Endurance and strength training outcomes on cognitively impaired and cognitively intact older adults: A meta-analysis
Endurance and strength training outcomes on cognitively impaired and cognitively intact older adults: A meta-analysis
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DOI：
10.1007/bf02982674
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发表时间：
2008-06-01
影响因子：
5.8
通讯作者：
Kramer, A. F.
中科院分区：
文献类型：
--
作者：
Heyn, P. C.;Johnson, K. E.;Kramer, A. F.
背景：痴呆症是老年人群中的常见综合征。随后的认知功能障碍会影响患者的活动能力、ADL 和 IADL。研究表明，认知水平较低的老年人不太可能在日常生活活动和行走方面实现独立 (1-2)。通常，疗养院居民被认为过于虚弱或认知障碍，无法从运动康复中受益。通常，迷你精神状态评分 (MMSE) 分数低于 25 的人会被排除在物理康复计划之外。然而，Diamond (3) 和 Goldstein (4) 得出的结论是，患有轻度至中度认知障碍的老年患者与认知功能完好的患者一样，通过参加运动康复计划而提高功能能力。目的：本研究的目的是通过荟萃分析来比较参加类似锻炼计划的认知障碍 (MMSE 24) 老年人的耐力和力量结果。方法：通过使用电子和手动搜索来识别已发表的文章。关键词包括运动、训练、力量、耐力、康复、认知障碍、认知、MMSE、老年人、老年人和老年病学。如果文章来自随机对照试验或精心设计的对照研究，则被纳入。结果：共有41篇稿件符合纳入标准。我们检查了 21 项针对认知受损个体的运动试验 (CI=1411) 和 20 项针对认知完好个体的运动试验 (IN=1510)。认知障碍程度基于报告的 MMSE 评分。 CI 组 (dwi =.51, 95% CI=. 42-.60) 和 IN 组 (dwi =. 49, 95% CI=. 40 -.58) 的力量和耐力结果发现中等至大的效应大小 (ES = dwi, Hedges gi)。 Cl 和 IN 研究中的 ES 在力量（t=1.675，DF=8，P=.132）、耐力（t=1.904，DF=14，P=.078）以及力量和耐力综合效应（t=1.434，DF=56，P=.263）方面没有发现统计学显着差异。结论：这些结果表明，参与运动康复计划的认知障碍老年人与年龄和性别匹配的认知完好的老年人具有相似的力量和耐力训练结果，因此不应将受损个体排除在运动康复计划之外。
Background: Dementia is a common syndrome in the geriatric population. Subsequent impairment of cognitive functioning impacts the patient's mobility, ADLs, and IADLs. It is suggested that older persons with lower levels of cognition are less likely to achieve independence in ADLs and ambulation (1-2). Frequently, nursing home residents are viewed as too frail or cognitively impaired to benefit from exercise rehabilitation. Often, persons with Mini Mental State Score (MMSE) score below 25 are excluded from physical rehabilitation programs. However, Diamond (3) and Goldstein (4) concluded that geriatric patients with mild to moderate cognitive impairment were just as likely as cognitively intact patients to improve in functional abilities as a result of participation in exercise rehabilitation programs. Purpose: The objective of this study is to compare, through a meta-analysis endurance and strength outcomes of Cognitively Impaired (MMSE 24) older adults who participate in similar exercise programs. Methods: Published articles were identified by using electronic and manual searches. Key search words included exercise, training, strength, endurance, rehabilitation, cognitive impairment, cognition, MMSE, older adult, aged, and geriatrics. Articles were included if the were from RCTs or well-designed control studies. Results: A total of 41 manuscripts met the inclusion criteria. We examined 21 exercise trials with cognitively impaired individuals (CI=1411) and 20 exercise trials with cognitively intact individuals (IN=1510). Degree of cognitive impairment is based on the reported MMSE score. Moderate to large effect sizes (ES = dwi, Hedges gi) were found for strength and endurance outcomes for the CI groups (dwi =.51, 95% CI=. 42-.60), and for the IN groups (dwi =. 49, 95% Cl=. 40 -.58). No statistically significant difference in ES was found between the Cl and IN studies on strength (t=1.675, DF= 8, P=.132), endurance (t=1.904, DF= 14, P=.078), and combined strength and endurance effects (t=1.434, DF= 56, P=. 263). Conclusions: These results suggest that cognitively impaired older adults who participate in exercise rehabilitation programs have similar strength and endurance training outcomes as age and gender matched cognitively intact older participants and therefore impaired individuals should not be excluded from exercise rehabilitation programs.