Samenvatting
Epidemiologisch onderzoek laat een sterke relatie zien tussen fysieke activiteit en cognitie. Bij ouderen zonder dementie hebben behandelprogramma’s bestaande uit fysieke activiteit een positief effect op het cognitieve functioneren en met name op de executieve functies. Bij ouderen mét dementie is echter slechts beperkt onderzoek gedaan waarin fysieke activiteit als behandeling wordt aangeboden. De onderzoeken die er zijn vertonen vaak methodologische beperkingen en de resultaten zijn niet consistent. Uit literatuuronderzoek blijkt een mogelijke verklaring voor de inconsistente uitkomsten. Het aanbieden van fysieke activiteit ter verbetering van de cognitie hoeft niet gunstig te zijn voor ouderen met dementie die lijden aan vasculaire ziekten zoals hypertensie en hart- en vaatziekten. Verondersteld wordt dat er bij aanwezigheid van vasculaire ziekten minder bloed naar de hersenen gaat tijdens fysieke inspanning. Deze veronderstelling dient nader onderzocht te worden.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Literatuur
Cahn-Weiner DA, Malloy PF, Boyle PA, et al. Prediction of functional status from neuropsychological tests in community-dwelling elderly individuals. Clin Neuropsychol 2000;14:187-195.
Churchill JD, Galvez R, Colcombe S, et al. Exercise, experience, and the aging brain. Neurobiol Aging 2002;23:941-955.
Critchley HD, Corfield DR, Chandler MP, et al. Cerebral correlates of autonomic cardiovascular arousal: a functional neuroimaging investigation in humans. J Physiol 2000;523:259-270.
Colcombe S, Kramer AF. Fitness effects on the cognitive function of older adults: a meta-analytic study. Psychol Sci 2003;14:125-130.
Cott CA, Dawson P, Sidani S, et al. The effects of a walking/talking program on communication, ambulation, and functional status in residents with Alzheimer disease. Alzheimer Dis Assoc Disord 2002;16:81-87.
Diesfeldt HF, Diesfeldt-Groenendijk H. Improving cognitive performance in psychogeriatric patients: the influence of physical exercise. Age Ageing 1977;6:58-64.
Eggermont LH, Scherder EJ. Physical activity and behaviour in dementia. A review of the literature and implications for psychosocial intervention in primary care. Dementia 2006;5:411-428.
Eggermont LH, Heuvelen MJ van, Keeken BL van, et al. Walking with a rollator and the level of physical intensity in adults 75 years of age or older. Arch Phys Med Rehabil 2006a;87:733-736.
Eggermont LH, Swaab DF, Luiten PGM, et al. Exercise and Alzheimer’s disease: More is not necessarily better. Neurosci Biobehav Rev 2006b;30:562-575.
Endres M, Gertz K, Lindauer U, Katchanov J, et al. Mechanisms of stroke protection by physical activity. Ann Neurol 2003;54:582-590.
Farkas E, Luiten PG. Cerebral microvascular pathology in aging and Alzheimer’s disease. Prog Neurobiol 2001;64: 575-611.
Fernando MS, Ince PG. Vascular pathologies and cognition in population-based cohort of elderly people. J Neurol Sci 2004;226:13-17.
Fratiglioni L, Paillard-Borg S, Winblad B, et al. An active and socially integrated lifestyle in late life might protect against dementia. Lancet Neurol 2004;3:343-353.
Friedman R, Tappen RM. The effect of planned walking on communication in Alzheimer’s disease. J Am Geriatr Soc 1991;39:650-654.
Gelder BM van, Tijhuis MAR, Kalmijn S, et al. Physical activity in relation to cognitive decline in elderly men. The FINE study. Neurology 2004;63:2316-2321.
Huang PL, Huang ZH, Mashimo H. Hypertension in mice lacking the gene for endothelial nitric-oxide synthase. Nature 1995;377:239-242.
Iadecola C. Neurovascular regulation in the normal brain and in Alzheimer’s disease. Nat Rev Neurosci 2004;5:347-360.
Koike A, Itoh H, Oohara R, et al. Cerebral oxygenation during exercise in cardiac patients. Chest 2004;125:182-190.
Kramer AF, Hahn S, Cohen NJ, et al. Ageing, fitness and neurocognitive function. Nature 1999;400:418-419.
Larson EB, Wang L, Bowen JD, et al. Exercise is associated with reduced risk for incident dementia among persons 65 years of age and older. Ann Intern Med 2006;144:73-81.
Lindenmuth GF, Moose B. Improving cognitive abilities of elderly Alzheimer’s patients with intense exercise therapy. Am J Alzheimer’s Care Relat Disord Res 1990;5:31-33.
Miklossy J. Cerebral hypoperfusion induces cortical watershed microinfarcts which may further aggravate cognitive decline in Alzheimer’s disease. Neurol Res 2003;25:605-610.
Palleschi L, Vetta F, DeGennaro E, et al. Effect of aerobic training on the cognitive performance of elderly patients with senile dementia of Alzheimer type. Arch Gerontol Geriatr Suppl 1996;S5:47-50.
Pennington BF, Ozonoff S. Executive functions and developmental psychopathology. J Child Psychol Psychiatry 1996;37:51-87.
Powell, RR. Psychological effects of exercise therapy upon institutionalized geriatric mental patients. J Gerontol 1974;29:157-164.
Rolland Y, Rival L, Pillard F, et al. Feasibility of regular physical exercise for patients with moderate to severe Alzheimer disease. J Nutr Health Aging 2000;4:109-113.
Rovio S, Kåreholt I, Helkala E-L, et al. Leisure-time physical activity at midlife and the risk of dementia and Alzheimer’s disease. Lancet Neurol 2005;4:705-711.
Sobel BP. Bingo vs. physical intervention in stimulating short-term cognition in Alzheimer’s disease patients. Am J Alzheimers Dis Other Demen 2001;16:115-120.
Torre JC de la. Vascular basis of Alzheimer’s pathogenesis. Ann N Y Acad Sci 2002;977:196-215.
Zhang P, Huang Y, Li Y, et al. Gender and risk factor dependence of cerebral blood flow velocity in Chinese adults. Brain Res Bull 2006;69:282-287.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Copyright information
© 2008 Bohn Stafleu van Loghum
About this chapter
Cite this chapter
Eggermont, L., Scherder, E. (2008). 9 Verbetert fysieke activiteit het cognitief functioneren van ouderen met dementie in alle omstandigheden?. In: Nijs, J., Geraets, J., Nieuwboer, A., Veenhof, C., van Wilgen, C. (eds) Jaarboek Fysiotherapie kinesitherapie 2008. Bohn Stafleu van Loghum, Houten. https://doi.org/10.1007/978-90-313-9490-6_9
Download citation
DOI: https://doi.org/10.1007/978-90-313-9490-6_9
Publisher Name: Bohn Stafleu van Loghum, Houten
Print ISBN: 978-90-313-5072-8
Online ISBN: 978-90-313-9490-6
eBook Packages: Dutch language eBook collection