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运动干预对轻度认知障碍患者脑结构和功能的影响:基于磁共振成像研究的系统评价

Exercise intervention on the brain structure and function of patients with mild cognitive impairment: systematic review based on magnetic resonance imaging studies.

作者信息

Xu Jing, Yu Jiangsheng, Li Gai, Wang Yanqiu

机构信息

Department of Physical Education and Sports, Central China Normal University, Wuhan, China.

出版信息

Front Psychiatry. 2024 Dec 2;15:1464159. doi: 10.3389/fpsyt.2024.1464159. eCollection 2024.

Abstract

OBJECTIVE

This systematic review evaluates the impact of exercise intervention in MCI patients and discusses the potential neural mechanisms.

METHODS

A systematic search and screening of relevant literature was conducted in English and Chinese databases. Based on predefined keywords and criteria, 24 articles were assessed and analyzed.

RESULTS

Structurally, a significant increase was observed in the hippocampal and gray matter volumes of MCI patients following exercise intervention, with a trend of improvement in cortical thickness and white matter integrity. Functionally, after the exercise intervention, there were significant changes in the local spontaneous brain activity levels, cerebral blood flow, and functional connectivity during rest and memory encoding and retrieval tasks in MCI patients.

CONCLUSION

Exercise may contribute to delaying neurodegenerative changes in brain structure and function in patients with MCI. However, the underlying neural mechanisms require further research.

SYSTEMATIC REVIEW REGISTRATION

https://www.crd.york.ac.uk/PROSPERO/, identifier CRD42023482419.

摘要

目的

本系统评价评估运动干预对轻度认知障碍(MCI)患者的影响,并探讨潜在的神经机制。

方法

在英文和中文数据库中对相关文献进行系统检索和筛选。根据预先定义的关键词和标准,对24篇文章进行评估和分析。

结果

在结构上,运动干预后MCI患者的海马体和灰质体积显著增加,皮质厚度和白质完整性有改善趋势。在功能上,运动干预后,MCI患者在静息状态以及记忆编码和检索任务期间的局部自发脑活动水平、脑血流量和功能连接性有显著变化。

结论

运动可能有助于延缓MCI患者脑结构和功能的神经退行性变化。然而,潜在的神经机制需要进一步研究。

系统评价注册

https://www.crd.york.ac.uk/PROSPERO/,标识符CRD42023482419。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d15f/11650209/f8f258127ea4/fpsyt-15-1464159-g001.jpg

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