不同非药物干预措施对健康老年人的执行功能的影响:系统性审查和网络元分析
Ying Bai1, Yuan Yuan2, Bopeng Qiu3
1College of Healthcare and Wellness, Linyi Vocational College, No. 63 Hudong Road, Linyi 276000, China.
Archives of gerontology and geriatrics
|January 23, 2026
概括
这项研究发现,舞蹈可以改善执行功能和认知灵活性,抵抗训练可以提高工作记忆力,计算机认知训练可以提高老年人的抑制. 这些非药物干预措施为衰老中的认知健康提供了有针对性的好处.
科学领域:
- 老年学和认知神经科学
- 神经康复和衰老的研究
背景情况:
- 执行功能 (EF) 衰退是健康老龄化的重大挑战.
- 保持认知健康对于老年人的生活质量至关重要.
研究的目的:
- 在健康的老年人中,系统地比较和对整体EF及其子域进行非药理干预,并对其进行排名.
- 为针对认知衰老的干预提供基于证据的选择指南.
主要方法:
- 进行了115项随机对照试验 (RCT) 的网络元分析 (NMA),涉及16824名健康的老年人 (≥60岁).
- 搜索的主要数据库 (PubMed,Cochrane,Embase,Web of Science) 截至2025年2月.
- 使用RoB 2评估偏差风险和使用CINeMA对证据的信心.
主要成果:
- 舞蹈干预显示了整体执行功能 (SMD=0.82) 和认知灵活性 (SMD=0.96) 的显著改善.
- 抵抗训练与增强的工作记忆有关 (SMD=0.86).
- 计算机化认知训练对抑制产生了积极的影响 (SMD=0.48).
结论:
- 舞蹈,抵抗训练和计算机认知训练是针对老年人特定执行功能的有效非药物干预措施.
- 研究结果支持针对老年人群认知增强的有针对性的干预选择.
- 提供了对临床和社区环境的干预措施的排名比较.
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