关于 "道因疗法 "改善老年人轻度认知障碍的效果和机制的系统性综述。

IF 12.5 1区医学 Q1 CELL BIOLOGY

Ageing Research Reviews Pub Date : 2024-10-04 DOI:10.1016/j.arr.2024.102526

Yanfang Hong, Zuguo Tian, Zhenfeng Ji, Jia Yang, Chaochao Wang

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引用次数: 0

摘要

背景：与年龄相关的认知能力下降是老龄人口中普遍存在的问题。道阴疗法是一种具有传统中医特色的身心运动疗法。越来越多的证据表明，它对改善不同人群的认知功能很有帮助。然而，目前还没有系统性综述来评估道阴疗法对老年人轻度认知功能障碍（MCI）的影响和机制：系统回顾道银疗法对老年人轻度认知功能障碍（MCI）的影响和机制的证据：结果：太极拳、八段锦和易筋经可以改善认知功能。结果：太极拳、八段锦和易筋经可改善认知功能，气功和五禽戏可增强与平衡、肌肉力量、身体耐力、姿势控制和灵活性有关的身体和认知功能。太极、八段锦和五禽戏可以通过多种机制改善老年人的认知功能，缓解 MCI 的相关症状。其基本机制包括激活不同脑区的信号表达并改变其连接、提高脑容量以及调节脑源性神经刺激因子和炎症因子：总之，现有的研究证据表明，太极、八段锦和五禽戏等传统道阴疗法是一种很有前景的策略，可以通过改变结构和神经活动以及调节其他因素，改善患有 MCI 的老年人的认知功能并延缓痴呆的发生。

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A systematic review of the effect and mechanism of Daoyin therapy on improving mild cognitive impairment in older adults

Background

Age-related cognitive decline is a pervasive problem in the aging population. Daoyin therapy is a mind-body movement characteristic of traditional Chinese medicine (TCM). Increasing evidence has reported its usefulness in improving cognitive function among different populations. However, there is no systematic review to assess the effect and mechanism of Daoyin therapy on mild cognitive dysfunction (MCI) in older adults.

Objective

To systematically review the evidence on the effect and mechanism of Daoyin therapy on MCI in older adults.

Results

Taichi, Baduanjin, and Yijinjing can improve cognitive function. Qigong and Wuqinxi can enhance the physical and cognitive functions related to balance, muscle strength, physical endurance, postural control, and flexibility. Taichi, Baduanjin, and Wuqinxi can improve the cognitive function of older adults and alleviate the symptoms associated with MCI through multiple mechanisms. The underlying mechanisms include activating the expression of signals and changing their connections in different brain regions, increasing brain capacity, and regulating brain-derived neurotropic and inflammatory factors.

Conclusion

In summary, the existing evidence from RCTs suggests that traditional Daoyin therapy, such as Taichi, Baduanjin, and Wuqinxi, is a promising strategy that can improve cognitive function and delay the onset of dementia in older adults with MCI by altering structural and neural activities and modulating other factors.

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来源期刊

Ageing Research Reviews 医学-老年医学

CiteScore

19.80

自引率

2.30%

发文量

216

审稿时长

55 days

期刊介绍： With the rise in average human life expectancy, the impact of ageing and age-related diseases on our society has become increasingly significant. Ageing research is now a focal point for numerous laboratories, encompassing leaders in genetics, molecular and cellular biology, biochemistry, and behavior. Ageing Research Reviews (ARR) serves as a cornerstone in this field, addressing emerging trends. ARR aims to fill a substantial gap by providing critical reviews and viewpoints on evolving discoveries concerning the mechanisms of ageing and age-related diseases. The rapid progress in understanding the mechanisms controlling cellular proliferation, differentiation, and survival is unveiling new insights into the regulation of ageing. From telomerase to stem cells, and from energy to oxyradical metabolism, we are witnessing an exciting era in the multidisciplinary field of ageing research. The journal explores the cellular and molecular foundations of interventions that extend lifespan, such as caloric restriction. It identifies the underpinnings of manipulations that extend lifespan, shedding light on novel approaches for preventing age-related diseases. ARR publishes articles on focused topics selected from the expansive field of ageing research, with a particular emphasis on the cellular and molecular mechanisms of the aging process. This includes age-related diseases like cancer, cardiovascular disease, diabetes, and neurodegenerative disorders. The journal also covers applications of basic ageing research to lifespan extension and disease prevention, offering a comprehensive platform for advancing our understanding of this critical field.