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The relationship between physical activity and cognitive function in people with epilepsy: A systematic review
Halley B Alexander1, Jane B Allendorfer2
1Wake Forest University School of Medicine, Department of Neurology, Winston-Salem, NC, USA.
Epilepsy & Behavior : E&B
|March 20, 2023
Summary
Physical activity may improve cognitive function in people with epilepsy (PWE). However, current research is limited, necessitating larger, more robust studies to confirm this association.
Area of Science:
- Neurology
- Exercise Science
- Cognitive Neuroscience
Background:
- Epilepsy is a chronic neurological disorder affecting millions worldwide.
- Cognitive dysfunction is a common comorbidity in people with epilepsy (PWE).
- The role of physical activity in mitigating cognitive decline in PWE remains underexplored.
Approach:
- Systematic review of published literature on physical activity and cognitive function in PWE.
- Searched major databases (PubMed, Cochrane, Embase, PsychInfo) up to June 20, 2022.
- Included observational and interventional studies adhering to PRISMA guidelines, assessed with GRADE scale.
Key Points:
- Six studies with 123 participants were analyzed.
- A positive association was observed between physical activity and cognitive function in PWE.
- Interventional studies demonstrated cognitive improvements, despite outcome measure heterogeneity.
Conclusions:
- A potential link exists between physical activity and enhanced cognitive function in PWE.
- Current evidence is limited by small sample sizes and study heterogeneity.
- Further high-quality research with larger cohorts is crucial to validate these findings.
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