Effects of a home-based exercise and physical activity intervention after inpatient rehabilitation on real-world mobility in older adults with cognitive impairment: a secondary analysis of a randomised controlled trial.
Background Persistent mobility limitations after inpatient rehabilitation are common in older adults with cognitive impairment (CI). Home-based exercise interventions can improve locomotor capacity during this vulnerable period; however, evidence that they improve real-world mobility is scarce. Obje...
| Publicado en: | Age & Ageing Vol. 55; no. 6; pp. 1 - 11 |
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| Autores principales: | , , , , , , , , , |
| Formato: | Artículo |
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Oxford University Press / USA
Jun2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=195099737&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 195099737 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Jun2026 vid: 55 iid: 6 pid: 622 pub: Oxford University Press / USA artinfo: ui: 195099737 10.1093/ageing/afag189 ppf: 1 ppct: 10 formats: tig: atl: Effects of a home-based exercise and physical activity intervention after inpatient rehabilitation on real-world mobility in older adults with cognitive impairment: a secondary analysis of a randomised controlled trial. aug: au: Werner, Christian Ullrich, Phoebe Angeli, Letizia Degli Trumpf, Rieke Fleiner, Tim Albites-Sanabria, Jose L Palmerini, Luca Abel, Bastian Bongartz, Martin Eckert, Tobias affil: Geriatric Centre, Medical Faculty Heidelberg, Heidelberg University, Heidelberg, Baden-Württemberg, Germany Geriatric Centre, Medical Faculty Heidelberg, Heidelberg University, Heidelberg, Baden-Württemberg, GermanyDepartment of Medical Oncology, Thorax Clinic, Heidelberg University Hospital, Heidelberg, Baden-Württemberg, Germany Department of Electrical, Electronic, and Information Engineering "Guglielmo Marconi" – DEI, University of Bologna, Bologna, Italy Department of Geriatric Psychiatry and Psychotherapy, LVR Hospital Cologne, Cologne, North Rhine-Westphalia, GermanyInstitute of Movement and Sport Gerontology, German Sport University Cologne, Cologne, North Rhine-Westphalia, Germany Institute for Geriatric Research, Ulm University Medical Centre, Ulm, Baden-Württemberg, GermanyAgaplesion Bethesda Clinic Ulm, Geriatric Centre Ulm, Ulm, Baden-Württemberg, GermanyInstitute of Medical Engineering and Mechatronics, Ulm University of Applied Sciences, Ulm, Baden-Württemberg, Germany Geriatric Centre, Medical Faculty Heidelberg, Heidelberg University, Heidelberg, Baden-Württemberg, GermanyDepartment of Telemedicine and Remote Patient Monitoring, Robert Bosch Hospital, Stuttgart, Baden-Württemberg, Germany su: Elder care Community health services Evaluation of human services programs Health promotion Psychological tests Exercise physiology Rehabilitation nursing Research funding Secondary analysis Cognition disorders in old age Exercise therapy Questionnaires Descriptive statistics Geriatric Depression Scale Home rehabilitation Walking speed Confidence intervals Physical mobility Physical activity sug: subj: Elder care Community health services Evaluation of human services programs Health promotion Psychological tests Continuing Care Retirement Communities Residential Mental Health and Substance Abuse Facilities Other local, municipal and regional public administration All Other Outpatient Care Centers Community health centres Other Individual and Family Services Exercise physiology Rehabilitation nursing Research funding Secondary analysis Cognition disorders in old age Exercise therapy Questionnaires Descriptive statistics Geriatric Depression Scale Home rehabilitation Walking speed Confidence intervals Physical mobility Physical activity keyword: aged ageing beckwith-wiedemann syndrome cognitive dysfunction cognitive impairment copyrightHolder:British Geriatrics Society copyrightYear:2026 exercise https://dx.doi.org/10.1093/ageing/afag189 inLanguage:en inpatients mobility motor activity older people physical activity publisher:Oxford University Press randomization rehabilitation sameAs:https://pubmed.ncbi.nlm.nih.gov/42361312/ secondary data analysis walking walking speed wearable electronic device williams syndrome aged ageing beckwith-wiedemann syndrome cognitive dysfunction cognitive impairment copyrightHolder:British Geriatrics Society copyrightYear:2026 exercise https://dx.doi.org/10.1093/ageing/afag189 inLanguage:en inpatients mobility motor activity older people physical activity publisher:Oxford University Press randomization rehabilitation sameAs:https://pubmed.ncbi.nlm.nih.gov/42361312/ secondary data analysis walking walking speed wearable electronic device williams syndrome ab: Background Persistent mobility limitations after inpatient rehabilitation are common in older adults with cognitive impairment (CI). Home-based exercise interventions can improve locomotor capacity during this vulnerable period; however, evidence that they improve real-world mobility is scarce. Objective To investigate the effects of a home-based exercise programme combined with physical activity (PA) promotion on real-world digital mobility outcomes (DMOs). Design Single-centre, double-blind, randomised, placebo-controlled trial. Setting Community. Participants 104 community-dwelling older adults with CI (82.3 ± 6.0 years; 75% women; Mini-Mental State Examination score 23.2 ± 2.4) recently discharged from inpatient geriatric rehabilitation. Methods The intervention group received a 12-week home-based exercise programme combined with behavioural change techniques to promote PA; the control group received a 12-week non-specific home-based placebo motor activity programme. DMOs related to walking amount, pattern and pace were measured over 48 h at baseline, post-intervention and after a 12-week follow-up using a single body-fixed sensor and validated processing algorithms. Results Post-intervention, small statistically significant improvements favouring the intervention group were observed in walking pattern and pace outcomes, including longer walking bout (WB) duration, higher walking speed and longer stride length in shorter (10–30 s) WBs, and higher 90 percentile walking speed in WBs >10 s. These improvements were not sustained at the 12-week follow-up. No between-group differences were found for walking amount. Conclusion The post-discharge home-based exercise programme combined with PA promotion showed small, short-term improvements in selected real-world walking pattern and pace outcomes in older adults with CI after inpatient rehabilitation; however, these effects were no longer evident at follow-up, and walking amount did not increase. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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