Flash Cards For Relevant Exam, Dementia And Alzhemiers

1
Q

What are the primary characteristics of Alzheimer’s and dementia?

A

• Cognitive decline: Memory loss, reduced problem-solving, and impaired judgment.
• Behavioral changes: Agitation, depression, and apathy.
• Physical symptoms: Declining motor function and frailty in advanced stages.
• Alzheimer’s disease is the most common type of dementia, accounting for ~ 60-80% of cases.

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2
Q

How does exercise benefit individuals with Alzheimer’s and dementia?

A

• Improves cognitive function by promoting brain health and neuroplasticity.
• Reduces neuroinflammation and slows disease progression.
• Enhances physical function, reducing fall risk and improving mobility.
• Reduces behavioral symptoms like agitation and depression.

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3
Q

What types of exercise are most effective for Alzheimer’s and dementia?

A
  1. Aerobic exercise: Walking, cycling, or swimming (3-5 times per week, 30-60 min).
  2. Resistance training: Improves muscle strength and physical function (2-3 days per week).
  3. Balance and flexibility exercises: Yoga or tai chi to reduce fall risk.
  4. Cognitive engagement through exercise: Activities like dancing or group classes that stimulate both the brain and body.
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4
Q

What is neurogenesis?

A

Increases BDNF levels, promoting growth of neurons and synaptic plasticity.

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5
Q

How does exercise benefit cerebral blood flow?

A

Enhanced blood flow delivers oxygen and nutrients, supporting brain health.

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6
Q

What effect does exercise have on neuroinflammation?

A

Exercise decreases levels of pro-inflammatory cytokines (e.g., IL-6, TNF-a).

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7
Q

How does exercise aid in amyloid-beta clearance?

A

May aid in reducing toxic protein buildup in the brain.

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8
Q

What is the impact of exercise on mitochondrial function?

A

Supports energy production and reduces oxidative stress in brain cells.

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9
Q

What barriers to exercise might people with Alzheimer’s and dementia face?

A

Cognitive impairments make remembering and following routines challenging.

Behavioral symptoms like apathy or agitation reduce motivation.

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10
Q

What are additional barriers to exercise for people with Alzheimer’s and dementia?

A

Physical frailty or comorbidities can limit participation.

Safety concerns due to balance issues or wandering behavior.

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11
Q

What are common outcome measures used in exercise studies for Alzheimer’s?

A

Cognitive function: Mini-Mental State Examination (MMSE), verbal fluency, or memory recall tasks.

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12
Q

What behavioral symptoms are measured in exercise studies for Alzheimer’s?

A

Depression, apathy, and agitation scales.

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13
Q

What physical performance measures are used in exercise studies for Alzheimer’s?

A

Timed Up and Go (TUG) test, grip strength, or gait speed.

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14
Q

What biomarkers are assessed in exercise studies for Alzheimer’s?

A

Blood-based markers of inflammation (e.g., IL-6, CRP), and neuroimaging for amyloid-beta.

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15
Q

What are the gaps in knowledge about exercise for Alzheimer’s and dementia?

A

Limited research on the long-term effects of exercise on disease progression.

None

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16
Q

What is lacking in the research regarding exercise for Alzheimer’s and dementia?

A

Lack of clarity on the optimal intensity, frequency, and duration of exercise.

None

17
Q

What type of studies are needed for exercise in Alzheimer’s and dementia?

A

Need for studies on combining exercise with cognitive or pharmacological interventions.

None

18
Q

What data is insufficient regarding exercise and Alzheimer’s and dementia?

A

Insufficient data on how exercise impacts different stages of the disease.

None

19
Q

How can adherence to exercise programs be improved for individuals with Alzheimer’s?

A

Use structured, routine-based programs with clear guidance.

Include caregiver or family support to ensure participation.

20
Q

What types of activities should be included in exercise programs for individuals with Alzheimer’s?

A

Focus on enjoyable, socially engaging activities like group exercise or dancing.

Adapt programs to individual physical and cognitive capabilities.

21
Q

What implications do exercise studies have for Alzheimer’s and dementia treatment?

A

Exercise is a non-pharmacological strategy that may slow cognitive decline and improve quality of life.

22
Q

How should exercise programs be designed for individuals with Alzheimer’s and dementia?

A

Programs should be tailored to individual needs and focus on maintaining independence.

23
Q

What is the role of exercise in relation to caregiver burden?

A

Exercise can reduce caregiver burden by improving patient mood and behavior.

24
Q

What limitations are common in exercise studies on Alzheimer’s and dementia?

A

• Small sample sizes and high dropout rates due to cognitive or physical decline.
• Difficulty in maintaining adherence to long-term interventions.
• Heterogeneity in exercise protocols makes it challenging to generalize findings.
• Limited use of biomarkers to track neurobiological changes.