibility, validity, and test–retest reliability in 168 people (n= 78 with,n= 88 without cognitive impairment). Concurrent validity was assessed against an inertia-based motion sensor and an established questionnaire. Sensitivity to change was tested in an ongoing study in patients with mild to moderate dementia (n= 81). Assessment of physical activity by the APAFOP and the motion sensor correlated well in the total sample (TS; p= .705), as well as in the subsamples with cognitive impairment (CI;p= .585) and without CI (p= .787). Excellent feasibility with an acceptance rate of 100%, test–retest reliability (intraclass correlation coefficients ranging from .973 (TS) to .975 (CI) to .966 (no CI), and sensitivity to change (effect sizes: 0.35–1.47) were found in both subsamples.


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