具有认知脆弱的老年人多元组件运动的有效性:系统性审查和元分析
Huanhuan Luo1,2, Zitian Zheng3,4, Zhe Yuan5
1Institute of Geriatric Medicine, Beijing Hospital, National Center of Gerontology, Chinese Academy of MedicalSciences and Peking Union Medical College, Beijing, People's Republic of China.
Archives of public health = Archives belges de sante publique
|November 29, 2024
概括
多元组件运动显著改善认知功能,肌肉力量,并减少老年人的虚弱和抑郁. 然而,它并没有积极影响日常生活活动或生活质量.
科学领域:
- 老年学是一门学科.
- 运动科学 运动科学
- 公共卫生 公共卫生
背景情况:
- 认知虚弱是一种可逆的疾病,与老年人的不良健康状况有关.
- 多元组件运动是缓解认知脆弱的一个有前途的干预措施.
研究的目的:
- 量化综合多组分运动对认知功能,虚弱状态和其他健康结果在认知虚弱的老年人的影响.
- 为了确定特定的运动特征,可以增强对认知脆弱的益处.
主要方法:
- 通过使用多个数据库的数据进行了系统性审查和元分析,该数据库的数据截至2023年12月.
- 包括11项试验,共有2222名参与者.
- 使用RevMan 5.3,Stata 17.0和R 4.3.2进行的统计分析,遵循PRISMA指南.
主要成果:
- 多组分运动显著增强了认知功能 (p=0.03),握力 (p=0.008) 和下肢肌肉力量 (p<0.001).
- 运动干预导致虚弱 (p<0.001) 和抑郁 (p=0.001) 的显著减少.
- 没有观察到对日常生活活动 (p=0.19) 或生活质量 (p=0.16) 的显著影响.
- 亚组分析表明,有氧运动超过120分钟/周和基于小组的运动有好处.
结论:
- 多元组件运动有效地改善认知功能,肌肉力量,并减少老年人的虚弱和抑郁.
- 目前的证据不支持对日常生活活动或生活质量产生积极影响.
- 特定的运动参数,如有氧运动类型,持续时间和团体格式,可能会优化对认知虚弱的益处.
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