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舞蹈干预对轻度认知障碍老年患者认知、心理行为症状、运动功能及生活质量的影响:一项荟萃分析与系统评价

Effects of Dance Interventions on Cognition, Psycho-Behavioral Symptoms, Motor Functions, and Quality of Life in Older Adult Patients With Mild Cognitive Impairment: A Meta-Analysis and Systematic Review.

作者信息

Liu Chang, Su Mengyu, Jiao Yuchen, Ji Yan, Zhu Shuqin

机构信息

School of Nursing, Nanjing Medical University, Nanjing, China.

出版信息

Front Aging Neurosci. 2021 Sep 20;13:706609. doi: 10.3389/fnagi.2021.706609. eCollection 2021.

Abstract

Dance interventions are considered beneficial for older patients with mild cognitive impairment in many aspects. We conducted a comprehensive systematic review and meta-analysis to assess the effects of dance on different aspects (cognitive function, emotions, physical function, and quality of life) of this population. A systematic search of PubMed, Web of Science, the Cochrane Central Register of Controlled Trials, Embase, American Psychological Association PsycInfo, ProQuest, Scopus, Cumulative Index to Nursing and Allied Health Literature, the Chinese BioMedical Literature Database, the VIP Database for Chinese Technical Periodicals, China National Knowledge Infrastructure, and Wanfang Data database was performed. Two reviewers independently assessed the study quality. Fourteen studies were retrieved from the databases for analysis. The pooled results showed that dance interventions significantly improved global cognition (standardized mean difference [SMD] = 0.73, 95% confidence interval [CI]: 0.47 to 0.99, < 0.00001), rote memory (mean difference [MD] = -2.12, 95% CI: -4.02 to -0.21, = 0.03), immediate recall (SMD = 0.54, 95% CI: 0.30 to 0.78, < 0.0001), delayed recall (SMD = 0.56, 95% CI: 0.26 to 0.86, = 0.0002) and attention (SMD = 0.38, 95% CI: 0.13 to 0.64, = 0.003). No significant improvement was found in executive function, language, depression, anxiety, dementia-related behavioral symptoms, motor function, and quality of life. Dance interventions benefit most aspects of cognitive functions. The evidence for the effects of dance on psycho-behavioral symptoms, motor function and quality of life remains unclear. More trials with rigorous study designs are necessary to provide this evidence.

摘要

舞蹈干预在许多方面被认为对患有轻度认知障碍的老年患者有益。我们进行了一项全面的系统评价和荟萃分析,以评估舞蹈对该人群不同方面(认知功能、情绪、身体功能和生活质量)的影响。我们对PubMed、科学网、Cochrane对照试验中心注册库、Embase、美国心理学会PsycInfo、ProQuest、Scopus、护理及相关健康文献累积索引、中国生物医学文献数据库、中文科技期刊数据库、中国知网和万方数据数据库进行了系统检索。两名评价者独立评估研究质量。从数据库中检索到14项研究进行分析。汇总结果显示,舞蹈干预显著改善了整体认知(标准化均数差[SMD]=0.73,95%置信区间[CI]:0.47至0.99,P<0.00001)、机械记忆(均数差[MD]=-2.12,95%CI:-4.02至-0.21,P=0.03)、即时回忆(SMD=0.54,95%CI:0.30至0.78,P<0.0001)、延迟回忆(SMD=0.56,95%CI:0.26至0.86,P=0.0002)和注意力(SMD=0.38,95%CI:0.13至0.64,P=0.003)。在执行功能、语言、抑郁、焦虑、痴呆相关行为症状、运动功能和生活质量方面未发现显著改善。舞蹈干预对认知功能的大多数方面有益。舞蹈对心理行为症状、运动功能和生活质量影响的证据仍不明确。需要更多设计严谨的试验来提供这方面的证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7590/8488360/f66fb824b814/fnagi-13-706609-g0001.jpg

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