Regular exercise can benefit both cognitive and physical health for people living with cognitive impairment. In a recent article published in ACSM’s Health & Fitness Journal, Floyd School of Medicine researcher Elizabeth Regan provides practical guidance for making exercise safe, achievable and meaningful. While the article is written for exercise professionals supporting clients with cognitive impairment, these tips are also useful for people living with cognitive impairment and their care partners.
Research suggests that moderate-intensity exercise may support several aspects of brain health, including memory, attention, verbal fluency and problem-solving. Exercise can also help preserve strength, endurance and mobility – abilities that are important for remaining independent.
A well-rounded program generally includes:
- Aerobic activities, such as walking or stationary cycling
- Strength exercises that support everyday movements, such as standing from a chair, climbing steps, pushing, pulling and carrying
- Balance and mobility activities
Although national guidelines recommend working toward 150 minutes of moderate-intensity activity each week, people can experience benefits at lower levels.
Safety and individualization are especially important. Before beginning a program, an exercise or healthcare professional may assess fall risk, mobility, pain, medical considerations and the person’s ability to exercise independently. Some people with mild cognitive impairment may exercise safely on their own, while those with early dementia may benefit from personal training, a supervised group class or exercising alongside a family member or care partner.
Exercise is not a cure for dementia, and needs may change as cognitive or physical abilities change. Regular check-ins with healthcare and exercise professionals can help ensure that the program remains safe and appropriate. When carefully tailored to the individual, exercise can offer an important way to support physical function, confidence, social engagement and quality of life.