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Exercise interventions for cognitive function in adults older than 50: a systematic review with meta-analysis
Joseph Michael Northey1,2, Nicolas Cherbuin3, Kate Louise Pumpa1,2
1UC Research Institute for Sport and Exercise (UCRISE), University of Canberra, Canberra, Australia.
Regular physical exercise significantly enhances cognitive function in adults over 50. This includes aerobic, resistance, and multicomponent training, benefiting all cognitive statuses.
Area of Science:
- Gerontology and Cognitive Health
- Exercise Science and Public Health
Background:
- Physical exercise is a potential intervention for age-related cognitive decline in individuals aged 50 and older.
- Existing review evidence on exercise efficacy for cognitive function in this demographic is inconclusive.
Purpose of the Study:
- To systematically evaluate the effectiveness of physical exercise interventions in improving cognitive function among adults aged 50 years and older.
Main Methods:
- A systematic review and multilevel meta-analysis of randomized controlled trials.
- Searched major databases (PubMed, Scopus, PsychINFO, Cochrane) up to November 2016.
- Included studies focused on community-dwelling adults >50 years with cognitive function outcome measures.
Main Results:
- 39 studies (36 with data) involving 333 effect sizes demonstrated that physical exercise significantly improves cognitive function (effect size 0.29; 95% CI 0.17-0.41).
- Aerobic exercise, resistance training, multicomponent training, and Tai Chi interventions all showed significant positive effects.
- Optimal benefits were associated with exercise sessions of 45-60 minutes at moderate intensity, irrespective of cognitive domain or participant status.
Conclusions:
- Physical exercise demonstrably improves cognitive function in adults over 50, regardless of their baseline cognitive status.
- Clinicians can recommend a combination of aerobic and resistance exercise at moderate intensity, performed frequently, to enhance cognitive function in older adults.
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