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有氧运动训练对脑电图的影响:轻度认知障碍老年抑郁症患者的事件相关电位和神经心理功能

Effect of aerobic exercise training on EEG: event-related potential and neuropsychological functions in depressed elderly with mild cognitive impairment.

作者信息

Khan Zainab, Saif Ashi, Chaudhry Neera, Parveen Adila

机构信息

Jamia Millia Islamia Central University, Centre for Physiotherapy and Rehabilitation Sciences, New Delhi, India.

Vardhman Mahavir College, Safdarjung Hospital, Department of Neurology, Delhi, India.

出版信息

Dement Neuropsychol. 2023 Jul 17;17:e20220082. doi: 10.1590/1980-5764-DN-2022-0082. eCollection 2023.

Abstract

UNLABELLED

Increased depressive severity has been linked to neurocognitive impairment. Aerobic exercise (AE) is an efficient technique for improving cognitive function. However, studies indicating the importance of AE to neurophysiological and neuropsychological functions in the depressed elderly using event-related potentials (ERPs) are scarce.

OBJECTIVES

This study aimed to identify the potential benefits of AE on neurophysiological and neuropsychological functions.

METHODS

A total of 30 depressed older adults (AE group: n=15; control group (CG): n=14) were recruited based on the inclusion and exclusion criteria. The AE group was subjected to an 8-week-period AE program (3 times/week for 30 min per session) at moderate intensity, determined using heart rate maximum (HRmax). The training intensity was set at 50% HRmax and increased by 5% in subsequent weeks. Pre- and post-training measures for neurophysiological function were tested using ERP-P300 (amplitude-μV and latency-ms) and also for neuropsychological functions using the trail making test (TMT), mini mental status examination (MMSE), and everyday cognition questionnaire (ECog).

RESULTS

In the experimental group, statistically significant improvements were observed when analyzed for all 3 (group-by-time interaction effect, main effect of time, and main effect of group), in both neurophysiological functions (*p<0.001) and neuropsychological functions (*p<0.001), except for ECog scores, where the results were insignificant for the main effect of a group. Correlation analysis demonstrated no association between neurophysiological and neuropsychological functions (*p>0.05).

CONCLUSION

Findings showed that 8 weeks of AE training may be a promising approach to improve cognitive functions in depressed older adults. However, considering relatively small number of patients, the question arises for effectiveness in other populations.

摘要

未标注

抑郁严重程度增加与神经认知障碍有关。有氧运动(AE)是改善认知功能的有效方法。然而,利用事件相关电位(ERP)研究AE对老年抑郁症患者神经生理和神经心理功能重要性的研究很少。

目的

本研究旨在确定AE对神经生理和神经心理功能的潜在益处。

方法

根据纳入和排除标准招募了30名老年抑郁症患者(AE组:n = 15;对照组(CG):n = 14)。AE组进行为期8周的中等强度AE计划(每周3次,每次30分钟),使用心率最大值(HRmax)确定强度。训练强度设定为50%HRmax,并在随后几周内提高5%。使用ERP-P300(振幅-微伏和潜伏期-毫秒)测试神经生理功能的训练前后指标,还使用连线测验(TMT)、简易精神状态检查表(MMSE)和日常认知问卷(ECog)测试神经心理功能。

结果

在实验组中,对所有三项指标(组间时间交互效应、时间主效应和组主效应)进行分析时,神经生理功能(*p<0.001)和神经心理功能(*p<0.001)均有统计学显著改善,但ECog评分除外,其组主效应结果不显著。相关性分析表明神经生理和神经心理功能之间无关联(*p>0.05)。

结论

研究结果表明,8周的AE训练可能是改善老年抑郁症患者认知功能的一种有前景的方法。然而,考虑到患者数量相对较少,其他人群中的有效性问题随之而来。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a55c/10367970/bb9d33f165c8/1980-5764-DN-17-e20220082-gf01.jpg

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