Commentary on: Physical activity and exercise for mild cognitive impairment and dementia: a collaborative international guideline

Nicola Veronese*, Pinar Soysal, Mario Barbagallo, Susan Deborah Shenkin, Terence J Quinn

*Corresponding author for this work

Research output: Contribution to journalComment/debatepeer-review

Abstract / Description of output

Physical inactivity is an important, but potentially reversible risk factor for dementia and mild cognitive impairment (MCI). There is literature about physical activity and exercise for the prevention and management of dementia and MCI, but this had not been synthesized into no specific guidelines about this topic. A recent guideline on physical activity and exercise in MCI and dementia was published, authored by several international societies, including lay representatives. In this commentary, we discuss the implications of this guidance for healthcare professionals, caregivers, and lay representatives involved in the care of people with MCI and dementia.
The guidelines highlight the importance of physical activity and exercise in cognitively healthy persons and for dementia and MCI, at different stages of these conditions. For primary prevention of dementia, physical activity may be suggested in cognitively healthy persons. In people with MCI, mind-body interventions, such as yoga, have the greatest evidence, and the role of physical activity and exercise requires more evidence from high-quality randomized controlled trials. In people living with moderately severe dementia, exercise may be useful for maintaining physical and cognitive function. There are benefits of physical activity and exercise separate from their impact on cognitive outcomes. The guidelines also proposed some questions for future research.
In conclusion, there is limited evidence on the beneficial role of physical activity and exercise in preserving cognitive functions in subjects with normal cognition, MCI or dementia. The guidelines support the promotion of physical activity based on the beneficial effects on almost all facets of health.
Original languageEnglish
Article number99
Number of pages5
JournalAging Clinical and Experimental Research
Volume26
DOIs
Publication statusPublished - 23 Apr 2024

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