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Table 5 Summary of characteristics and results of eight included exercise interventions, reported in seven studies (for further detail see Additional file 2)

From: Effectiveness of interventions to indirectly support food and drink intake in people with dementia: Eating and Drinking Well IN dementiA (EDWINA) systematic review

Study Design Setting, intervention details No. of participants Dementia diagnosed Dementia stage Dementia type Effects on nutrition and/or hydration status Effects on intake of food, drink and/or nutrients Quality effect (including. QoL or meaningful activity) and other outcomes Duration
Chang 2011 [61] Taiwan BA Day care centre.
Exercise (stretching, walking, weight bearing) with encouragement & rewards
29 Yes NR NR NR NR → Feeding function
↑ Functional status
4 months
Dechamps 2010 [62] Adapted Tai Chi
France
RCT (3 arms) Nursing Homes & Long term care home.
Adapted tai chi
I = 51
C = 60
NR NR AD & others NR NR ↑ Feeding independence
→ MMSE
6 months
Dechamps 2010 [62] Cognition action France RCT (3 arms) Nursing Homes & Long term care home.
Cognition action
I = 49
C = 60
NR NR AD & others NR NR ↑ Feeding independence
→ MMSE
6 months
FICSIT trial (Fiatarone 1994) [63, 9193] USA RCT (4 arms) Nursing home (long term rehabilitation centre).
High-intensity exercise ± ONS vs placebo activities ± ONS
Ex ± ONS 50
Control ± ONS 50
NR NR NR → Weight
→ Thigh muscle area
→ Whole body potassium
↑ E-intake
→ Physical activity
↑ Muscle strength & mobility
→ Mortality 10 weeks
FOPANU study [60, 94, 95] Sweden RCT Residential care facilities.
High-intensity exercise program (+/- protein supplement) vs control activity (+/- protein supplement)
I = 83
C = 94
NR NR NR ↓ Weight
↓ ICW
N/A → Mortality
→ Balance
↑ Gait speed, self-paced
→ Gait speed, maximum
↑ Lower limb strength
3 months
Heyn 2003 [64] USA BA Memory care residence.
Multi-sensory exercise program (focused attention, flexibility & aerobic exercise, strength training, relaxation & breathing techniques)
13 Yes Mostly severe AD → Weight NR ? Engagement
? Mood
8 weeks
Moore 2010 [65] USA RCT Nursing home and assisted living facility.
Seated chair exercise with music
I = 43
C = 41
Yes Various Various NR ↑ Quantity of food and fluid intake → Eating ability 3 weeks
Rolland 2007 [66] France RCT Nursing home.
Exercise program including aerobic, strength, flexibility, and balance training, plus walking
I = 67
C = 67
Yes Mild-severe AD → Weight
→ MNA
NR ↑ Functional status 12 months
  1. For abbreviations see below Table 2