Universidad de Castilla-La Mancha, Health and Social Research Center, Cuenca, Spain.
Aging Institute, Medicine School, Pontificia Universidad Javeriana, Bogotá, Colombia.
Aging Ment Health. 2021 Nov;25(11):1977-1985. doi: 10.1080/13607863.2020.1839862. Epub 2020 Nov 4.
To assess the effect of physical activity on cognitive domains in persons with dementia or mild cognitive impairment.
An overview of systematic reviews and meta-analyses of randomized controlled trials were performed.
A literature search was performed in PubMed, Scopus, and Cochrane Database of Systematic Reviews databases up to February 2020. Data about the change in cognitive domains after physical activity intervention was extracted and plotted.
We included 11 meta-analyses in this overview. The most frequent type of physical activity for the intervention group was the aerobic exercise with a duration between 6 and 78 weeks. Global cognition was the most common form of assessing the cognitive function, follow of executive function, delayed recall, attention, and verbal fluency. We found a positive effect of physical activity on global cognition, executive function, and delayed recall, but no effect on verbal fluency, attention, and immediate recall.
Physical activity shows a positive effect on cognition in people with dementia and mild cognitive impairment, especially when it was assessed as global cognition. Positive effects on executive function and memory were also shown. This result confirms the relevance of physical activity in the treatment of persons with cognitive impairment.
评估身体活动对痴呆或轻度认知障碍患者认知领域的影响。
对随机对照试验的系统评价和荟萃分析进行了概述。
截至 2020 年 2 月,在 PubMed、Scopus 和 Cochrane 系统评价数据库中进行了文献检索。提取并绘制了身体活动干预后认知领域变化的数据。
本综述纳入了 11 项荟萃分析。干预组最常见的身体活动类型是有氧锻炼,持续时间为 6 至 78 周。认知功能最常用的评估形式是整体认知,其次是执行功能、延迟回忆、注意力和言语流畅性。我们发现身体活动对整体认知、执行功能和延迟回忆有积极影响,但对言语流畅性、注意力和即时回忆没有影响。
身体活动对痴呆和轻度认知障碍患者的认知有积极影响,尤其是在评估整体认知时。在执行功能和记忆力方面也显示出积极的影响。这一结果证实了身体活动在认知障碍患者治疗中的相关性。