休活动对老年人的认知和记忆功能的影响:随机对照试验的系统审查和元分析
Guoxu Lv1, Yu Zhang1, Shuang Liu1
1Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang 150040, China.
概括
参与游戏等休活动显著提高了老年人的认知功能,记忆和执行功能. 这一元分析证实了这些干预措施改善整体认知健康和生活质量的好处.
科学领域:
- 老年学是一门学科.
- 认知神经科学 认知神经科学
- 公共卫生 公共卫生
背景情况:
- 认知能力下降是一个重大的全球健康挑战,特别是在老年人中.
- 非传统的认知康复训练 (N-TCRT) 干预措施显示出希望,但证据仍然有限.
- 休活动是N-TCRT的可访问和有吸引力的形式.
研究的目的:
- 评估休活动干预措施改善老年人认知功能的有效性.
- 为了比较休活动对传统认知康复训练 (TCRT) 控制组的影响.
- 综合来自随机对照试验的休活动认知增强的证据.
主要方法:
- 在主要数据库 (PubMed,Embase,Cochrane) 进行了全面的文献搜索,截至2024年6月31日.
- 包括23项随机对照试验 (RCT),涉及1,293名老年人.
- 使用PEDro尺度评估偏差风险,并分析认知功能和生活质量结果的数据.
主要成果:
- 休活动,包括麻将,克和VR等游戏,显著改善了全球认知 (MoCA,MMSE).
- 特定的认知领域,如记忆 (DSB,DSF) 和执行功能 (TMT-A,TMT-B) 显示出明显的改善.
- 参与者还报告说,他们的生活质量有所改善,根据ADL和WHOQOL-OLD得分进行测量.
结论:
- 休活动是改善老年人各种认知领域的有效干预措施.
- 这些发现支持将愉快的游戏活动融入老年人群的认知健康策略中.
- 进一步的研究可以探索休活动的特定类型和持续时间,以获得最佳的认知效益.
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