Effect of an 18-Month Walking Intervention on the Rest-Activity Rhythm of Older Adults With Mild-Moderate Dementia

Karin Mariëlle Volkers*, Johanna Gerdine Douma, Jan Binne Hoeksma, Erik Johan Anton Scherder

*Corresponding author for this work

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

The objective of this 18-month walking intervention was to evaluate the effect on rest-activity rhythm (RAR) for older adults with mild-to-moderate dementia (65.8% female; agedM= 82.4 [SD = 6.5]). The intervention group (n = 44) was intended to walk 30 min, five times per week for 18 months. The control group (n = 35) received sedentary activities or usual care. RAR was measured at baseline to after 18 months and five times in between actigraphy outcome variables (interdaily stability, intradaily variability, relative amplitude, activity 10 most active hours, and activity 5 least active hours). Hierarchical mixed model analyses revealed no significant intervention effects (with or without baseline confounders as covariate) on RAR. However, participants in the intervention group were able to significantly increase their daily life activity (activity 10 most active hours) from the onset of the preceding measurement, b = 0.10, t(239.32) = 2.36, p = .019. More research is warranted to study the effect of regular walks on older persons with dementia whose RAR is worst at baseline.

Original languageEnglish
Pages (from-to)350-359
Number of pages10
JournalJournal of Aging and Physical Activity
Volume32
Issue number3
Early online date9 Feb 2024
DOIs
Publication statusPublished - Jun 2024

Bibliographical note

Publisher Copyright:
© 2024 Human Kinetics, Inc.

Funding

Volkers and Douma shared first authorship for this work. Hoeksma is deceased. This work was funded by Innovatiefonds Zorgverzekeraars, the Netherlands (grant number 11-110) to Volkers and Scherder. Trial registration number : NTR1482.

FundersFunder number
Innovatiefonds Zorgverzekeraars11-110
Innovatiefonds Zorgverzekeraars

    Keywords

    • Alzheimer's disease
    • randomized controlled trial
    • sleep-wake

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