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身体活动对认知功能的影响:认知储备与积极老龄化的作用。

Effects of Physical Activity on Cognitive Functioning: The Role of Cognitive Reserve and Active Aging.

作者信息

D'Aurizio Giulia, Festucci Fabiana, Di Pompeo Ilaria, Tempesta Daniela, Curcio Giuseppe

机构信息

Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, 67100 L'Aquila, Italy.

出版信息

Brain Sci. 2023 Nov 11;13(11):1581. doi: 10.3390/brainsci13111581.

Abstract

BACKGROUND

The increase in average life expectancy necessitates the identification of possible mechanisms capable of promoting "active aging" to ensure adequate levels of global functioning. Numerous studies show that regular physical activity promotes, even in the elderly, a state of functional psychophysical well-being capable of slowing down age-related cognitive decline. This study aimed to clarify whether, and how, the intensity of physical activity can modulate cognitive and executive skills by influencing specific psychological variables.

METHODS

Our sample consisted of 151 senior subjects divided into hikers (HIK), gentle gymnastics (GYM), and sedentary (SED), who practice intense, moderate, and reduced physical activity, respectively. A battery of psychological questionnaires was administrated to evaluate attentional skills, decision-making, the ability to implement targeted behaviors, perceived self-efficacy, and psychophysical well-being. We included: the Mini-Mental State Examination, Cognitive Reserve Index Questionnaire, General Self-Efficacy Scale, Letter Cancellation Test, Everyday Competence Questionnaire, and Geriatric Depression Scale (GDS).

RESULTS

Comparisons between the scores reported by the three groups showed that the HIK group differs from the others with respect to most of the measurements, presenting better mood and cognitive performance, and a specific psychological profile. On the contrary, the GYM group appeared to have a greater affinity with the SED group than with the HIK group, both cognitively and psychologically.

CONCLUSIONS

Types of physical activity, as well as the intensity and frequency with which they are practiced, are factors that promote an active aging process, protecting the psychophysical well-being and overall cognitive functioning of the elderly.

摘要

背景

平均预期寿命的增加使得有必要确定能够促进“积极老龄化”以确保全球功能达到适当水平的可能机制。大量研究表明,即使在老年人中,定期进行体育活动也能促进一种功能性身心健康状态,从而减缓与年龄相关的认知衰退。本研究旨在阐明体育活动的强度是否以及如何通过影响特定心理变量来调节认知和执行技能。

方法

我们的样本由151名老年受试者组成,分为徒步旅行者组(HIK)、轻度体操组(GYM)和久坐组(SED),他们分别进行高强度、中等强度和低强度的体育活动。使用一系列心理问卷来评估注意力技能、决策能力、实施目标行为的能力、自我效能感和身心健康状况。我们纳入了:简易精神状态检查表、认知储备指数问卷、一般自我效能量表、字母划消测验、日常能力问卷和老年抑郁量表(GDS)。

结果

三组报告分数的比较表明,HIK组在大多数测量方面与其他组不同,表现出更好的情绪和认知表现以及特定的心理特征。相反,GYM组在认知和心理方面与SED组的亲和力似乎比与HIK组更大。

结论

体育活动的类型以及进行体育活动的强度和频率是促进积极老龄化过程、保护老年人身心健康和整体认知功能的因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/330e/10670180/583f304fbdf0/brainsci-13-01581-g001.jpg

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