运动训练对心力衰竭患者认知功能的影响:元分析
Jing-Ya Peng1,2, Yung-Hsin Chen1,3, Ju-Hsin Yen1,3
1Department of Physical Therapy and Assistive Technology, National Yang Ming Chiao Tung University, Taipei, Taiwan.
Physical therapy
|June 6, 2023
概括
运动可以改善心力衰竭 (HF) 患者的认知功能. 这项元分析发现,运动训练对HF患者的全球认知功能和注意力有好处,这表明身体活动在管理认知障碍方面发挥了作用.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 康复医学 康复医学 康复医学
背景情况:
- 认知功能对于自我管理心力衰竭至关重要,但与健康人相比,心力衰竭患者的认知功能往往受损.
- 衰老和疾病进展加剧了HF患者的认知衰退.
- 虽然运动可以改善HF患者的身体健康,但其对认知功能的影响尚不清楚.
研究的目的:
- 进行一项元分析,研究运动训练对心力衰竭 (HF) 患者认知功能的影响.
- 综合证据证明运动干预如何影响全球认知功能,注意力和HF人口的执行功能.
主要方法:
- 在多个数据库 (PubMed,MEDLINE,CINAHL,Cochrane,PEDro,ClinicalKey) 进行了系统的文献搜索,截至2022年1月.
- 包括六项涉及慢性HF患者的研究,分析了运动训练干预措施.
- 用综合元分析软件提取和分析了参与者特征,干预细节和认知结果的数据.
主要成果:
- 运动训练在患有HF和认知障碍的人群中对全球认知功能有显著的益处 (SMD = 0.44;95% CI = 0.010.87).
- 与干预前水平相比,HF患者的注意力水平在运动干预后有所改善.
- 大多数研究使用有氧运动,频率为每周2-3次,持续12-18周,持续时间为30-60分钟.
结论:
- 运动训练可以提高被诊断为心力衰竭 (HF) 和同时存在的认知障碍的人的认知功能.
- 尽管有积极的发现,但在研究设计中存在显著的异质性,需要进一步研究以支持广泛的临床应用.
- 临床医生应该考虑运动对HF患者的潜在认知益处,以及已确定的身体健康优势.
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