基于ACSM建议的运动剂量对中风后认知障碍患者的影响:系统性审查和元分析
Xuejiao Zhao1,2, Juan Li2, Chao Xue1
1School of Nursing, Guizhou University of Traditional Chinese Medicine, Guiyang, Guizhou, China.
Frontiers in physiology
|June 18, 2024
概括
运动显著改善了中风后认知障碍 (PSCI) 患者的认知功能. 对于PSCI患者来说,高坚持推的运动剂量会产生比低坚持更大的认知益处.
科学领域:
- 神经科学是一个神经科学.
- 康复医学 康复医学 康复医学
- 运动科学 运动科学
背景情况:
- 脑卒中后认知障碍 (PSCI) 是中风的常见和使人虚弱的后果.
- 改善PSCI患者认知功能的有效干预措施对于康复和生活质量至关重要.
研究的目的:
- 系统地审查和评估不同运动剂量对被诊断为PSCI的个体认知功能的影响.
- 为了比较高与低坚持炼指南在PSCI认知结果的有效性.
主要方法:
- 在Embase,PubMed,Web of Science和Cochrane图书馆进行了系统的搜索,直到2024年1月1日.
- 包括的研究是随机对照试验,评估PSCI的运动疗法,并根据美国体育医学学院 (ACSM) 的指导方针评估遵守.
- 使用随机效应模型计算认知功能的标准化平均差异 (SMD).
主要成果:
- 包括18项涉及1742名参与者的研究,证明运动对PSCI认知功能的显著有益影响 (SMD = 0.42,95%CI [0.20,0.65]).
- 亚组分析表明,高度遵守ACSM运动建议导致认知能力更好 (SMD = 0.46,95% CI [0.10,0.82]) 与低或不确定的遵守 (SMD = 0.38,95% CI [0.07,0.70]) 相比.
结论:
- 运动是改善PSCI患者认知功能的有益干预措施.
- 与较低的坚持水平相比,在PSCI患者中,遵守ACSM推的运动剂量与更实质性的认知收益有关.
相关概念视频
Exercise and Cardiovascular Response
780
Exercise significantly impacts cardiovascular response, which is crucial for understanding patient health and designing effective treatment plans.
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
780
Exercise and Cardiac Output
982
Regular physical activity is essential for maintaining cardiovascular health, with aerobic exercises being particularly effective. According to the American Heart Association, 150 minutes of moderate to intense aerobic exercise per week is recommended for a healthy heart. Aerobic activities may include brisk walking, running, bicycling, cross-country skiing, and swimming, ideally performed three to five times per week.
Sustained exercise increases the muscles' oxygen demand, which can be...
Sustained exercise increases the muscles' oxygen demand, which can be...
982
Cardiac Output II: Effect of Stroke Volume on Cardiac Output
834
Cardiac output (CO), the amount of blood the heart pumps per minute, is a parameter in cardiovascular physiology determined by stroke volume and heart rate. Stroke volume, the amount of blood pushed from one of the ventricles per heartbeat, is influenced by preload, afterload, and contractility.
Preload
Preload refers to the initial elongation of the cardiac myocytes before contraction and is related to the volume of blood filling the heart at the end of diastole, or end-diastolic volume. The...
Preload
Preload refers to the initial elongation of the cardiac myocytes before contraction and is related to the volume of blood filling the heart at the end of diastole, or end-diastolic volume. The...
834
Cognitive Enhancers: Cholinesterase Inhibitors and NMDA Receptor Antagonists
120
Cognitive enhancers, also known as "smart drugs," are substances used to enhance memory, mental alertness, and concentration. These can be natural or synthetic and improve cognition in conditions like Alzheimer's disease (AD) and other neurodegenerative diseases. Some common examples include caffeine, amphetamines, methylphenidate, modafinil, arecoline, donepezil, vortioxetine, and piracetam. These enhancers work on the principle of synaptic plasticity and altered circuit function.
120
Regulation of Stroke Volume
3.2K
The regulation of stroke volume, which is the amount of blood the heart pumps out during each heartbeat, is critical for maintaining a healthy circulatory system. Stroke volume is influenced by three main factors: preload, contractility, and afterload.
Preload refers to the degree of stretch on the heart before it contracts. It's analogous to the stretching of a rubber band; the more it's stretched, the more forcefully it snaps back. This concept is encapsulated in the Frank-Starling law of the...
Preload refers to the degree of stretch on the heart before it contracts. It's analogous to the stretching of a rubber band; the more it's stretched, the more forcefully it snaps back. This concept is encapsulated in the Frank-Starling law of the...
3.2K


