Mediating Factors Associated With Physical Activity in Older Adults at Increased Dementia Risk
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Mediating Factors Associated With Physical Activity in Older Adults at Increased Dementia Risk. / Cardona, Maria Isabel; Luppa, Melanie; Zülke, Andrea; Kroeber, Eric S; Bauer, Alexander; Döhring, Juliane; Escales, Catharina; Brettschneider, Christian; Frese, Thomas; Kosilek, Robert P; Gensichen, Jochen; Hoffmann, Wolfgang; Kaduszkiewicz, Hanna; König, Hans-Helmut; Wiese, Birgitt; Riedel-Heller, Steffi G; Thyrian, Jochen René.
in: AM J ALZHEIMERS DIS, Jahrgang 39, 15333175241257849, 2024.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Mediating Factors Associated With Physical Activity in Older Adults at Increased Dementia Risk
AU - Cardona, Maria Isabel
AU - Luppa, Melanie
AU - Zülke, Andrea
AU - Kroeber, Eric S
AU - Bauer, Alexander
AU - Döhring, Juliane
AU - Escales, Catharina
AU - Brettschneider, Christian
AU - Frese, Thomas
AU - Kosilek, Robert P
AU - Gensichen, Jochen
AU - Hoffmann, Wolfgang
AU - Kaduszkiewicz, Hanna
AU - König, Hans-Helmut
AU - Wiese, Birgitt
AU - Riedel-Heller, Steffi G
AU - Thyrian, Jochen René
PY - 2024
Y1 - 2024
N2 - While regular physical-activity (PA) is beneficial, multimorbid individuals at increased dementia risk may exhibit reduced PA levels. Thus, a more comprehensive understanding of mediating factors responsible for inactivity in this population is needed. This study investigated the impact of a multimodal intervention on PA changes at 24-month follow-up and associated mediating factors among community-dwelling patients aged 60-77, with increased dementia risk determined by the CAIDE Dementia Risk Score. Of 1030 participants recruited, 819 completed the assessment. Thus, a generalized estimating equations model initially assessed differences in PA over 24 months, followed by a tree analysis identifying mediating factors influencing PA changes post-intervention. While no significant effect on regular PA was found during the follow-up (P = .674), subgroup analysis revealed improved self-efficacy (P = .000) associated with increased engagement in PA. Incorporating self-efficacy elements into future strategies is crucial for promoting PA among individuals with multimorbidity and at increased dementia risk.
AB - While regular physical-activity (PA) is beneficial, multimorbid individuals at increased dementia risk may exhibit reduced PA levels. Thus, a more comprehensive understanding of mediating factors responsible for inactivity in this population is needed. This study investigated the impact of a multimodal intervention on PA changes at 24-month follow-up and associated mediating factors among community-dwelling patients aged 60-77, with increased dementia risk determined by the CAIDE Dementia Risk Score. Of 1030 participants recruited, 819 completed the assessment. Thus, a generalized estimating equations model initially assessed differences in PA over 24 months, followed by a tree analysis identifying mediating factors influencing PA changes post-intervention. While no significant effect on regular PA was found during the follow-up (P = .674), subgroup analysis revealed improved self-efficacy (P = .000) associated with increased engagement in PA. Incorporating self-efficacy elements into future strategies is crucial for promoting PA among individuals with multimorbidity and at increased dementia risk.
KW - Humans
KW - Dementia
KW - Male
KW - Female
KW - Aged
KW - Exercise/physiology
KW - Middle Aged
KW - Self Efficacy
KW - Independent Living
KW - Follow-Up Studies
KW - Multimorbidity
KW - Risk Factors
U2 - 10.1177/15333175241257849
DO - 10.1177/15333175241257849
M3 - SCORING: Journal article
C2 - 38828622
VL - 39
JO - AM J ALZHEIMERS DIS
JF - AM J ALZHEIMERS DIS
SN - 1533-3175
M1 - 15333175241257849
ER -