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Gepubliceerd in: Neuropraxis 2/2020

16-03-2020 | Artikel

Laat het brein niet indutten: beweeg slim!

Het effect van gecombineerde cognitieve en fysieke interventies voor ouderen met dementie

Auteurs: Esther G. A. Karssemeijer, Roy P. C. Kessels

Gepubliceerd in: Neuropraxis | Uitgave 2/2020

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Samenvatting

Met de vergrijzing is er een toename in de prevalentie van dementie. Momenteel is er voor dementie geen effectieve medicamenteuze behandeling. Daarom is er behoefte aan niet-medicamenteuze interventies om cognitieve achteruitgang te vertragen. Bij gezonde ouderen kan een combinatie van beweging en cognitieve training mogelijk het cognitief functioneren verbeteren, maar er is nog onvoldoende bewijs of dit ook geldt voor ouderen met dementie. Het doel van deze studie was het effect te onderzoeken van een gecombineerde fysieke en cognitieve training op cognitief functioneren bij ouderen met dementie. Hiertoe werd een beweeggame ingezet: het interactieve fietsen, met als onderzoeksdesign een enkelblind randomised controlled trial (RCT). Mensen ouder dan 60 jaar die waren gediagnosticeerd met milde tot matig-ernstige dementie kwamen in aanmerking voor deelname aan de studie. Na inclusie werden de 115 deelnemers gerandomiseerd naar een van de drie interventiegroepen: een aerobe fietsgroep, een interactieve fietsgroep en een flexibiliteit- en ontspanningsgroep. Alle deelnemers trainden drie keer per week gedurende 12 weken. Voor de start van de trainingen (T0), na zes weken (T1), na 12 weken (T2) en na 24 weken follow-up (FU) werd het cognitief functioneren in kaart gebracht door middel van neuropsychologisch onderzoek. Na 12 weken was er een significante verbetering in snelheid van informatieverwerking in de interactieve fietsgroep en in de aerobe fietsgroep, in vergelijking met de flexibiliteit- en ontspanningsgroep. Deze bevinding is relevant, omdat psychomotorische snelheid een belangrijke voorspeller is voor cognitieve achteruitgang. Er waren geen verschillen tussen de groepen op executief functioneren, episodisch geheugen en werkgeheugen.
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Metagegevens
Titel
Laat het brein niet indutten: beweeg slim!
Het effect van gecombineerde cognitieve en fysieke interventies voor ouderen met dementie
Auteurs
Esther G. A. Karssemeijer
Roy P. C. Kessels
Publicatiedatum
16-03-2020
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Neuropraxis / Uitgave 2/2020
Print ISSN: 1387-5817
Elektronisch ISSN: 1876-5785
DOI
https://doi.org/10.1007/s12474-020-00249-0