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Dement Geriatr Cogn Disord Extra 2016;6:396–406 DOI: 10.1159/000447534 Published online: September 10, 2016

© 2016 The Author(s) Published by S. Karger AG, Basel www.karger.com/dee

This article is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes as well as any distribution of modified material requires written permission.

Original Research Article

Physical Fitness in Older People Recently Diagnosed with Cognitive Impairment Compared to Older People Recently Discharged from Hospital Karin Hesseberg a, b Therese Brovold a

Astrid Bergland a

Elisabeth Rydwik c, d

a Division of Physiotherapy, Oslo and Akershus University College of Applied Sciences, and b Diakonhjemmet Hospital, Oslo, Norway; c Division of Physiotherapy, Department Neurobiology Care Sciences and Society, Karolinska Institutet, Huddinge, and d FOU nu, Jakobsbergs Hospital, Stockholm County Council, Järfälla, Sweden

Key Words Mild cognitive impairment · Dementia · Hospitalization · Aging · Independent living Abstract Background/Aims: There is evidence of an association between cognitive function and physical fitness. The aim of this study was to compare physical fitness in patients with cognitive impairment with a group of older people recently discharged from hospital. Methods: A cross-sectional study with 98 patients recently diagnosed with cognitive impairment and 115 patients recently discharged from hospital. Associations between the study group variable and different components in the Senior fitness test were examined, controlling for demographic factors and comorbidity. Results: The group recently diagnosed with cognitive impairment indicated poorer results on three of six physical fitness components (p < 0.05). Conclusion: Older adults with cognitive impairment are in need of individually tailored physical © 2016 The Author(s) activity programs to increase the level of physical fitness. Published by S. Karger AG, Basel

Introduction

  Ž†‡”’‡‘’Ž‡ƒ”‡–Š‡ˆƒ•–‡•–‰”‘™‹‰‰”‘—’‹–Š‡™‘”Ž†ǡƒ†ƒ‹–ƒ‹‹‰’Š›•‹…ƒŽ‹†‡Ǧ ’‡†‡…‡ƒ†‰‘‘†“—ƒŽ‹–›‘ˆŽ‹ˆ‡ƒ‘‰‘Ž†‡”ƒ†—Ž–•ƒ”‡‹’‘”–ƒ–‰‘ƒŽ•‘ˆ…Ž‹‹…ƒŽ‡†‹…‹‡ ƒ†’—„Ž‹…Š‡ƒŽ–ŠȏͳȐǤ‡•‡ƒ”…Š•Š‘™•–Šƒ–’Š›•‹…ƒŽˆ‹–‡••‹•…Ž‘•‡Ž›”‡Žƒ–‡†–‘Š‡ƒŽ–ŠǦ”‡Žƒ–‡† “—ƒŽ‹–›‘ˆŽ‹ˆ‡ƒ‘‰Š‡ƒŽ–Š›‘Ž†‡”’‡‘’Ž‡ȏʹȐǡƒ‘‰‘Ž†‡”’‡‘’Ž‡™‹–Š…Š”‘‹…†‹•‡ƒ•‡ȏ͵Ȑ Karin Hesseberg, PhD Oslo and Akershus University College of Applied Sciences Postbox 4, St. Olavs Plass NO–0130 Oslo (Norway) E-Mail karin.hesseberg @ gmail.com

E X T R A

Dement Geriatr Cogn Disord Extra 2016;6:396–406 DOI: 10.1159/000447534

© 2016 The Author(s). Published by S. Karger AG, Basel www.karger.com/dee

Hesseberg et al.: Physical Fitness in Older People Recently Diagnosed with Cognitive Impairment Compared to Older People Recently Discharged from Hospital

ƒ†ƒ‘‰‘Ž†‡”’‡‘’Ž‡™‹–Š†‡‡–‹ƒȏͶȐǤ ”‡ƒ–‡”’Š›•‹…ƒŽˆ‹–‡••‹•‡••‡–‹ƒŽ–‘…ƒ””›‘—– –ƒ••ƒ†–‘’ƒ”–‹…‹’ƒ–‡ƒ†‡Œ‘›•‘…‹ƒŽƒ†…—Ž–—”ƒŽŽ‹ˆ‡ȏͳȐǤ‘‰‹–—†‹ƒŽ•–—†‹‡••—‰‰‡•––Šƒ– ’”‡•‡”˜‹‰Š‹‰Š…ƒ”†‹‘”‡•’‹”ƒ–‘”›‡†—”ƒ…‡–Š”‘—‰ŠŽ‹ˆ‡Ž‘‰’ƒ”–‹…‹’ƒ–‹‘‹’Š›•‹…ƒŽƒ…–‹˜Ǧ ‹–‹‡•ƒ›’”‘–‡…–ƒ‰ƒ‹•–…‘‰‹–‹˜‡†‡…Ž‹‡ƒ‘‰‘Ž†‡”’‡‘’Ž‡Ǥ —”–Š‡”‘”‡ǡ’Š›•‹…ƒŽƒ…–‹˜‹–› ƒ› ‡˜‡ ƒ––‡—ƒ–‡ –Š‡ ’”‘‰”‡••‹‘ ‘ˆ †‡‡–‹ƒ ƒ‘‰ ‘Ž†‡” ’‡‘’Ž‡ ™‹–Š ‹Ž† …‘‰‹–‹˜‡ ‹’ƒ‹”‡–ȋ Ȍȏͷǡ͸ȐǤŠ‡”‡ˆ‘”‡ǡˆ”‘–Š‡’‡”•’‡…–‹˜‡‘ˆ…‘•–•ǡŠ‡ƒŽ–Šƒ†•‘…‹ƒŽ’‘Ž‹…›ƒ• ™‡ŽŽƒ•ˆ”‘–Š‡’‡”•‘ƒŽ’‡”•’‡…–‹˜‡ǡ’”‡˜‡–‹‘‘ˆ†‡…Ž‹‡‹’Š›•‹…ƒŽˆ‹–‡••‹•‹’‘”–ƒ– •‹…‡•ƒŽŽ†‹ˆˆ‡”‡…‡•‹ˆ—…–‹‘ƒ††‡’‡†‡…‡ƒ”‡”‡’‘”–‡†–‘„‡ƒ••‘…‹ƒ–‡†™‹–ŠŽƒ”‰‡ †‹ˆˆ‡”‡…‡•‹…ƒ”‡…‘•–•ǡ‹ˆ‘”ƒŽ…ƒ”‡‰‹˜‹‰…‘•–•ƒ•™‡ŽŽƒ•–Š‡‘Ž†‡”’‡”•‘ǯ•‹†‡’‡†‡…‡ ƒ†™‡ŽŽ„‡‹‰ȏʹǡ͹ǡͺȐǤ‡‹‰ƒ„Ž‡–‘Ž‹˜‡ƒ–Š‘‡ƒ•Ž‘‰ƒ•’‘••‹„Ž‡‹•ƒ’‘Ž‹–‹…ƒŽ‰‘ƒŽƒ†‹• ƒŽ•‘•‡‡ƒ•ƒ”‹‰Š–ȏͳȐǤ   ‘™‡˜‡”ǡ ƒ• ‹†‹˜‹†—ƒŽ• ‰‡– ‘Ž†‡”ǡ –Š‡› ƒ”‡ ’”‡†‹•’‘•‡† –‘ …Š”‘‹… †‹•‡ƒ•‡ǡ …‘‰‹–‹˜‡ ‹’ƒ‹”‡–ƒ†Š‘•’‹–ƒŽ‹œƒ–‹‘™Š‹…ŠŠƒ˜‡†‹”‡…–‹’ƒ…–‘–Š‡‹”Ž‡˜‡Ž‘ˆ’Š›•‹…ƒŽˆ—…–‹‘ ƒ†–Š‡‹”ƒ„‹Ž‹–›–‘•–ƒ›ƒ…–‹˜‡ȏͻȂͳͳȐǤ•’‡…‹ƒŽŽ›ǡ…‘‰‹–‹˜‡†‡…Ž‹‡Šƒ•„‡‡ƒ••‘…‹ƒ–‡†™‹–Š Ž‘™‡”Ž‡˜‡Ž•‘ˆ’Š›•‹…ƒŽˆ‹–‡••ȏͳʹȐ ƒ†ƒ›„‡ƒ•‡”‹‘—•–Š”‡ƒ––‘‘Ž†‡”’‡‘’Ž‡ǯ•‹†‡’‡Ǧ †‡…‡ƒ†“—ƒŽ‹–›‘ˆŽ‹ˆ‡ȏͳ͵ȐǤ   Š›•‹…ƒŽˆ‹–‡••‹•…‘•‹†‡”‡†–‘„‡ƒ…‘’‘‡–‘ˆ’Š›•‹…ƒŽˆ—…–‹‘ƒ†…ƒ„‡†‡ˆ‹‡† ƒ•the capacity to perform daily activities safely and independently without fatigue ȏ ͳͶȐǤŠ‡ …‘…‡’– ‹• —Ž–‹†‹‡•‹‘ƒŽ ƒ† ‹…Ž—†‡• —•…Ž‡ •–”‡‰–Šǡ …ƒ”†‹‘”‡•’‹”ƒ–‘”› ‡†—”ƒ…‡ǡ ˆŽ‡š‹„‹Ž‹–›ǡ „ƒŽƒ…‡ ƒ† ƒ‰‹Ž‹–›Ȁ‘„‹Ž‹–› ȏ ͳͷȐǤ —……‡••ˆ—Ž ’‡”ˆ‘”ƒ…‡ ‹ ƒ…–‹˜‹–‹‡• ‘ˆ †ƒ‹Ž› Ž‹˜‹‰ ‹ …‘’Ž‡š ‡˜‹”‘‡–• ”‡“—‹”‡• Š‹‰Š‡” Ž‡˜‡Ž• ‘ˆ ’Š›•‹…ƒŽ ˆ‹–‡•• ƒ† …‘‰‹–‹˜‡ ƒ„‹Ž‹–‹‡•Ǥ   ”‡˜‹‘—•”‡•‡ƒ”…ŠŠƒ•‹†‡–‹ˆ‹‡†•‡˜‡”ƒŽ”‹•ˆƒ…–‘”•ˆ‘”†‡…Ž‹‡‹’Š›•‹…ƒŽˆ‹–‡••ƒ‘‰ ‘Ž†‡” ’‡‘’Ž‡ǡ ™Š‹…Š ‹…Ž—†‡ ‹…”‡ƒ•‹‰ ƒ‰‡ǡ …Š”‘‹… †‹•‡ƒ•‡ǡ ƒ†‹••‹‘ –‘ Š‘•’‹–ƒŽ ƒ† ”‡†—…–‹‘‹…‘‰‹–‹˜‡ˆ—…–‹‘•—…Šƒ•‡‘”›ƒ†‡š‡…—–‹˜‡ˆ—…–‹‘ȏ͵ǡͳ͸ȂͳͻȐǤ‘•’‹–ƒŽǦ ‹œƒ–‹‘ƒ†ƒ…—–‡‡†‹…ƒŽ‹ŽŽ‡••‹•‘ˆ–‡ƒ••‘…‹ƒ–‡†™‹–Š’‘‘”’Š›•‹…ƒŽˆ‹–‡••„‡…ƒ—•‡‘ˆ–Š‡ …——Žƒ–‹˜‡ ‡ˆˆ‡…–• ‘ˆ ‹ŽŽ‡••ǡ ‡†‹…ƒ–‹‘ ƒ† ˆƒ–‹‰—‡ǡ ‘ …ƒ”†‹‘’—Ž‘ƒ”› ƒ† —•…—Ž‘Ǧ •‡Ž‡–ƒŽˆ—…–‹‘‹‰ȏ͵ǡʹͲǡʹͳȐǤŠ‡”‡‹••–”‘‰‡˜‹†‡…‡‘ˆƒ…‘•‹•–‡–ƒ••‘…‹ƒ–‹‘„‡–™‡‡ …‘‰‹–‹˜‡ˆ—…–‹‘ƒ††‹ˆˆ‡”‡–ƒ•’‡…–•‘ˆ’Š›•‹…ƒŽˆ‹–‡••”‡Žƒ–‡†–‘‹†‡’‡†‡–Ž‹˜‹‰•—…Š ƒ•‰ƒ‹–•’‡‡†ǡ‘„‹Ž‹–›ǡ„ƒŽƒ…‡ƒ†—•…Ž‡•–”‡‰–Šȏͳʹǡͳ͹ǡʹʹȂ͵ͶȐǤ•‡–‹‘‡†ƒ„‘˜‡ǡ ƒ‹–ƒ‹‹‰ƒ†‡“—ƒ–‡Ž‡˜‡Ž•‘ˆƒ‡”‘„‹…ˆ‹–‡••ƒ†™ƒŽ‹‰‡†—”ƒ…‡…ƒƒ˜‘‹†—‡…‡••ƒ”› ˆ—…–‹‘ƒŽ†‡’‡†‡…›‹‘Ž†‡”’‡‘’Ž‡™‹–Šƒ†™‹–Š‘—–…‘‰‹–‹˜‡‹’ƒ‹”‡–ǡƒ†ƒ›‡˜‡ „‡ ƒ ’”‘–‡…–‹˜‡ ˆƒ…–‘” ˆ‘” –Š‡ †‡˜‡Ž‘’‡– ƒ† ’”‘‰”‡••‹‘ ‘ˆ …‘‰‹–‹˜‡ †‡…Ž‹‡ ȏ ͵ͷȂͶͲȐǤ ‘™‡˜‡”ǡ ‘•– •–—†‹‡• …‘…‡”‹‰ ƒ••‘…‹ƒ–‹‘• „‡–™‡‡ …‘‰‹–‹˜‡ ˆ—…–‹‘ ƒ† ’Š›•‹…ƒŽ ˆ‹–‡••…‘’‘‡–•…‘’ƒ”‡’Š›•‹…ƒŽˆ‹–‡••‹‘Ž†‡”’‡‘’Ž‡™‹–Š…‘‰‹–‹˜‡‹’ƒ‹”‡–™‹–Š Š‡ƒŽ–Š›‘Ž†‡”’‡‘’Ž‡™‹–Š‘—–…‘‰‹–‹˜‡‹’ƒ‹”‡–ȏʹʹǡʹͺǡ͵Ͳǡ͵ʹǡ͵ͶǡͶͳȐǤ‘‰‡–ƒ„”‘ƒ†‡” ’‹…–—”‡‘ˆ–Š‡Ž‡˜‡Ž‘ˆ’Š›•‹…ƒŽˆ‹–‡••ƒ‘‰‘Ž†‡”’‡‘’Ž‡™‹–Š…‘‰‹–‹˜‡‹’ƒ‹”‡–ǡ‹–ƒ› „‡‘ˆ‹’‘”–ƒ…‡–‘…‘’ƒ”‡–Š‡Ž‡˜‡Ž‘ˆ’Š›•‹…ƒŽˆ‹–‡••„‡–™‡‡–™‘‰”‘—’•ƒ–Š‹‰Š”‹•ˆ‘” ‹ƒ…–‹˜‹–› ƒ† ˆ—…–‹‘ƒŽ †‡…Ž‹‡Ǥ Š”‘‹… †‹•‡ƒ•‡• ‹ …‘„‹ƒ–‹‘ ™‹–Š ‹ƒ…–‹˜‹–› ƒ”‡ –™‘ ‹’‘”–ƒ–”‡ƒ•‘•ˆ‘”†‡…Ž‹‡‹’Š›•‹…ƒŽˆ‹–‡••ƒ‘‰‘Ž†‡”’‡‘’Ž‡ȏͶʹȐǤ ƒ”‡…‡–•–—†›ǡ ™‡•Š‘™‡†–Šƒ–‘Ž†‡”’‡‘’Ž‡™‹–Š†‹ˆˆ‡”‡–…‘‘”„‹†‹–‹‡•”‡…‡–Ž›†‹•…Šƒ”‰‡†ˆ”‘Š‘•’‹–ƒŽ †—‡–‘ƒƒ…—–‡‡†‹…ƒŽ†‹•‡ƒ•‡ǡŠƒ†Ž‘™Ž‡˜‡Ž•‘ˆ’Š›•‹…ƒŽˆ‹–‡••ƒ†’Š›•‹…ƒŽƒ…–‹˜‹–›ȏ͵ȐǤ ‡•‡ƒ”…Š•Š‘™•–Šƒ–‹’ƒ‹”‡†…‘‰‹–‹‘ƒ†”‡†—…‡†…‘‰‹–‹˜‡ƒ„‹Ž‹–‹‡•…ƒƒˆˆ‡…––Š‡’‡”•‘ǯ• ƒ„‹Ž‹–›–‘’ƒ”–‹…‹’ƒ–‡‹Ž‡‹•—”‡–‹‡ƒ…–‹˜‹–›ȏͶ͵Ȑǡƒ†‹–‹•”‡’‘”–‡†–Šƒ–‘Ž†‡”’‡‘’Ž‡™‹–Š …‘‰‹–‹˜‡ †‡…Ž‹‡ Šƒ˜‡ Ž‘™ Ž‡˜‡Ž• ‘ˆ ’Š›•‹…ƒŽ ƒ…–‹˜‹–› ȏ ͵ͳȐǤ Š‡”‡ˆ‘”‡ǡ „ƒ•‡† ‘ –Š‡ ”‡•—Ž–• ˆ”‘’”‡˜‹‘—••–—†‹‡•ǡ‹–‹•”‡ƒ•‘ƒ„Ž‡–‘„‡Ž‹‡˜‡–Šƒ–‘Ž†‡”’‡‘’Ž‡™‹–Š Šƒ˜‡‡˜‡Ž‘™‡” Ž‡˜‡Ž•‘ˆ’Š›•‹…ƒŽˆ‹–‡••–Šƒ‘Ž†‡”’‡‘’Ž‡”‡…‡–Ž›†‹•…Šƒ”‰‡†ˆ”‘Š‘•’‹–ƒŽǤ›…‘’ƒ”‹‰ –™‘ ‰”‘—’• ‘ˆ ‘Ž†‡” ’‡”•‘• ™‹–Š †‹ˆˆ‡”‡– Š‡ƒŽ–Š ’”‘„Ž‡•ǡ ™‡ ™ƒ–‡† –‘ Š‹‰ŠŽ‹‰Š– Š‘™ ƒˆˆ‡…–‡†’Š›•‹…ƒŽˆ‹–‡••…ƒ„‡‹‘Ž†‡”’‡‘’Ž‡™‹–Š…‘‰‹–‹˜‡‹’ƒ‹”‡–Ǥƒ”Ž›†‡–‡…–‹‘‹• ‡••‡–‹ƒŽ‹‘”†‡”–‘’”‡˜‡–ˆ—”–Š‡”†‡…Ž‹‡–Š”‘—‰Š’Š›•‹…ƒŽƒ…–‹˜‹–›‹–‡”˜‡–‹‘•ƒ†”‡ŠƒǦ

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E X T R A

Dement Geriatr Cogn Disord Extra 2016;6:396–406 DOI: 10.1159/000447534

© 2016 The Author(s). Published by S. Karger AG, Basel www.karger.com/dee

Hesseberg et al.: Physical Fitness in Older People Recently Diagnosed with Cognitive Impairment Compared to Older People Recently Discharged from Hospital

„‹Ž‹–ƒ–‹‘•–”ƒ–‡‰‹‡•ȏͶͶȂͶ͸ȐǤ…‘’”‡Š‡•‹˜‡’”‘ˆ‹Ž‹‰‘ˆ’Š›•‹…ƒŽˆ‹–‡••‘ˆ‘Ž†‡”’‡‘’Ž‡ ‹‰Š– ƒ••‹•– ”‡•‡ƒ”…Š‡”• ƒ† Š‡ƒŽ–ŠǦ…ƒ”‡ ’”ƒ…–‹–‹‘‡”• ‹ †‡•‹‰‹‰ ‘”‡ …‘’”‡Š‡•‹˜‡ǡ –ƒ”‰‡–‡†‡š‡”…‹•‡‹–‡”˜‡–‹‘•Ǥ   ‘‘—”‘™Ž‡†‰‡ǡ–Š‡”‡‹•ƒ‘™Ž‡†‰‡‰ƒ’”‡Žƒ–‡†–‘–Š‡†‹ˆˆ‡”‡…‡•‹’‡”ˆ‘”ƒ…‡‹ ’Š›•‹…ƒŽ ˆ‹–‡•• ‹ ‘Ž†‡” ’‡‘’Ž‡ ”‡…‡–Ž› †‹ƒ‰‘•‡† ™‹–Š …‘‰‹–‹˜‡ ‹’ƒ‹”‡– ƒ† ‘Ž†‡” ’‡‘’Ž‡ ™‹–Š …Š”‘‹… †‹•‡ƒ•‡ ”‡…‡–Ž› †‹•…Šƒ”‰‡† ˆ”‘ Š‘•’‹–ƒŽ ™Š‘ †‹† ‘– Šƒ˜‡ •‡˜‡”‡ …‘‰‹–‹˜‡’”‘„Ž‡•ǡƒ†™Š‘Ž‹˜‡†‹–Š‡‹”‘™Š‘‡•Ǥ   Š—•ǡ–Š‡ƒ‹‘ˆ–Š‹••–—†›™ƒ•–‘…‘’ƒ”‡’ƒ–‹‡–•™‹–Š…‘‰‹–‹˜‡‹’ƒ‹”‡–™‹–Šƒ ‰”‘—’‘ˆ‘Ž†‡”’‡‘’Ž‡”‡…‡–Ž›†‹•…Šƒ”‰‡†ˆ”‘Š‘•’‹–ƒŽ‹”‡Žƒ–‹‘–‘†‹ˆˆ‡”‡–…‘’‘‡–• ‘ˆ’Š›•‹…ƒŽˆ‹–‡••™Š‡…‘–”‘ŽŽ‹‰ˆ‘”†‡‘‰”ƒ’Š‹…ˆƒ…–‘”•ǤŠ‹••–—†›ƒ‹‡†ƒ–ƒ††‹‰‡™ ‘™Ž‡†‰‡ ”‡‰ƒ”†‹‰ …Ž‹‹…ƒŽ ‹’ƒ‹”‡–• ‘ˆ ’Š›•‹…ƒŽ ˆ‹–‡•• ‹ –Š‘•‡ ™Š‘ ƒ”‡ †‹ƒ‰‘•‡† ™‹–Š…‘‰‹–‹˜‡‹’ƒ‹”‡–•Ǥ—”Š›’‘–Š‡•‹•™ƒ•–Šƒ–™Š‡…‘’ƒ”‡†–‘‘Ž†‡”’‡”•‘•™‹–Š …‘‘”„‹†‹–‹‡• ”‡…‡–Ž› †‹•…Šƒ”‰‡† ˆ”‘ Š‘•’‹–ƒŽǡ ’ƒ–‹‡–• ™‹–Š   Šƒ˜‡ Ž‘™‡” Ž‡˜‡Ž• ‘ˆ ’Š›•‹…ƒŽˆ‹–‡••‡˜‡™Š‡…‘–”‘ŽŽ‹‰ˆ‘”†‡‘‰”ƒ’Š‹…ˆƒ…–‘”•Ǥ Methods

Participants and Procedure   Š‡ •ƒ’Ž‡ ‹…Ž—†‡• „ƒ•‡Ž‹‡ †ƒ–ƒ ˆ”‘ –™‘ •–—†› •‡––‹‰• ƒ† Šƒ• ƒ …”‘••Ǧ•‡…–‹‘ƒŽ †‡•‹‰ǤŠ‡ˆ‹”•–•–—†›•‡––‹‰ȋ•–—†›ͳȌ‹…Ž—†‡†‘Ž†‡”’‡‘’Ž‡˰͸  ͷ›‡ƒ”•‘ˆƒ‰‡†‹ƒ‰‘•‡† ™‹–Š…‘‰‹–‹˜‡‹’ƒ‹”‡–ǤŠ‡–‡”…‘‰‹–‹˜‡‹’ƒ‹”‡–‹–Š‹••–—†›‹…Ž—†‡• ƒ† †‡‡–‹ƒǤŠ‡’ƒ”–‹…‹’ƒ–•™‡”‡”‡…”—‹–‡†ˆ”‘ˆ‘—”‡‘”›…Ž‹‹…•‹‘”™ƒ›ȋ‡••‡–‹ƒŽŽ› ‹ •Ž‘ ƒ”‡ƒȌ ƒˆ–‡” ƒ ‹‹–‹ƒŽ ‡šƒ‹ƒ–‹‘ ”‡‰ƒ”†‹‰ …‘‰‹–‹˜‡ ‹’ƒ‹”‡– ƒ† ’‘••‹„Ž‡ †‡‡–‹ƒǡƒ••‡••‡†‹ƒ……‘”†ƒ…‡™‹–Šƒ•–ƒ†ƒ”†‡šƒ‹ƒ–‹‘’”‘–‘…‘ŽȏͶ͹ǡͶͺȐǤŠ›•‹…‹ƒ• ƒ––Š‡‡‘”›…Ž‹‹…•†‹ƒ‰‘•‡†–Š‡‹”’ƒ–‹‡–•ǡƒ†–Š‡›™‡”‡‹…Ž—†‡†‹–Š‡•–—†›‹ˆ–Š‡› ™‡”‡”‡‰‹•–‡”‡†‹ǮŠ‡ƒ–‹‡–‡‰‹•–”›ˆ‘”‡‡–‹ƒ••‡••‡–‹‘”™ƒ›ǯƒ†™‡”‡†‹ƒ‰Ǧ ‘•‡†™‹–Š…‘‰‹–‹˜‡‹’ƒ‹”‡–Ǣ‡‹–Š‡” ‘”†‡‡–‹ƒǤŠ‡ ǦͳͲ…Žƒ••‹ˆ‹…ƒ–‹‘™ƒ•—•‡† ™Š‡†‹ƒ‰‘•‹‰†‡‡–‹ƒǡƒ†–Š‡‹„Žƒ†…”‹–‡”‹ƒ™‡”‡—•‡†™Š‡†‹ƒ‰‘•‹‰ ȏͶͻȐǤ Š›•‹…ƒŽˆ‹–‡••™ƒ•ƒ••‡••‡†„›ƒ‡š’‡”‹‡…‡†’Š›•‹‘–Š‡”ƒ’‹•–Ž‡••–Šƒʹ‘–Š•ƒˆ–‡”–Š‡ †‹ƒ‰‘•‹•‘ˆ…‘‰‹–‹˜‡‹’ƒ‹”‡–Ǥ   Š‡•‡…‘†•–—†›•‡––‹‰ȋ•–—†›ʹȌ‹…Ž—†‡†„ƒ•‡Ž‹‡†ƒ–ƒˆ”‘ƒ”ƒ†‘‹œ‡†…‘–”‘ŽŽ‡† ƒ‡”‘„‹…‡š‡”…‹•‡‹–‡”˜‡–‹‘–”‹ƒŽǡ‹…Ž—†‹‰’ƒ–‹‡–•†‹•…Šƒ”‰‡†ˆ”‘Š‘•’‹–ƒŽǤƒ”–‹…‹’ƒ–• ™‡”‡˰͹  Ͳ›‡ƒ”•‘ˆƒ‰‡ƒ†™‡”‡”‡…”—‹–‡†™Š‹Ž•–”‡•‹†‡–‹–Š‡Š‘•’‹–ƒŽȋ•Ž‘ƒ”‡ƒȌ†—‡–‘ ƒƒ…—–‡‡†‹…ƒŽ‡˜‡–ǤŠ›•‹…ƒŽˆ‹–‡••ƒ†…‘‰‹–‹˜‡–‡•–•™‡”‡ƒ••‡••‡†„›ƒ‡š’‡”‹‡…‡† ’Š›•‹‘–Š‡”ƒ’‹•– ƒ– „ƒ•‡Ž‹‡ ʹȂͶ ™‡‡• ƒˆ–‡” †‹•…Šƒ”‰‡ ˆ”‘ Š‘•’‹–ƒŽǤ ƒ”–‹…‹’ƒ–• ™‡”‡ ‡š…Ž—†‡†‹ˆ–Š‡›Šƒ†…‘‰‹–‹˜‡‹’ƒ‹”‡–ƒ••‡••‡†ƒ•ƒ•…‘”‡‘ˆδʹͶ‘‹‹Ǧ‡–ƒŽ–ƒ–‡ šƒ‹ƒ–‹‘ȏ͵ǡͷͲȐǤ  …Ž—•‹‘…”‹–‡”‹ƒ‹„‘–Š•–—†›•‡––‹‰•™‡”‡–Šƒ––Š‡›™‡”‡Ž‹˜‹‰‹–Š‡…‘—‹–›™‹–Š ‘‘™…Š”‘‹…†‹•‡ƒ•‡™‹–Šƒ‡š’‡…–‡†Ž‹ˆ‡•’ƒ‘ˆδͳ›‡ƒ”Ǥ Outcome Variables  ‡‹‘” ‹–‡••‡•–   Š‡ƒ‹‘—–…‘‡™ƒ•–Š‡‡‹‘”ˆ‹–‡••–‡•–ȋ Ȍǡ™Š‹…Š‹•ƒ™‹†‡Ž›—•‡†•–ƒ†ƒ”†‹œ‡† ƒ†•ƒˆ‡ƒ••‡••‡–ˆ‘”’”‘˜‹†‹‰‹ˆ‘”ƒ–‹‘ƒ„‘—–’Š›•‹…ƒŽˆ‹–‡••‹‘Ž†‡”’‡‘’Ž‡ȏͳͷǡͷͳǡ ͷʹȐǤŠ›•‹…ƒŽˆ‹–‡••‹•ƒ—Ž–‹†‹‡•‹‘ƒŽ…‘…‡’–ǡƒ†–Š‡ ™ƒ•†‡•‹‰‡†–‘ƒ••‡••—†‡”Ǧ Ž›‹‰’Š›•‹…ƒŽ’ƒ”ƒ‡–‡”•ƒ••‘…‹ƒ–‡†™‹–Šˆ—…–‹‘ƒŽ‘„‹Ž‹–›•—…Šƒ•—•…Ž‡•–”‡‰–Šǡ…ƒ”†‹‘Ǧ ”‡•’‹”ƒ–‘”› ‡†—”ƒ…‡ǡ ˆŽ‡š‹„‹Ž‹–›ǡ „ƒŽƒ…‡ ƒ† ƒ‰‹Ž‹–›Ȁ‘„‹Ž‹–› ȏ ͳͶȐǤ Š‡   ‹–‡ •…‘”‡• …”‡ƒ–‡ ƒ ’”‘ˆ‹Ž‡ ‘ˆ –Š‡•‡ ƒŒ‘” ˆ‹–‡•• …‘’‘‡–• ƒ••‘…‹ƒ–‡† ™‹–Š ‹†‡’‡†‡– ˆ—…–‹‘Ǧ ‹‰ȏͳͷȐǤ

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Dement Geriatr Cogn Disord Extra 2016;6:396–406 DOI: 10.1159/000447534

© 2016 The Author(s). Published by S. Karger AG, Basel www.karger.com/dee

Hesseberg et al.: Physical Fitness in Older People Recently Diagnosed with Cognitive Impairment Compared to Older People Recently Discharged from Hospital

  Š‡ ƒ••‡••‡–•™‡”‡ƒ†‡‹–Š‡‘”†‡”’”‡•‡–‡†ǣ…Šƒ‹”•–ƒ†–‡•–ˆ‘”Ž‘™‡”„‘†› —•…Ž‡•–”‡‰–Šȋ—„‡”™‹–Š‹͵Ͳ•ȌǢƒ”…—”Ž–‡•–ˆ‘”—’’‡”„‘†›—•…Ž‡•–”‡‰–Šȋ—„‡” ™‹–Š‹͵Ͳ•ȌǢ…Šƒ‹”•‹–ƒ†”‡ƒ…Š–‡•–ȋȌˆ‘”Ž‘™‡”„‘†›ˆŽ‡š‹„‹Ž‹–›ȋ†‹•–ƒ…‡„‡–™‡‡ˆ‹‰‡”• ƒ†–‘‡ȌǢ„ƒ…•…”ƒ–…Š–‡•–ˆ‘”—’’‡”„‘†›ˆŽ‡š‹„‹Ž‹–›ȋ†‹•–ƒ…‡„‡–™‡‡–Š‡–™‘–Š‹”†ˆ‹‰‡”•ȌǢ ʹǤͶͷǦ‡–‡”—’Ǧƒ†Ǧ‰‘–‡•–ȋ’Ƭ‰‘Ȍˆ‘”’‘™‡”ǡ•’‡‡†ǡƒ‰‹Ž‹–›ƒ††›ƒ‹…„ƒŽƒ…‡ȋ–‹‡–‘ ”‹•‡ǡ™ƒŽʹǤͶͷƒ†”‡–—”–‘–Š‡…Šƒ‹”Ȍǡƒ†͸Ǧ‹™ƒŽ–‡•––‘‡ƒ•—”‡…ƒ”†‹‘˜ƒ•…—Žƒ” ‡†—”ƒ…‡ȋ†‹•–ƒ…‡™ƒŽ‡†‹͸‹ȌǤ‘”‡†‡–ƒ‹Ž‡††‡•…”‹’–‹‘•ƒ”‡’”‡•‡–‡†‹–Š‡ƒ—ƒŽ ȏ ͳͷȐǤ ‹•ƒ”‡Ž‹ƒ„Ž‡–‡•–„ƒ––‡”›ˆ‘”ƒ••‡••‹‰’Š›•‹…ƒŽˆ‹–‡••‹‘Ž†‡”’‡‘’Ž‡˰͸  Ͳ›‡ƒ”•‘Ž†ǡ ‹…Ž—†‹‰‘Ž†‡”’‡‘’Ž‡™‹–Š…‘‰‹–‹˜‡‹’ƒ‹”‡–ȏͳͷǡͷ͵ȐǤ   ‘‰‹–‹˜‡‡•–‹‰   ‘‰‹–‹˜‡–‡•–•‹…Ž—†‡†–Š”‡‡…‘‰‹–‹˜‡–‡•–•™Š‹…Š™‡”‡ƒ’ƒ”–‘ˆ–Š‡•–ƒ†ƒ”†‡šƒ‹Ǧ ƒ–‹‘’”‘–‘…‘Ž‹ǮŠ‡ƒ–‹‡–‡‰‹•–”›ˆ‘”‡‡–‹ƒ••‡••‡–‹‘”™ƒ›ǯǣȋͳȌŠ‡Ž‘… †”ƒ™‹‰–‡•–ȋ…Ž‘…–‡•–Ȍ™‹–Š•…‘”‹‰‹•–”—…–‹‘•ˆ”‘Ͳ–‘ͷȏͷͶȐǤ‡•–•…‘”‡•‘ˆͶȂͷ‹†‹…ƒ–‡ ƒ‘”ƒŽ•…‘”‡ƒ……‘”†‹‰–‘–Š‡•…‘”‹‰’”‘…‡†—”‡‘ˆŠ—ŽƒȏͷͶȐǤŠ‡…Ž‘…–‡•–ƒ††”‡••‡• ˜‹•—ƒŽ’‡”…‡’–‹‘ǡ…‘•–”—…–‹‘ƒŽƒ†‡š‡…—–‹˜‡†‹ˆˆ‹…—Ž–‹‡•ȏͷͷȐǤȋʹȌŠ‡”ƒ‹Žƒ‹‰–‡•– ƒ†  ȋ ƒ† Ȍ ƒ”‡ –‹‡† ‹ •‡…‘†• ƒ† …ƒ–‡‰‘”‹œ‡† ‹–‘ ˆ‘—” …ƒ–‡‰‘”‹‡• „ƒ•‡† ‘ ‘”ƒ–‹˜‡ƒ‰‡Ǧƒ†Œ—•–‡†–‹‡‹–‡”˜ƒŽ•ȏͷ͸ȐǤ™ƒ•—•‡†–‘’”‘˜‹†‡‹ˆ‘”ƒ–‹‘ƒ„‘—– ƒ––‡–‹‘ƒ†•’‡‡†ǡƒ†™ƒ•—•‡†–‘’”‘˜‹†‡‹ˆ‘”ƒ–‹‘ƒ„‘—–‡š‡…—–‹˜‡ˆ—…–‹‘ ƒ† ‡–ƒŽ ˆŽ‡š‹„‹Ž‹–› ȋ•‡– •Š‹ˆ–Ȍ ȏ ͷͷȐǤ ȋ͵Ȍ Š‡ ͳͲǦ™‘”† Ž‹•– Ž‡ƒ”‹‰ –‡•– ˆ”‘ –Š‡  ȋ‘•‘”–‹— –‘ ‡•–ƒ„Ž‹•Š ƒ ”‡‰‹•–”› ˆ‘” ŽœŠ‡‹‡”ǯ• †‹•‡ƒ•‡Ȍ …‘•‹•–• ‘ˆ ƒ Ž‹•– ‘ˆ ͳͲ ™‘”†• ’”‡•‡–‡†–Š”‡‡–‹‡•ǤŠ‡’ƒ”–‹…‹’ƒ–•™‡”‡ƒ•‡†–‘”‡…ƒŽŽ–Š‡™‘”†•Ǥ…‘”‡•‘ˆͲȂ͵Ͳ™‡”‡ —•‡†–‘‡ƒ•—”‡–Š‡–‘–ƒŽ—„‡”‘ˆ…‘””‡…–™‘”†•Ž‡ƒ”‡†ȋͳͲǦ™‘”†”‡…ƒŽŽȌǡƒ†•…‘”‡•‘ˆ ͲȂͳͲ™‡”‡—•‡†–‘‡ƒ•—”‡–Š‡…‘””‡…–™‘”†•”‡…ƒŽŽ‡†ƒˆ–‡”ͷ‹‘ˆ†‹•–”ƒ…–‹‘ȋͳͲǦ™‘”† †‡Žƒ›‡†Ȍȏͷ͹ȐǤŠ‡’ƒ–‹‡–•”‡ˆ‡””‡†–‘ƒ‡‘”›…Ž‹‹…ˆ‘”ƒ‹‹–‹ƒŽ‡šƒ‹ƒ–‹‘”‡‰ƒ”†‹‰ …‘‰‹–‹˜‡ ‹’ƒ‹”‡– ƒ† ’‘••‹„Ž‡ †‡‡–‹ƒ ™‡”‡ ˆ—”–Š‡” ƒ••‡••‡† ‹ ƒ……‘”†ƒ…‡ ™‹–Š ƒ •–ƒ†ƒ”† ‡šƒ‹ƒ–‹‘ ’”‘–‘…‘ŽǤ Š‡ ™Š‘Ž‡ ‡šƒ‹ƒ–‹‘ ’”‘–‘…‘Ž Šƒ• „‡‡ †‡•…”‹„‡† ‡Ž•‡Ǧ ™Š‡”‡ȏͶ͹ȐǤ‡•–‹‰™ƒ•…‘†—…–‡†„›‡š’‡”‹‡…‡†—”•‡•ǡ‘……—’ƒ–‹‘ƒŽ–Š‡”ƒ’‹•–•ƒ†’Š›•‹Ǧ …‹ƒ•ƒ––Š‡‡‘”›…Ž‹‹…•ǡƒ†„›‡š’‡”‹‡…‡†’Š›•‹‘–Š‡”ƒ’‹•–•ƒ––Š‡Š‘•’‹–ƒŽ•Ǥ Statistical Analysis   Š‡…Šƒ”ƒ…–‡”‹•–‹…•‘ˆ–Š‡•ƒ’Ž‡ƒ”‡’”‡•‡–‡†™‹–Š–Š‡‡ƒƒ†•–ƒ†ƒ”††‡˜‹ƒ–‹‘ ȋȌˆ‘”…‘–‹—‘—•˜ƒ”‹ƒ„Ž‡•ƒ†’‡”…‡–ƒ‰‡•ˆ‘”…ƒ–‡‰‘”‹…ƒŽ˜ƒ”‹ƒ„Ž‡•Ǥ–ƒ–‹•–‹…ƒŽ†‹ˆˆ‡”‡…‡• „‡–™‡‡–Š‡–™‘•–—†›‰”‘—’•™‡”‡…ƒŽ…—Žƒ–‡†—•‹‰–Š‡ɖʹ–‡•–ˆ‘”…ƒ–‡‰‘”‹…ƒŽ˜ƒ”‹ƒ„Ž‡•ƒ† ‹†‡’‡†‡–•ƒ’Ž‡•––‡•–ˆ‘”…‘–‹—‘—•˜ƒ”‹ƒ„Ž‡•Ǥ‹˜ƒ”‹ƒ–‡Ž‹‡ƒ””‡‰”‡••‹‘™ƒ•—•‡† –‘ •Š‘™ –Š‡ ƒ••‘…‹ƒ–‹‘• „‡–™‡‡ –Š‡ †‹ˆˆ‡”‡– …‘’‘‡–• ‘ˆ  ǡ –Š‡ ˜ƒ”‹ƒ„Ž‡ ‘ˆ •–—†› ‰”‘—’ȋ•–—†›‰”‘—’ͳƒ†ʹȌǡƒ††‡‘‰”ƒ’Š‹…ˆƒ…–‘”••—…Šƒ•ƒ‰‡ǡ‰‡†‡”ǡƒ”‹–ƒŽ•–ƒ–—•ǡ …‘‘”„‹†‹–› ƒ†  Ǥ –ƒ–‹•–‹…ƒŽŽ› •‹‰‹ˆ‹…ƒ– ˜ƒ”‹ƒ„Ž‡• ‹ –Š‡ —‹˜ƒ”‹ƒ–‡ ƒƒŽ›•‹• ™‡”‡ ‹…Ž—†‡†‹ƒ•—„•‡“—‡–—Ž–‹’Ž‡”‡‰”‡••‹‘ƒƒŽ›•‹•ȋ‡–‡”‡–Š‘†Ȍ–‘‡šƒ‹‡–Š‡ƒ••‘Ǧ …‹ƒ–‹‘™‹–Š–Š‡•–—†›‰”‘—’˜ƒ”‹ƒ„Ž‡ƒ†–Š‡†‹ˆˆ‡”‡–…‘’‘‡–•‘ˆ ‹‘”†‡”–‘…‘–”‘Ž ˆ‘”…‘ˆ‘—†‡”•ǤƒŽ›•‡•‘ˆ—Ž–‹…‘ŽŽ‹‡ƒ”‹–›™‡”‡…Š‡…‡†–‘†‡–‡…–ƒ›Š‹‰ŠŽ‡˜‡Ž‘ˆƒ••‘Ǧ …‹ƒ–‹‘„‡–™‡‡‹†‡’‡†‡–˜ƒ”‹ƒ„Ž‡•ƒ†…‘˜ƒ”‹ƒ–‡•Ǥ‡•‹†—ƒŽ’Ž‘–•™‡”‡‹•’‡…–‡†ǡƒ†‹ˆ –Š‡ ‘†‡Ž ƒ••—’–‹‘• ™‡”‡ ˜‹‘Žƒ–‡†ǡ ƒ •‡•‹–‹˜‹–› ƒƒŽ›•‹• ™ƒ• ’‡”ˆ‘”‡† –‘ –‡•– –Š‡ ”‘„—•–‡••‘ˆ–Š‡”‡•—Ž–•Ǥ–ƒ–‹•–‹…ƒŽƒƒŽ›•‡•™‡”‡’‡”ˆ‘”‡†™‹–Š–Š‡–ƒ–‹•–‹…ƒŽƒ…ƒ‰‡ˆ‘” ‘…‹ƒŽ…‹‡…‡ȋȌǡ˜‡”•‹‘ʹͳȋ …ǤǡŠ‹…ƒ‰‘ǡ ŽŽǤǡȌǤ’˜ƒŽ—‡•δͲǤͲͷ™‡”‡…‘•‹†‡”‡† •–ƒ–‹•–‹…ƒŽŽ›•‹‰‹ˆ‹…ƒ–ǡƒ†ƒŽŽ–‡•–•™‡”‡–™‘•‹†‡†Ǥ Ethics   ‘–Š •–—†› •‡––‹‰• ™‡”‡ ƒ’’”‘˜‡† „› –Š‡ ‡‰‹‘ƒŽ ‘‹––‡‡ ˆ‘” ‡†‹…ƒŽ ‡•‡ƒ”…Š –Š‹…•‹‘—–ŠǦƒ•–‡”‘”™ƒ›ǤŠ‡’ƒ”–‹…‹’ƒ–•™‡”‡‰‹˜‡‘”ƒŽƒ†™”‹––‡‹ˆ‘”ƒ–‹‘

399

E X T R A

400

Dement Geriatr Cogn Disord Extra 2016;6:396–406 DOI: 10.1159/000447534

© 2016 The Author(s). Published by S. Karger AG, Basel www.karger.com/dee

Hesseberg et al.: Physical Fitness in Older People Recently Diagnosed with Cognitive Impairment Compared to Older People Recently Discharged from Hospital

Table 1.‡‘‰”ƒ’Š‹……Šƒ”ƒ…–‡”‹•–‹…•ƒ†’‡”ˆ‘”ƒ…‡‹…‘‰‹–‹˜‡–‡•–•‹–Š‡™Š‘Ž‡•ƒ’Ž‡ǡƒ††‹˜‹†‡†„›•–—†›‰”‘—’  ‰‡ǡ›‡ƒ”•

‡†‡”ǡΨ™‘‡ ƒŽ‹‰ƒ‹†ǡؐ‘™ƒŽ‹‰ƒ‹† ‹˜‹‰ƒŽ‘‡ǡΨ›‡• ‘‘”„‹†‹–›  Cognitivetests Ž‘…–‡•–ǡͳ Ȃ ͷ ǡ• ƒ„Ž‡–‘…‘’Ž‡–‡ǡΨ „Ž‡–‘…‘’Ž‡–‡ǡ„—–•…‘”‡δʹǡΨ ‹‡„‡–™‡‡ͳƒ†ʹǡΨ ‹‡„‡––‡”–ŠƒͳǡΨ ǡ• ƒ„Ž‡–‘…‘’Ž‡–‡ǡΨ „Ž‡–‘…‘’Ž‡–‡ǡ„—–•…‘”‡δʹǡΨ ‹‡„‡–™‡‡ͳƒ†ʹǡΨ ‹‡„‡––‡”–ŠƒͳǡΨ ͳͲǦ™‘”†”‡…ƒŽŽ ͳͲǦ™‘”††‡Žƒ›‡†”‡…ƒŽŽ Physicalfitness   Šƒ‹”•–ƒ† ”…—”Ž  ƒ…•…”ƒ–…Š ’Ƭ‰‘–‡•– ͸Ǧ‹™ƒŽ–‡•–

ŽŽ

–—†›‰”‘—’ͳ ȋαͻͺȌƒ

–—†›‰”‘—’ʹ ȋαͳͳͷȌ„

‡–™‡‡Ǧ‰”‘—’ †‹ˆˆ‡”‡…‡•ǡ’…

ʹͳ͵ ʹͳ͵ ʹͳʹ ʹͳ͵ ͳͻ͸ ʹͳʹ

͹ͺǤ͵ȋ͸Ǥ͵Ȍ ͷͺ ͺͺ Ͷͺ ʹǤͳȋͳǤ͵Ȍ ʹͷǤ͸ȋͶǤͺȌ

͹ͺǤͺȋ͹ǤͶȌ ͷͶ ͺʹ ͶͲ ͳǤ͸ȋͳǤ͵Ȍ ʹ͵Ǥͺȋ͵ǤͻȌ

͹ͺǤͲȋͷǤʹȌ ͸ͳ ͻ͵ ͷͷ ʹǤͷȋͳǤͳȌ ʹ͹ǤͲȋͶǤͻȌ

ͲǤ͵͹Ͳ ͲǤ͵ͻͲ ͲǤͲʹͳ ͲǤͲͶͳ δͲǤͲͲͳ δͲǤͲͲͳ

ʹͳʹ ʹͳͳ

͵ǤͶȋͳǤ͹Ȍ ͻͲǤͶȋͷͷǤͲȌ ͳ ͵͹ ͵ͳ ͵ʹ ʹͶͶǤ͹ȋ͹ͺǤͳȌ ͷʹ ͳͶ ͳͳ ʹ͵ ʹǤ͵ȋͶǤͷȌ ͳǤͻȋʹǤͳȌ

ͶǤͶȋͲǤͺȌ ͷͺǤ͹ȋʹͳǤͻȌ Ͳ ͳͲ ͵͸ ͷͶ ͳͷͶǤͶȋ͸͸ǤͶȌ Ͳ ͳͶ ͳͺ ͸ͺ ͳͻǤͳȋ͵Ǥ͹Ȍ ͸ǤͳȋʹǤͲȌ

δͲǤͲͲͳ δͲǤͲͲͳ δͲǤͲͲͳ

ʹͳͲ ʹͲͻ

͵ǤͻȋͳǤͶȌ ͹͵ǤͶȋͶ͵Ǥ͹Ȍ ͲǤͷ ʹʹ ͵Ͷ ͶͶ ͳͻ͸ǤͳȋͺͶǤͺȌ ʹͶ ͳͶ ͳͷ Ͷ͹ ͳ͸ǤͲȋͷǤ͵Ȍ ͶǤʹȋʹǤͻȌ

ʹͳ͵ ʹͳʹ ʹͳʹ ʹͳʹ ʹͳʹ ʹͳʹ

ͻǤͺȋ͵ǤͺȌ ͳ͵ǤͶȋ͵Ǥ͹Ȍ Ȃ͹Ǥͳȋͳ͵ǤʹȌ ȂͳͷǤͶȋͳʹǤͶȌ ͹Ǥͻȋ͵ǤͳȌ Ͷ͵ͻȋͳͳͻȌ

ͻǤͶȋͶǤʹȌ ͳ͵Ǥͳȋ͵ǤͺȌ ȂͳʹǤͲȋͳʹǤ͸Ȍ Ȃͳ͸ǤͶȋͳʹǤʹȌ ͻǤͲȋ͵Ǥ͹Ȍ ͶʹͲȋͳʹ͵Ȍ

ͳͲǤʹȋ͵ǤͶȌ ͳ͵Ǥ͸ȋ͵Ǥ͹Ȍ Ȃ ʹǤͻȋͳʹǤͶȌ ȂͳͶǤͷȋͳʹǤͷȌ ͸ǤͻȋʹǤͲȌ Ͷͷ͵ȋͳͳͷȌ

ͲǤͳ͵͹ ͲǤ͵͵ͺ δͲǤͲͲͳ ͲǤʹ͸͹ δͲǤͲͲͳ ͲǤͲͷͶ

ʹͳͲ



δͲǤͲͲͳ δͲǤͲͲͳ

δͲǤͲͲͳ δͲǤͲͲͳ

  ƒ–ƒƒ”‡’”‡•‡–‡†ƒ•‡ƒȋȌ‘”ƒ••–ƒ–‡†Ǥƒ‡…‡–Ž›†‹ƒ‰‘•‡†™‹–Š…‘‰‹–‹˜‡‹’ƒ‹”‡–Ǥ„‡…‡–Ž›†‹•…Šƒ”‰‡†ˆ”‘Š‘•’‹–ƒŽ „‡…ƒ—•‡‘ˆƒ”‡…‡–ƒ…—–‡‡†‹…ƒŽ‡˜‡–™‹–Š‘—–…‘‰‹–‹˜‡‹’ƒ‹”‡–Ǥ …––‡•–ƒ†ɖʹ–‡•–Ǣ’˜ƒŽ—‡δͲǤͲͷ™ƒ•…‘•‹†‡”‡†•–ƒ–‹•–‹…ƒŽŽ› •‹‰‹ˆ‹…ƒ–Ǥ

ƒ„‘—––Š‡•–—†›ƒ†•‹‰‡†ƒ™”‹––‡‹ˆ‘”‡†…‘•‡–„‡ˆ‘”‡–ƒ‹‰’ƒ”–Ǥ –Š‡‰”‘—’‘ˆ ’ƒ–‹‡–•™‹–Š…‘‰‹–‹˜‡‹’ƒ‹”‡–ǡƒ’Š›•‹…‹ƒƒ––Š‡‡‘”›…Ž‹‹…ƒ••‡••‡†‹ˆ–Š‡’ƒ”–‹…‹Ǧ ’ƒ–•™‡”‡ƒ„Ž‡–‘‰‹˜‡–Š‡‹”…‘•‡–„‡ˆ‘”‡–Š‡›™‡”‡‹…Ž—†‡†‹–Š‡•–—†›Ǥ ˆ–Š‡›™‡”‡‘– ƒ„Ž‡–‘‰‹˜‡–Š‡‹”…‘•‡–ǡ–Š‡›™‡”‡‡š…Ž—†‡†ˆ”‘–Š‡•–—†›Ǥ Results

  ™‘Š—†”‡†ƒ†–Š‹”–‡‡…‘—‹–›Ǧ†™‡ŽŽ‹‰‘Ž†‡”’‡”•‘•ȋͻͲ‡ƒ†ͳʹ͵™‘‡Ȍ †‹ƒ‰‘•‡†™‹–Š…‘‰‹–‹˜‡‹’ƒ‹”‡–ȋαͻͺǡͷͻ™‹–Š ǡ͵ͻ™‹–Š†‡‡–‹ƒȌ‘””‡…‡–Ž› †‹•…Šƒ”‰‡† ˆ”‘ Š‘•’‹–ƒŽ „‡…ƒ—•‡ ‘ˆ ƒ ”‡…‡– ƒ…—–‡ ‡†‹…ƒŽ ‡˜‡–ǡ ƒ† ™‹–Š‘—– …‘‰‹–‹˜‡ ‹’ƒ‹”‡– ȋ α ͳͳͷȌ ’ƒ”–‹…‹’ƒ–‡† ‹ –Š‹• •–—†›Ǥ   ƒ„Ž‡ ͳ •Š‘™• –Š‡ …Šƒ”ƒ…–‡”‹•–‹…• ‘ˆ –Š‡ ™Š‘Ž‡ •ƒ’Ž‡ Ȃ •–—†› ‰”‘—’ ͳ ƒ† •–—†› ‰”‘—’ ʹǤ –—†› ‰”‘—’ ͳ ’‡”ˆ‘”‡† ™‘”•‡ ‹ –Š‡ ˆ‹–‡••…‘’‘‡–•ǡ’Ƭ‰‘–‡•–ƒ†͸Ǧ‹™ƒŽ–‡•–ǡ…‘’ƒ”‡†–‘•–—†›‰”‘—’ʹȋ’δ ͲǤͲͲͳǡ δͲǤͲͲͳ ƒ† ͲǤͲͷͶǡ ”‡•’‡…–‹˜‡Ž›ȌǤ —” ”‡•—Ž–• †‡‘•–”ƒ–‡† –Šƒ– •–—†› ‰”‘—’ ͳ Šƒ† •–ƒ–‹•–‹…ƒŽŽ›•‹‰‹ˆ‹…ƒ–™‘”•‡•…‘”‡‹ƒŽŽ‘ˆ–Š‡…‘‰‹–‹˜‡–‡•–•…‘’ƒ”‡†–‘•–—†›‰”‘—’ʹȋ–Š‡ …Ž‘…–‡•–ǡƒ†ǡƒ†ͳͲǦ™‘”†”‡…ƒŽŽƒ††‡Žƒ›‡†–‡•–•Ǣ’δͲǤͲͲͳȌǤ ƒ††‹–‹‘ǡ–Š‡”‡

E X T R A

401

Dement Geriatr Cogn Disord Extra 2016;6:396–406 DOI: 10.1159/000447534

© 2016 The Author(s). Published by S. Karger AG, Basel www.karger.com/dee

Hesseberg et al.: Physical Fitness in Older People Recently Diagnosed with Cognitive Impairment Compared to Older People Recently Discharged from Hospital

Table 2.‹‡ƒ”ƒ†—Ž–‹’Ž‡”‡‰”‡••‹‘ƒƒŽ›•‹•‘ˆƒ••‘…‹ƒ–‹‘•„‡–™‡‡–Š‡…‘’‘‡–•‘ˆ’Š›•‹…ƒŽˆ‹–‡••‡ƒ•—”‡†™‹–Š  ƒ††‡‘‰”ƒ’Š‹…˜ƒ”‹ƒ„Ž‡•ƒ†…‘‘”„‹†‹–› ‡’‡†‡–ƒ†‹†‡’‡†‡–˜ƒ”‹ƒ„Ž‡• ‹˜ƒ”‹ƒ–‡ƒƒŽ›•‹• ƒ†…‘˜ƒ”‹ƒ–‡• ȋͻͷΨ Ȍ Šƒ‹”•‹–ƒ†”‡ƒ…Š–‡•– –—†›‰”‘—’ȋ”‡ˆǤቔ‘—’ʹȌ ‰‡

‡†‡”ȋ”‡ˆǤᏃȌ ƒ””‹‡†Ȁ…‘Šƒ„‹–ƒ–ȋ”‡ˆǤᛇ•Ȍ ‘‘”„‹†‹–›  ’Ƭ‰‘–‡•– –—†›‰”‘—’ȋ”‡ˆǤቔ‘—’ʹȌ ‰‡

‡†‡”ȋ”‡ˆǤᏃȌ ƒ””‹‡†Ȁ…‘Šƒ„‹–ƒ–ȋ”‡ˆǤᛇ•Ȍ ‘‘”„‹†‹–›  ͸Ǧ‹™ƒŽ–‡•– –—†›‰”‘—’ȋ”‡ˆǤቔ‘—’ʹȌ ‰‡

‡†‡”ȋ”‡ˆǤᏃȌ ƒ””‹‡†Ȁ…‘Šƒ„‹–ƒ–ȋ”‡ˆǤᛇ•Ȍ ‘‘”„‹†‹–› 

  —Ž–‹’Ž‡ƒƒŽ›•‹•ƒ ’˜ƒŽ—‡

ȋͻͷΨ Ȍ

’˜ƒŽ—‡

ʹ ͲǤʹʹͲ

Ȃ ͻǤͳͳȋȂͳʹǤͷͲǢȂͷǤ͹ʹȌ Ȃ ͲǤʹͲȋȂͲǤͶͺǢͲǤͲͻȌ ͺǤͷͻȋͷǤͳͶǢͳʹǤͲ͵Ȍ ͶǤ͸ʹȋͳǤͲ͹ǢͺǤͳ͸Ȍ ͲǤ͵ͶȋȂͳǤͳͲǢͳǤ͹ͻȌ ͲǤͳ͹ȋȂͲǤʹͳǢͲǤͷͶȌ

δͲǤͲͲͳ ͲǤͳ͹͵ δͲǤͲͲͳ ͲǤͲͳͳ ͲǤ͸͵ͻ ͲǤ͵ͺͶ

ʹǤͲ͹ȋͳǤʹ͹ǢʹǤͺ͸Ȍ ͲǤͳ͸ȋͲǤͲͻǢͲǤʹʹȌ ͳǤͳͷȋͲǤ͵ͳǢͳǤͻͺȌ ͲǤ͸ͷȋȂͲǤͳͺǢͳǤͶͻȌ ͲǤ͵ͻȋͲǤͲͷǢͲǤ͹ʹȌ Ȃ ͲǤͲ͹ȋȂͲǤͳ͸ǢͲǤͲͳȌ

δͲǤͲͲͳ δͲǤͲͲͳ ͲǤͲͲ͹ ͲǤͳʹͷ ͲǤͲʹͶ ͲǤͲͻͺ









Ȃ ͺǤʹ͹ȋȂͳͳǤͷ͵ǢȂͷǤͲͳȌ Ȃ ͲǤʹͷȋȂͲǤͷͳǢͲǤͲͳȌ ͺǤʹͲȋͶǤ͸͵ǢͳͳǤ͹ͺȌ ͲǤͷͳȋȂ͵ǤͲͻǢͶǤͳͳȌ









δͲǤͲͲͳ ͲǤͲ͸Ͷ δͲǤͲͲͳ ͲǤ͹͹ͻ

ͲǤ͵ͳ͹





ʹǤ͹ͳȋͳǤͻ͵Ǣ͵ǤͷͲȌ ͲǤͳͷȋͲǤͲͻǢͲǤʹͳȌ ͲǤ͹ͶȋȂͲǤͳ͹ǢͳǤͷͲȌ

δͲǤͲͲͳ δͲǤͲͲͳ ͲǤͲͷͷ

ͲǤ͹͹ȋͲǤͶ͹ǢͳǤͲͺȌ

δͲǤͲͲͳ ͲǤ͵ͺʹ

Ȃ͵ʹǤʹ͸ȋȂ͸ͷǤͲͻǢͲǤͷ͹Ȍ Ȃ ͸ǤʹͷȋȂͺǤͺͳǢȂ͵Ǥ͸ͻȌ Ȃ͸ͻǤͺͶȋȂͳͲͳǤͷ͵ǢȂ͵ͺǤͳͷȌ Ȃ͵ͳǤͷͲȋȂ͸ͶǤͳͶǢͳǤͳͶȌ ȂʹͺǤͲ͹ȋȂͶͲǤ͹ͺǢȂͳͷǤ͵͸Ȍ Ȃ ͵Ǥ͸͵ȋȂ͹ǤͲ͹ǢȂͲǤͳͻȌ 







ͲǤͲͷͶ δͲǤͲͲͳ δͲǤͲͲͳ ͲǤͲͷͻ δͲǤͲͲͳ ͲǤͲ͵ͻ

ȂͺʹǡͶ͹ȋȂͳͳʹǡͻͷǢȂͷͳǡͻͻȌ Ȃ ͹Ǥ͵ʹȋȂͻǤ͸ʹǢȂͷǤͲʹȌ ȂͷʹǤ͵ͻȋȂͺͲǤͺ͵ǢȂʹ͵ǤͻͷȌ

δͲǤͲͲͳ δͲǤͲͲͳ δͲǤͲͲͳ

Ȃ͵ͳǤ͸ʹȋȂͶ͵Ǥʹ͸ǢȂʹͲǤͲͷȌ Ȃ ͹Ǥ͵ͳȋȂͳͲǤͷͷǢȂͶǤͲ͹Ȍ

δͲǤͲͲͳ δͲǤͲͲͳ









ᐕ–ƒ†ƒ”†‹œ‡†…‘‡ˆˆ‹…‹‡–•Ǣ α…‘ˆ‹†‡…‡‹–‡”˜ƒŽǢʹα‡š’Žƒ‹‡†˜ƒ”‹ƒ…‡‘ˆ–Š‡‘†‡ŽǤƒ†Œ—•–‡–ˆ‘”˜ƒ”‹ƒ„Ž‡••‹‰‹ˆ‹…ƒ–Ž› ƒ••‘…‹ƒ–‡†™‹–Š–Š‡ƒ…–—ƒŽ…‘’‘‡–‘ˆ’Š›•‹…ƒŽˆ‹–‡••‹–Š‡—‹˜ƒ”‹ƒ–‡ƒƒŽ›•‡•Ǥ

™‡”‡ †‹ˆˆ‡”‡…‡• „‡–™‡‡ –Š‡ ‰”‘—’• ”‡‰ƒ”†‹‰ —•‡ ‘ˆ ™ƒŽ‹‰ ƒ‹†ǡ  ǡ …‘‘”„‹†‹–› ƒ† ƒ”‹–ƒŽ•–ƒ–—•ȋ’δͲǤͲͲͳȌȋ–ƒ„Ž‡ͳȌǤ   Š‡”‡•—Ž–•ˆ”‘–Š‡—‹˜ƒ”‹ƒ–‡ƒ†—Ž–‹’Ž‡”‡‰”‡••‹‘ƒƒŽ›•‡•”‡‰ƒ”†‹‰–Š‡ƒ••‘…‹ƒǦ –‹‘•„‡–™‡‡–Š‡…‘’‘‡–•‘ˆ’Š›•‹…ƒŽˆ‹–‡••ƒ†˜ƒ”‹ƒ„Ž‡•‘ˆ†‡‘‰”ƒ’Š‹…ƒ†…‘‘”Ǧ „‹†‹–›ƒ”‡’”‡•‡–‡†‹–ƒ„Ž‡ʹǤŠ‡ͳͲǦ™‘”††‡Žƒ›‡†–‡•–™‡”‡‡š…Ž—†‡††—‡–‘Š‹‰Š…‘””‡Ǧ Žƒ–‹‘ȋεͲǤ͹ͲȌ™‹–Š–Š‡ͳͲǦ™‘”†”‡…ƒŽŽ–‡•–ƒ†–Š‡•–—†›‰”‘—’˜ƒ”‹ƒ„Ž‡ǤŠ‡‹†‡’‡†‡– ˜ƒ”‹ƒ„Ž‡Ǯ•–—†›‰”‘—’ǯǡ™ƒ••–‹ŽŽ•‹‰‹ˆ‹…ƒ–‹–Š‡—Ž–‹’Ž‡ƒƒŽ›•‡•ǤŠ‡”‡•—Ž–•”‡‰ƒ”†‹‰–Š‡ ƒ••‘…‹ƒ–‹‘•„‡–™‡‡–Š‡…‘’‘‡–•‘ˆ’Š›•‹…ƒŽˆ‹–‡••ƒ†Ǯ–—†›‰”‘—’ǯ•Š‘™‡†–Šƒ–„‡‹‰ ‹•–—†›‰”‘—’ͳ‹†‹…ƒ–‡†’‘‘”‡””‡•—Ž–•‘–Š‡’Š›•‹…ƒŽˆ‹–‡••…‘’‘‡–•ǡ’Ƭ‰‘–‡•– ƒ†͸Ǧ‹™ƒŽ–‡•–ȏαȂ͸Ǥ͹Ͳȋ’αͲǤͲͲͶȌǡαʹǤͲͻȋ’δͲǤͲͲͳȌƒ†αȂͶ͵Ǥ͹͹ȋ’αͲǤͲ͵ͲȌ ”‡•’‡…–‹˜‡Ž›ȐǤ Discussion

 –Š‹••–—†›ǡ™‡…‘’ƒ”‡†–Š‡Ž‡˜‡Ž‘ˆ’Š›•‹…ƒŽˆ‹–‡••„‡–™‡‡ƒ‰”‘—’‘ˆ’ƒ–‹‡–•™‹–Š …‘‰‹–‹˜‡‹’ƒ‹”‡–ƒ†ƒ‰”‘—’‘ˆ‘Ž†‡”’‡‘’Ž‡™‹–Š…Š”‘‹…†‹•‡ƒ•‡”‡…‡–Ž›†‹•…Šƒ”‰‡† ˆ”‘ Š‘•’‹–ƒŽǤ Š‡ ƒ‹ ˆ‹†‹‰• •Š‘™‡† –Šƒ– ‘Ž†‡” ’‡‘’Ž‡ ™‹–Š …‘‰‹–‹˜‡ ‹’ƒ‹”‡– ’‡”ˆ‘”‡†•‹‰‹ˆ‹…ƒ–Ž›™‘”•‡‘–Š‡’Š›•‹…ƒŽˆ‹–‡••–‡•–•ǡ’Ƭ‰‘–‡•–ƒ†͸Ǧ‹™ƒŽ –‡•–…‘’ƒ”‡†–‘‘Ž†‡”’‡‘’Ž‡”‡…‡–Ž›†‹•…Šƒ”‰‡†ˆ”‘Š‘•’‹–ƒŽǡ‡˜‡™Š‡…‘–”‘ŽŽ‹‰ˆ‘” †‡‘‰”ƒ’Š‹…ˆƒ…–‘”•ƒ†…‘‘”„‹†‹–›ǤŠ‡•‡”‡•—Ž–••Š‘™–Šƒ–„‡‹‰†‹ƒ‰‘•‡†™‹–Š ‘” †‡‡–‹ƒ‹•ƒ••‘…‹ƒ–‡†™‹–ŠŽ‘™‡”’Š›•‹…ƒŽˆ‹–‡••ǡƒ†•—’’‘”–’”‡˜‹‘—••–—†‹‡•”‡’‘”–‹‰ƒ

E X T R A

Dement Geriatr Cogn Disord Extra 2016;6:396–406 DOI: 10.1159/000447534

© 2016 The Author(s). Published by S. Karger AG, Basel www.karger.com/dee

Hesseberg et al.: Physical Fitness in Older People Recently Diagnosed with Cognitive Impairment Compared to Older People Recently Discharged from Hospital

•–”‘‰‡‰ƒ–‹˜‡ƒ••‘…‹ƒ–‹‘„‡–™‡‡…‘‰‹–‹˜‡‹’ƒ‹”‡–ƒ††‹ˆˆ‡”‡–ƒ•’‡…–•‘ˆ’Š›•‹…ƒŽ ˆ‹–‡••ȏʹʹǡʹͷǡʹͻǡͷͺȂ͸ͺȐǤ   Š‡ ”‡•—Ž–• •—’’‘”– –Š‡ ‡‡† ˆ‘” ƒ ˆ‘…—• ‘ ’Š›•‹…ƒŽ ˆ‹–‡•• ƒ† ˆ—…–‹‘‹‰ ‹ ‘Ž†‡” ’‡‘’Ž‡™‹–Š ƒ†‡ƒ”Ž›†‡‡–‹ƒŽ‹˜‹‰‹–Š‡…‘—‹–›Ǥƒ‹–ƒ‹‹‰ƒ†‡“—ƒ–‡’Š›•‹…ƒŽ ˆ‹–‡••ƒ‘‰’‡‘’Ž‡™Š‘ƒ”‡†‹ƒ‰‘•‡†™‹–Š ƒ††‡‡–‹ƒƒ›Š‡Ž’–Š‡–‘Ž‹˜‡Ž‘‰‡” ‹–Š‡‹”‘™Š‘‡ƒ†”‡†—…‡–Š‡„—”†‡‘ˆ–Š‡‹”…ƒ”‡–ƒ‡”•ǤŠ—•ǡ–Š‡”‡•—Ž–••—‰‰‡•––Šƒ– ˆ‘…—•‘’Š›•‹…ƒŽƒ…–‹˜‹–›ƒ†’Š›•‹…ƒŽˆ‹–‡••ƒˆ–‡”–Š‡†‹ƒ‰‘•‹•ƒ›„‡‘ˆ‹’‘”–ƒ…‡Ǥ   Ž‹‡ ™‹–Š ‘—” ”‡•—Ž–•ǡ ƒ••‘…‹ƒ–‹‘• „‡–™‡‡ …‘‰‹–‹˜‡ ˆ—…–‹‘ ƒ† ’Š›•‹…ƒŽ ’‡”ˆ‘”Ǧ ƒ…‡Šƒ˜‡„‡‡”‡’‘”–‡†‹–Š‡ƒ”‡ƒ•‘ˆ‰ƒ‹–ǡƒ‡”‘„‹…‡†—”ƒ…‡ǡ„ƒŽƒ…‡ǡƒ†ˆƒŽŽ”‹•‹ ‘Ž†‡”ƒ†—Ž–•™‹–Š‘”ƒŽ…‘‰‹–‹˜‡ˆ—…–‹‘ǡ ƒ††‡‡–‹ƒǡƒ†–Š‡›ƒ”‡‡•’‡…‹ƒŽŽ›”‘„—•– ‹–Š‡’”‡•‡…‡‘ˆ‡š‡…—–‹˜‡†›•ˆ—…–‹‘ȏͳʹǡʹͺǡ͵Ͳǡ͵͵ǡ͸ͻȂ͹ʹȐǤ‡…Ž‹‹‰‡š‡…—–‹˜‡ˆ—…–‹‘ ƒ›„‡ƒ‡ƒ”Ž›‹†‹…ƒ–‘”‘ˆ‘˜‡”ƒŽŽˆ—…–‹‘ƒŽ†‡…Ž‹‡‹‘Ž†‡”ƒ†—Ž–•ǡƒ†Šƒ•„‡‡•Š‘™–‘ „‡’”‡†‹…–‹˜‡‘ˆˆ—…–‹‘ƒŽ†‡…Ž‹‡ƒ†‹…”‡ƒ•‡†”‹•ˆ‘”†‡‡–‹ƒ‹…‘—‹–›Ǧ†™‡ŽŽ‹‰ ‘Ž†‡”ƒ†—Ž–•ȏʹ͵ǡʹ͸ȐǤ ƒ’”‘•’‡…–‹˜‡•–—†›‘ˆ‘Ž†‡”™‘‡™‹–Š‹–ƒ…–…‘‰‹–‹‘ƒ–„ƒ•‡Ž‹‡ǡ ‡š‡…—–‹˜‡ˆ—…–‹‘†‡…Ž‹‡‘……—””‡†͵›‡ƒ”•’”‹‘”–‘‡‘”›†‡…Ž‹‡‘˜‡”ƒͻǦ›‡ƒ”ˆ‘ŽŽ‘™Ǧ—’ ’‡”‹‘†ǡ ƒ† ‡š‡…—–‹˜‡ ˆ—…–‹‘ †‡…Ž‹‡ ‘……—””‡† ‘”‡ ‘ˆ–‡ –Šƒ ƒ› ‘–Š‡” …‘‰‹–‹˜‡ ‹’ƒ‹”‡–ȏ͹͵ȐǤŠ‡…‘„‹ƒ–‹‘‘ˆ”‡†—…‡†’Š›•‹…ƒŽˆ‹–‡••ƒ†‡š‡…—–‹˜‡ˆ—…–‹‘ƒ›„‡ ‘”‡ ’”‡†‹…–‹˜‡ ‘ˆ †‡‡–‹ƒ ”‹•Ǣ –Š‡”‡ˆ‘”‡ǡ ‹– Šƒ• ‹’Ž‹…ƒ–‹‘• ˆ‘” ƒ……‡Ž‡”ƒ–‡† ˆ—…–‹‘ƒŽ †‡…Ž‹‡ǡ ƒ† †‹•ƒ„‹Ž‹–› ‹• ‘ˆ ‹’‘”–ƒ…‡ ˆ‘” ’ƒ”–‹…‹’ƒ–• ™‹–Š …‘‰‹–‹˜‡ ‹’ƒ‹”‡– ‹ ‘—” •–—†›Ǥ   Š‡ ˆ‹†‹‰• ‹ –Š‹• …—””‡– •–—†› •Š‘™‡† •‹‰‹ˆ‹…ƒ– ƒ••‘…‹ƒ–‹‘• „‡–™‡‡ ‘„‹Ž‹–› ‡ƒ•—”‡†‹–Š‡’Ƭ‰‘–‡•–ƒ•™‡ŽŽƒ•‹–Š‡͸Ǧ‹™ƒŽ–‡•–ƒ†–Š‡•–—†›‰”‘—’Ǥ –ƒ…–‰ƒ‹– …‘–”‘Ž”‡“—‹”‡•–Š‡‡ˆˆ‹…‹‡–‹–‡‰”ƒ–‹‘‘ˆƒ›‡—”ƒŽ•›•–‡•ǡ‹…Ž—†‹‰‘–‘”ǡ•‡•‘”› ƒ†…‘‰‹–‹˜‡’”‘…‡••‡•ǡƒ†…‘‰‹–‹˜‡•—„•›•–‡••—…Šƒ•‡‘”›ǡƒ––‡–‹‘ƒ†‡š‡…—–‹˜‡ ˆ—…–‹‘ȏ͹ͶȐǤ   ˜‡–Š‘—‰Š…‘‰‹–‹˜‡‹’ƒ‹”‡–…ƒ‘–„‡…—”‡†ƒ–’”‡•‡–ǡ†‡…Ž‹‡‹’Š›•‹…ƒŽˆ‹–‡•• …ƒ„‡•Ž‘™‡†„›’Š›•‹…ƒŽƒ…–‹˜‹–›‹–‡”˜‡–‹‘•ǤŠ‡„‡‡ˆ‹–•‘ˆ‡š‡”…‹•‡ƒ†’Š›•‹…ƒŽƒ…–‹˜‹–› ‹†‡Žƒ›‹‰’Š›•‹…ƒŽ†‡’‡†‡…‡‹ƒ‡Ž†‡”Ž›’‘’—Žƒ–‹‘ƒ†ƒ‘‰’‡‘’Ž‡™‹–Š…‘‰‹–‹˜‡ ‹’ƒ‹”‡–ƒ††‡‡–‹ƒŠƒ˜‡„‡‡•Š‘™‹•‡˜‡”ƒŽ•–—†‹‡•ȏͶͶǡͶͷǡ͸Ͷǡ͹ͷȂ͹͹ȐǤ –‡”˜‡Ǧ –‹‘••Š‘—Ž†„‡†‹”‡…–‡†–‘–Š‡ƒˆˆ‡…–‡†…‘’‘‡–•‘ˆ’Š›•‹…ƒŽˆ‹–‡••–‘‹‹–‹ƒ–‡‹†‹˜‹†—ƒŽŽ› –ƒ‹Ž‘”‡†–”ƒ‹‹‰’”‘‰”ƒ•Ǥ—‡–‘Ž‘™‡”‡š‡…—–‹˜‡ˆ—…–‹‘ǡ•‡˜‡”ƒŽ•—’’‘”–•–”ƒ–‡‰‹‡•‡‡† –‘ „‡ ‹…Ž—†‡†Ǥ  ƒ††‹–‹‘ǡ ‡ˆˆ‡…–‹˜‡ ’”‡˜‡–‹‘ ƒ† ”‡Šƒ„‹Ž‹–ƒ–‹‘ •–”ƒ–‡‰‹‡• –‘ ƒ‹–ƒ‹ ˆ—…–‹‘ƒŽ‹†‡’‡†‡…›ƒ†ƒ˜‘‹†‹•–‹–—–‹‘ƒŽ‹œƒ–‹‘…‘—Ž†„‡‡•–ƒ„Ž‹•Š‡†Ǥ   ‘‰‹–‹˜‡ ‹’ƒ‹”‡– ƒ› ‹ˆŽ—‡…‡ –Š‡ ‘Ž†‡” ƒ†—Ž–•ǯ ‹–‡”’”‡–ƒ–‹‘ ƒ† ”‡’‘”–‹‰ ‘ˆ •›’–‘•ǤŠ‹•‹‰Š–Ž‡ƒ†–‘†‡Žƒ›•‹‹†‡–‹ˆ‹…ƒ–‹‘ƒ†–”‡ƒ–‡–‘ˆ‡™‹ŽŽ‡••‡•‘”‡šƒ…Ǧ ‡”„ƒ–‹‘•‘ˆ‡š‹•–‹‰†‹•‡ƒ•‡•ƒ†–‘ƒ‰”‡ƒ–‡”‡š–‡–‹ˆŽ—‡…‡‘Ž†‡”’‡‘’Ž‡”‡…‡–Ž›†‹ƒ‰Ǧ ‘•‡†™‹–Š…‘‰‹–‹˜‡‹’ƒ‹”‡–…‘’ƒ”‡†–‘‘Ž†‡”’‡‘’Ž‡™‹–Šƒ”‡…‡–ƒ…—–‡‡†‹…ƒŽ‡˜‡–Ǥ ‘‰‹–‹˜‡‹’ƒ‹”‡–ƒ›ƒŽ•‘…‘’Ž‹…ƒ–‡–Š‡—•‡‘ˆ•–ƒ†ƒ”†ƒ’’”‘ƒ…Š‡•–‘…Š”‘‹…†‹•‡ƒ•‡ ƒƒ‰‡‡–Ǥ‘–Š‘ˆ–Š‡•‡ˆƒ…–‘”•ƒ›‹ˆŽ—‡…‡’Š›•‹…ƒŽˆ—…–‹‘Ǥ ƒ††‹–‹‘ǡ’”‘‰”‡••‹‘ ‘ˆ–Š‡†‹•‡ƒ•‡–Šƒ–—†‡”Ž‹‡•…‘‰‹–‹˜‡‹’ƒ‹”‡–ƒ›”‡•—Ž–‹…Šƒ‰‡•‹’Š›•‹…ƒŽˆ—…–‹‘ ȏ ͹ͺȐǤ Limitations   ‡Ž‹‹–ƒ–‹‘‘ˆ–Š‹••–—†›™ƒ•–Š‡…”‘••Ǧ•‡…–‹‘ƒŽ†‡•‹‰ǤŠ‹•ƒ‡•—•—ƒ„Ž‡–‘ƒ‡ …‘…Ž—•‹‘•‘…ƒ—•ƒŽ‹–›ǤŽŽ‘„•‡”˜ƒ–‹‘ƒŽ•–—†‹‡•ƒ”‡Šƒ’‡”‡†„›”‡•‹†—ƒŽ…‘ˆ‘—†‹‰–‘ ˜ƒ”‹‘—•†‡‰”‡‡•Ǥ‡Šƒ˜‡ƒ††‡†‡›Š‡ƒŽ–ŠǦ”‡Žƒ–‡†…‘ˆ‘—†‡”•ȋ‰‡†‡”ǡƒ‰‡ǡ…‘‘”„‹†‹–›Ȍ ™Š‹…Š‘Ž›–‘ƒŽ‹‹–‡††‡‰”‡‡ƒ––‡—ƒ–‡†–Š‡…‘‰‹–‹˜‡‹’ƒ‹”‡–Ǧ’Š›•‹…ƒŽˆ—…–‹‘ƒ••‘Ǧ …‹ƒ–‹‘Ǥ —”–Š‡”‘”‡ǡ™‡”‡…‘‰‹œ‡–Šƒ––Š‡”‡ƒ”‡‘–Š‡”’‘–‡–‹ƒŽˆƒ…–‘”•–Šƒ–…‘—Ž†‡š’Žƒ‹ –Š‡†‹ˆˆ‡”‡…‡‹’Š›•‹…ƒŽˆ‹–‡••„‡–™‡‡‘—”–™‘•–—†›‰”‘—’••—…Šƒ•’”‡˜‹‘—•’Š›•‹…ƒŽ ƒ…–‹˜‹–›ǡ‡†‹…ƒ–‹‘ǡ‘–‹˜ƒ–‹‘ƒ††‡’”‡••‹‘Ǥ •–—†›‰”‘—’ͳǡƒ›’ƒ–‹‡–•”‡ˆ—•‡†–‘

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Dement Geriatr Cogn Disord Extra 2016;6:396–406 DOI: 10.1159/000447534

© 2016 The Author(s). Published by S. Karger AG, Basel www.karger.com/dee

Hesseberg et al.: Physical Fitness in Older People Recently Diagnosed with Cognitive Impairment Compared to Older People Recently Discharged from Hospital

’ƒ”–‹…‹’ƒ–‡ȋƒ”‘—†ͷͲΨȌǡƒ†™‡†‘‘–‘™‹ˆ–Š‡›™‡”‡†‹ˆˆ‡”‡–ˆ”‘–Š‡’ƒ–‹‡–•™Š‘ ƒ‰”‡‡†–‘’ƒ”–‹…‹’ƒ–‡ǤŠ‡›™‡”‡‘–ƒ•‡†–‘‰‹˜‡ƒ›”‡ƒ•‘ˆ‘”–Š‡”‡ˆ—•ƒŽǤŠ—•ǡ™‡™‡”‡ ‘–ƒ„Ž‡–‘…‘ŽŽ‡…–•›•–‡ƒ–‹…†ƒ–ƒ–‘ƒƒŽ›œ‡’‘••‹„Ž‡…ƒ—•‡•‘”†‹ˆˆ‡”‡…‡•„‡–™‡‡–Š‘•‡ ™Š‘ƒ‰”‡‡†ƒ†–Š‘•‡™Š‘†‹†‘–ƒ‰”‡‡–‘’ƒ”–‹…‹’ƒ–‡Ǥ—””‡•—Ž–•…ƒ‘–„‡‰‡‡”ƒŽ‹œ‡†–‘ ƒŽŽ’ƒ–‹‡–•™‹–Š ‘”†‡‡–‹ƒ‘”‘Ž†‡”’‡‘’Ž‡”‡…‡–Ž›†‹•…Šƒ”‰‡†ˆ”‘Š‘•’‹–ƒŽǤ •–—†› ‰”‘—’ʹǡ•—„Œ‡…–•™‡”‡‡”‘ŽŽ‡†‹ƒ‹–‡”˜‡–‹‘–”‹ƒŽ™‹–Šƒƒ‡”‘„‹…‡š‡”…‹•‡…‘’‘‡–Ǣ –Š‡›‹‰Š––Š‡”‡ˆ‘”‡„‡ˆ‹––‡”ƒ†’‡”Šƒ’•‘”‡‡‰ƒ‰‡†–Šƒ–Š‘•‡™Š‘™‘—Ž†‘–Šƒ˜‡ ƒ‰”‡‡†–‘„‡’ƒ”–‘ˆ–Š‡‹–‡”˜‡–‹‘ǤŠ‡”‡ˆ‘”‡–Š‡ƒ••‘…‹ƒ–‹‘••‡‡‹–Š‹••–—†›ƒ›‘– „‡ƒ’’Ž‹…ƒ„Ž‡–‘–Š‡‘˜‡”ƒŽŽ’‘’—Žƒ–‹‘‘ˆ‘Ž†‡”’‡‘’Ž‡”‡…‡–Ž›†‹•…Šƒ”‰‡†ˆ”‘Š‘•’‹–ƒŽǤ Conclusion

 …‘…Ž—•‹‘ǡ–Š‹••–—†›•Š‘™•–Šƒ––Š‡Ž‡˜‡Ž‘ˆ’Š›•‹…ƒŽˆ‹–‡••™ƒ•Ž‘™ƒ‘‰‘Ž†‡” ƒ†—Ž–•™‹–Š…‘‰‹–‹˜‡‹’ƒ‹”‡–•…‘’ƒ”‡†–‘‘Ž†‡”’‡‘’Ž‡†‹•…Šƒ”‰‡†ˆ”‘Š‘•’‹–ƒŽǤŠ—•ǡ –Š‹• •–—†› •—’’‘”–• –Šƒ– ’—„Ž‹… Š‡ƒŽ–Š ‹‹–‹ƒ–‹˜‡• •Š‘—Ž† „‡ †‡•‹‰‡† –‘ ”‡†—…‡ ’ƒ••‹˜‡ •‡†‡–ƒ”›„‡Šƒ˜‹‘”‹‘Ž†‡”ƒ†—Ž–•™‹–Š…‘‰‹–‹˜‡‹’ƒ‹”‡–ǤŠ‹•‰”‘—’‹•ƒŽ•‘‹‡‡†‘ˆ ‹†‹˜‹†—ƒŽŽ›–ƒ‹Ž‘”‡†’Š›•‹…ƒŽƒ…–‹˜‹–›’”‘‰”ƒ•™‹–Š„—‹Ž–Ǧ‹•—’’‘”–‹˜‡•–”ƒ–‡‰‹‡•–‘…‘—Ǧ –‡”ƒ…––Š‡’”‘„Ž‡•™‹–ŠŽ‘™‡”‡š‡…—–‹˜‡ˆ—…–‹‘•Ǥ 

References Ԙ ͳ ‘”Ž†‡ƒŽ–Š”‰ƒ‹œƒ–‹‘ǣ…–‹˜‡‰‡‹‰ǡƒ‘Ž‹…› ”ƒ‡™‘”Ǥ ‡‡˜ƒǡ‘”Ž†‡ƒŽ–Š”‰ƒ‹œƒ–‹‘ǡʹͲͳͲǤ Ԙ ʹ …”‡‡ǡ‘‰ˆ‘”• ǡ Œ‡Ž†•–ƒ†ǡ Œ‡Ž†•–ƒ†ǡ…Šƒǡ‹…‡Ž ǡ‘–‰‘‡”›ǡ ƒ”†‡”ǣŠ›•‹…ƒŽ  ǣͳ  Ȃ͸Ǥ ƒ…–‹˜‹–›‹•”‡Žƒ–‡†–‘“—ƒŽ‹–›‘ˆŽ‹ˆ‡‹‘Ž†‡”ƒ†—Ž–•Ǥ‡ƒŽ–Š—ƒŽ‹ˆ‡—–…‘‡•ʹͲͲ͸ǢͶ Ԙ ͵ ”‘˜‘Ž†ǡ‡Ž–‘ǡ‡”‰Žƒ†ǣ••‘…‹ƒ–‹‘„‡–™‡‡Š‡ƒŽ–ŠǦ”‡Žƒ–‡†“—ƒŽ‹–›‘ˆŽ‹ˆ‡ǡ’Š›•‹…ƒŽˆ‹–‡••ƒ†  ʹǣͶ  ͲͷȂͶͳ͵Ǥ ’Š›•‹…ƒŽƒ…–‹˜‹–›‹‘Ž†‡”’‡‘’Ž‡”‡…‡–Ž›†‹•…Šƒ”‰‡†ˆ”‘Š‘•’‹–ƒŽǤ ‰‹‰Š›•…–ʹͲͳͶǢʹ Ԙ Ͷ ‡Ž‡‹—• ǡ ‰‡†ƒŽ ǡ ‡”‰Žƒ† ǣ ‘‰Ǧ–‡” ‡ˆˆ‡…–• ‘ˆ ƒ ͳʹ ™‡‡• Š‹‰ŠǦ‹–‡•‹–› ˆ—…–‹‘ƒŽ ‡š‡”…‹•‡ ’”‘‰”ƒ‘’Š›•‹…ƒŽˆ—…–‹‘ƒ†‡–ƒŽŠ‡ƒŽ–Š‹—”•‹‰Š‘‡”‡•‹†‡–•™‹–Š†‡‡–‹ƒǣƒ•‹‰Ž‡„Ž‹†‡†  ͷǣͳ  ͷͺǤ ”ƒ†‘‹œ‡†…‘–”‘ŽŽ‡†–”‹ƒŽǤ ‡”‹ƒ–”ʹͲͳͷǢͳ Ԙ ͷ ƒ”‡•ǡŠ‹–‡”ǡƒˆˆ‡ǣŠ›•‹…ƒŽƒ…–‹˜‹–›ƒ††‡‡–‹ƒǣ–Š‡‡‡†ˆ‘”’”‡˜‡–‹‘–”‹ƒŽ•Ǥš‡”…’‘”–  ͷǣʹ  ͶȂʹͻǤ …‹‡˜ʹͲͲ͹Ǣ͵ Ԙ ͸ ”ƒ†‡ ǡƒƒ…‘”‡ǡƒ‰‰‹‘”‡ǡ—…—‘ǡ Š‹”‡––‹ǡ ƒŽ‹„‡”–‹ǡ…ƒ”’‹‹ǡƒ”‹ƒ‹ǡŽ‡”‹…‹ ǣŠ›•‹…ƒŽ ƒ…–‹˜‹–›”‡†—…‡•–Š‡”‹•‘ˆ†‡‡–‹ƒ‹‹Ž†…‘‰‹–‹˜‡‹’ƒ‹”‡–•—„Œ‡…–•ǣƒ…‘Š‘”–•–—†›Ǥ ŽœŠ‡‹‡”•‹•  ͻǣͺ  ͵͵Ȃͺ͵ͻǤ ʹͲͳͶǢ͵ Ԙ ͹ ’‹”†—•‘ǡ”‘‹ǣš‡”…‹•‡†‘•‡Ǧ”‡•’‘•‡‡ˆˆ‡…–•‘“—ƒŽ‹–›‘ˆŽ‹ˆ‡ƒ†‹†‡’‡†‡–Ž‹˜‹‰‹‘Ž†‡”  ͵ǣͷ  ͻͺȂ͸ͲͺǤ ƒ†—Ž–•Ǥ‡†…‹’‘”–•š‡”…ʹͲͲͳǢ͵ Ԙ ͺ Š—ǡ‡‹„ƒǡ…ƒ—‰ŠŽ‹ǡ…ƒ”‡ƒ•ǡŽ„‡”–ǡ”ƒ†– ǡŽƒ…‡”ǡƒ‘ǡ–‡”ǣŠ‡‡ˆˆ‡…–•‘ˆ  ͸ǣͳ  Ͷͻ͹Ȃ ’ƒ–‹‡–ˆ—…–‹‘ƒ††‡’‡†‡…‡‘…‘•–•‘ˆ…ƒ”‡‹ŽœŠ‡‹‡”ǯ•†‹•‡ƒ•‡Ǥ  ‡”‹ƒ–”‘…ʹͲͲͺǢͷ ͳͷͲ͵Ǥ  ͹Ͷǣ Ԙ ͻ Š”‹•–‡•‡ǡ‘„ŽŠƒ‡” ǡƒ—ǡƒ—’‡Ž ǣ‰‡‹‰’‘’—Žƒ–‹‘•ǣ–Š‡…ŠƒŽŽ‡‰‡•ƒŠ‡ƒ†Ǥƒ…‡–ʹͲͲͻǢ͵ ͳ  ͳͻ͸ȂͳʹͲͺǤ ͳ  Ͳ ‹±Ǧ ƒ””‹‰ƒǡ —‡””ƒǡ‹–ŠƒǣŠ‡‡ˆˆ‡…–‘ˆˆ—…–‹‘ƒŽ…‹”…—‹––”ƒ‹‹‰‘•‡ŽˆǦ”‡’‘”–‡†ˆ‡ƒ”‘ˆˆƒŽŽ‹‰ ƒ†Š‡ƒŽ–Š•–ƒ–—•‹ƒ‰”‘—’‘ˆ’Š›•‹…ƒŽŽ›ˆ”ƒ‹Ž‘Ž†‡”‹†‹˜‹†—ƒŽ•ǣƒ”ƒ†‘‹œ‡†…‘–”‘ŽŽ‡†–”‹ƒŽǤ‰‹‰Ž‹š’  ͷǣ͵  ʹͻȂ͵͵͸Ǥ ‡•ʹͲͳ͵Ǣʹ ͳ  ͳ ‹‡Ǧ ƒ””‹‰ƒǡƒ”–‹Ǧ‘””ƒ•ǡ—‹‰Ǧ‹„‡”ƒǡƒ”–‹Ǧƒ–‡”ƒǡ‘Žƒǡ—‡•–ƒǦƒ”‰ƒ•ǣŠ‡‡ˆˆ‡…–‘ˆƒ ’Š›•‹…ƒŽ ƒ…–‹˜‹–› ’”‘‰”ƒ ‘ –Š‡ –‘–ƒŽ —„‡” ‘ˆ ’”‹ƒ”› …ƒ”‡ ˜‹•‹–• ‹ ‹ƒ…–‹˜‡ ’ƒ–‹‡–•ǣ ƒ ͳͷǦ‘–Š  ǣ‡͸͸͵ͻʹǤ ”ƒ†‘‹œ‡†…‘–”‘ŽŽ‡†–”‹ƒŽǤ‘‡ʹͲͳ͵Ǣͺ ͳ  ʹ ‡••‡„‡”‰ǡ‡–œ‡ǡƒŠ‘ˆˆǡ‰‡†ƒŽǡ‡”‰Žƒ†ǣŠ›•‹…ƒŽˆ‹–‡••‹‘Ž†‡”’‡‘’Ž‡™‹–Š‹Ž†…‘‰‹–‹˜‡  Ͷǣͻ  ʹȂͳͲͲǤ ‹’ƒ‹”‡–ƒ††‡‡–‹ƒǤ ‰‹‰Š›•…–ʹͲͳ͸Ǣʹ ͳ  ͵ ƒ””‹‘•ǡƒ”…‹•‘ǡ —‡””‡‹”‘ǡƒ”‘…‘ ǡ‘‰•†‘ǡ†‡‡†‘…ƒǣ—ƒŽ‹–›‘ˆŽ‹ˆ‡‹’ƒ–‹‡–•™‹–Š‹Ž†  ͹ǣʹ  ͺ͹ȂʹͻʹǤ …‘‰‹–‹˜‡‹’ƒ‹”‡–Ǥ‰‹‰‡–‡ƒŽ–ŠʹͲͳ͵Ǣͳ ͳ  Ͷ ‹Ž‹ǡ ‘‡• ǣ‡˜‡Ž‘’‡–ƒ†˜ƒŽ‹†ƒ–‹‘‘ˆƒˆ—…–‹‘ƒŽˆ‹–‡••–‡•–ˆ‘”…‘—‹–›Ǧ”‡•‹†‹‰‘Ž†‡”ƒ†—Ž–•Ǥ  ǣͳ  ʹͻȂͳ͸ͳǤ

‰‹‰Š›•…–ͳͻͻͻǢ͹ ͳ  ͷ ‹Ž‹ǡ ‘‡• ǣ‡‹‘”ˆ‹–‡••–‡•–ƒ—ƒŽǤŠƒ’ƒ‹‰ǡ—ƒ‹‡–‹…•ǡʹͲͲͳǤ ͳ  ͸ ‹‹‡–”‘ ǣ Š›•‹…ƒŽ ƒ…–‹˜‹–› ‹ ƒ‰‹‰ǣ …Šƒ‰‡• ‹ ’ƒ––‡”• ƒ† –Š‡‹” ”‡Žƒ–‹‘•Š‹’ –‘ Š‡ƒŽ–Š ƒ† ˆ—…–‹‘Ǥ   ͸ǣͳ  ͵ȂʹʹǤ

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Dement Geriatr Cogn Disord Extra 2016;6:396–406 © 2016 The Author(s). Published by S. Karger AG, Basel www.karger.com/dee

DOI: 10.1159/000447534

Hesseberg et al.: Physical Fitness in Older People Recently Diagnosed with Cognitive Impairment Compared to Older People Recently Discharged from Hospital

ͳ  ͹ –—…ǡƒŽ–Š‡”– ǡ‹‘Žƒ—•ǡ—Žƒ ǡ‘Šƒǡ‡… ǣ‹•ˆƒ…–‘”•ˆ‘”ˆ—…–‹‘ƒŽ•–ƒ–—•†‡…Ž‹‡‹ …‘—‹–›ǦŽ‹˜‹‰‡Ž†‡”Ž›’‡‘’Ž‡ǣƒ•›•–‡ƒ–‹…Ž‹–‡”ƒ–—”‡”‡˜‹‡™Ǥ‘……‹‡†ͳͻͻͻǢͶ  ͺǣͶ  ͶͷȂͶ͸ͻǤ ͳ  ͺ ƒ”„—”–‘ǡ‹…‘Žǡ”‡†‹ǣ‡ƒŽ–Š„‡‡ˆ‹–•‘ˆ’Š›•‹…ƒŽƒ…–‹˜‹–›ǣ–Š‡‡˜‹†‡…‡Ǥƒ‡†••‘…   ͹Ͷǣͺ  ͲͳȂͺͲͻǤ ʹͲͲ͸Ǣͳ  ͹Ͷǣ ͳ  ͻ ƒ”„—”–‘ǡ‹…‘Žǡ”‡†‹ǣ”‡•…”‹„‹‰‡š‡”…‹•‡ƒ•’”‡˜‡–‹˜‡–Š‡”ƒ’›Ǥƒ‡†••‘… ʹͲͲ͸Ǣͳ ͻ  ͸ͳȂͻ͹ͶǤ ʹ  Ͳ †‡‘”–‘ǡ‡ƒ–‹‰ ǡ ‡ˆˆ•ǣš‡”…‹•‡ˆ‘”ƒ…—–‡Ž›Š‘•’‹–ƒŽ‹•‡†‘Ž†‡”‡†‹…ƒŽ’ƒ–‹‡–•Ǥ‘…Š”ƒ‡ƒ–ƒ„ƒ•‡ ›•–‡˜ʹͲͲ͹ǣͲͲͷͻͷͷǤ ʹ  ͳ —”’Š›ǡŠ‡ƒ‡ ǡ—ƒ‡ ǣ––‹–—†‡•–‘™ƒ”†•‡š‡”…‹•‡‹’ƒ–‹‡–•™‹–Š…Š”‘‹…†‹•‡ƒ•‡ǣ–Š‡‹ˆŽ—‡…‡  ͹ǣͻ  ͸ȂͳͲͲǤ ‘ˆ…‘‘”„‹†ˆƒ…–‘”•‘‘–‹˜ƒ–‹‘ƒ†ƒ„‹Ž‹–›–‘‡š‡”…‹•‡Ǥ‘•–‰”ƒ†‡† ʹͲͳͳǢͺ ʹ  ʹ —›‡—‰ǡ™‘ǡ‡‡ ǡ‡—‰ǡ‡—‰ ǡ‘‘ ǣ —…–‹‘ƒŽ†‡…Ž‹‡‹…‘‰‹–‹˜‡‹’ƒ‹”‡–Ȃ–Š‡”‡ŽƒǦ  ͳǣͳ  ͸͹Ȃͳ͹͵Ǥ –‹‘•Š‹’„‡–™‡‡’Š›•‹…ƒŽƒ†…‘‰‹–‹˜‡ˆ—…–‹‘Ǥ‡—”‘‡’‹†‡‹‘Ž‘‰›ʹͲͲͺǢ͵ ʹ  ͵ Žƒ…‡” ǡ ‡‡ ǡ —œ‹ƒ•› ǡ ƒ”–‹ ǡ ƒœ‹ ǡ …”†Ž‡

ǡ ‘•• ǡ Ž„‡”– ǣ ‡—”‘’•›…Š‘Ž‘‰‹…ƒŽ  Ͷǣͺ  ͸ʹȂͺ͹ͳǤ ‡ƒ•—”‡•‹‘”ƒŽ‹†‹˜‹†—ƒŽ•–Šƒ–’”‡†‹…–•—„•‡“—‡–…‘‰‹–‹˜‡†‡…Ž‹‡Ǥ”…Š‡—”‘ŽʹͲͲ͹Ǣ͸ ʹ  Ͷ ‘‘‰Š—‡ǡ‘”‰ƒ ǡƒ˜˜ƒ ǡ”‘‹ǡǯ‡‰ƒǡ‡›ǣ••‘…‹ƒ–‹‘„‡–™‡‡–‹‡†—’Ǧƒ†Ǧ‰‘  Ͳǣͳ  ͸ͺͳȂͳ͸ͺ͸Ǥ ƒ†‡‘”›ǡ‡š‡…—–‹˜‡ˆ—…–‹‘ǡƒ†’”‘…‡••‹‰•’‡‡†Ǥ  ‡”‹ƒ–”‘…ʹͲͳʹǢ͸ ʹ  ͷ •— ǡ ƒ‰ƒƒ–•— ǡ ƒ˜‹• ǡ ‹—Ǧ„”‘•‡ ǣ šƒ‹‹‰ –Š‡ ”‡Žƒ–‹‘•Š‹’ „‡–™‡‡ •’‡…‹ˆ‹… …‘‰‹–‹˜‡  ͵ǣʹ  ͶͲͻȂʹͶʹͶǤ ’”‘…‡••‡•ƒ†ˆƒŽŽ•”‹•‹‘Ž†‡”ƒ†—Ž–•ǣƒ•›•–‡ƒ–‹…”‡˜‹‡™Ǥ•–‡‘’‘”‘• –ʹͲͳʹǢʹ ʹ  ͸ ‘Š•‘ ǡ—‹ǡƒˆˆ‡ǣš‡…—–‹˜‡ˆ—…–‹‘ǡ‘”‡–Šƒ‰Ž‘„ƒŽ…‘‰‹–‹‘ǡ’”‡†‹…–•ˆ—…–‹‘ƒŽ†‡…Ž‹‡ƒ†  ʹǣͳ  ͳ͵ͶȂͳͳͶͳǤ ‘”–ƒŽ‹–›‹‡Ž†‡”Ž›™‘‡Ǥ  ‡”‘–‘Ž‹‘Ž…‹‡†…‹ʹͲͲ͹Ǣ͸ ʹ  ͹ ‡‡ ǦǡŠ‹”‘ƒ ǡ‘„‡Ž‘ ǡ—•ƒǡŽƒ‹”ǡƒ–œƒ”œ›ǣˆˆ‡…–‘ˆ’Š›•‹…ƒŽ‹ƒ…–‹˜‹–›‘ƒŒ‘”‘Ǧ  ͺͲǣ …‘—‹…ƒ„Ž‡†‹•‡ƒ•‡•™‘”Ž†™‹†‡ǣƒƒƒŽ›•‹•‘ˆ„—”†‡‘ˆ†‹•‡ƒ•‡ƒ†Ž‹ˆ‡‡š’‡…–ƒ…›Ǥƒ…‡–ʹͲͳʹǢ͵ ʹ  ͳͻȂʹʹͻǤ ʹ  ͺ … ‘—‰Šǡ‡ŽŽ›ǡ‘‰•†‘ ǡ…—””›ǡ‘…Š”ƒ‡ǡ‰‡Ž ǡ‡”‹ǡ‹—Ǧ„”‘•‡ǣ••‘…‹ƒ–‹‘• „‡–™‡‡’Š›•‹…ƒŽ’‡”ˆ‘”ƒ…‡ƒ†‡š‡…—–‹˜‡ˆ—…–‹‘‹‘Ž†‡”ƒ†—Ž–•™‹–Š‹Ž†…‘‰‹–‹˜‡‹’ƒ‹”‡–ǣ‰ƒ‹–  ͳǣͳ  ͳͻͺȂͳʹͳͲǤ •’‡‡†ƒ†–Š‡–‹‡†Ǯ—’Ƭ‰‘ǯ–‡•–ǤŠ›•Š‡”ʹͲͳͳǢͻ ʹ  ͻ —‹”ǡ ‘’ƒ—Žǡ‘–‡”‘†ƒ••‘ǣŠ‡”‘Ž‡‘ˆ…‘‰‹–‹˜‡‹’ƒ‹”‡–‹ˆƒŽŽ”‹•ƒ‘‰‘Ž†‡”ƒ†—Ž–•ǣƒ  ͳǣʹ  ͻͻȂ͵ͲͺǤ •›•–‡ƒ–‹…”‡˜‹‡™ƒ†‡–ƒǦƒƒŽ›•‹•Ǥ‰‡‰‡‹‰ʹͲͳʹǢͶ ͵  Ͳ ‡”•ƒ†ǡ ‘‡• ǡ•Š–‘Ǧ‹ŽŽ‡” ǡŽ‡šƒ†‡”ǡ ‹‘”†ƒ‹ǣš‡…—–‹˜‡ˆ—…–‹‘ƒ†‰ƒ‹–‹‘Ž†‡”ƒ†—Ž–•  ͵ǣͳ͵ͷͲȂͳ͵ͷͷǤ ™‹–Š…‘‰‹–‹˜‡‹’ƒ‹”‡–Ǥ  ‡”‘–‘Ž‹‘Ž…‹‡†…‹ʹͲͲͺǢ͸ ͵  ͳ ‡––‡”••‘  ǣ …–‹˜‹–› Ž‡˜‡Ž ƒ† „ƒŽƒ…‡ ‹ •—„Œ‡…–• ™‹–Š ‹Ž† ŽœŠ‡‹‡”ǯ• †‹•‡ƒ•‡Ǥ ‡‡– ‡”‹ƒ–” ‘‰  ͵ǣʹ  ͳ͵Ȃʹͳ͸Ǥ ‹•‘”†ʹͲͲʹǢͳ ͵  ʹ ‡––‡”••‘ ǡŽ••‘ǡƒŠŽ—†ǣ‘–‘”ˆ—…–‹‘‹•—„Œ‡…–•™‹–Š‹Ž†…‘‰‹–‹˜‡‹’ƒ‹”‡–ƒ†‡ƒ”Ž›  ͻǣʹ  ͻͻȂ͵ͲͶǤ ŽœŠ‡‹‡”ǯ•†‹•‡ƒ•‡Ǥ‡‡– ‡”‹ƒ–”‘‰‹•‘”†ʹͲͲͷǢͳ ͵  ͵ ƒ‰‡

ǡ‰‡†ƒŽǡ‡”‰Žƒ†ǡ‘‰‡”ǡ‡‰•Š‘‡Žǣ‡Žƒ–‹‘•Š‹’•„‡–™‡‡„ƒŽƒ…‡ƒ†…‘‰‹–‹‘‹ ’ƒ–‹‡–•™‹–Š•—„Œ‡…–‹˜‡…‘‰‹–‹˜‡‹’ƒ‹”‡–ǡ‹Ž†…‘‰‹–‹˜‡‹’ƒ‹”‡–ǡƒ†ŽœŠ‡‹‡”†‹•‡ƒ•‡ǤŠ›•Š‡”  Ͷǣͳ  ͳʹ͵Ȃͳͳ͵ͶǤ ʹͲͳͶǢͻ ͵  Ͷ ƒƒ–ƒ ǡ •ƒ‹ ǡ ‘Š ǡ ‹—”ƒ ǡ ‘•Š‹–ƒ‡ ǡ ‘‘‹ ǡ ™ƒ‘ ǡ ƒ‰‹›ƒƒ ǡ ‘•Š‹†ƒ ǡ ƒƒ‹…Š‹ ǡ ƒƒ•ƒ‹ǡ‘”‹•—ǡ‘›‘•Š‹ƒǡƒ‡Šƒ”ƒǣŠ›•‹…ƒŽˆ‹–‡••ƒ†…‘‰‹–‹˜‡ˆ—…–‹‘‹ƒͺͷǦ›‡ƒ”Ǧ‘Ž†  Ͷǣ͵  ͷͶȂ͵͸ͲǤ …‘—‹–›Ǧ†™‡ŽŽ‹‰’‘’—Žƒ–‹‘Ǥ ‡”‘–‘Ž‘‰›ʹͲͲͺǢͷ ͵  ͷ ŠŽ•‘‰ ǡ ‡†ƒǡ ”ƒˆˆǦƒ†ˆ‘”†ǡ‡–‡”•‡ǣŠ›•‹…ƒŽ‡š‡”…‹•‡ƒ•ƒ’”‡˜‡–‹˜‡‘”†‹•‡ƒ•‡Ǧ‘†‹ˆ›‹‰  ͸ǣͺ  ͹͸ȂͺͺͶǤ –”‡ƒ–‡–‘ˆ†‡‡–‹ƒƒ†„”ƒ‹ƒ‰‹‰Ǥƒ›‘Ž‹”‘…ʹͲͳͳǢͺ ͵  ͸ ”‡–– ǡ ƒ‹–› ǡ ‰”ƒ™ƒŽ ǡ ”‡•• ǣ ‡”‘„‹… ”‡•‡”˜‡ ƒ† ’Š›•‹…ƒŽ ˆ—…–‹‘ƒŽ ’‡”ˆ‘”ƒ…‡ ‹ ‘Ž†‡”  ͹ǣ͵  ͺͶȂ͵ͺͻǤ ƒ†—Ž–•Ǥ‰‡‰‡‹‰ʹͲͲͺǢ͵ ͵  ͹ ƒ—•†‘”ˆˆ ǡ—…ŠƒǣŠƒ–Ž‹•‰ƒ‹–•’‡‡†ƒ†…‹™‹–Š†‡‡–‹ƒǫˆ”‡•ŠŽ‘‘ƒ––Š‡ƒ••‘…‹ƒ–‹‘  ͺǣͶ  ͲͻȂͶͳͳǤ „‡–™‡‡‘–‘”ƒ†…‘‰‹–‹˜‡ˆ—…–‹‘Ǥ  ‡”‘–‘Ž‹‘Ž…‹‡†…‹ʹͲͳ͵Ǣ͸ ͵  ͺ ƒ—”‹ǡ‡””‡ƒ—Ž–ǡ‹†•ƒ› ǡƒ…Š‡”•‘ǡ‘…™‘‘†ǣŠ›•‹…ƒŽƒ…–‹˜‹–›ƒ†”‹•‘ˆ…‘‰‹–‹˜‡‹’ƒ‹”‡–  ͺǣͶ  ͻͺȂͷͲͶǤ ƒ††‡‡–‹ƒ‹‡Ž†‡”Ž›’‡”•‘•Ǥ”…Š‡—”‘ŽʹͲͲͳǢͷ ͵  ͻ ‹–Š ǡŽ—‡–ŠƒŽ ǡ‘ˆˆƒǡ‘‘’‡”ǡ–”ƒ—ƒǡ‡Ž•ŠǦ‘Š‡”ǡ”‘™†›‡ ǡŠ‡”™‘‘†ǣ ‡”‘„‹…‡š‡”…‹•‡ƒ†‡—”‘…‘‰‹–‹˜‡’‡”ˆ‘”ƒ…‡ǣ‡–ƒǦƒƒŽ›–‹…”‡˜‹‡™‘ˆ”ƒ†‘‹œ‡†…‘–”‘ŽŽ‡†–”‹ƒŽ•Ǥ  ʹǣʹ  ͵ͻȂʹͷʹǤ •›…Š‘•‘‡†ʹͲͳͲǢ͹ Ͷ  Ͳ ‘ˆ‹ ǡƒŽ‡……Š‹ǡƒ……‹ǡ„„ƒ–‡ǡ ‡•‹‹ ǡƒ•‹‹ǡƒ……Š‹ǣŠ›•‹…ƒŽƒ…–‹˜‹–›ƒ†”‹•‘ˆ…‘‰‹–‹˜‡  ͸ͻǣͳ  Ͳ͹Ȃͳͳ͹Ǥ †‡…Ž‹‡ǣƒ‡–ƒǦƒƒŽ›•‹•‘ˆ’”‘•’‡…–‹˜‡•–—†‹‡•Ǥ  –‡”‡†ʹͲͳͳǢʹ Ͷ  ͳ ƒ–•‘ǡ‘•ƒ‘ǡ‘—†”‡ƒ—ǡ‹‘•‹…ǡ ‡””—……‹ǡ—––‘Ǧ›””‡ŽŽǡƒ”†›ǡ–‹•‘ǡƒˆˆ‡ ǡ ƒ––‡”ˆ‹‡Ž† ǡ ƒ””‹• ǡ ‡™ƒ ǣ š‡…—–‹˜‡ ˆ—…–‹‘ǡ ‡‘”›ǡ ƒ† ‰ƒ‹– •’‡‡† †‡…Ž‹‡ ‹ ™‡ŽŽǦˆ—…Ǧ  ͷǣͳͲͻ͵ȂͳͳͲͲǤ –‹‘‹‰‘Ž†‡”ƒ†—Ž–•Ǥ  ‡”‘–‘Ž‹‘Ž…‹‡†…‹ʹͲͳͲǢ͸ Ͷ  ʹ Š‘†œ‘ǦƒŒ‘ ǡ”‘…–‘”ǡ ‹ƒ–ƒ”‘‡‹‰Šǡ‹•‘ǡ‹‰‰ǡƒŽ‡

ǡ‹‡” ǣš‡”…‹•‡ƒ†  ͳǣͳ  ͷͳͲȂͳͷ͵ͲǤ ’Š›•‹…ƒŽƒ…–‹˜‹–›ˆ‘”‘Ž†‡”ƒ†—Ž–•Ǥ‡†…‹’‘”–•š‡”…ʹͲͲͻǢͶ Ͷ  ͵ •Š‘‘”ǡƒ‹†ǡ—ǡ‰ǣ‹Ž†…‘‰‹–‹˜‡‹’ƒ‹”‡–ƒ†‹–•ƒƒ‰‡‡–‹‘Ž†‡”’‡‘’Ž‡ǤŽ‹  Ͳǣ͸  ͺ͹Ȃ͸ͻ͵Ǥ –‡”˜‰‹‰ʹͲͳͷǢͳ Ͷ  Ͷ Š‘†œ‘ǦƒŒ‘  ǡ ”‘…–‘” ǡ ‹ƒ–ƒ”‘‡ ‹‰Š ǡ ‹•‘ ǡ ‹‰‰ ǡ ƒŽ‡

ǡ ‹‡” ǣ ‡”‹…ƒ ‘ŽŽ‡‰‡‘ˆ’‘”–•‡†‹…‹‡’‘•‹–‹‘•–ƒ†Ǥš‡”…‹•‡ƒ†’Š›•‹…ƒŽƒ…–‹˜‹–›ˆ‘”‘Ž†‡”ƒ†—Ž–•Ǥ‡†…‹’‘”–•š‡”…  ͳǣͳ  ͷͳͲȂͳͷ͵ͲǤ ʹͲͲͻǢͶ 







































































































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Dement Geriatr Cogn Disord Extra 2016;6:396–406 © 2016 The Author(s). Published by S. Karger AG, Basel www.karger.com/dee

DOI: 10.1159/000447534

Hesseberg et al.: Physical Fitness in Older People Recently Diagnosed with Cognitive Impairment Compared to Older People Recently Discharged from Hospital

Ͷ  ͷ ‹––„”ƒ†ǡ–‡˜ƒŽŽǡ‘•‡†ƒŠŽǣ’’Ž‹…ƒ„‹Ž‹–›ƒ†‡ˆˆ‡…–•‘ˆ’Š›•‹…ƒŽ‡š‡”…‹•‡‘’Š›•‹…ƒŽƒ†…‘‰‹–‹˜‡ ˆ—…–‹‘•ƒ†ƒ…–‹˜‹–‹‡•‘ˆ†ƒ‹Ž›Ž‹˜‹‰ƒ‘‰’‡‘’Ž‡™‹–Š†‡‡–‹ƒǣƒ•›•–‡ƒ–‹…”‡˜‹‡™Ǥ Š›•‡†‡Šƒ„ ʹͲͳͳǢͻ  ͲǣͶ  ͻͷȂͷͳͺǤ Ͷ  ͸ ‰ƒ†—ǡ‡Š–‹•ƒŽ‘ ǡ‘Ž‘‘ǡ‡˜ƒŽƒŠ–‹ǡŠ–‹Ž—‘–‘ǡ–‹ƒ‹‡ǡƒ…ƒǡƒ‹‡ǡ —Žƒǡƒƒ–‹Ǧ ƒ‹‡ǡ‹†•–”‘ ǡƒ‰‹ƒŽƒ•…Š‡ ǡƒƒŒƒ‡ǡƒŒƒŽƒǡ‡Ž–‘‡ǡƒ—”ƒƒƒǡ–‹‰•†‘––‡”Ǧ‡‡Ž›ǡ –”ƒ†„‡”‰ ǡ —‘‹Ž‡Š–‘ ǡ ‘‹‹‡ ǡ ‹˜‹’‡Ž–‘ ǣ  ʹ ›‡ƒ” —Ž–‹†‘ƒ‹ ‹–‡”˜‡–‹‘ ‘ˆ †‹‡–ǡ ‡š‡”…‹•‡ǡ …‘‰‹–‹˜‡–”ƒ‹‹‰ǡƒ†˜ƒ•…—Žƒ””‹•‘‹–‘”‹‰˜‡”•—•…‘–”‘Ž–‘’”‡˜‡–…‘‰‹–‹˜‡†‡…Ž‹‡‹ƒ–Ǧ”‹•‡Ž†‡”Ž›  ͺͷǣʹ  ʹͷͷȂʹʹ͸͵Ǥ ’‡‘’Ž‡ȋ  Ȍǣƒ”ƒ†‘‹•‡†…‘–”‘ŽŽ‡†–”‹ƒŽǤƒ…‡–ʹͲͳͷǢ͵ Ͷ  ͹ ”ƒ‡Š—•ǡŽ•–‡‹ ǡ›ŽŽ‡”ǡ‰‡†ƒŽǣŠ‡‡‘”›…Ž‹‹…Ȃ‘—–’ƒ–‹‡–ƒ••‡••‡–™Š‡†‡‡–‹ƒ‹•  ͵ͳǣʹ  ʹͷͶȂʹʹͷ͹Ǥ •—•’‡…–‡†Ǥ‹†••”‹ˆ– ‘”‡‘”•‡§‰‡ˆ‘”‡‹‰ʹͲͳͳǢͳ Ͷ  ͺ ‡••‡„‡”‰ǡ‡–œ‡ǡƒŠ‘ˆˆǡ‰‡†ƒŽǡ‡”‰Žƒ†ǣ‹•ƒ„‹Ž‹–›‹‹•–”—‡–ƒŽƒ…–‹˜‹–‹‡•‘ˆ†ƒ‹Ž›Ž‹˜‹‰ ‹ ‡Ž†‡”Ž› ’ƒ–‹‡–• ™‹–Š ‹Ž† …‘‰‹–‹˜‡ ‹’ƒ‹”‡– ƒ† ŽœŠ‡‹‡”ǯ• †‹•‡ƒ•‡Ǥ ‡‡– ‡”‹ƒ–” ‘‰ ‹•‘”†  ͸ǣͳ  Ͷ͸Ȃͳͷ͵Ǥ ʹͲͳ͵Ǣ͵ Ͷ  ͻ ‹„Žƒ†ǡƒŽ‡”ǡ‹˜‹’‡Ž–‘ǡ ‡Ž‹…ǡ ”ƒ–‹‰Ž‹‘‹ǡƒŠŽ—†ǡ‘”†„‡”‰ǡƒ…ƒǡŽ„‡”–ǡŽ˜‹•– ǡ”ƒ‹ǡƒ•—ǡŽ‡‘™ǡ‡‡‘ǡ‡ƒ”Ž‹ǡ”‹Œ—––‹ǡ ‹ƒ…‘„‹‹ǡ ”ƒˆˆǡƒ”†› ǡ ƒ…ǡ ‘” ǡ‹–…Š‹‡ǡƒ—‹Œǡ‹••‡”ǡ‡–‡”•‡ǣ‹Ž†…‘‰‹–‹˜‡‹’ƒ‹”‡–Ȃ„‡›‘†…‘–”‘˜‡”•‹‡•ǡ–‘™ƒ”†•ƒ  ͷ͸ǣ …‘•‡•—•ǣ”‡’‘”–‘ˆ–Š‡‹–‡”ƒ–‹‘ƒŽ™‘”‹‰‰”‘—’‘‹Ž†…‘‰‹–‹˜‡‹’ƒ‹”‡–Ǥ  –‡”‡†ʹͲͲͶǢʹ ʹ  ͶͲȂʹͶ͸Ǥ ͷ  Ͳ ‘Ž•–‡‹ ǡ ‘Ž•–‡‹ǡ…—‰ŠǣǮ‹‹Ǧ‡–ƒŽ•–ƒ–‡ǯǣƒ’”ƒ…–‹…ƒŽ‡–Š‘†ˆ‘”‰”ƒ†‹‰–Š‡…‘‰‹–‹˜‡•–ƒ–‡‘ˆ  ʹǣͳ  ͺͻȂͳͻͺǤ ’ƒ–‹‡–•ˆ‘”–Š‡…Ž‹‹…‹ƒǤ •›…Š‹ƒ–”‡•ͳͻ͹ͷǢͳ ͷ  ͳ ‹”‡œœ‘ ǡ Šƒ††‡ ǡ ƒ›„‘ ǡ ‘™‡”• ǣ š‡”…‹•‡ ‹–‡”˜‡–‹‘ †‡•‹‰‡† –‘ ‹’”‘˜‡ •–”‡‰–Š ƒ†  ͵ǣͳ  ͻͺȂʹͲͻǤ †›ƒ‹…„ƒŽƒ…‡ƒ‘‰…‘—‹–›Ǧ†™‡ŽŽ‹‰‘Ž†‡”ƒ†—Ž–•Ǥ ‰‹‰Š›•…–ʹͲͲͷǢͳ  ͳǣ ͷ  ʹ ‘”ƒƒǡ‹Ž†‹”‹ǣŠ‡ˆƒŽŽ‹‰”‹•ƒ†’Š›•‹…ƒŽˆ‹–‡••‹‘Ž†‡”’‡‘’Ž‡Ǥ”…Š ‡”‘–‘Ž ‡”‹ƒ–”ʹͲͳͲǢͷ ʹ  ʹʹȂʹʹ͸Ǥ ͷ  ͵ ‡••‡„‡”‰ǡ‡–œ‡ǡ‡”‰Žƒ†ǣ‡Ž‹ƒ„‹Ž‹–›‘ˆ–Š‡‡‹‘”ˆ‹–‡••–‡•–‹…‘—‹–›Ǧ†™‡ŽŽ‹‰‘Ž†‡”’‡‘’Ž‡  Ͳǣ͵  ͹ȂͶͶǤ ™‹–Š…‘‰‹–‹˜‡‹’ƒ‹”‡–ǤŠ›•‹‘–Š‡”‡• –ʹͲͳͷǢʹ  ͷǣͷ  ͶͺȂͷ͸ͳǤ ͷ  Ͷ Š—Žƒ ǣŽ‘…Ǧ†”ƒ™‹‰ǣ‹•‹––Š‡‹†‡ƒŽ…‘‰‹–‹˜‡•…”‡‡‹‰–‡•–ǫ –  ‡”‹ƒ–”•›…Š‹ƒ–”›ʹͲͲͲǢͳ ͷ  ͷ –”ƒ—••ǡŠ‡”ƒǡ’”‡‡ǣ‘’‡†‹—‘ˆ‡—”‘’•›…Š‘Ž‘‰‹…ƒŽ‡•–•ǣ†‹‹•–”ƒ–‹‘ǡ‘”•ǡƒ† ‘‡–ƒ”›Ǥšˆ‘”†ǡšˆ‘”†‹˜‡”•‹–›”‡••ǡʹͲͲ͸Ǥ ͷ  ͸ ‡‹–ƒǡ‘Žˆ•‘ǣŠ‡ƒŽ•–‡ƒ†Ǧ‡‹–ƒ‡—”‘’•›…Š‘Ž‘‰‹…ƒŽ‡•–ƒ––‡”›ǣŠ‡‘”›ƒ†Ž‹‹…ƒŽ –‡”’”‡Ǧ –ƒ–‹‘Ǥ—…•‘ǡ‡—”‘’•›…Š‘Ž‘‰›”‡••ǡͳͻͻ͵Ǥ ͷ  ͹ ‡Ž•Šǡ—––‡”•ǡ‘Š•ǡ‡‡Ž›ǡ†Žƒ†ǡ ‹ŽŽ‡„ƒ— ǡ‡›ƒǣŠ‡‘•‘”–‹—–‘•–ƒ„Ž‹•Šƒ ‡‰‹•–”›ˆ‘”ŽœŠ‡‹‡”ǯ•‹•‡ƒ•‡ȋȌǤǤ‘”ƒ–‹˜‡•–—†›‘ˆ–Š‡‡—”‘’•›…Š‘Ž‘‰‹…ƒŽ„ƒ––‡”›Ǥ‡—”‘Ž‘‰›  Ͷǣ͸  ͲͻȂ͸ͳͶǤ ͳͻͻͶǢͶ ͷ  ͺ ‰‰ƒ”™ƒŽǡ‹Ž•‘ǡ‡…ǡ‹‡‹ƒ• ǡ‡‡––ǣ‘–‘”†›•ˆ—…–‹‘‹‹Ž†…‘‰‹–‹˜‡‹’ƒ‹”‡–ƒ†  ͵ǣͳ  ͹͸͵Ȃͳ͹͸ͻǤ –Š‡”‹•‘ˆ‹…‹†‡–ŽœŠ‡‹‡”†‹•‡ƒ•‡Ǥ”…Š‡—”‘ŽʹͲͲ͸Ǣ͸ ͷ  ͻ Žƒ‡˜‘‘”– ǡ˜ƒ‡—˜‡Ž‡ ǡ‘‡”•ƒ ǡ—‹‰ǡ†‡ ‘‰ ǡ…Š‡”†‡” ǣ‡˜‹‡™‘ˆ‡ˆˆ‡…–•‘ˆ’Š›•‹…ƒŽ ƒ…–‹˜‹–›‘•–”‡‰–Šǡ„ƒŽƒ…‡ǡ‘„‹Ž‹–›ƒ†’‡”ˆ‘”ƒ…‡‹‡Ž†‡”Ž›•—„Œ‡…–•™‹–Š†‡‡–‹ƒǤ‡‡– ‡”‹ƒ–”  Ͳǣ͵  ͻʹȂͶͲʹǤ ‘‰‹•‘”†ʹͲͳͲǢ͵ ͸  Ͳ ‘›Ž‡ǡ—…Šƒǡ‹Ž•‘ǡ‡—”‰ƒ•ǡ‡‡––ǣ••‘…‹ƒ–‹‘‘ˆ—•…Ž‡•–”‡‰–Š™‹–Š–Š‡”‹•‘ˆ ŽœŠ‡‹‡”†‹•‡ƒ•‡ƒ†–Š‡”ƒ–‡‘ˆ…‘‰‹–‹˜‡†‡…Ž‹‡‹…‘—‹–›Ǧ†™‡ŽŽ‹‰‘Ž†‡”’‡”•‘•Ǥ”…Š‡—”‘ŽʹͲͲͻǢ ͸  ͸ǣͳ  ͵͵ͻȂͳ͵ͶͶǤ ͸  ͳ ”‘™ǡ…‘””‹•ǡ‘‰ƒǡ‡‹‰Šǡ‹ŽŽǡ ”‹‡†‡”‡‹…Šǡ‘—Ž‹ ǣˆˆ‡…–•‘ˆ…ƒ”†‹‘”‡•’‹Ǧ  ͳǣ ”ƒ–‘”› ˆ‹–‡•• ƒ† …‡”‡„”ƒŽ „Ž‘‘† ˆŽ‘™ ‘ …‘‰‹–‹˜‡ ‘—–…‘‡• ‹ ‘Ž†‡” ™‘‡Ǥ ‡—”‘„‹‘Ž ‰‹‰ ʹͲͳͲǢ͵ ʹ  ͲͶ͹ȂʹͲͷ͹Ǥ ͸  ʹ —”• ǡ”‘ǡ†‡”•‘ǡ‘‡ŽŽ› ǡŠ‘ƒ• ǡƒ”•Šƒǡ”‘‘•ǡ™‡”†Ž‘™ǣƒ”†‹‘”‡Ǧ  ͳǣʹ  ͳͲȂʹͳ͸Ǥ •’‹”ƒ–‘”›ˆ‹–‡••ƒ†„”ƒ‹ƒ–”‘’Š›‹‡ƒ”Ž›ŽœŠ‡‹‡”†‹•‡ƒ•‡Ǥ‡—”‘Ž‘‰›ʹͲͲͺǢ͹ ͸  ͵ ‡•Žƒ†‡•ǡ‘”ƒ‡•ǡ ‡””‡‹”ƒǡ‡‹‰ƒǡ‹Ž˜‡‹”ƒǡ‘—–ƒǡ‘’‡— ǡ‘—–‹Š‘ ǡƒ• ǣš‡”…‹•‡  ͻǣͳ  ͻͳȂͳͻͺǤ ƒ†‡–ƒŽŠ‡ƒŽ–Šǣƒ›”‡ƒ•‘•–‘‘˜‡Ǥ‡—”‘’•›…Š‘„‹‘Ž‘‰›ʹͲͲͻǢͷ ͸  Ͷ ‘”„‡•ǡ ‘”„‡•ǡŽƒ‡ǡŠ‹‡••‡ ǡ ‘”„‡•ǣš‡”…‹•‡’”‘‰”ƒ•ˆ‘”’‡‘’Ž‡™‹–Š†‡‡–‹ƒǤ‘…Š”ƒ‡  ǣͲͲ͸ͶͺͻǤ ƒ–ƒ„ƒ•‡›•–‡˜ʹͲͳͷǢͶ  Ͳǣ ͸  ͷ ‘‰ƒǣŠ›•‹…ƒŽƒ†…‘‰‹–‹˜‡ƒ…–‹˜‹–›ƒ†‡š‡”…‹•‡ˆ‘”‘Ž†‡”ƒ†—Ž–•ǣƒ”‡˜‹‡™Ǥ – ‰‹‰—‡˜ʹͲͲͷǢ͸ ͻ  ͷȂͳʹ͸Ǥ ͸  ͸ ƒ‹œƒ‘ ǡ Š‹ƒ†ƒ ǡ ‘‹ ǡ ƒ” ǡ ‘•Š‹†ƒ ǡ —œ—‹ ǣ ‹šǦ‹—–‡ ™ƒŽ‹‰ †‹•–ƒ…‡ …‘””‡Žƒ–‡† ™‹–Š ‡‘”›ƒ†„”ƒ‹˜‘Ž—‡‹‘Ž†‡”ƒ†—Ž–•™‹–Š‹Ž†…‘‰‹–‹˜‡‹’ƒ‹”‡–ǣƒ˜‘š‡ŽǦ„ƒ•‡†‘”’Š‘‡–”›•–—†›Ǥ  ǣʹ  ʹ͵Ȃʹ͵ʹǤ ‡‡– ‡”‹ƒ–”‘‰‹•‘”†š–”ƒʹͲͳ͵Ǣ͵ ͸  ͹ ƒ”ǡƒ‡ǣ…‘’ƒ”‹•‘‘ˆˆ—…–‹‘ƒŽˆ‹–‡••ƒ†™ƒŽ‹‰•’‡‡†™‹–Š…‘‰‹–‹˜‡ˆ—…–‹‘‘ˆˆƒ…‹Ž‹–›Ǧ†™‡ŽŽ‹‰  Ͷǣ͹  ͵Ȃ͹͸Ǥ ‡Ž†‡”Ž›™‘‡ǣƒ…”‘••Ǧ•‡…–‹‘ƒŽ•–—†›Ǥ Š›•Š‡”…‹ʹͲͳʹǢʹ ͸  ͺ ‘Ž‡”•ǡ…Š‡”†‡” ǣŠ›•‹…ƒŽ’‡”ˆ‘”ƒ…‡‹•ƒ••‘…‹ƒ–‡†™‹–Š™‘”‹‰‡‘”›‹‘Ž†‡”’‡‘’Ž‡™‹–Š‹Ž†  ͲͳͶǣͳ  ȂͳͲǤ –‘•‡˜‡”‡…‘‰‹–‹˜‡‹’ƒ‹”‡–Ǥ‹‘‡†‡• –ʹͲͳͶǢʹ ͸  ͻ ‰‰‡”‘–ǡ‹Ž„‡”‰ǡ‹’•‹–œǡ…Š‡”†‡” ǡ‡˜‡‹ŽŽ‡ ǣŠ›•‹…ƒŽƒ…–‹˜‹–›ƒ†‡š‡…—–‹˜‡ˆ—…–‹‘‹  ͹ǣͳ  ͹ͷͲȂͳ͹ͷ͸Ǥ ƒ‰‹‰ǣŠ‡‘„‹Ž‹œ‡‘•–‘–—†›Ǥ  ‡”‹ƒ–”‘…ʹͲͲͻǢͷ ͹  Ͳ ‡–œ ǡ ™‘Žƒ–œ› ǡ ‹‡” ǡ ”‰‘˜ ǡ ‰‘ ǣ ‡”‘„‹… ˆ‹–‡•• ƒ† —Ž–‹†‘ƒ‹ …‘‰‹–‹˜‡ ˆ—…–‹‘ ‹  ͵ǣͳ  ͳͶȂͳʹͶǤ ƒ†˜ƒ…‡†ƒ‰‡Ǥ –•›…Š‘‰‡”‹ƒ–”ʹͲͳͳǢʹ 





























































































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Dement Geriatr Cogn Disord Extra 2016;6:396–406 © 2016 The Author(s). Published by S. Karger AG, Basel www.karger.com/dee

DOI: 10.1159/000447534

Hesseberg et al.: Physical Fitness in Older People Recently Diagnosed with Cognitive Impairment Compared to Older People Recently Discharged from Hospital

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