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Physical activity monitoring in Alzheimer’s disease during sport interventions: a multi-methodological perspective
INTRODUCTION: Assessment methods for physical activity and fitness are of upmost importance due to the possible beneficial effect of physical conditioning on neurodegenerative diseases. The implementation of these methods can be challenging when examining elderly or cognitively impaired participants...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10557074/ https://www.ncbi.nlm.nih.gov/pubmed/37808485 http://dx.doi.org/10.3389/fneur.2023.1195694 |
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author | David, Shari Hohenfeld, Christian Haberl, Luisa Pahl, Jennifer Costa, Ana S. Kilders, Axel Hildebrand, Frank Schulz, Jörg B. Reetz, Kathrin Haeger, Alexa |
author_facet | David, Shari Hohenfeld, Christian Haberl, Luisa Pahl, Jennifer Costa, Ana S. Kilders, Axel Hildebrand, Frank Schulz, Jörg B. Reetz, Kathrin Haeger, Alexa |
author_sort | David, Shari |
collection | PubMed |
description | INTRODUCTION: Assessment methods for physical activity and fitness are of upmost importance due to the possible beneficial effect of physical conditioning on neurodegenerative diseases. The implementation of these methods can be challenging when examining elderly or cognitively impaired participants. In the presented study, we compared three different assessment methods for physical activity from the Dementia-MOVE trial, a 6-months intervention study on physical activity in Alzheimer’s disease. The aim was to determine the comparability of physical activity assessments in elderly participants with cognitive impairment due to Alzheimer’s disease. MATERIAL OR METHODS: 38 participants (mean age 70 ± 7 years) with early-stage Alzheimer’s disease (mean MoCA 18.84 ± 4.87) were assessed with (1) fitness trackers for an average of 12 (± 6) days, (2) a written diary on daily activities and (3) a questionnaire on physical activity at three intervention timepoints. For comparison purposes, we present a transformation and harmonization method of the physical assessment output parameters: Metabolic equivalent of task (MET) scores, activity intensity minutes, calorie expenditure and moderate-to-vigorous physical activity (MVPA) scores were derived from all three modalities. The resulting parameters were compared for absolute differences, correlation, and their influence by possible mediating factors such as cognitive state and markers from cerebrospinal fluid. RESULTS: Participants showed high acceptance and compliance to all three assessment methods. MET scores and MVPA from fitness trackers and diaries showed high overlap, whilst results from the questionnaire suggest that participants tended to overestimate their physical activity in the long-term retrospective assessment. All activity parameters were independent of the tested Alzheimer’s disease parameters, showing that not only fitness trackers, but also diaries can be successfully applied for physical activity assessment in a sample affected by early-stage Alzheimer’s disease. DISCUSSION: Our results show that fitness trackers and physical activity diaries have the highest robustness, leading to a highly comparable estimation of physical activity in people with Alzheimer’s disease. As assessed parameters, it is recommendable to focus on MET, MVPA and on accelerometric sensor data such as step count, and less on activity calories and different activity intensities which are dependent on different variables and point to a lower reliability. |
format | Online Article Text |
id | pubmed-10557074 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-105570742023-10-07 Physical activity monitoring in Alzheimer’s disease during sport interventions: a multi-methodological perspective David, Shari Hohenfeld, Christian Haberl, Luisa Pahl, Jennifer Costa, Ana S. Kilders, Axel Hildebrand, Frank Schulz, Jörg B. Reetz, Kathrin Haeger, Alexa Front Neurol Neurology INTRODUCTION: Assessment methods for physical activity and fitness are of upmost importance due to the possible beneficial effect of physical conditioning on neurodegenerative diseases. The implementation of these methods can be challenging when examining elderly or cognitively impaired participants. In the presented study, we compared three different assessment methods for physical activity from the Dementia-MOVE trial, a 6-months intervention study on physical activity in Alzheimer’s disease. The aim was to determine the comparability of physical activity assessments in elderly participants with cognitive impairment due to Alzheimer’s disease. MATERIAL OR METHODS: 38 participants (mean age 70 ± 7 years) with early-stage Alzheimer’s disease (mean MoCA 18.84 ± 4.87) were assessed with (1) fitness trackers for an average of 12 (± 6) days, (2) a written diary on daily activities and (3) a questionnaire on physical activity at three intervention timepoints. For comparison purposes, we present a transformation and harmonization method of the physical assessment output parameters: Metabolic equivalent of task (MET) scores, activity intensity minutes, calorie expenditure and moderate-to-vigorous physical activity (MVPA) scores were derived from all three modalities. The resulting parameters were compared for absolute differences, correlation, and their influence by possible mediating factors such as cognitive state and markers from cerebrospinal fluid. RESULTS: Participants showed high acceptance and compliance to all three assessment methods. MET scores and MVPA from fitness trackers and diaries showed high overlap, whilst results from the questionnaire suggest that participants tended to overestimate their physical activity in the long-term retrospective assessment. All activity parameters were independent of the tested Alzheimer’s disease parameters, showing that not only fitness trackers, but also diaries can be successfully applied for physical activity assessment in a sample affected by early-stage Alzheimer’s disease. DISCUSSION: Our results show that fitness trackers and physical activity diaries have the highest robustness, leading to a highly comparable estimation of physical activity in people with Alzheimer’s disease. As assessed parameters, it is recommendable to focus on MET, MVPA and on accelerometric sensor data such as step count, and less on activity calories and different activity intensities which are dependent on different variables and point to a lower reliability. Frontiers Media S.A. 2023-09-22 /pmc/articles/PMC10557074/ /pubmed/37808485 http://dx.doi.org/10.3389/fneur.2023.1195694 Text en Copyright © 2023 David, Hohenfeld, Haberl, Pahl, Costa, Kilders, Hildebrand, Schulz, Reetz and Haeger. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Neurology David, Shari Hohenfeld, Christian Haberl, Luisa Pahl, Jennifer Costa, Ana S. Kilders, Axel Hildebrand, Frank Schulz, Jörg B. Reetz, Kathrin Haeger, Alexa Physical activity monitoring in Alzheimer’s disease during sport interventions: a multi-methodological perspective |
title | Physical activity monitoring in Alzheimer’s disease during sport interventions: a multi-methodological perspective |
title_full | Physical activity monitoring in Alzheimer’s disease during sport interventions: a multi-methodological perspective |
title_fullStr | Physical activity monitoring in Alzheimer’s disease during sport interventions: a multi-methodological perspective |
title_full_unstemmed | Physical activity monitoring in Alzheimer’s disease during sport interventions: a multi-methodological perspective |
title_short | Physical activity monitoring in Alzheimer’s disease during sport interventions: a multi-methodological perspective |
title_sort | physical activity monitoring in alzheimer’s disease during sport interventions: a multi-methodological perspective |
topic | Neurology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10557074/ https://www.ncbi.nlm.nih.gov/pubmed/37808485 http://dx.doi.org/10.3389/fneur.2023.1195694 |
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