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各种运动干预对阿尔茨海默病患者认知功能的比较:网络荟萃分析。

Comparison of various exercise interventions on cognitive function in Alzheimer's patients: A network meta-analysis.

机构信息

Department of Rehabilitation, The Second Affiliated Hospital of Shandong First Medical University, Taian 271000, China.

Postdoctoral Workstation, Department of Central Laboratory, The Affiliated Taian City Central Hospital of Qingdao University, Taian 271000, China.

出版信息

Arch Gerontol Geriatr. 2023 Dec;115:105113. doi: 10.1016/j.archger.2023.105113. Epub 2023 Jun 29.

Abstract

OBJECTIVE

Exercise helps enhance cognitive function in Alzheimer's patients, although the most effective forms of exercise remain unknown.

METHODS

This network meta-analysis was registered in INPLASY (INPLASY202330066). According to predetermined criteria, this investigation comprised randomized controlled studies involving exercise therapies in people with Alzheimer's disease. The exercise intervention was ranked using surface under the cumulative ranking curve (SUCRA) and mean ranking, with the critical goal outcomes being overall cognition, executive function, and memory function.

RESULTS

Resistance exercise is the most likely strategy to be beneficial for slowing down overall cognitive function loss in Alzheimer's patients (72.4%). Additionally, multi-component exercise was the most effective way to improve executive function (30.4%). The only type of exercise that significantly affects memory function is resistance exercise. Memory is the cognitive function that is least responsive to exercise.

CONCLUSION

Resistance exercise may be an efficient intervention for overall cognitive function decline in patients with Alzheimer's and conjointly for their memory function. Multi-component exercise is more effective in improving executive function in patients with Alzheimer's disease.

摘要

目的

运动有助于增强阿尔茨海默病患者的认知功能,但最有效的运动形式仍不清楚。

方法

本网络荟萃分析已在 INPLASY(INPLASY202330066)中注册。根据预定标准,本研究纳入了涉及阿尔茨海默病患者运动疗法的随机对照研究。使用累积排序曲线下面积(SUCRA)和平均排序对运动干预进行排名,关键目标结果是整体认知、执行功能和记忆功能。

结果

抗阻运动最有可能有益于减缓阿尔茨海默病患者整体认知功能的丧失(72.4%)。此外,多组分运动是改善执行功能的最有效方法(30.4%)。唯一一种显著影响记忆功能的运动类型是抗阻运动。记忆是对运动反应最差的认知功能。

结论

抗阻运动可能是阿尔茨海默病患者整体认知功能下降的有效干预措施,同时也对他们的记忆功能有帮助。多组分运动更能有效改善阿尔茨海默病患者的执行功能。

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