Effect of garden on neuropsychiatric symptoms



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Effect of garden on neuropsychiatric symptoms

Being in the open, especially in our home garden, reduces anxiety and stress, stimulates concentration, has beneficial effects on the cardiovascular and respiratory systems. It is not even necessary to leave the house to achieve these positive effects: we can benefit from vegetable gardens, potted plants and even simple photographs of natural landscapes.

In fact, there are many studies that have found physical, psychological and social benefits brought by the presence of nature. Being in the green makes us breathe better, reduces annoying noises, puts us in contact with beneficial microorganisms; the sensory stimulation of vegetation also has positive effects on us.

Furthermore, unlike cities, full of signs, traffic lights and cars, woods, meadows and gardens do not require us to constantly pay attention, facilitating relaxation. To go more specifically, the study: Daily garden use and quality of life in persons with advanced dementia living in a nursing home: A feasibility study, published on the Nursing open, makes an interesting retrospective.

We can read: "To evaluate the process of daily going outside in a nursing home garden and explore the effect of garden use on quality of life and neuropsychiatric symptoms in persons with dementia. A feasibility study with quantitative and qualitative approaches.

Twenty residents with a diagnosis of moderate-to-severe dementia participated. The intervention consisted of at least 30 min of garden use, whereby any activity outside is possible as long as it is person-centered and fitting within usual daily nursing home practice.

Interviews were held with caregivers, and questionnaires were sent to other disciplines involved. Quality of life (QUALIDEM) and neuropsychiatric symptoms (NPI-NH) were collected at baseline, intervention and postintervention.

Caregivers experienced and observed benefits of going outside for themselves, in residents and relatives. Incorporating daily garden use does not imply an additional task, but rather rearranging priorities and doing the usual activities outside a part of the time."

Why is Vitamin D so important?

Vitamin D is a group of fat-soluble pro-hormones consisting of 5 different vitamins: Vitamin D1, D2, D3, D4 and D5. The two most important forms in which vitamin D can be found are vitamin D2 (ergocalciferol) and vitamin D3 (cholecalciferol), both of which have very similar biological activity.

Ergocalciferol (D2) is of vegetable origin, while cholecalciferol (D3), deriving from cholesterol, is synthesized in animal organisms. The main source of vitamin D for the human body is exposure to solar radiation. Vitamin D obtained from sun exposure or through diet is present in a biologically inactive form and must undergo two hydroxylation reactions to be transformed into calcitriol, the biologically active form.

The study: Vitamin D, the natural way, published on the Clinical nutrition ESPEN, explains the importance of vitamin D above all as a natural element. We can read the abstract: "Vitamin D is a fat-soluble vitamin whose main function in the body is the regulation of bone mineral metabolism.

In the last two decades, there has been an intensive research for possible vitamin D benefits in non-skeletal health but as today it still remains unclear. The aim of this article is to review vitamin D metabolism and the natural sources to encourage lifestyle changes to avoid deficiency.

Universal screening for vitamin D deficiency is not warranted and it should only be done in cases with risk factors for vitamin deficiency. Vitamin D is measured in the body by determining 25-hydroxycholecalciferol; values ​​below 20 ng / mL (50 nmol / L) are considered inadequate.

The three sources of vitamin D are the ultraviolet sun radiation, diet and supplementation. The role of vitamin D supplementation out of the osteoporosis treatment and prevention still remain controversial. Healthy sun exposure and diet should be discussed with all patients with vitamin D deficiency and in general population in promoting health.

The skin, through solar radiation, is the main source of vitamin D and provides 90% of the body's needs. Changing lifestyle habits, encouraging a controlled sun exposure and proper vitamin D diet is a preventive strategy that should be applied in our daily practice to prevent osteoporosis and other diseases associated with low vitamin D."