Contribution of a multicomponent intervention on functional capacity and independence on activities of daily living in individuals with neurocognitive disorder

Abstract Background To examine the effects of a 6-month multicomponent (MT) exercise intervention in the functional capacity and ability to independently perform activities of daily living (ADL) of individuals diagnosed with neurocognitive disorder (NCD). Methods A quasi-experimental controlled tria...

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Autores principales: Flávia Borges-Machado, Duarte Barros, Laetitia Teixeira, Oscar Ribeiro, Joana Carvalho
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Publicado: BMC 2021
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spelling oai:doaj.org-article:935d10f274d748acb01a388c7ed158482021-11-07T12:16:38ZContribution of a multicomponent intervention on functional capacity and independence on activities of daily living in individuals with neurocognitive disorder10.1186/s12877-021-02591-21471-2318https://doaj.org/article/935d10f274d748acb01a388c7ed158482021-11-01T00:00:00Zhttps://doi.org/10.1186/s12877-021-02591-2https://doaj.org/toc/1471-2318Abstract Background To examine the effects of a 6-month multicomponent (MT) exercise intervention in the functional capacity and ability to independently perform activities of daily living (ADL) of individuals diagnosed with neurocognitive disorder (NCD). Methods A quasi-experimental controlled trial with a parallel design study was conducted in multicentered community-based settings. Forty-three individuals (N Female: 30) were allocated to an exercise group (EG; N: 23; mean 75.09, SD = 5.54 years) or a control group (CG; N:20; mean 81.90, SD = 1.33 years). The EG engaged in a 6-month MT program (60-min sessions, twice a week). Exercise sessions were divided into a warm-up, specific training (e.g., coordination and balance, lower and upper body strength, and aerobics), and cool down. Lower body function, mobility, and gait speed were evaluated through Short Physical Performance Battery (SPPB), Timed-Up and Go test (TUG) and 6-Meter Walk test, respectively. The Barthel Index (BI) was administered to assess individuals’ ADL independence. Evaluations were performed before and after the 6-month intervention. Results Linear Mixed Models revealed a statistically significant interaction (time X group) effect factor on SPPB (B = 2.33, 95% CI: 1.39–3.28, p < 0.001), TUG (B = − 11.15, 95% CI: − 17.23 – − 5.06, p = 0.001), and 6-Meter Walk test (B = 0.17, 95% CI: 0.08–0.25, p < 0.001). No differences between groups or assessment moments were found in the ability of individuals to independently perform ADL. Conclusions The 6-month MT exercise intervention improves the functional capacity of older adults living with NCD. Trial registration ClinicalTrials.gov – identifier number NCT04095962 ; retrospectively registered on 19 September 2019.Flávia Borges-MachadoDuarte BarrosLaetitia TeixeiraOscar RibeiroJoana CarvalhoBMCarticleDementiaPhysical activityFunctionalityPhysical fitnessGeriatricsRC952-954.6ENBMC Geriatrics, Vol 21, Iss 1, Pp 1-12 (2021)
institution DOAJ
collection DOAJ
language EN
topic Dementia
Physical activity
Functionality
Physical fitness
Geriatrics
RC952-954.6
spellingShingle Dementia
Physical activity
Functionality
Physical fitness
Geriatrics
RC952-954.6
Flávia Borges-Machado
Duarte Barros
Laetitia Teixeira
Oscar Ribeiro
Joana Carvalho
Contribution of a multicomponent intervention on functional capacity and independence on activities of daily living in individuals with neurocognitive disorder
description Abstract Background To examine the effects of a 6-month multicomponent (MT) exercise intervention in the functional capacity and ability to independently perform activities of daily living (ADL) of individuals diagnosed with neurocognitive disorder (NCD). Methods A quasi-experimental controlled trial with a parallel design study was conducted in multicentered community-based settings. Forty-three individuals (N Female: 30) were allocated to an exercise group (EG; N: 23; mean 75.09, SD = 5.54 years) or a control group (CG; N:20; mean 81.90, SD = 1.33 years). The EG engaged in a 6-month MT program (60-min sessions, twice a week). Exercise sessions were divided into a warm-up, specific training (e.g., coordination and balance, lower and upper body strength, and aerobics), and cool down. Lower body function, mobility, and gait speed were evaluated through Short Physical Performance Battery (SPPB), Timed-Up and Go test (TUG) and 6-Meter Walk test, respectively. The Barthel Index (BI) was administered to assess individuals’ ADL independence. Evaluations were performed before and after the 6-month intervention. Results Linear Mixed Models revealed a statistically significant interaction (time X group) effect factor on SPPB (B = 2.33, 95% CI: 1.39–3.28, p < 0.001), TUG (B = − 11.15, 95% CI: − 17.23 – − 5.06, p = 0.001), and 6-Meter Walk test (B = 0.17, 95% CI: 0.08–0.25, p < 0.001). No differences between groups or assessment moments were found in the ability of individuals to independently perform ADL. Conclusions The 6-month MT exercise intervention improves the functional capacity of older adults living with NCD. Trial registration ClinicalTrials.gov – identifier number NCT04095962 ; retrospectively registered on 19 September 2019.
format article
author Flávia Borges-Machado
Duarte Barros
Laetitia Teixeira
Oscar Ribeiro
Joana Carvalho
author_facet Flávia Borges-Machado
Duarte Barros
Laetitia Teixeira
Oscar Ribeiro
Joana Carvalho
author_sort Flávia Borges-Machado
title Contribution of a multicomponent intervention on functional capacity and independence on activities of daily living in individuals with neurocognitive disorder
title_short Contribution of a multicomponent intervention on functional capacity and independence on activities of daily living in individuals with neurocognitive disorder
title_full Contribution of a multicomponent intervention on functional capacity and independence on activities of daily living in individuals with neurocognitive disorder
title_fullStr Contribution of a multicomponent intervention on functional capacity and independence on activities of daily living in individuals with neurocognitive disorder
title_full_unstemmed Contribution of a multicomponent intervention on functional capacity and independence on activities of daily living in individuals with neurocognitive disorder
title_sort contribution of a multicomponent intervention on functional capacity and independence on activities of daily living in individuals with neurocognitive disorder
publisher BMC
publishDate 2021
url https://doaj.org/article/935d10f274d748acb01a388c7ed15848
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