Title |
Formulation of evidence-based messages to promote the use of physical activity to prevent and manage Alzheimer’s disease
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Published in |
BMC Public Health, February 2017
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DOI | 10.1186/s12889-017-4090-5 |
Pubmed ID | |
Authors |
Kathleen A. Martin Ginis, Jennifer Heisz, John C. Spence, Ilana B. Clark, Jordan Antflick, Chris I. Ardern, Christa Costas-Bradstreet, Mary Duggan, Audrey L. Hicks, Amy E. Latimer-Cheung, Laura Middleton, Kirk Nylen, Donald H. Paterson, Chelsea Pelletier, Michael A. Rotondi |
Abstract |
The impending public health impact of Alzheimer's disease is tremendous. Physical activity is a promising intervention for preventing and managing Alzheimer's disease. However, there is a lack of evidence-based public health messaging to support this position. This paper describes the application of the Appraisal of Guidelines Research and Evaluation II (AGREE-II) principles to formulate an evidence-based message to promote physical activity for the purposes of preventing and managing Alzheimer's disease. A messaging statement was developed using the AGREE-II instrument as guidance. Methods included (a) conducting a systematic review of reviews summarizing research on physical activity to prevent and manage Alzheimer's disease, and (b) engaging stakeholders to deliberate the evidence and formulate the messaging statement. The evidence base consisted of seven systematic reviews focused on Alzheimer's disease prevention and 20 reviews focused on symptom management. Virtually all of the reviews of symptom management conflated patients with Alzheimer's disease and patients with other dementias, and this limitation was reflected in the second part of the messaging statement. After deliberating the evidence base, an expert panel achieved consensus on the following statement: "Regular participation in physical activity is associated with a reduced risk of developing Alzheimer's disease. Among older adults with Alzheimer's disease and other dementias, regular physical activity can improve performance of activities of daily living and mobility, and may improve general cognition and balance." The statement was rated favourably by a sample of older adults and physicians who treat Alzheimer's disease patients in terms of its appropriateness, utility, and clarity. Public health and other organizations that promote physical activity, health and well-being to older adults are encouraged to use the evidence-based statement in their programs and resources. Researchers, clinicians, people with Alzheimer's disease and caregivers are encouraged to adopt the messaging statement and the recommendations in the companion informational resource. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 4 | 24% |
Canada | 4 | 24% |
United States | 4 | 24% |
Unknown | 5 | 29% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 13 | 76% |
Scientists | 4 | 24% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Canada | 1 | <1% |
Unknown | 231 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 35 | 15% |
Student > Bachelor | 34 | 15% |
Researcher | 24 | 10% |
Student > Ph. D. Student | 22 | 9% |
Student > Doctoral Student | 16 | 7% |
Other | 38 | 16% |
Unknown | 63 | 27% |
Readers by discipline | Count | As % |
---|---|---|
Nursing and Health Professions | 45 | 19% |
Medicine and Dentistry | 28 | 12% |
Psychology | 25 | 11% |
Sports and Recreations | 18 | 8% |
Neuroscience | 13 | 6% |
Other | 29 | 13% |
Unknown | 74 | 32% |