太极拳与社区老年人认知功能相关性的剂量反应关系:系统评价和荟萃分析。
Dose-Response Association of Tai Chi and Cognition among Community-Dwelling Older Adults: A Systematic Review and Meta-Analysis.
机构信息
Byrdine F. Lewis College of Nursing and Health Professions, Georgia State University, Atlanta, GA 30303, USA.
Gerontology Institute, Georgia State University, Atlanta, GA 30303, USA.
出版信息
Int J Environ Res Public Health. 2021 Mar 19;18(6):3179. doi: 10.3390/ijerph18063179.
Previous studies indicated that Tai Chi might be an effective way to improve or prevent cognitive impairments in older populations. However, existing research does not provide clear recommendations about the optimal dose of Tai Chi practice, which is the most effective in improving cognitive function in older adults. The purpose of this systematic review and meta-analysis was to investigate the dose-response relationship between Tai Chi and cognition in community-dwelling older adults. A total of 16 studies with 1121 subjects were included in this study. Meta-regression analyses of Tai Chi duration (Tai Chi session duration, Tai Chi practice duration per week, study duration, and Tai Chi practice duration for the entire study) on the study effect size (ES) were performed to examine the dose-response association of Tai Chi and cognition. The results showed that there was a positive effect of Tai Chi on cognitive function, but there were no statistically significant dose duration effects on cognition. The findings suggest that Tai Chi has beneficial effects on cognitive function, but a longer duration was not associated with larger effects. In order to establish evidence-based clinical interventions using Tai Chi, future research should clearly demonstrate intervention protocol, particularly the style and intensity of Tai Chi.
先前的研究表明,太极拳可能是改善或预防老年人认知障碍的有效方法。然而,现有研究并未就最有效的太极拳练习剂量提供明确建议,以改善老年人的认知功能。本系统评价和荟萃分析的目的是调查太极拳与社区居住的老年人认知之间的剂量-反应关系。共有 16 项研究,涉及 1121 名受试者被纳入本研究。对太极拳持续时间(太极拳课时持续时间、每周太极拳练习持续时间、研究持续时间和整个研究期间的太极拳练习持续时间)对研究效应量(ES)的元回归分析,以检验太极拳与认知的剂量-反应关系。结果表明,太极拳对认知功能有积极影响,但认知功能与剂量持续时间之间无统计学显著的剂量效应关系。研究结果表明,太极拳对认知功能有有益的影响,但持续时间更长并不与更大的效果相关。为了使用太极拳建立基于证据的临床干预措施,未来的研究应该清楚地展示干预方案,特别是太极拳的风格和强度。