Evidence map›Paper›PMID 28851451›Full record

Trial reportAlzheimer's research & therapy2017

Structured physical exercise improves neuropsychiatric symptoms in acute dementia care: a hospital-based RCT.

Tim Fleiner, Hannah Dauth, Marleen Gersie, Wiebren Zijlstra, Peter Haussermann

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Alzheimer's research & therapy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 4 pooled it
2.2field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 4 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Exercise for acutely hospitalised older medical patients.The Cochrane database of systematic reviews · 2022
    Pooled it
  5. Trial
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Care for dementia patients and caregivers amid COVID-19 pandemic.Cerebral circulation - cognition and behavior · 2022
    Review
  14. Review
  15. [Exercise and physical training as interventions in gerontopsychiatry].Zeitschrift fur Gerontologie und Geriatrie · 2020
    Review
  16. Article
  17. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Tim FleinerInstitute of Movement and Sport Gerontology, German Sport University Cologne, Am Sportpark Muengersdorf 6, 50933, Köln, Germany. T.Fleiner@dshs-koeln.de.
Hannah DauthLVR-Hospital Cologne, Department of Geriatric Psychiatry & Psychotherapy, Academic Teaching Hospital of the University of Cologne, Wilhelm-Griesinger-Straße 23, 51109, Köln, Germany.
Marleen GersieLVR-Hospital Cologne, Department of Geriatric Psychiatry & Psychotherapy, Academic Teaching Hospital of the University of Cologne, Wilhelm-Griesinger-Straße 23, 51109, Köln, Germany.
Wiebren ZijlstraInstitute of Movement and Sport Gerontology, German Sport University Cologne, Am Sportpark Muengersdorf 6, 50933, Köln, Germany.
Peter HaussermannLVR-Hospital Cologne, Department of Geriatric Psychiatry & Psychotherapy, Academic Teaching Hospital of the University of Cologne, Wilhelm-Griesinger-Straße 23, 51109, Köln, Germany.
University of Cologne · DEGerman Sport University Cologne · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe primary objective of this trial is to investigate the effects of a short-term exercise program on neuropsychiatric signs and symptoms in acute hospital dementia care.

methodsWithin a hospital-based randomized controlled trial, the intervention group conducted a 2-week exercise program with four 20-min exercise sessions on 3 days per week. The control group conducted a social stimulation program. Effects on neuropsychiatric signs and symptoms were measured via the Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change, the Neuropsychiatric Inventory, and the Cohen-Mansfield Agitation Inventory. The antipsychotic and sedative dosage was quantified by olanzapine and diazepam equivalents.

resultsEighty-five patients were randomized via minimization to an intervention group (IG) and a control group (CG). Seventy patients (82%) (mean age 80 years, 33 females, mean Mini Mental State Examination score 18.3 points) completed the trial. As compared to the CG (n = 35), the IG (n = 35) showed significantly reduced neuropsychiatric signs and symptoms. Especially, agitated behavior and lability improved. There were no between-group differences concerning antipsychotic and benzodiazepine medication.

conclusionsThis exercise program is easily applicable in hospital dementia care and significantly reduces neuropsychiatric signs and symptoms in patients suffering from predominantly moderate stages of dementia.

trial registrationGerman Clinical Trial Register DRKS00006740 . Registered 28 October 2014.

Indexed as

Exercise TherapyHospitalizationAgedAged, 80 and overAntipsychotic AgentsDementiaExerciseFemaleFollow-Up StudiesHumansHypnotics and SedativesMaleMental Status ScheduleTreatment OutcomeAntipsychotic AgentsHypnotics and SedativesAntipsychotic medicationDementiaExerciseHospitalNeuropsychiatric signs and symptomsPhysical activitySedative medicationSocial stimulation

Identifiers

PMID28851451
PMCPMC5576378
OpenAlexW2753574162

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.