Physical activity program for patients with dementia and their relative caregivers: randomized clinical trial in Primary Health Care (AFISDEMyF study)

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• 作者：Emiliano Rodriguez-Sánchez (1) (2) (7)
  José María Criado-Gutiérrez (3)
  Sara Mora-Simón (1) (4)
  M Paz Muriel-Diaz (1)
  Manuel A Gómez-Marcos (1) (2)
  José I Recio-Rodríguez (1)
  M Carmen Patino-Alonso (1) (5)
  Luis F Valero-Juan (1) (6)
  José A Maderuelo-Fernandez (1)
  Luis García-Ortiz (1) (2)
  
• 关键词：Dementia ; Caregivers ; Physical activity ; Pedometer ; Cardiovascular risk
• 刊名：BMC Neurology
• 出版年：2014
• 出版时间：December 2014
• 年：2014
• 卷：14
• 期：1
• 全文大小：274 KB
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  56. The pre-publication history for this paper can be accessed here: medcentral.com/1471-2377/14/63/prepub" class="a-plus-plus">http://www.biomedcentral.com/1471-2377/14/63/prepub
  
• 作者单位：Emiliano Rodriguez-Sánchez (1) (2) (7)
  José María Criado-Gutiérrez (3)
  Sara Mora-Simón (1) (4)
  M Paz Muriel-Diaz (1)
  Manuel A Gómez-Marcos (1) (2)
  José I Recio-Rodríguez (1)
  M Carmen Patino-Alonso (1) (5)
  Luis F Valero-Juan (1) (6)
  José A Maderuelo-Fernandez (1)
  Luis García-Ortiz (1) (2)
  
  1. Primary Health Care Research Unit The Alamedilla. The Alamedilla Primary Health Center, Castilla-Leon Health Service–SACYL, IBSAL, Salamanca, Spain
  2. Medicine Department, University of Salamanca, Salamanca, Spain
  7. Unidad de Investigación, Centro de Salud La Alamedilla, 37003, Salamanca, Spain
  3. Department of Physiology and Pharmacology Department, University of Salamanca, Salamanca, Spain
  4. Basic Psychology, Psychobiology and Behavioral Sciences Methodology Department, University of Salamanca, Salamanca, Spain
  5. Statistics Department, University of Salamanca, Salamanca, Spain
  6. Preventive Medicine, Public Health and Medical Microbiology Department, University of Salamanca, Salamanca, Spain
  
• ISSN：1471-2377

文摘

Background The aging of the population has led to the increase of chronic diseases, especially dementia and cardiovascular diseases, and it has become necessary for their relatives to dedicate more time in caregiving. The objective in the first phase of this study is to evaluate the effectiveness of a Primary Health Care procedure to increase the physical activity of people with dementia and their relative caregivers. Also the effect on the cognitive state and cardiovascular risk will be assessed. Methods/Design Design: Clinical, multicentric and randomized trial. A simple random sampling to select 134 patients diagnosed with dementia will be carried out. After contacting their relatives, his/her participation in the trial will be requested. A basal assessment will be made and the participants will be asigned to control or intervention group (1:1). Variables: The main measure will be the assessment of physical activity (podometer and 7-PAR) in patients and caregivers. In patients with dementia: ADAS-cog, functional degree and cardiovascular risk. In caregivers: cardiovascular risk, general health and quality of life. Intervention: For 3?months, participants will receive instructions to do physical activity with an adapted program. This program will be designed and applied by Primary Health Care professionals in patients with dementia and their caregivers. The control group will receive regular care. Analysis: An intention-to-treat analysis will be carried out by comparing the observed differences between basal, 6 and 12?months measures. Change in the mean of daily steps assessed with the podometer and 7-PAR will be the main result. Discussion If the main hypothesis is confirmed, it could be useful to improve the cognitive state of patients with dementia, as well as the cardiovascular risk of all of them. The results can be good to improve technical features of the devices that register the physical activity in the patients with dementia, and it could facilitate its commercialization. Trial registration Clinical Trials.gov Identifier: NCT02044887.