Role of physical activity in ameliorating neuropsychiatric symptoms in Alzheimer disease: A narrative review

International Journal of Geriatric Psychiatry
Nicola VeronesePinar Soysal

Abstract

Neuropsychiatric symptoms (NPs) affect almost all patients with Alzheimer disease (AD). Because of the complications associated with the pharmacological treatment, nonpharmacological treatment (such as physical activity) can be considered as an additional complementary treatment option for NPs. The aim of this review is to evaluate the impact of physical activity on NPs in patients with AD. We searched Pubmed and Google Scholar for potential eligible articles until March 1, 2018. Although there are contradictory results showing the impact of physical exercise on NPs, most of them reported that it had a significant effect on depression and sleep disturbances in patients with AD. The beneficial effects could be explained through several mechanisms, including modulated production of neurotransmitters; increasing neurotrophins, such as brain-derived neurotrophic factor; reduction of oxidative stress and inflammation; elevation of cerebral blood flow; hypothalamic pituitary adrenal axis regulation; and support of neurogenesis and synaptogenesis. Physical activity can also improve cardiovascular risk factors, which may exaggerate NPs. There is limited evidence for other NPs such as agitation, disinhibition, apathy, hallucinations, an...Continue Reading

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Citations

Aug 7, 2019·Aging Clinical and Experimental Research·Simona CintoliUNKNOWN Train the Brain Consortium
May 30, 2020·Journal of Primary Care & Community Health·Elgloria A HarrisonTia Jeffery
Mar 4, 2020·The International Journal of Neuroscience·Michael DoulberisJannis Kountouras
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Feb 8, 2022·Psychogeriatrics : the Official Journal of the Japanese Psychogeriatric Society·Pinar SoysalUNKNOWN European Society of Geriatric Medicine Special Interest Group in Dementia and Systematic Reviews and Meta-Analyses

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