Cass Shane P
Sports Medicine, University of New Mexico, Albuquerque, NM.
Curr Sports Med Rep. 2017 Jan/Feb;16(1):19-22. doi: 10.1249/JSR.0000000000000332.
Alzheimer's disease (AD) is a progressive neurodegenerative disease that impairs memory and cognitive judgment. It is the leading cause of dementia in late adult life and is associated with a significant social burden and increased morbidity and mortality in the elderly. Because of mixed effectiveness of medications, exercise has been considered as a treatment for pre-clinical AD, late stage AD, and as a prevention strategy. Exercise appears to improve brain blood flow, increase hippocampal volume, and improve neurogenesis. Prospective studies indicate that physical inactivity is one of the most common preventable risk factors for developing AD and that higher physical activity levels are associated with a reduced risk of development of disease. Exercise as a treatment for AD shows improvement in cognitive function, decreased neuropsychiatric symptoms, and a slower decline in activities of daily living (ADL). Exercise has been shown to have fewer side effects and better adherence compared to medications.
阿尔茨海默病(AD)是一种进行性神经退行性疾病,会损害记忆和认知判断力。它是成年晚期痴呆的主要病因,与重大的社会负担以及老年人发病率和死亡率的增加相关。由于药物疗效不一,运动已被视为临床前AD、晚期AD的一种治疗方法以及一种预防策略。运动似乎能改善脑血流量、增加海马体体积并促进神经发生。前瞻性研究表明,缺乏身体活动是患AD最常见的可预防风险因素之一,而较高的身体活动水平与疾病发生风险降低相关。运动作为AD的一种治疗方法,可改善认知功能、减少神经精神症状,并减缓日常生活活动(ADL)的衰退。与药物相比,运动已被证明副作用更少且依从性更好。