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IF 2.8 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Frontiers in Cardiovascular Medicine Pub Date : 2025-03-06 eCollection Date: 2025-01-01 DOI:10.3389/fcvm.2025.1462385

Talita Cezareti, Wallace Machado Magalhães de Souza, Andrea Camaz Deslandes, Tereza Cristina Felippe Guimarães, Daniel Arthur Barata Kasal, Luiz Fernando Rodrigues Junior, Mauro Felippe Felix Mediano

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引用次数: 0

摘要

简介双任务训练（DTT）是改善心血管疾病（CVDs）患者认知能力的一种很有前景的干预策略。本研究旨在描述有关冠状动脉疾病（CAD）和/或心力衰竭（HF）患者运动认知双任务训练与认知表现（CP）之间关系的文献：本系统性综述包括评估运动认知DTT与冠心病和/或心力衰竭患者认知能力之间关系的干预性和观察性研究。在 MEDLINE/Pubmed、Scielo、Lilacs、PEDro 和 EMBASE 数据库中进行了检索。对干预性研究采用 PEDro 和 ROBII 量表进行方法学质量评估，对观察性研究采用纽卡斯尔-渥太华量表进行方法学质量评估。证据的确定性采用建议、评估、发展和评价分级法（GRADE）进行评估：结果：共检索到 2,098 篇文章，其中 21 篇被选中进行全文阅读。其中，根据预先指定的排除标准排除了 16 篇，最终选出了 2018 年至 2022 年期间在三个国家（美国、葡萄牙和俄罗斯）进行的五项研究。这些研究共纳入 228 人，其中一项研究的参与者为高血压患者，一项研究的参与者为患有冠状动脉硬化症的女性患者，两项研究的参与者为接受过心肌血运重建的患者，一项研究的参与者为参加了心脏康复计划第二阶段的冠状动脉硬化症患者。每项研究都采用了不同的运动和认知任务组合，依次进行（n = 2 项研究）或同时进行（n = 3 项研究），其中一项研究采用了虚拟训练。根据 GRADE 方法，CP 的总体证据确定性较低。有两项研究观察到心肌血运重建术后认知功能障碍有所减轻。此外，研究结果表明，DTT 可能对记忆力、选择性注意力和冲突解决能力有积极影响：综述研究表明，运动认知 DTT 是改善 CAD 和/或高频患者 CP 的一种潜在方法。系统综述注册：www.crd.york.ac.uk/prospero/display_record.php?ID=CRD4202341516，标识符（CRD 4202341516）。

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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Dual-task training and cognitive performance in individuals with coronary artery disease and/or heart failure: a systematic review.

Introduction: Dual-task training (DTT) emerged as a promising intervention strategy to improve cognition in individuals with cardiovascular diseases (CVDs). The aim of this study is to describe the literature on the relationship between motor-cognitive DTT and cognitive performance (CP) in individuals with coronary artery disease (CAD) and/or heart failure (HF).

Method: This systematic review includes intervention and observational studies that assessed motor-cognitive DTT on CP in individuals with CAD and/or HF. Searches were performed in the MEDLINE/Pubmed, Scielo, Lilacs, PEDro, and EMBASE databases. Methodological quality was assessed using the PEDro and ROBII scales for intervention studies and the Newcastle-Ottawa Scale for observational studies. The certainty of evidence was assessed using Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach.

Results: A total of 2,098 articles were retrieved, and 21 articles were selected for full reading. Among these, 16 were excluded according to pre-specified exclusion criteria, resulting in five studies conducted between 2018 and 2022, conducted in three countries (United States, Portugal, and Russia). The studies included 228 individuals, comprising one study with HF participants, one including women with CAD, two including individuals that underwent myocardial revascularization, and one with patients with CAD enrolled in a phase 2 of cardiac rehabilitation program. Each study used different combinations of motor and cognitive tasks, conducted sequentially (n = 2 studies) or simultaneously (n = 3 studies), with one study using virtual training. The overall certainty of evidence for CP was low according to GRADE approach. Reduction in postoperative cognitive dysfunction after myocardial revascularization was observed in two studies. Moreover, the results indicate that DTT may have a positive impact on memory, selective attention, and conflict resolution capacity.

Conclusion: The studies reviewed indicate motor-cognitive DTT as a potential approach to improve CP in individuals with CAD and/or HF.

Systematic review registration: www.crd.york.ac.uk/prospero/display_record.php?ID=CRD4202341516, identifier (CRD 4202341516).

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来源期刊

Frontiers in Cardiovascular Medicine Medicine-Cardiology and Cardiovascular Medicine

CiteScore

3.80

自引率

11.10%

发文量

3529

审稿时长

14 weeks

期刊介绍： Frontiers? Which frontiers? Where exactly are the frontiers of cardiovascular medicine? And who should be defining these frontiers? At Frontiers in Cardiovascular Medicine we believe it is worth being curious to foresee and explore beyond the current frontiers. In other words, we would like, through the articles published by our community journal Frontiers in Cardiovascular Medicine, to anticipate the future of cardiovascular medicine, and thus better prevent cardiovascular disorders and improve therapeutic options and outcomes of our patients.