de Rondão Catarina Alexandra, Mota Maria Paula, Esteves Dulce
University Beira Interior Covilhã Portugal.
Camara Municipal do Fundão Fundão Portugal.
Aging Med (Milton). 2023 May 24;6(3):290-306. doi: 10.1002/agm2.12256. eCollection 2023 Sep.
This critical review explores the review material on physical activity combined with cognitive stimulation interventions in older adults with cognitive impairment and/or dementia. A critical, systematic, review of the review method was used, considering four electronic databases: WEB OF SCIENCE, SCOPUS, MEDLINE, and the COCHRANE ELECTRONIC LIBRARY. The search terms "exercise," "physical activity," "cognitive impairment," "dementia," and "systematic review" were used. All available reviews were marked against predetermined inclusion and exclusion criteria. There were 32 reviews that met the inclusion criteria. A combination of various types of training and aerobic exercises were the most frequently reported interventions; meanwhile, dual task training programs (combining physical exercise with cognitive stimulation), functional training programs along with exercises combination, aerobic exercise as well as strength, stretching, or balance workouts were also reported. The evidence is compelling; exercise can improve physical health by ensuring cognitive, psychological, and behavioral benefits. Overall, exercise can improve the physical and mental health of people living with dementia: there is sufficient evidence to recommend multimodal exercise.
这篇批判性综述探讨了针对认知障碍和/或痴呆症老年人的体育活动与认知刺激干预措施的综述材料。采用了对综述方法进行批判性、系统性的综述，检索了四个电子数据库：科学网、Scopus、MEDLINE和Cochrane电子图书馆。使用了“运动”“体育活动”“认知障碍”“痴呆症”和“系统性综述”等检索词。所有可用的综述均根据预先确定的纳入和排除标准进行筛选。有32篇综述符合纳入标准。各种类型的训练和有氧运动的组合是最常报告的干预措施；同时，也报告了双重任务训练计划（将体育锻炼与认知刺激相结合）、功能训练计划以及运动组合、有氧运动以及力量、伸展或平衡训练。证据很有说服力；运动可以通过确保认知、心理和行为方面的益处来改善身体健康。总体而言，运动可以改善痴呆症患者的身心健康：有足够的证据推荐多模式运动。
