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抗阻训练对老年人认知功能的影响:随机临床试验的系统评价。

The effect of resistance training on cognitive function in the older adults: a systematic review of randomized clinical trials.

机构信息

School of Nursing, Jilin University, 965 Xinjiang Street, Changchun, 130021, China.

出版信息

Aging Clin Exp Res. 2018 Nov;30(11):1259-1273. doi: 10.1007/s40520-018-0998-6. Epub 2018 Jul 13.

Abstract

BACKGROUND

Aging is often accompanied by decline in aspects of cognitive function. Cognitive decline has harmful effects on living independence and general health. Resistance training is seen as a promising intervention to prevent or delay cognitive deterioration, yet the evidence from reviews is less consistent.

AIM

To assess the effect of resistance training on cognition in the elderly with and without mild cognitive impairment and to provide an up-to-date overview.

METHODS

A search was conducted using PUBMED, Web of science, MEDLINE, CINAHL, Cochrane Library, EMBASE, Wan Fang, and China National Knowledge Infrastructure. The searches were limited to articles published in English or Chinese from January 2010 to September 2017.

RESULTS

The search returned 2634 records, of which 12 articles were included in the systematic review. Main results showed that resistance training had positive effects on the executive function and global cognitive function of the elderly, and short-term interventions had little positive effect on memory and attention. Secondary results demonstrated that there was a significant benefit of triweekly resistance training in global cognitive function and biweekly in executive function of the elderly.

CONCLUSIONS

Resistance training had positive effects on the executive cognitive ability and global cognitive function among the elderly; however, it had a weak-positive impact on memory. No significant improvement was found in attention. Triweekly resistance training has a better effect on general cognitive ability than biweekly. Further studies are needed focusing on the development and application of resistance training among the elderly.

摘要

背景

衰老通常伴随着认知功能各方面的下降。认知能力下降对生活独立性和整体健康有不良影响。阻力训练被视为预防或延缓认知能力下降的一种有希望的干预措施,但综述的证据不太一致。

目的

评估抗阻训练对有和无轻度认知障碍老年人认知功能的影响,并提供最新的综合评价。

方法

通过 PUBMED、Web of science、MEDLINE、CINAHL、Cochrane 图书馆、EMBASE、万方和中国知网等数据库进行检索。检索时间限定为 2010 年 1 月至 2017 年 9 月发表的英文或中文文献。

结果

共检索到 2634 条记录,其中 12 篇文章被纳入系统评价。主要结果表明,抗阻训练对老年人的执行功能和整体认知功能有积极影响,短期干预对记忆和注意力影响较小。次要结果显示,每周三次的抗阻训练对老年人的整体认知功能有显著益处,而每周两次的训练对执行功能有显著益处。

结论

抗阻训练对老年人的执行认知能力和整体认知功能有积极影响,但对记忆的影响较弱。对注意力没有明显改善。每周三次的抗阻训练对一般认知能力的效果优于每周两次。需要进一步研究老年人抗阻训练的发展和应用。

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