{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,13]],"date-time":"2026-11-13T07:24:29Z","timestamp":1794554669405,"version":"4.9.1"},"reference-count":74,"publisher":"Human Kinetics","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:p>\n                    <jats:italic>\n                      <jats:bold>Background\/Objectives<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    Providing care for older adults with dementia generates stress and challenges, impacting quality of life (QoL). Physical activity offers benefits, and the link between physical activity levels (PAL) and these factors during the pandemic can be further explored. This study aimed to examine associations between PAL, stress, burden, and QoL among dementia caregivers during COVID-19.\n                    <jats:italic>\n                      <jats:bold>Methods<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    Eighty-nine caregivers of older adults with mild to moderate dementia participated in the study. The online assessment included a medical history questionnaire, the short version of the International Physical Activity Questionnaire, Zarit Burden Scale, Perceived Stress Scale, and the Alzheimer\u2019s Disease Quality of Life Scale\u2014Caregiver Version. Spearman\u2019s rho was used to examine correlations between PAL and stress, burden, and QoL. A generalized linear model (gamma distribution) analyzed associations between metabolic equivalents per week and stress, burden, and QoL.\n                    <jats:italic>\n                      <jats:bold>Results<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    A negative correlation between metabolic equivalents per week and burden (\u03c1\u2009=\u2009\u2212.26,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u2009.014) indicated that higher PAL was correlated to lower burden. A positive correlation between metabolic equivalents per week and QoL (\u03c1\u2009=\u2009.34,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u2009.001) showed that higher PAL was associated with better QoL. No correlation was found between PAL and stress. However, significant associations were observed between PAL and both burden, \u03c7\n                    <jats:sup>2<\/jats:sup>\n                    (1)\u2009=\u20095.065,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u2009.024, and QoL, \u03c7\n                    <jats:sup>2<\/jats:sup>\n                    (1)\u2009=\u20096.983,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u2009.008.\n                    <jats:italic>\n                      <jats:bold>Conclusions<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    Higher PAL in dementia caregivers is associated with lower burden and better QoL.\n                    <jats:italic>\n                      <jats:bold>Significance\/Implications<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    Promoting physical activity may improve caregivers\u2019 QoL and reduce burden, guiding future research.\n                  <\/jats:p>","DOI":"10.1123\/japa.2024-0304","type":"journal-article","created":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T01:32:36Z","timestamp":1786584756000},"page":"1-10","source":"Crossref","is-referenced-by-count":0,"title":["Physical Activity, Stress, Burden, and Quality of Life of Caregivers of Older Adults With Dementia: A Cross-Sectional Study During the COVID-19 Pandemic"],"prefix":"10.1123","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-5052-2409","authenticated-orcid":true,"given":"Andr\u00e9a Rodrigues de","family":"Amorim Molina","sequence":"first","affiliation":[{"name":"Department of Physiotherapy, Federal University of S\u00e3o Carlos, S\u00e3o Carlos, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9873-3509","authenticated-orcid":true,"given":"Juliana Hotta","family":"Ansai","sequence":"additional","affiliation":[{"name":"Department of Gerontology, Federal University of S\u00e3o Carlos, S\u00e3o Carlos, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9238-5697","authenticated-orcid":true,"given":"D\u00e9cio","family":"Bueno Neto","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, Federal University of S\u00e3o Carlos, S\u00e3o Carlos, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5155-1596","authenticated-orcid":true,"given":"Carolina","family":"Tsen","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, Federal University of S\u00e3o Carlos, S\u00e3o Carlos, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7956-9280","authenticated-orcid":true,"given":"Renata Carolina","family":"Gerassi","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, Federal University of S\u00e3o Carlos, S\u00e3o Carlos, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3054-5290","authenticated-orcid":true,"given":"Maria Jasmine Gomes da","family":"Silva","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, Federal University of S\u00e3o Carlos, S\u00e3o Carlos, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0600-2093","authenticated-orcid":true,"given":"Grace Ang\u00e9lica de Oliveira","family":"Gomes","sequence":"additional","affiliation":[{"name":"Department of Gerontology, Federal University of S\u00e3o Carlos, S\u00e3o Carlos, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8860-5818","authenticated-orcid":true,"given":"Larissa Pires","family":"de Andrade","sequence":"additional","affiliation":[{"name":"Laboratory of Research for the Health of Older Adults, Center for Biological and Health Sciences, Department of Physiotherapy, Federal University of S\u00e3o Carlos, S\u00e3o Carlos, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"100","reference":[{"issue":"1","key":"r1","series-title":"The American Journal of Geriatric Psychiatry,","doi-asserted-by":"publisher","first-page":"27","DOI":"10.1016\/j.jagp.2020.10.009","article-title":"The psychological impact of COVID-19 pandemic and lockdown on caregivers of people with dementia","volume":"29","author":"Altieri, M.","year":"2021","unstructured":"Altieri, M., & Santangelo, G. 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