Center for Long-term Care Research, Kaohsiung Medical University, Kaohsiung, Taiwan.
College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan.
Games Health J. 2022 Aug;11(4):225-235. doi: 10.1089/g4h.2021.0132. Epub 2022 Jun 10.
Studies have shown that leisure activities, such as tabletop games, not only increase social interactions and reduce depression among older adults, but also help improve their cognitive function. However, the effects of tabletop games on cognition in older adults are yet to be comprehensively analyzed. The purpose of this study was to review and examine the effects of tabletop games on cognition in older adults. This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Articles were searched in seven electronic databases from their inception to December 2020. A total of 3946 studies were retrieved, among which 11 studies were systematically reviewed and 10 were meta-analyzed. In older adults with intact cognition, tabletop games had positive effects on their global cognition (standardized mean differences [SMD] = 1.36, 95% confidence intervals [CI]: 0.37-2.34, < 0.001) and executive function (SMD = 0.47, 95% CI: 0.12-0.83, < 0.001). In older adults with cognitive impairment, significant differences were found in global cognition (SMD = 0.53, 95% CI: 0.09-0.98, = 0.02). Tabletop games had the characteristics of cognitive training and interpersonal interactions. After receiving tabletop game interventions, the cognitive functioning in older adults with intact cognition and those with mild cognitive impairment or dementia was improved. For older adults, in addition to improving cognitive functioning, tabletop games also increased their social participation and interactions. This review has been registered in the PROSPERO (CRD42021254085).
研究表明，休闲活动，如桌面游戏，不仅可以增加老年人的社会互动，减少抑郁，而且有助于改善他们的认知功能。然而，桌面游戏对老年人认知的影响尚未得到全面分析。本研究旨在回顾和检验桌面游戏对老年人认知的影响。本综述遵循系统评价和荟萃分析的首选报告项目指南。从成立到 2020 年 12 月，在七个电子数据库中搜索了文章。共检索到 3946 篇研究，其中 11 篇进行了系统评价，10 篇进行了荟萃分析。在认知功能正常的老年人中，桌面游戏对其整体认知（标准化均数差 [SMD] = 1.36，95%置信区间 [CI]：0.37-2.34， < 0.001）和执行功能（SMD = 0.47，95% CI：0.12-0.83， < 0.001）有积极影响。在认知障碍的老年人中，整体认知（SMD = 0.53，95% CI：0.09-0.98， = 0.02）有显著差异。桌面游戏具有认知训练和人际互动的特点。接受桌面游戏干预后，认知功能正常、轻度认知障碍或痴呆的老年人的认知功能得到改善。对于老年人来说，除了改善认知功能外，桌面游戏还增加了他们的社会参与和互动。本综述已在 PROSPERO（CRD42021254085）上注册。
