Browsing by Subject "PHYSICAL-EXERCISE"

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  • Öhman, Hannareeta; Savikko, N. R. N.; Strandberg, T. E.; Kautiainen, H.; Raivio, M. M.; Laakkonen, M. L.; Tilvis, R.; Pitkala, K. H. (2017)
    Background: Neuropsychiatric symptoms (NPS) are common in Alzheimer's disease (AD) and are associated with admission to institutional care. Current guidelines recommend non-pharmacological interventions as the first-line treatment for NPS. However, high-quality randomized studies focused on NPS are scarce. The objective here was to examine whether a regular and long-term exercise programme either at home or as a group-based exercise at an adult day care centre has beneficial effects on AD patients' NPS or permanent institutionalizations. Design, setting, and participants: A randomized, controlled trial with 210 community-dwelling AD patients. Intervention: Two types of intervention comprising (1) group-based exercise in day care centres (GE) and (2) tailored home-based exercise (HE), both twice a week for 12 months, were compared with (3) a control group (CG) receiving usual community care. Measurements: NPS were measured with the Neuropsychiatric Inventory (NPI) at baseline and 6 months, and depression with the Cornell Scale for Depression in Dementia (CSDD) at baseline and 12 months. Data on institutionalizations were retrieved from central registers. Results: No significant differences between the groups were detected in NPI at 6 months or in CSDD at 12 months when analyses were adjusted for age, sex, baseline Clinical Dementia Rating, and Functional Independence Measure. There was no difference in admissions to permanent institutional care between the groups. Conclusions: Regular, long-term exercise intervention did not decrease NPS in patients with AD. (C) 2017 Elsevier Masson SAS and European Union Geriatric Medicine Society. All rights reserved.
  • Tiira, Katriina (2019)
    What are the key factors of psychological resilience in dogs? Why do some individuals recover swiftly from neglect, abuse or several years of harsh kennel environments, while some seem to be permanently traumatized by much milder adverse experiences? Resilience is a concept seldom discussed in canine studies; however, many studies have identified risk factors (both environmental and genetic) for developing anxieties, aggression or other behavioral problems. These studies also indicate several factors that may act as protective agents against life adversities. In this paper, I will present some of the most commonly identified key factors of resilience in other species and discuss what has been found in dogs. This paper is an attempt to raise focus on the positive key factors in a dog's life that are important for dog welfare, a healthy psychological outcome and are also important building blocks of a happy and well-behaving pet.