Physical activity, cognitive decline, and risk of dementia: 28 year follow-up of Whitehall II cohort study

BMJ 2017;357:j2709

This prospective cohort study aims to test the hypotheses that physical activity in midlife is not associated with a reduced risk of dementia and that the preclinical phase of dementia is characterised by a decline in physical activity.  The study finds no evidence of a neuroprotective effect of physical activity. Previous findings showing a lower risk of dementia in physically active people may be attributable to reverse causation—that is, due to a decline in physical activity levels in the preclinical phase of dementia.

Click here to view the full text article.  This paper is Open Access.

Guided graded exercise self-help plus specialist medical care versus specialist medical care alone for chronic fatigue syndrome (GETSET): a pragmatic randomised controlled trial

The Lancet, 22 June

Graded exercise therapy is an effective and safe treatment for chronic fatigue syndrome, but it is therapist intensive and availability is limited. This study aimed to test the efficacy and safety of graded exercise delivered as guided self-help.  The study finds that GES is a safe intervention that might reduce fatigue and, to a lesser extent, physical disability for patients with chronic fatigue syndrome. These findings need confirmation and extension to other health-care settings.

Click here to view this article.  This article is open-access.

Age & Dementia Friendly Gymnastics Programme: An Evaluation of the British Gymnastics Foundation Pilot

British Gymnastics Foundation, May 2017

This report evaluates the pilot of a gymnastics chair-based exercise programme developed for older people with dementia.  The pilot found that the programme was shown to have a demonstrable benefit in the physical, emotional and cognitive aspects of older people.

Click here to read the report.

Exercise therapy for chronic fatigue syndrome

Cochrane Database of Systematic Reviews, April 2017

The objective of this systematic review was to determine the effects of exercise therapy (ET) for patients with CFS as compared with any other intervention or control.  This review is an update of a previous Cochrane review from 2004, which showed that exercise therapy was a promising treatment for adults with CFS. Since the review, additional studies investigating the effectiveness and safety of exercise therapy for patients with CFS have been published.

Click here to access the review.

Physical inactivity and sedentary behaviour report 2017

British Heart Foundation, April 2017
This report finds that more than 20 million adults in the UK are physically inactive and estimates that this increase risk of heart disease may cost the NHS £1.2 billion annually. The report provides an overview of the levels of physical inactivity and sedentary behaviour in adults across the UK.

Click here to view the report.

Association of “Weekend Warrior” and Other Leisure Time Physical Activity Patterns With Risks for All-Cause, Cardiovascular Disease, and Cancer Mortality

JAMA Internal Medicine, January 9, 2017. doi:10.1001/jamainternmed.2016.8014 

This research investigates the associations of physical activity patterns with mortality.  It aims to investigate associations between people who perform all their exercise in one or two sessions a week or have other physical activity patterns and the risks for all-cause, cardiovascular disease (CVD), and cancer mortality.

Click here to access the full text paper.