Aquatic exercise for residential aged care adults with dementia: benefits and barriers to participation

Article

Henwood, Timothy, Neville, Christine, Baguley, Chantelle and Beattie, Elizabeth. 2017. "Aquatic exercise for residential aged care adults with dementia: benefits and barriers to participation." International Psychogeriatrics. 29 (9), pp. 1439-1449. https://doi.org/10.1017/S104161021700028X
Article Title

Aquatic exercise for residential aged care adults with dementia: benefits and barriers to participation

ERA Journal ID6329
Article CategoryArticle
AuthorsHenwood, Timothy (Author), Neville, Christine (Author), Baguley, Chantelle (Author) and Beattie, Elizabeth (Author)
Journal TitleInternational Psychogeriatrics
Journal Citation29 (9), pp. 1439-1449
Number of Pages11
Year2017
Place of PublicationNew York, United States
ISSN1041-6102
1741-203X
Digital Object Identifier (DOI)https://doi.org/10.1017/S104161021700028X
Abstract

Background: Pilot work by our group has demonstrated that aquatic exercise has valuable functional and psychosocial benefits for adults living in the residential aged care setting with dementia. The aim of the currents study was to advance this work by delivering the Watermemories Swimming Club aquatic exercise program to a more representative population of older, institutionalized adults with dementia.

Methods: The benefits of 12 weeks of twice weekly participation in the Watermemories Swimming Club aquatic exercise program were assessed among an exercise and usual care control group of residential aged care adults with advanced dementia. A battery of physical and psychosocial measures were collected before and after the intervention period, and program implementation was also investigated.

Results: Seven residential aged care facilities of 24 approached, agreed to participate and 56 residents were purposefully allocated to exercise or control. Twenty-three participants per group were included in the final analysis. Both groups experienced decreases in skeletal muscle index and lean mass (p < 0.001), but exercise stifled losses in muscle strength and transition into sarcopenic. Behavioral and psychological symptoms of dementia and activities of daily living approached significance (p = 0.06) with positive trends observed across other psychosocial measures.

Conclusions: This study demonstrates the value of exercise participation, and specifically aquatic exercise in comparison to usual care for older, institutionalized adults with advanced dementia. However, it also highlights a number of barriers to participation. To overcome these barriers and ensure opportunity to residents increased provider and sector support is required.

Keywordsaquatic exercise; dementia; residential aged care; functional performance; psychological well-being
ANZSRC Field of Research 2020420502. Aged care nursing
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Byline AffiliationsUniversity of Queensland
Queensland University of Technology
Institution of OriginUniversity of Southern Queensland
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