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多领域干预对主观认知衰退的老年人认知和身体功能的影响:一项荟萃分析和系统评价

The impact of multidomain interventions on cognitive and physical function in older adults with subjective cognitive decline: a meta‑analysis and systematic review.

作者信息

Yi Qing, Wang Wei, Qi Yufei, Yang Chengwei, Sui Mengyun, Meng Kun, Zhao Shanguang

机构信息

Faculty of Sports and Exercise Science, Universiti Malaya, Kuala Lumpur, Malaysia.

Center for Health Policy Research and Evaluation, School of Public Administration and Policy, Renmin University, Beijing, China.

出版信息

PeerJ. 2025 Jun 26;13:e19588. doi: 10.7717/peerj.19588. eCollection 2025.

Abstract

BACKGROUND

This study aimed to examine the efficacy of multidomain interventions compared to control and nutritional interventions in older adults with subjective cognitive decline (SCD). Four databases were searched for relevant literature.

METHODOLOGY

PubMed, Embase, Cochrane Library, and Web of Science databases were searched for relevant studies. Randomized controlled trials that examined the effects of multidomain interventions on cognitive and physical function in older adults with SCD were included.

RESULTS

This study included six eligible studies with 1,767 participants. The results indicated that multidomain interventions significantly improved executive function and memory but did not significantly impact global cognition and physical performance compared to the control group. In addition, significant enhancements were observed in executive function and memory when compared to single nutritional interventions.

CONCLUSIONS

The findings revealed that multidomain interventions could effectively improve executive function and memory in older adults with SCD. Further studies with robust designs, particularly those comparing single-domain interventions, are needed to investigate the effects and underlying mechanisms.

摘要

背景

本研究旨在探讨多领域干预措施与对照及营养干预措施相比,对主观认知下降(SCD)的老年人的疗效。检索了四个数据库以获取相关文献。

方法

检索了PubMed、Embase、Cochrane图书馆和Web of Science数据库中的相关研究。纳入了检验多领域干预措施对SCD老年人认知和身体功能影响的随机对照试验。

结果

本研究纳入了六项符合条件的研究,共1767名参与者。结果表明,与对照组相比,多领域干预措施显著改善了执行功能和记忆力,但对整体认知和身体表现没有显著影响。此外,与单一营养干预措施相比,执行功能和记忆力有显著提高。

结论

研究结果显示,多领域干预措施可有效改善SCD老年人的执行功能和记忆力。需要开展设计严谨的进一步研究,尤其是那些比较单领域干预措施的研究,以探究其效果和潜在机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6702/12206402/03d82d606972/peerj-13-19588-g001.jpg

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