Effect of music-based multitask training on cognition and mood in older adults
Effect of music-based multitask training on cognition and mood in older adults
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DOI：
10.1093/ageing/aft163
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发表时间：
2014-03-01
期刊：
影响因子：
6.7
通讯作者：
Trombetti, Andrea
中科院分区：
文献类型：
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作者：
Hars, Melany;Herrmann, Francois R.;Trombetti, Andrea
背景：在一项随机对照试验的二次分析中，我们调查了 6 个月的基于音乐的多任务训练是否对老年人的认知功能和情绪产生有益影响。方法：134 名年龄 >= 65 岁、跌倒风险增加的社区居民被随机分配到干预组 (n = 66) 中，他们每周参加一次 1 小时监督的多任务练习小组课程，按照钢琴音乐的节奏进行练习，或延迟干预的对照组 (n = 68)，他们在钢琴音乐的节奏下进行练习。正常的生活习惯，持续6个月。干预盲法神经心理学家在基线和第 6 个月进行了简短的神经心理学测试，包括简易精神状态检查 (MMSE)、画钟测试、额叶评估组 (FAB) 以及医院焦虑 (HADS-A) 和抑郁量表。结果：意向治疗分析显示 FAB 干扰子测试的敏感性有所改善（调整组间平均差 (AMD)，0.12；95%）与对照组相比，干预参与者的焦虑水平降低（HADS-A；AMD，-0.88；95% CI，-1.73 至 -0.05；P = 0.039）。组内分析显示 MMSE 评分增加（P = 0.004），并且整体认知表现受损（即 MMSE 评分）的参与者数量减少
Background: in a secondary analysis of a randomised controlled trial, we investigated whether 6 months of music-based multitask training had beneficial effects on cognitive functioning and mood in older adults.Methods: 134 community-dwellers aged >= 65 years at increased risk for falling were randomly assigned to either an intervention group (n = 66) who attended once weekly 1-h supervised group classes of multitask exercises, executed to the rhythm of piano music, or a control group with delayed intervention (n = 68) who maintained usual lifestyle habits, for 6 months. A short neuropsychological test battery was administered by an intervention-blinded neuropsychologist at baseline and Month 6, including the mini-mental state examination (MMSE), the clock-drawing test, the frontal assessment battery (FAB) and the hospital anxiety (HADS-A) and depression scale.Results: intention-to-treat analysis showed an improvement in the sensitivity to interference subtest of the FAB (adjusted between-group mean difference (AMD), 0.12; 95% CI, 0.00 to 0.25; P = 0.047) and a reduction in anxiety level (HADS-A; AMD, -0.88; 95% CI, -1.73 to -0.05; P = 0.039) in intervention participants, as compared with the controls. Within-group analysis revealed an increase in MMSE score (P = 0.004) and a reduction in the number of participants with impaired global cognitive performance (i.e., MMSE score