Bhattacharyya Kallol Kumar, Andel Ross, Small Brent J
School of Aging Studies, University of South Florida, 4202 E Fowler Avenue, Tampa, FL 33620, USA.
School of Aging Studies, University of South Florida, 4202 E Fowler Avenue, Tampa, FL 33620, USA.
Arch Gerontol Geriatr. 2021 Mar-Apr;93:104319. doi: 10.1016/j.archger.2020.104319. Epub 2020 Dec 7.
Considering dementia has no definite curative intervention available through modern medical management, alternative therapeutic symptomatic interventions are needed urgently. This systematic review with meta-analysis evaluated whether yoga-related practices, as a preventive mind-body therapy, is effective for the management of cognitive decline in older adults.
Seven electronic databases (Abstracts in Social Gerontology, Age Line, CINAHL, PsycINFO, PubMed, Scopus, and Web of Science) were searched using specified inclusion criteria to identify original studies that investigated the effects of yoga-related mind-body therapies on cognitive function, in the context of aging. A meta-analysis was also carried out calculating the overall effect sizes, expressed as standardized mean differences (i.e., d).
Twelve studies, including 912 participants (73.9% female; 239 with and 673 without cognitive impairment) were selected for this review; eleven were randomized controlled trials. One study had a high risk of bias and was excluded from the meta-analysis. Studies involved a wide variety of yoga practices with a common focus on meditative postural exercises. Results revealed significant beneficial effects on memory (Cohen's d = 0.38), executive function (Cohen's d = 0.40), and attention and processing speed (Cohen's d = 0.33). No adverse effects were reported.
Yoga-related mind-body interventions for older adults appear to be safe, feasible, and effective alternative practice for maintenance of cognitive functions both in age- and disease-related cognitive decline. Practicing yoga can be a useful part of daily routine to maintain cognitive function in older adulthood. Suggestions for further research were discussed.
鉴于现代医学管理中尚无明确的痴呆症治疗干预措施,迫切需要替代性的对症治疗干预措施。这项系统评价与荟萃分析评估了作为一种预防性身心疗法的瑜伽相关练习,对于管理老年人认知衰退是否有效。
使用指定的纳入标准检索了七个电子数据库(《社会老年学摘要》《老年学在线》《护理学与健康领域数据库》《心理学文摘数据库》《医学期刊数据库》《Scopus数据库》和《科学网》),以识别在衰老背景下研究瑜伽相关身心疗法对认知功能影响的原始研究。还进行了荟萃分析,计算总体效应量,以标准化均数差(即d)表示。
本评价纳入了12项研究,共912名参与者(女性占73.9%;239名有认知障碍,673名无认知障碍);其中11项为随机对照试验。一项研究存在高偏倚风险,被排除在荟萃分析之外。研究涉及多种瑜伽练习,共同重点是冥想姿势练习。结果显示对记忆(科恩d值=0.38)、执行功能(科恩d值=0.40)以及注意力和处理速度(科恩d值=0.33)有显著有益影响。未报告不良反应。
对于老年人,瑜伽相关的身心干预似乎是一种安全、可行且有效的替代练习,可用于维持与年龄和疾病相关的认知衰退中的认知功能。练习瑜伽可以成为老年人日常生活中维持认知功能的有益部分。文中还讨论了进一步研究的建议。