Yuan Yue, Wang Sixue, Zhou Chunyi, Zhang Ailin, Zhang Shibo, Wang Yuncui
School of Nursing, Hubei University of Traditional Chinese Medicine, Wuhan, Hubei Province, China.
School of Nursing, Hubei University of Traditional Chinese Medicine, Wuhan, Hubei Province, China; Engineering Research Center of TCM Protection Technology and New Product Development for the Elderly Brain Health, Ministry of Education, Wuhan, Hubei Province, China; Hubei Shizhen Laboratory, Wuhan, Hubei Province, China.
Geriatr Nurs. 2025 Mar-Apr;62(Pt A):96-107. doi: 10.1016/j.gerinurse.2025.01.006. Epub 2025 Jan 30.
To explore the effects of exercise interventions on cognition, physical function, and quality of life among older adults with cognitive frailty.
A systematic review and meta-analysis were conducted (PROSPERO [CRD42024532608]). PubMed, Web of Science, Cochrane Library, Embase, CNKI, WanFang, VIP, and SinoMed databases were searched from inception until December 18, 2023.
We found exercise improved overall cognition, physical frailty, walking ability, gait speed, and so on among older adults with cognitive frailty, but the effect on physical fitness and quality of life was insignificant. Subgroup analysis revealed exercise conducted ≥3 times per week, each session lasting ≤45 min and cycle≤12 weeks, had better-improved cognition. Traditional mind-body exercises like Baduanjin were more effective than resistance training for enhancing cognition.
Exercise intervention benefits overall cognition and most physical functions, but its impact on physical fitness and quality of life remains to be confirmed by future studies.
探讨运动干预对认知功能脆弱的老年人认知、身体功能和生活质量的影响。
进行了一项系统综述和荟萃分析（国际前瞻性注册系统评价注册号[CRD42024532608]）。检索了PubMed、Web of Science、Cochrane图书馆、Embase、中国知网、万方、维普和中国生物医学文献数据库，检索时间从建库至2023年12月18日。
我们发现运动改善了认知功能脆弱老年人的整体认知、身体衰弱、行走能力、步速等，但对身体素质和生活质量的影响不显著。亚组分析显示，每周进行≥3次运动，每次运动持续≤45分钟且周期≤12周，对认知的改善效果更好。像八段锦这样的传统身心运动在增强认知方面比阻力训练更有效。
运动干预有益于整体认知和大多数身体功能，但其对身体素质和生活质量的影响仍有待未来研究证实。
