title: Effect of a multimodal exercise program on sleep disturbances and instrumental activities of daily living performance on Parkinson's and Alzheimer's disease patients.
abstract: OBJECTIVE
  To assess the contribution of a multimodal exercise program on the sleep disturbances (SD) and on the performance of instrumental activities daily living (IADL) in patients with clinical diagnosis of Alzheimer's disease (AD) and Parkinson's disease patients (PD).
  
  
  METHODS
  A total of 42 consecutive patients (23 training group, 19 control group) with PD and 35 demented patients with AD (19 trained group, 16 control group) were recruited. Participants in both training groups carried out three 1-h sessions per week of a multimodal exercise program for 6 months. The Pfeffer Questionnaire for Instrumental Activities and the Mini-Sleep Questionnaire were used to assess the effects of the program on IADL and SD respectively.
  
  
  RESULTS
  Two-way ancova showed interactions in IADL and SD. Significant improvements were observed for these variables in both intervention groups, and maintenance or worsening was observed in control groups. The analysis of effect size showed these improvements.
  
  
  CONCLUSIONS
  The present study results show that a mild to moderate intensity of multimodal physical exercises carried out on a regular basis over 6 months can contribute to reducing IADL deficits and attenuating SD.
authors: Laboratory of Aging and Physical Activity (LAFE), UNESP - São Paulo State University at Rio Claro, Rio Claro, São Paulo, Brazil; HealthyFyt Group, Faculty of Sports Science, University of Vigo, Vigo, Spain.
authors: Carla Manuela Crispim
authors: CM
authors: Nascimento
authors: Carlos
authors: C
authors: Ayan
authors: Jose Maria
authors: JM
authors: Cancela
authors: Lilian Teresa Bucken
authors: LT
authors: Gobbi
authors: Sebastião
authors: S
authors: Gobbi
authors: Florindo
authors: F
authors: Stella
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000544:Alzheimer Disease / Q000628:therapy*; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D010300:Parkinson Disease / Q000628:therapy*; D012893:Sleep Wake Disorders / Q000628:therapy*
keywords: Alzheimer's disease; Parkinson's disease; functionality; geriatric medicine; physical exercises; rehabilitation medicine