非药物干预对主观认知衰退的成年人的影响:网络元分析和组件网络元分析
Xiao-Hong Yu1, Xin-Ru Li1, Zhi-Run Du2
1School of Nursing, Nanjing Medical University, Nanjing, China.
BMC medicine
|June 27, 2024
概括
抵抗运动是最有效的非药物干预措施,以减少主观认知衰退的成年人的记忆问题. 对于主观记忆问题的认知干预,体力活动形式显示出比认知干预更大的益处.
科学领域:
- 神经学 神经学
- 老年学是一门学科.
- 康复医学 康复医学 康复医学
背景情况:
- 对主观认知衰退 (SCD) 的非药物干预是多样化的,具有不同的组成部分.
- 具体干预组件或组合的比较有效性仍然不清楚.
研究的目的:
- 为了比较不同非药物干预组合和组件对SCD成人健康相关结果的影响.
- 确定最佳干预措施,以改善主观认知衰退的成年人的认知功能和相关健康结果.
主要方法:
- 在多个数据库 (PubMed,Embase,Cochrane等) 中进行全面的系统搜索. 这项研究将持续到2023年1月.
- 包括涉及SCD和非药物干预的成年人随机对照试验 (RCT).
- 使用添加组件模型进行了组件网络元分析,以综合来自39项试验 (2959名参与者) 的数据.
主要成果:
- 耐力运动显示,耐力运动是最有可能成为减少SCD成年人记忆问题的最佳干预措施.
- 平衡和有氧运动也显示出显著的益处,在减少主观记忆抱怨方面表现优于认知干预.
- 音乐治疗,认知训练和正念治疗等特定组件对改善全球认知功能,语言,日常生活活动,身体健康和缓解焦虑是有效的.
结论:
- 身体活动,特别是阻力,有氧和平衡炼,似乎比认知干预对SCD成年人的主观记忆抱怨更有益.
- 建议进一步进行高质量,大规模的RCT来验证这些发现并指导临床实践.
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