Exercise interventions for dementia and cognitive impairment: the Seattle protocols
Open accessAbstract
Research evidence strongly suggests that increased physical exercise may not only improve physical function in older adults but may also improve mood and slow the progression of cognitive decline. This paper describes a series of evidence-based interventions grounded in social-learning and gerontological theory that were designed to increase physical activity in persons with dementia and mild cognitive impairment. These programs, part of a collective termed the Seattle Protocols, are systematic, evidence-based approaches that are unique 1) in their focus on the importance of making regular exercise a pleasant activity, and 2) in teaching both cognitively impaired participants and their caregivers behavioral and problem-solving strategies for successfully establishing and maintaining realistic and pleasant exercise goals. While additional research is needed, initial findings from randomized controlled clinical trials are quite promising and suggest that the Seattle Protocols are both feasible and beneficial for community-residing individuals with a range of cognitive abilities and impairments.
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Exercise improves physical health and well-being in patients with AD or dementia.
“Exercise has been documented to improve physical health and well-being (33), to reduce behavioral and psychological symptoms of dementia (BPSD) (34–36), and to enhance performance in the activities of daily living (ADL) (37, 38) in patients with AD or dementia.”
From The Multidisciplinary Approach to Alzheimer’s Disease and Dementia. A Narrative Review of Non-Pharmacological Treatment (2018) · cites this paper as [33]
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“Exercise has been documented to improve physical health and well-being (33), to reduce behavioral and psychological symptoms of dementia (BPSD) (34–36), and to enhance performance in the activities of daily living (ADL) (37, 38) in patients with AD or dementia.”
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Self-citation
- Authors
- Teri, L., Logsdon, R. G., & McCurry, S. M.
- Affiliations
- University of Washington (US)
- Corresponding author
- Teri, L.
- Venue
- The Journal of nutrition, health and aging
- Publisher
- Elsevier BV
- Published
- 2008-07
- Volume
- 12
- Issue
- 6
- Pages
- 391-394
- ISSN
- 1279-7707 (ISSN-L)
- PMC
- PMC2518041
- OpenAlex
- W2050973624
- Cited by
- 110
- References
- 22
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 3 · 2023: 9 · 2022: 3 · 2021: 7 · 2020: 8 · 2019: 6 · 2018: 4 · 2017: 8 · 2016: 9 · 2015: 8 · 2014: 9 · 2013: 9 · 2012: 7
- FWCI
- 3.74
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- The journal of nutrition health & aging (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Aging (R01AG010845, R01 AG14777, U01‐AG10483, R01-AG10845, R01AG014777, U01AG010483, P50AG005136)
- National Institute of Mental Health (K01 MH072736, R01MH072736, K01 MH43266, K01MH001644, K01 MH01644)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Cognitive Functions and Memory
- Keywords
- exercise intervention, dementia, mild cognitive impairment, Seattle protocol, physical activity, older adults, social learning theory, gerontological theory, exercise goals, problem-solving strategies, caregiver strategies, community residents, cognitive decline
- MeSH terms
- Aged, Aged, 80 and over, Aging, Clinical Protocols, Cognition Disorders, Dementia, Exercise Therapy, Feasibility Studies, Female, Humans, Interpersonal Relations, Male, Pilot Projects, Problem Solving, Social Behavior, Washington, Geriatric Assessment, Randomized Controlled Trials as Topic
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