Dose-response relationship of high-intensity training on global cognition in older adults with mild cognitive impairment or dementia: a systematic review with meta-analysis - the ACHIEVE-Study

IF 3.7 1区 医学 Q2 GERIATRICS & GERONTOLOGY
Diego Fernando Afanador-Restrepo, Alejandro Casanova-Correa, Rita Inés Martín-Ojeda, Agustín Aibar-Almazán, Ana María González-Martín, Fidel Hita-Contreras, María del Carmen Carcelén-Fraile, Yolanda Castellote-Caballero
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Abstract

The prevalence of mild cognitive impairment (MCI) and its subsequent progression to dementia has increased progression to dementia has increased worldwide, making it a topic of interest. of interest, and it has been observed that approximately 23% of cases are avoidable through preventable through vigorous exercise. A systematic review with meta-analysis was conducted by searching in the PubMed, Scopus, CINAHL, and Web of Science databases. For inclusion, studies had to incorporate High Intensity Training (HIT) as a primary or significant component of the overall intervention for older adults with MCI. Out of the 611 articles identified, 14 randomized clinical trials met the criteria for inclusion in the review. Fourteen trials were included in the systematic review, and seven were included in the meta-analysis. A total of 1839 participants were included in the studies, with 1014 receiving a high-intensity training-based intervention, and 998 were considered in the meta-analysis. Compared to usual care or sedentary activities, the high-intensity training interventions had a positive effect on cognition, either improving it or delaying the decline (g = 0.710 (95% CI: 0.191 — 1.229; p = 0.007). Additionally, the meta-analysis determined that a frequency of 3 sessions per week (g = 0.964, CI = 0.091 — 1.837, p = 0.030) of approximately 60 minutes (g = 0.756, CI = 0.052 — 1.460, p = 0.035) each was the best dose to obtain better effects on global cognition. Low-frequency and short-duration high-intensity training interventions are sufficient to improve or at least delay the decline in global cognition.
高强度训练对患有轻度认知障碍或痴呆症的老年人总体认知能力的剂量-反应关系:系统回顾与荟萃分析--ACHIEVE-研究
轻度认知功能障碍(MCI)及其随后发展为痴呆症的发病率在全球范围内不断上升,使其成为一个备受关注的话题。通过在 PubMed、Scopus、CINAHL 和 Web of Science 数据库中搜索,我们进行了一项系统性综述和荟萃分析。纳入的研究必须将高强度训练(HIT)作为对患有 MCI 的老年人进行整体干预的主要或重要组成部分。在确定的 611 篇文章中,有 14 项随机临床试验符合纳入综述的标准。14项试验被纳入系统综述,7项被纳入荟萃分析。共有1839名参与者被纳入研究,其中1014人接受了高强度训练干预,998人被纳入荟萃分析。与常规护理或久坐不动的活动相比,高强度训练干预对认知能力有积极影响,要么改善认知能力,要么延缓认知能力下降(g = 0.710 (95% CI: 0.191 - 1.229; p = 0.007)。此外,荟萃分析还确定,每周 3 次(g = 0.964,CI = 0.091 - 1.837,p = 0.030)、每次约 60 分钟(g = 0.756,CI = 0.052 - 1.460,p = 0.035)的频率是对整体认知产生更好效果的最佳剂量。低频率、短时间的高强度训练干预足以改善或至少延缓整体认知能力的下降。
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
CiteScore
8.60
自引率
1.60%
发文量
29
审稿时长
>12 weeks
期刊介绍: European Review of Aging and Physical Activity (EURAPA) disseminates research on the biomedical and behavioural aspects of physical activity and aging. The main issues addressed by EURAPA are the impact of physical activity or exercise on cognitive, physical, and psycho-social functioning of older people, physical activity patterns in advanced age, and the relationship between physical activity and health.
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