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运动对帕金森病患者认知功能影响的荟萃分析

Meta-Analysis of Exercise Effects on Cognition in Persons with Parkinson's Disease.

作者信息

Ahmad Syed O, Stiles Dana, Brown Kaylee, Dillon Leah, Shroba Eliza

机构信息

Department of Occupational Science and Occupational Therapy, Neuroscience Core Faculty, Saint Louis University, St. Louis, MO 63103, USA.

Virginia Gore NeuroOccupation Lab, Inc., St. Louis, MO 63017, USA.

出版信息

NeuroSci. 2025 May 23;6(2):46. doi: 10.3390/neurosci6020046.

Abstract

BACKGROUND

Parkinson's disease (PD) is a debilitating neurodegenerative disorder affecting millions of people worldwide. PD results in motor and cognitive dysfunction. While there is no proven cure for PD, it is widely agreed that aerobic exercises and occupations can help slow the progression of the disease and keep some motor-related symptoms from developing. The most effective forms of exercise to slow the progression of motor symptoms in Parkinson's disease have also been studied.

RESEARCH QUESTION

This research article aims to compare the differences in outcomes of exercise on cognitive outcomes in Parkinson's Disease, as evaluated by meta-analysis.

METHODS

Key terms were Parkinson's Disease and exercise terms. These search terms were then entered to electronic databases-Ovid MEDLINE, SCOPUS, and CINAHL-from March 2018 to May 2023. An ancestral bibliography was also performed.

RESULTS

Two reviewers screened the title and abstract records ( = 528) found in the initial search. Our review identified 18 studies which met inclusion criteria for meta-analysis. The meta-analysis found an effect of exercise on cognition of patients with PD (d = -0.03) which was not significant (CI95% of -0.13 < µ < 0.08; > 0.05, as the CI includes zero). Additionally, the homogeneity analysis was not significant (Q (17) = 2.83; > 0.05).

摘要

背景

帕金森病(PD)是一种使人衰弱的神经退行性疾病,影响着全球数百万人。帕金森病会导致运动和认知功能障碍。虽然目前尚无经证实的帕金森病治愈方法,但人们普遍认为有氧运动和职业活动有助于减缓疾病进展,并防止一些与运动相关的症状出现。人们也对减缓帕金森病运动症状进展的最有效运动形式进行了研究。

研究问题

本文旨在通过荟萃分析比较运动对帕金森病认知结果的影响差异。

方法

关键词为帕金森病和运动相关词汇。然后将这些检索词输入电子数据库——Ovid MEDLINE、SCOPUS和CINAHL——检索时间为2018年3月至2023年5月。同时还进行了追溯参考文献检索。

结果

两名评审员筛选了初始检索中找到的标题和摘要记录(n = 528)。我们的综述确定了18项符合荟萃分析纳入标准的研究。荟萃分析发现运动对帕金森病患者认知的影响(d = -0.03)不显著(95%置信区间为-0.13 < μ < 0.08;P > 0.05,因为置信区间包含零)。此外,同质性分析也不显著(Q(17) = 2.83;P > 0.05)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97f3/12195965/1936f6c3a326/neurosci-06-00046-g001.jpg

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