Shanghai University of Sport, Shanghai, China.
Faculty of Sport Science Ningbo University, Ningbo, China.
J Nerv Ment Dis. 2024 Sep 1;212(9):500-506. doi: 10.1097/NMD.0000000000001796.
As a nonpharmacological method for cognitive rehabilitation, older adults with mild cognitive impairment (MCI) may benefit from Baduanjin exercise (BE), a moderate-intensity aerobic exercise. This meta-analysis was conducted to determine if BE is effective in enhancing cognitive performance in older adults with MCI. Using a combination of topic phrases and free words, systematic searches were executed in nine databases. Review Manager 5.4 was used to retrieve and statistically evaluate the data. Fourteen randomized controlled studies comprising 994 individuals aged ≥60 years were included in the meta-analysis. BE enhanced the general cognitive performance in individuals with MCI as measured by the Montreal Cognitive Assessment (standardized mean difference [SMD] = 2.56; 95% confidence interval [CI], 2.17, 2.96; p < 0.001). The level of memory decline (Wechsler Memory Scale; SMD = 12.46; 95% CI, 8.36, 16.57; p < 0.001), executive function (Trail Making Test; SMD = -7.08; 95% CI, -11.21, -2.94; p < 0.001), and frailty (Edmonton Frailty Scale; SMD = -0.97; 95% CI, -1.30, -0.64; p < 0.001) were all improved with BE for older adults with MCI. This study presented a therapeutic practice guide for using BE for cognitive rehabilitation in older adults. BE notably improves cognitive function in older adults with MCI and can be an excellent nonpharmaceutical therapy option.
作为认知康复的非药物方法，轻度认知障碍（MCI）的老年人可能受益于八段锦（BE），一种中等强度的有氧运动。本荟萃分析旨在确定 BE 是否能有效提高 MCI 老年人的认知表现。使用主题短语和自由词的组合，在九个数据库中进行了系统搜索。使用 Review Manager 5.4 检索和统计评估数据。荟萃分析纳入了 14 项随机对照研究，共 994 名年龄≥60 岁的个体。BE 提高了 MCI 个体的总体认知表现，如蒙特利尔认知评估（标准化均数差 [SMD] = 2.56；95%置信区间 [CI]，2.17，2.96；p < 0.001）。记忆下降水平（韦氏记忆量表；SMD = 12.46；95%CI，8.36，16.57；p < 0.001）、执行功能（连线测试；SMD = -7.08；95%CI，-11.21，-2.94；p < 0.001）和脆弱性（埃德蒙顿脆弱性量表；SMD = -0.97；95%CI，-1.30，-0.64；p < 0.001）均通过 BE 得到改善。本研究为 MCI 老年人使用 BE 进行认知康复提供了治疗实践指南。BE 显著改善了 MCI 老年人的认知功能，是一种极好的非药物治疗选择。
