身体炼在认知维护中的作用:系统性审查
Matt Kaufman1, Paige Dyrek1, Michael Fredericson1
1Division of Physical Medicine and Rehabilitation, Department of Orthopaedic Surgery, Stanford University, Redwood City, CA, USA (MK, PD, MF).
定期体育炼可能有助于保持老年人的认知功能,特别是那些有轻度认知障碍的人. 持续的活动是关键,因为炼停止后的益处可能会下降.
科学领域:
- 神经科学是一个神经科学.
- 老年学是一门学科.
- 预防医学 预防医学
背景情况:
- 痴呆症 (主要的神经认知障碍) 是老年人残疾的主要原因.
- 缺乏有效的治疗方法,使预防成为一个关键的研究领域.
- 运动通过增加血液流动,神经营养因子和大脑体积来影响大脑健康.
研究的目的:
- 系统地审查随机对照试验体育活动对老年人认知的影响.
- 评估运动对全球认知,记忆和执行功能的影响.
- 为了确定运动带来的结构性大脑变化是否转化为认知保存.
主要方法:
- 系统审查十七个随机对照试验 (RCT).
- 分析的重点是老年人,包括那些认知完整和轻度认知障碍的人.
- 评估认知结果,包括全球认知,记忆和执行功能.
主要成果:
- 身体炼的认知益处在认知完整的个体和轻度认知障碍的个体中最为明显.
- 长期跟踪研究表明,在停止运动后,认知能力的增长会减少.
- 持续的体力活动似乎是长期认知保存所必需的.
结论:
- 身体炼对老年人的认知维护有前途,特别是在认知障碍早期.
- 认知效益可能取决于持续参与体育活动.
- 对于痴呆症预防策略,对持续炼方案的进一步研究是有必要的.
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