Baduanjin Exercise Improves Cognitive Function in Older Adults With Mild Cognitive Impairment: A Systematic Review and Meta-analysis.

IF 1.6 4区医学 Q3 CLINICAL NEUROLOGY

Journal of Nervous and Mental Disease Pub Date : 2024-09-01 DOI:10.1097/NMD.0000000000001796

Liang Li, Wenlong Li, Tonggang Fan

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引用次数: 0

Abstract

Abstract: As a nonpharmacological method for cognitive rehabilitation, older adults with mild cognitive impairment (MCI) may benefit from Baduanjin exercise (BE), a moderate-intensity aerobic exercise. This meta-analysis was conducted to determine if BE is effective in enhancing cognitive performance in older adults with MCI. Using a combination of topic phrases and free words, systematic searches were executed in nine databases. Review Manager 5.4 was used to retrieve and statistically evaluate the data. Fourteen randomized controlled studies comprising 994 individuals aged ≥60 years were included in the meta-analysis. BE enhanced the general cognitive performance in individuals with MCI as measured by the Montreal Cognitive Assessment (standardized mean difference [SMD] = 2.56; 95% confidence interval [CI], 2.17, 2.96; p < 0.001). The level of memory decline (Wechsler Memory Scale; SMD = 12.46; 95% CI, 8.36, 16.57; p < 0.001), executive function (Trail Making Test; SMD = -7.08; 95% CI, -11.21, -2.94; p < 0.001), and frailty (Edmonton Frailty Scale; SMD = -0.97; 95% CI, -1.30, -0.64; p < 0.001) were all improved with BE for older adults with MCI. This study presented a therapeutic practice guide for using BE for cognitive rehabilitation in older adults. BE notably improves cognitive function in older adults with MCI and can be an excellent nonpharmaceutical therapy option.

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八段锦运动可改善轻度认知障碍老年人的认知功能：系统回顾与元分析》。

摘要：作为一种非药物认知康复方法，患有轻度认知障碍（MCI）的老年人可能会从中等强度的有氧运动--八段锦运动（BE）中获益。本荟萃分析旨在确定八段锦运动是否能有效提高患有 MCI 的老年人的认知能力。利用主题短语和自由词的组合，在九个数据库中进行了系统检索。使用 Review Manager 5.4 对数据进行检索和统计评估。14项随机对照研究纳入了荟萃分析，这些研究包括994名年龄≥60岁的患者。通过蒙特利尔认知评估（Montreal Cognitive Assessment），BE 提高了 MCI 患者的一般认知能力（标准化平均差 [SMD] = 2.56；95% 置信区间 [CI]，2.17, 2.96；P < 0.001）。对于患有 MCI 的老年人，BE 可改善记忆力衰退程度（韦氏记忆量表；SMD = 12.46；95% CI，8.36，16.57；p <0.001）、执行功能（路径制作测试；SMD = -7.08；95% CI，-11.21，-2.94；p <0.001）和虚弱程度（埃德蒙顿虚弱量表；SMD = -0.97；95% CI，-1.30，-0.64；p <0.001）。这项研究为使用 BE 进行老年人认知康复提供了治疗实践指南。BE 能显著改善患有 MCI 的老年人的认知功能，是一种很好的非药物疗法选择。

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

Journal of Nervous and Mental Disease 医学-精神病学

CiteScore

2.90

自引率

5.30%

发文量

233

审稿时长

3-8 weeks

期刊介绍： The Journal of Nervous and Mental Disease publishes peer-reviewed articles containing new data or ways of reorganizing established knowledge relevant to understanding and modifying human behavior, especially that defined as impaired or diseased, and the context, applications and effects of that knowledge. Our policy is summarized by the slogan, "Behavioral science for clinical practice." We consider articles that include at least one behavioral variable, clear definition of study populations, and replicable research designs. Authors should use the active voice and first person whenever possible.