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A New Approach to Individualize Physical Activity Interventions for Individuals With Dementia: Cluster Analysis Based on Physical and Cognitive Performance

Barisch-Fritz, Bettina ORCID iD icon 1; Krafft, Jelena 1; Scharpf, Andrea; Trautwein, Sandra 1; Krell-Rösch, Janina ORCID iD icon 1; Woll, Alexander ORCID iD icon 1
1 Institut für Sport und Sportwissenschaft (IfSS), Karlsruher Institut für Technologie (KIT)

Abstract:

Background and purpose: Physical activity (PA) can have a beneficial effect on cognitive and physical performance in individuals with dementia (IWD), including those residing in nursing homes. However, PA interventions in nursing homes are usually delivered using a group setting, which may limit the effectiveness of the intervention due to the heterogenous nature of IWD. Therefore, the purpose of this study was to identify clusters based on cognitive and physical performance values, which could be used to improve individualization of PA interventions.

Methods: Based on the cognitive and physical performance variables of 230 IWD, a cluster analysis was conducted. Global cognition (Mini-Mental State Examination), mobility (6-Meter Walking Test), balance (Frailty and Injuries: Cooperative Studies of Intervention Techniques-subtest-4), and strength and function of lower extremities (30-Second Chair-Stand Test) were assessed, and values were used to perform a hierarchical cluster analysis with Ward's method. Differences in physical and cognitive performance as well as other secondary outcomes (age, sex, body mass index, use of walking aids, diagnosis and etiology of dementia, number of medications, and Cumulative Illness Rating Scale) were tested using 1-factorial analyses of variance.
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Originalveröffentlichung
DOI: 10.1519/JPT.0000000000000396
Zugehörige Institution(en) am KIT Institut für Sport und Sportwissenschaft (IfSS)
Publikationstyp Zeitschriftenaufsatz
Publikationsdatum 11.07.2024
Sprache Englisch
Identifikator ISSN: 1539-8412, 2152-0895
KITopen-ID: 1000163159
Erschienen in Journal of geriatric physical therapy
Verlag Lippincott, Williams & Wilkins (LWW)
Band 47
Heft 3
Seiten 145–154
Vorab online veröffentlicht am 01.07.2024
Schlagwörter Alzheimer disease, cognitive and motor impacts, personalization, training groups
Nachgewiesen in Dimensions
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