NICM Health Research Institute, Western Sydney University, Penrith, NSW, 2751, Australia.
School of Medicine, Western Sydney University, Penrith, NSW, 2751, Australia.
BMC Geriatr. 2023 Jan 20;23(1):37. doi: 10.1186/s12877-023-03732-5.
Yoga is a mind-body practice that can elicit robust health and wellbeing effects for older adults. As a result, there is increased public and academic interest into the potential benefits of yoga for older people with mild cognitive impairment (MCI) and dementia.
Literature searches in five databases (CENTRAL, PubMed and EBSCOHost indexing CINAHL Plus, PsycINFO, Psychology and Behavioural Sciences Collection) were conducted from the databases' date of inception through to 4 September 2020 to identify pre-post single and multigroup studies of yoga-based interventions involving people with MCI or dementia. Effects on cognitive, mental, and physical health were evaluated, as was safety and study quality.
Database searches identified 1431 articles. Of these, 10 unique studies met inclusion criteria (total 421 participants). Four studies each implemented Kundalini yoga and chair yoga, while two employed Hatha yoga. Most programs ran for 12 weeks (n = 5) and compared yoga to a control group (n = 5). Most studies reported improved cognition, mood, and balance. However, these effects were marred by the high risk of bias identified in all articles. Four studies assessed safety, with one instance of dizziness reported.
In this emerging field, these studies show that yoga may be safe and beneficial for the wellbeing of people with MCI or dementia. More high quality randomised controlled trials are needed to improve the evidence-base and overcome the limitations of existing studies.
瑜伽是一种身心练习，可以为老年人带来显著的健康和幸福感。因此，公众和学术界对瑜伽对轻度认知障碍（MCI）和痴呆症老年人的潜在益处越来越感兴趣。
从各数据库创建日期至 2020 年 9 月 4 日，在五个数据库（CENTRAL、PubMed 和 EBSCOHost 索引 CINAHL Plus、PsycINFO、心理学和行为科学收藏）中进行文献检索，以确定针对 MCI 或痴呆症患者的基于瑜伽的干预措施的单组和多组前后研究。评估了认知、心理和身体健康方面的效果，以及安全性和研究质量。
数据库检索共确定了 1431 篇文章。其中，有 10 项独特的研究符合纳入标准（共 421 名参与者）。四项研究分别实施了昆达里尼瑜伽和椅子瑜伽，两项研究则采用了哈他瑜伽。大多数方案持续 12 周（n=5），并将瑜伽与对照组进行比较（n=5）。大多数研究报告了认知、情绪和平衡的改善。然而，由于所有文章中都存在高偏倚风险，这些效果受到了影响。四项研究评估了安全性，其中一项报告了头晕。
在这个新兴领域，这些研究表明瑜伽可能对 MCI 或痴呆症患者的幸福感是安全且有益的。需要更多高质量的随机对照试验来提高证据基础，并克服现有研究的局限性。
