体力活动对健康老年人认知功能的作用:随机临床试验的系统评价。

Role of physical exercise on cognitive function in healthy older adults: A systematic review of randomized clinical trials.

机构信息

Department of Health Sciences, Public University of Navarre, Pamplona, Spain.

Division of Geriatric Medicine, Complejo Hospitalario de Navarra, Pamplona, Spain.

出版信息

Ageing Res Rev. 2017 Aug;37:117-134. doi: 10.1016/j.arr.2017.05.007. Epub 2017 Jun 3.

Abstract

Cognitive impairment has a harmful effect on quality of life, is associated with functional limitations and disability in older adults. Physical activity (PA) has shown to have beneficial effects on cognition but the results and conclusions of randomized controlled trials (RCTs) are less consistent. Update of knowledge was necessary to examine the effects on cognitive function of new training modalities developed in recent years, such as multicomponent exercise training. Therefore, the purpose of this review was to examine the role of multicomponent training versus aerobic or resistance training alone on cognition in healthy older adults (>65 years) without known cognitive impairment. The mean differences (MD) of the parameters from pre-intervention to post-intervention between groups were pooled using a random-effects model. Twenty-one RCTs published between 2002 and 2016 were included. Multicomponent exercise training may have the most positive effects on cognitive function in older adults. The small number of included studies and the large variability in study populations, study design, exercise protocols, adherence rates and outcome measures complicate the interpretation of the results and contribute to discrepancies within the exercise research literature.

摘要

认知障碍对生活质量有不良影响,与老年人的功能限制和残疾有关。身体活动 (PA) 已被证明对认知有有益的影响,但随机对照试验 (RCT) 的结果和结论不太一致。为了研究近年来开发的新训练模式(如多成分运动训练)对认知功能的影响,需要更新知识。因此,本综述的目的是研究多成分训练与单独的有氧运动或抗阻训练相比,对无认知障碍的健康老年人(>65 岁)的认知功能的作用。使用随机效应模型对组间从干预前到干预后的参数的平均差异 (MD) 进行了汇总。共纳入了 2002 年至 2016 年间发表的 21 项 RCT。多成分运动训练可能对老年人的认知功能有最积极的影响。纳入研究的数量较少,研究人群、研究设计、运动方案、依从率和结果测量的差异很大,这使得结果的解释变得复杂,并导致运动研究文献中的差异。

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