体力活动对神经认知障碍患者认知功能的益处:一项系统综述。

IF 3.3 Q2 GERIATRICS & GERONTOLOGY
Théodore Decaix, Claire Bonnin, Karl Götze, Véronique François, Camille Petit, Clémentine Rivière, Sandrine Greffard, Emmanuel Cognat, Jacques Hugon, Claire Paquet, Louise Sindzingre, Matthieu Lilamand
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引用次数: 0

摘要

神经认知障碍,特别是老年人的神经认知障碍,严重影响功能能力和整体健康。体育活动已成为一种潜在的非药物干预措施,以改善神经退行性疾病患者的认知表现。这篇综述专门讨论了为患有各种神经认知障碍的个体量身定制的体育活动干预问题。本文献综述分析了体育锻炼对阿尔茨海默病(AD)、血管性认知障碍、帕金森病和路易体痴呆患者认知功能影响的研究。对这些研究的方法严谨性、参与者特征、体育活动类型和认知结果进行了评估。在回顾的21项研究中,有14项报告了体育锻炼对认知功能的有益影响,尤其是有氧运动。虽然大多数研究都观察到认知能力和身体功能的改善,但结果并不一致,而且效果不大。AD患者认知改善的机制包括β-淀粉样蛋白和tau蛋白负担的减少、葡萄糖代谢的改善和脑源性神经营养因子水平的提高。有证据表明,通过多巴胺通路介导,帕金森病得到了特别的改善。尽管有短期益处的证据,但研究之间存在显著的差异,突出了针对特定神经认知状况量身定制个性化锻炼计划的必要性。身体活动是非药物干预的基础,对于支持神经退行性疾病患者的认知健康至关重要。需要进一步的研究来确定长期效果和最佳运动方式,以及标准化的评估标准来可靠地评估体育活动对认知的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Benefits of physical activity on cognitive function in patients with neurocognitive disorders: A systematic review.

Benefits of physical activity on cognitive function in patients with neurocognitive disorders: A systematic review.

Neurocognitive disorders, particularly in older adults, significantly affect functional abilities and global health. Physical activity has emerged as a potential non-pharmacological intervention to improve cognitive performance in patients with neurodegenerative diseases. This review specifically addressed the issue of tailored physical activity interventions for individuals with various neurocognitive disorders. This literature review analyzed studies investigating the effects of physical activity on cognitive function in patients with Alzheimer's disease (AD), vascular cognitive impairment, Parkinson's disease, and Lewy body dementia. The studies were evaluated for methodological rigor, participant characteristics, types of physical activities, and cognitive outcomes. Of the 21 studies reviewed, 14 reported beneficial effects of physical exercise on cognitive function, particularly with aerobic activities. While most studies observed improvements in cognitive performance and physical functional capacity, results were inconsistent, and effect sizes were modest. Mechanisms proposed for cognitive improvement in AD included reductions in β-amyloid and tau protein burdens, improved glucose metabolism, and enhanced brain-derived neurotrophic factor levels. Specific improvements were noted in Parkinson's disease, with evidence suggesting mediation through dopamine pathways. Despite evidence of short-term benefits, significant variability exists among studies, highlighting the need for individualized exercise programs tailored to specific neurocognitive conditions. Physical activity stands as a cornerstone non-pharmacological intervention, essential for supporting cognitive health in individuals with neurodegenerative diseases. Further research is necessary to establish long-term effects and optimal exercise modalities, along with standardized evaluation criteria to assess the cognitive impacts of physical activity reliably.

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来源期刊
Journal of Frailty & Aging
Journal of Frailty & Aging GERIATRICS & GERONTOLOGY-
CiteScore
5.90
自引率
7.70%
发文量
54
期刊介绍: The Journal of Frailty & Aging is a peer-reviewed international journal aimed at presenting articles that are related to research in the area of aging and age-related (sub)clinical conditions. In particular, the journal publishes high-quality papers describing and discussing social, biological, and clinical features underlying the onset and development of frailty in older persons.          The Journal of Frailty & Aging is composed by five different sections: - Biology of frailty and aging In this section, the journal presents reports from preclinical studies and experiences focused at identifying, describing, and understanding the subclinical pathophysiological mechanisms at the basis of frailty and aging. - Physical frailty and age-related body composition modifications Studies exploring the physical and functional components of frailty are contained in this section. Moreover, since body composition plays a major role in determining physical frailty and, at the same time, represents the most evident feature of the aging process, special attention is given to studies focused on sarcopenia and obesity at older age. - Neurosciences of frailty and aging The section presents results from studies exploring the cognitive and neurological aspects of frailty and age-related conditions. In particular, papers on neurodegenerative conditions of advanced age are welcomed. - Frailty and aging in clinical practice and public health This journal’s section is devoted at presenting studies on clinical issues of frailty and age-related conditions. This multidisciplinary section particularly welcomes reports from clinicians coming from different backgrounds and specialties dealing with the heterogeneous clinical manifestations of advanced age. Moreover, this part of the journal also contains reports on frailty- and age-related social and public health issues. - Clinical trials and therapeutics This final section contains all the manuscripts presenting data on (pharmacological and non-pharmacological) interventions aimed at preventing, delaying, or treating frailty and age-related conditions.The Journal of Frailty & Aging is a quarterly publication of original papers, review articles, case reports, controversies, letters to the Editor, and book reviews. Manuscripts will be evaluated by the editorial staff and, if suitable, by expert reviewers assigned by the editors. The journal particularly welcomes papers by researchers from different backgrounds and specialities who may want to share their views and experiences on the common themes of frailty and aging.The abstracting and indexing of the Journal of Frailty & Aging is covered by MEDLINE (approval by the National Library of Medicine in February 2016).
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