Department of Rehabilitation, Medical Corporation Seitaikai Mental Support Soyokaze Hospital, Nagano, Japan.
Department of Rehabilitation, Medical Corporation Seitaikai Mental Support Soyokaze Hospital, Nagano, Japan.
Psychiatry Res. 2022 Aug;314:114656. doi: 10.1016/j.psychres.2022.114656. Epub 2022 May 28.
This study serves as an update to a recent systematic review and meta-analysis to summarize the effect of aerobic exercise on cognition in schizophrenia and determine the most effective method of aerobic exercise. We searched for controlled studies investigating the effect of aerobic exercise on cognition in schizophrenia published until January 2021. Fifteen studies were included. A random-effects model was used to estimate the standardized mean differences (SMDs) between cognitive outcomes of aerobic exercises and controls. Compared with controls, aerobic exercises resulted in significant improvements in global cognition (SMD = 0.21), attention/vigilance (SMD = 0.32), working memory (SMD = 0.27), and verbal learning (SMD = 0.30). Significant improvements in global cognition were observed with group exercise (SMD = 0.28), exercise supervised by exercise professionals (SMD = 0.27), as well as with ≥ 90 min/week (SMD = 0.26) and ≥ 12 weeks duration (SMD = 0.22). Our findings provide information beneficial for determining the most effective aerobic exercise method to improve cognition in schizophrenia.
本研究是对最近的一项系统评价和荟萃分析的更新，旨在总结有氧运动对精神分裂症认知的影响，并确定最有效的有氧运动方法。我们搜索了截至 2021 年 1 月发表的关于有氧运动对精神分裂症认知影响的对照研究。共纳入 15 项研究。采用随机效应模型估计有氧运动与对照组认知结局的标准化均数差（SMD）。与对照组相比，有氧运动显著改善了整体认知（SMD=0.21）、注意力/警觉性（SMD=0.32）、工作记忆（SMD=0.27）和言语学习（SMD=0.30）。团体运动（SMD=0.28）、由运动专业人员监督的运动（SMD=0.27）以及每周运动时间≥90 分钟（SMD=0.26）和运动持续时间≥12 周（SMD=0.22）均可显著改善整体认知。我们的研究结果为确定最有效的有氧运动方法以改善精神分裂症患者的认知提供了有益的信息。
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