The Effects of Social Interaction Intervention on Cognitive Functions Among Older Adults Without Dementia: A Systematic Review and Meta-Analysis.

IF 4.9 3区医学 Q1 GERIATRICS & GERONTOLOGY

Innovation in Aging Pub Date : 2024-10-03 eCollection Date: 2024-01-01 DOI:10.1093/geroni/igae084

Chi-Chuan Wei, Min-Jia Hsieh, Yi-Fang Chuang

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引用次数: 0

Abstract

Background and objectives: Previous systemic reviews, predominantly including observational studies, have shown that participation in social activities is a protective factor against cognitive decline. However, this association is subject to potential reverse causality, creating a knowledge gap in our understanding of the effect of social interaction interventions on cognitive function. Therefore, this study aims to conduct a systematic review and meta-analysis of randomized controlled trials to examine the effects of social interaction interventions on cognitive decline among older adults without dementia.

Research design and methods: This systematic review, registered in PROSPERO (CRD42022367828), systematically searched 6 databases from inception to May 6, 2022, to identify relevant articles on the effects of activities with social interaction components on cognitive function in community-dwelling older adults without dementia aged above 60. Two independent reviewers conducted study selection, data extraction, and bias assessment, with RevMan5.3 used for meta-analysis. Subgroup analysis was conducted to assess variation in intervention effects among subgroups.

Results: We included 11 studies for qualitative analysis and 8 studies for the meta-analysis. The results showed that social interaction intervention had a significant effect on executive function (standardized mean difference [SMD] = 1.60; 95% CI, 0.50 to 2.70; p = .004), but not attention and memory. The subgroup analysis showed a greater cognitive benefit for healthy older adults, but not those with mild cognitive impairment. Moreover, in-person social interaction positively affected global cognition, whereas online interaction did not.

Discussion and implications: Social interaction interventions have a limited impact on cognitive function in older adults without dementia but showed potential effects on executive function. This finding offers insights for implementing social intervention in the community.

查看原文本刊更多论文

社交互动干预对无痴呆症老年人认知功能的影响：系统回顾与元分析》。

背景和目的：以往的系统综述（主要包括观察性研究）表明，参与社交活动是防止认知功能下降的保护性因素。然而，这种关联存在潜在的反向因果关系，使我们在了解社会交往干预对认知功能的影响方面存在知识空白。因此，本研究旨在对随机对照试验进行系统综述和荟萃分析，研究社交互动干预措施对无痴呆症老年人认知功能下降的影响：本系统性综述在PROSPERO（CRD42022367828）上注册，系统性检索了6个数据库，检索时间从开始到2022年5月6日，目的是找出60岁以上居住在社区且无痴呆症的老年人中包含社交互动成分的活动对认知功能影响的相关文章。两位独立审稿人进行了研究筛选、数据提取和偏倚评估，并使用RevMan5.3进行了荟萃分析。我们还进行了分组分析，以评估干预效果在不同分组间的差异：我们纳入了 11 项研究进行定性分析，纳入了 8 项研究进行荟萃分析。结果表明，社交互动干预对执行功能有显著效果（标准化平均差 [SMD] = 1.60；95% CI，0.50 至 2.70；p = .004），但对注意力和记忆力没有显著效果。亚组分析表明，健康的老年人在认知方面获益更大，而轻度认知障碍的老年人则不然。此外，面对面的社交互动对整体认知有积极影响，而在线互动则没有：社交互动干预对没有痴呆症的老年人的认知功能影响有限，但对执行功能有潜在影响。这一发现为在社区实施社交干预提供了启示。

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

Innovation in Aging GERIATRICS & GERONTOLOGY-

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

15 weeks

期刊介绍： Innovation in Aging, an interdisciplinary Open Access journal of the Gerontological Society of America (GSA), is dedicated to publishing innovative, conceptually robust, and methodologically rigorous research focused on aging and the life course. The journal aims to present studies with the potential to significantly enhance the health, functionality, and overall well-being of older adults by translating scientific insights into practical applications. Research published in the journal spans a variety of settings, including community, clinical, and laboratory contexts, with a clear emphasis on issues that are directly pertinent to aging and the dynamics of life over time. The content of the journal mirrors the diverse research interests of GSA members and encompasses a range of study types. These include the validation of new conceptual or theoretical models, assessments of factors impacting the health and well-being of older adults, evaluations of interventions and policies, the implementation of groundbreaking research methodologies, interdisciplinary research that adapts concepts and methods from other fields to aging studies, and the use of modeling and simulations to understand factors and processes influencing aging outcomes. The journal welcomes contributions from scholars across various disciplines, such as technology, engineering, architecture, economics, business, law, political science, public policy, education, public health, social and psychological sciences, biomedical and health sciences, and the humanities and arts, reflecting a holistic approach to advancing knowledge in gerontology.