Physical Exercise on Physical and Cognitive Function in Institutionalized Older Adults with Dementia: A Systematic Review

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-02-22 DOI:10.1007/s12126-023-09542-9

Elenderjane Andrade de Oliveira, Ully Alexia Caproni Correa, Natalia Reynaldo Sampaio, Daniele Sirineu Pereira, Marcella Guimaraes Assis, Leani Souza Maximo Pereira

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Abstract

Dementia affects 50 million people worldwide and that number may treble by 2050, yet there are not many studies for this population, especially when they are living in homes for the aged. Regarding the latest published evidence, this study is a systematic review to investigate the effects of exercise on the physical, functional and cognitive capacity of institutionalized older adults with dementia. Searches were performed on Medline, PEDro, Lilacs, Scielo and Cochrane Library and this review follows the PRISMA guidelines, including only randomized controlled trials. The quality of studies was graded according to PEDro and the strength of the current evidence using the GRADE approach. This study is registered in PROSPERO (CRD42021232166). A total of ten studies met the inclusion criteria, with a sample of 876 participants with a mean age of 80 years old. The interventions were diversified, with multicomponent exercises, high-intensity functional training and activities of daily living training. The duration varied from three to six months and frequency averaged from two to three times a week. Studies suggested interventions with low technology, easy to implement and observed improvement in physical, functional and cognitive capacity, however there is no consistent evidence of which is the most suitable intervention. More studies should be encouraged considering the different types of dementia and levels of impairment, considering this is a diverse population that could benefit from physical exercise.

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体育锻炼对养老院老年痴呆症患者身体和认知功能的影响：系统性综述

全世界有 5000 万人患有痴呆症，到 2050 年，这一数字可能会增加两倍，但针对这一人群的研究却不多，尤其是当他们居住在养老院时。关于最新发表的证据，本研究是一项系统性综述，旨在调查运动对入住养老院的老年痴呆症患者的身体、功能和认知能力的影响。我们在 Medline、PEDro、Lilacs、Scielo 和 Cochrane 图书馆上进行了检索，本综述遵循了 PRISMA 准则，只包括随机对照试验。根据 PEDro 对研究质量进行了分级，并采用 GRADE 方法对当前证据的强度进行了分级。本研究已在 PROSPERO 注册（CRD42021232166）。共有十项研究符合纳入标准，样本参与者为 876 人，平均年龄为 80 岁。干预措施多种多样，包括多组分运动、高强度功能训练和日常生活活动训练。持续时间从 3 个月到 6 个月不等，频率平均为每周 2 到 3 次。研究表明，干预措施技术含量低、易于实施，并能观察到对身体、功能和认知能力的改善，但没有一致的证据表明哪种干预措施最合适。考虑到痴呆症的不同类型和受损程度，应鼓励开展更多的研究，因为这是一个可以从体育锻炼中受益的多样化人群。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.