The Effectiveness of Exercise on Improving Cognitive Function in Older People: A Systematic Review

Chien-Ning Tseng; Bih-Shya Gau; Meei-Fang Lou

doi:10.1097/JNR.0b013e3182198837

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P119 - 131

医药卫生 > 预防保健与卫生学
医药卫生 > 社会医学

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The Effectiveness of Exercise on Improving Cognitive Function in Older People: A Systematic Review

运动对改善老人认知功能之成效－系统性文献回顾

曾建宁(Chien-Ning Tseng) ；高碧霞(Bih-Shya Gau) ；罗美芳(Meei-Fang Lou)

The Journal of Nursing Research ； 19 卷 2 期 (2011 / 06 / 01) ， P119 - 131

英文 DOI： 10.1097/JNR.0b013e3182198837

运动；认知功能；老人； exercise ； cognitive function ； older people

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摘要 │ 参考文献 (26) │ 被引用文献 (7) │ 国际计量

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Background: The well-documented physical benefits of exercise and the value of exercise for improving mental health have raised the profile and role of exercise in healthcare. However, studies evaluating the effects of exercise on neurocognitive function have produced equivocal results.
Purpose: This study was designed to examine the effectiveness of exercise on improving cognitive function in older people.
Methods: Researchers used a narrative synthesis approach in this review and conducted a computer-based search in MEDLINE, CINAHL, Cochrane Library, and Airiti Library (Chinese) from 2006 to 2009 using the search terms exercise, physical activity, and cognition. Research quality appraisal was rated using Consolidated Standards of Reporting Trials criteria.
Result: This review included 12 medium-to high-quality randomized controlled trials. Most studies examined used a 60-minute exercise regimen scheduled three times per week that was continued for 24 weeks. Of the 12 studies, 8 revealed that exercise can improve cognitive function. Five studies focused on healthy older people and three studied older people who had impaired cognition at baseline. Analysis of the studies showed simple, one-component exercise as better for older people with cognitive impairment and multicomponent exercise as better for those without such impairment.
Conclusions/Implications for Practice: This systematic review demonstrated that an exercise regimen of 6 weeks and at least 3 times per week for 60 minutes had a positive effect on cognition. Whether multicomponent exercise is significantly more effective in improving cognitive function, particularly in healthy older people, should be tested using larger trials with more rigorous methodology.

参考文献 ( 26 ) 〈TOP〉

Department of Statistics, Ministry of the Interior. (2011, January 8).MOI statistical bulletin: Analysis of population structure at the end of 2010. Retrieved February 22, 2011, from http://www.moi.gov.tw/files/news_file/week10002.doc.
Centers for Disease Control and Prevent. (2009, November 13).Glossary of terms: Exercise. Retrieved February 09, 2011,from http://www.cdc.gov/physicalactivity/everyone/glossary/
Angevaren, M.,Aufdemkampe, G.,Verhaar, H.,Alemen, A.,Vanhees, L.(2008).Physical activity and enhanced fitness to improve cognitive function in order people without know cognitive impairment.Cochrane Database of Systematic Reviews,1,1-104.
Anthony, J.,Leresche, L.,Niaz, U.,VonKorff, M.,Folstein, M.(1982).Limits of the "Mini-Mental State" as a screening test for dementia and delirium among hospital patients.Psychology Medicine,12(2),397-408.
Bennett, J. A.(2005).The Consolidated Standards of Reporting Trials (CONSORT). Guidelines for reporting randomized trials.Nursing Research,54(2),128-132.

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