title: A systematic review--physical activity in dementia: the influence of the nursing home environment.
abstract: Most older persons with dementia living in nursing homes spend their days without engaging in much physical activity. This study therefore looked at the influence that the environment has on their level of physical activity, by reviewing empirical studies that measured the effects of environmental stimuli on the physical activity of nursing home residents suffering from dementia. The electronic databases PubMed, PsycINFO, EMBASE, CINAHL and the Cochrane Library were used for the search. The search covered studies published between January 1993 and December 2012, and revealed 3187 abstracts. 326 studies were selected as potentially relevant; of these, 24 met all the inclusion criteria. Positive results on the residents' levels of physical activity were found for music, a homelike environment and functional modifications. Predominantly positive results were also found for the small-scale group living concepts. Mixed results were found for bright or timed light, the multisensory environment and differences in the building footprint.
authors: Delft University of Technology, Faculty of Industrial Design Engineering, Department of Industrial Design (ID), Landbergstraat 15, 2628 CE Delft, The Netherlands. Electronic address: h.anderiesen@tudelft.nl.
authors: Hester
authors: H
authors: Anderiesen
authors: Faculty of Psychology and Education, Department of Clinical Neuropsychology, VU University Amsterdam, Van der Boechorststraat 1, 1081 BT Amsterdam, The Netherlands. Electronic address: eja.scherder@psy.vu.nl.
authors: Erik J A
authors: EJ
authors: Scherder
authors: Delft University of Technology, Faculty of Industrial Design Engineering, Department of Industrial Design (ID), Landbergstraat 15, 2628 CE Delft, The Netherlands; Department of Neuroscience, Erasmus Medical Centre, Wytemaweg 80, 3015 CN Rotterdam, The Netherlands. Electronic address: r.h.m.goossens@tudelft.nl.
authors: Richard H M
authors: RH
authors: Goossens
authors: Delft University of Technology, Faculty of Industrial Design Engineering, Department of Industrial Design (ID), Landbergstraat 15, 2628 CE Delft, The Netherlands. Electronic address: m.h.sonneveld@tudelft.nl.
authors: Marieke H
authors: MH
authors: Sonneveld
mesh_terms: D003704:Dementia / Q000503:physiopathology*; D004779:Environment Design; D006804:Ergonomics; D006801:Humans; D008029:Lighting; D009043:Motor Activity / Q000502:physiology*; D009146:Music; D009735:Nursing Homes
keywords: Design for dementia; Environmental ergonomics; Physical activity