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运动对阿尔茨海默病患者生活质量的影响:随机临床试验的系统评价与荟萃分析

Effects of Exercise on Quality of Life in Subjects with Alzheimer's Disease: Systematic Review with Meta-Analysis of Randomized Clinical Trials.

作者信息

Mendes Mariana, Correia Érica, Vitorino Anabela, Rodrigues José, Cid Luís, Bento Teresa, Antunes Raul, Monteiro Diogo, Couto Nuno

机构信息

Sport Sciences School of Rio Maior, Polytechnic of Santarém (ESDRM), 2040-413 Rio Maior, Portugal.

Research Center in Sports Sciences, Health Sciences and Human Development (CIDESD), 5001-801 Vila Real, Portugal.

出版信息

Sports (Basel). 2023 Aug 9;11(8):149. doi: 10.3390/sports11080149.

Abstract

Alzheimer's disease is a type of dementia that progressively affects memory, thinking, and behavior. It can interfere with daily activities and lead to a decline in cognitive abilities over time. Exercise-based interventions can complement Alzheimer's disease treatment. Exercise is a valuable tool in all healthcare settings and has shown promise as an effective cognitive improvement intervention for people with cognitive impairments. This systematic review and meta-analysis aimed to analyze the effect of physical exercise on the QoL of subjects with Alzheimer's disease. A search was performed with the help of the electronic databases PubMed and Web of Science. Randomized controlled trials with exercise-based interventions were selected. Four studies met the inclusion criteria, which included interventions based on exercise. The effects were summarized using standardized mean differences (95% confidence intervals) using random-effect models. The results showed that exercise had no significant effect on the QoL of subjects with Alzheimer. Thus, the effect of exercise interventions on the QoL of patients with Alzheimer's disease is not conclusive. More research is needed about this topic and the way in which the QoL is assessed; the necessity to conduct an objective way to assess the QoL in this population is mandatory.

摘要

阿尔茨海默病是一种痴呆症,会逐渐影响记忆、思维和行为。它会干扰日常活动,并随着时间的推移导致认知能力下降。基于运动的干预措施可以辅助阿尔茨海默病的治疗。运动在所有医疗环境中都是一种有价值的工具,并且已显示出有望成为对认知障碍患者有效的认知改善干预措施。这项系统评价和荟萃分析旨在分析体育锻炼对阿尔茨海默病患者生活质量的影响。借助电子数据库PubMed和科学网进行了检索。选取了基于运动干预的随机对照试验。四项研究符合纳入标准,其中包括基于运动的干预措施。使用随机效应模型,通过标准化平均差(95%置信区间)对效果进行了总结。结果表明,运动对阿尔茨海默病患者的生活质量没有显著影响。因此,运动干预对阿尔茨海默病患者生活质量的影响尚无定论。关于这个主题以及生活质量评估方式需要更多研究;必须采用客观的方法来评估该人群的生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bec5/10457886/8f373726a080/sports-11-00149-g001.jpg

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