Cognitive training, mobility, and everyday life.

Cognitive training, mobility, and everyday life.
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认知训练、行动能力和日常生活。

DOI:
10.1016/s2666-7568(21)00200-2
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发表时间:
2021-09
期刊:
The lancet. Healthy longevity
影响因子:
--
通讯作者:
Sprague BN
Sprague BN
中科院分区:
其他
文献类型:
--
作者:
Sprague BN

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很少有老年人达到推荐的身体活动水平,尽管它对健康有很好的好处。1老年人,特别是75岁以上的老年人,如果停止参加锻炼计划,可能特别容易失去身体活动训练的收益。2通常认为,大约50%的人(≥ 18岁)开始锻炼计划后会在6个月内停止。虽然身体活动干预可能对保持活动性有效,但坚持的局限性促使研究人员确定非身体干预措施以降低痴呆症的风险。4以改善特定认知领域为目标的干预措施显示出对复杂身体功能的转移,如平衡和步态速度,4-7,并且可能对移动困难风险最高的成年人特别有效。然而,这些试验将认知干预与无接触对照组进行了比较。无接触对照组适合回答某些问题,例如与常规护理相比,干预是否具有更大的功效。然而,这种设计无法告知干预措施的哪些组成部分驱动移动性增加:认知训练或非活动组成部分(预计试验的任何部分都不会引起治疗效果)。
Few older adults achieve the recommended levels of physical activity despite its well documented health benefits. 1 Older adults, especially those older than 75 years, might be particularly vulnerable to losing physical activity training gains if they cease to engage in exercise programmes. 2 It is commonly cited that about 50% of people (≥ 18 years) who start an exercise programme will cease within 6 months. 3 Although physical activity interventions might be effective for maintaining mobility, limitations in adherence have prompted researchers to identify non-physical interventions to reduce the risk of dementia. 4 Interventions that target improvement of specific cognitive domains show transfer to complex physical functions, such as balance and gait speed, 4–7 and might be especially effective in adults at the highest risk for mobility difficulties. However, these trials compared cognitive interventions with no-contact control groups. No-contact control groups are appropriate for answering certain questions, such as whether the intervention has greater efficacy compared with usual care. However, such designs are unable to inform which components of the intervention drive mobility gains: cognitive training or an inactive component (any part of the trial not expected to cause the treatment effect).
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