注意力训练和运动对老年人的认知功能的影响:一项随机临床试验
Eric J Lenze1, Michelle Voegtle1, J Philip Miller2
1Healthy Mind Lab, Department of Psychiatry, Washington University School of Medicine, St Louis, Missouri.
JAMA
|December 13, 2022
概括
在有记忆问题的老年人中,正念训练和运动没有改善认知功能. 这些生活方式干预措施不支持提高这一群体的认知能力.
科学领域:
- 老年学
- 认知神经科学
- 生活方式医学
背景情况:
- 随着年龄的增长,情节性记忆和执行功能下降,影响日常生活.
- 正在探索生活方式干预措施以缓解与年龄相关的认知衰退.
研究的目的:
- 研究基于正念的压力减轻 (MBSR),运动或两者结合在改善老年人的认知功能方面的有效性.
- 评估这些干预措施对情节性记忆和执行功能的影响.
主要方法:
- 一个2x2因子随机临床试验,涉及585名具有主观认知问题的老年人 (65-84岁).
- 参与者被分为MBSR,运动,联合MBSR和运动,或健康教育对照组18个月.
- 在6个月和18个月时使用神经心理测试来评估认知功能.
主要成果:
- 与对照组相比,MBSR和运动单独或组合都没有显著改善6个月或18个月的情节性记忆或执行功能.
- 对于包括大脑结构和自我报告的认知问题在内的次要结果没有显著影响.
结论:
- 注意力训练和运动干预似乎没有改善老年人的认知功能.
- 目前的证据不支持在这个人群中使用MBSR或运动来增强认知能力.
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