Cognition-Specific Computerized Cognitive Training in Older Adults with Mild Cognitive Impairment: A Systematic Review and Meta-Analysis

IF 0.3 4区医学 Q4 GERIATRICS & GERONTOLOGY

International Journal of Gerontology Pub Date : 2021-04-01 DOI:10.6890/IJGE.202104_15(2).0001

S. Heo, Jin-Hyuck Park

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引用次数: 0

Abstract

To date, previous meta-analyses reported that computerized cognitive training (CCT) was a clinically beneficial intervention for cognitive function in older adults with mild cognitive impairment (MCI). However, little is known about the efficacy of narrowly defined cognition-specific CCT excluding commercial video games on cognitive function in patients with MCI. Randomized controlled trials (RCTs) of CCT in older adults with MCI were searched through CINAHL, Embase, Medline, PubMed, and PsychINFO. The overall cognitive domains, global cognitive function, attention, memory, working memory, and executive function were pooled separately for MCI. The overall effect on cognitive function in MCI across 8 trials was moderate (Hedges' g = 0.48, 95% confidence interval (CI) = 0.003-0.974). There was no significant publication bias. Moderate to large effects were found for global cognitive function, memory, and working memory, with the exception of attention, and executive function. Cognition-specific CCT was beneficial in improving global cognitive function, memory, and working memory in older adults with MCI. Therefore, this intervention warrants long-term trials with a larger number of subjects to investigate the effect on conversion from MCI to dementia.

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认知特异性计算机化认知训练在轻度认知障碍老年人中的应用:一项系统综述和荟萃分析

迄今为止，先前的荟萃分析报道，计算机化认知训练(CCT)对轻度认知障碍(MCI)老年人的认知功能是一种临床有益的干预措施。然而，对于狭义的认知特异性CCT(不包括商业视频游戏)对轻度认知损伤患者认知功能的影响，我们知之甚少。通过CINAHL、Embase、Medline、PubMed和PsychINFO检索了CCT在老年MCI患者中的随机对照试验(RCTs)。MCI的整体认知领域、整体认知功能、注意、记忆、工作记忆和执行功能被单独汇总。8项试验对MCI患者认知功能的总体影响为中等(Hedges' g = 0.48, 95%可信区间(CI) = 0.003-0.974)。没有显著的发表偏倚。除注意力和执行功能外，对整体认知功能、记忆和工作记忆都有中等到较大的影响。认知特异性CCT有助于改善老年MCI患者的整体认知功能、记忆和工作记忆。因此，这种干预措施需要进行大量受试者的长期试验，以研究从轻度认知障碍到痴呆的转化效果。

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

International Journal of Gerontology 医学-老年医学

CiteScore

0.60

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： The Journal aims to publish original research and review papers on all fields of geriatrics and gerontology, including those dealing with critical care and emergency medicine. The IJGE aims to explore and clarify the medical science and philosophy in all fields of geriatrics and gerontology, including those in the emergency and critical care medicine. The IJGE is determined not only to be a professional journal in gerontology, but also a leading source of information for the developing field of geriatric emergency and critical care medicine. It is a pioneer in Asia. Topics in the IJGE cover the advancement of diagnosis and management in urgent, serious and chronic intractable diseases in later life, preventive medicine, long-term care of disability, ethical issues in the diseased elderly and biochemistry, cell biology, endocrinology, molecular biology, pharmacology, physiology and protein chemistry involving diseases associated with age. We did not limit the territory to only critical or emergency condition inasmuch as chronic diseases are frequently brought about by inappropriate management of acute problems.