不同体力炼对认知功能和认知障碍老年人干预坚持的比较影响:系统性审查和网络元分析
Geng Li1, Gesi Teng1, Weikun Zhang1
1School of Psychology, Research Center for Exercise and Brain Science, Shanghai University of Sport, Shanghai 200438, China.
Clinical psychology review
|June 4, 2025
概括
心身运动显著改善认知能力和认知障碍的老年人的坚持. 与其他运动类型相比,这种方法提供了优越的好处,指导了针对量身定制干预措施的临床建议.
科学领域:
- 老年学是指老年学的学科.
- 神经科学是一个神经科学.
- 运动科学 运动科学
背景情况:
- 认知障碍在老年人群中越来越令人担忧.
- 身体炼是对认知健康的有希望的非药物干预.
- 在老年人中,最佳的运动类型和对认知益处的坚持仍然不清楚.
研究的目的:
- 为了比较和排名各种体育炼方式对老年人 (≥60岁) 认知障碍的认知影响.
- 评估不同炼干预措施的坚持率.
- 确定最佳的炼策略,平衡认知增强和持续参与.
主要方法:
- 对128项随机对照试验 (RCT) 的系统审查和网络元分析,涉及12,403名参与者.
- 搜索了多个数据库 (MEDLINE,科学网络,Scopus,PsycINFO,PubMed,SPORTDiscus) 截至2025年3月.
- 干预措施使用积累性排名曲线 (SUCRA) 下面的表面来确定认知和坚持的最佳运动类型.
主要成果:
- 心身运动在全球认知 (SUCRA = 95.9%) 和坚持 (SUCRA = 93.6%) 方面表现出最显著的改善.
- 有氧,阻力和多元组件炼也显示出认知效益,但坚持程度较低.
- 心身运动在认知子领域,功能结果和长期认知状态中提供了一致的优势.
结论:
- 心身运动是增强认知能力和认知障碍老年人的坚持能力的最佳体育活动.
- 研究结果支持在临床环境中使用心身炼来基于证据的处方.
- 这种方法提供了卓越的认知和功能益处,为这个人口群体指导个性化的炼策略.
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