The effects of cognitive-motor training interventions on executive functions in older people: a systematic review and meta-analysis.
Background: Ageing is associated with physical and cognitive decline, affecting independence and quality of life in older people. Recent studies show that in particular executive functions are important for daily-life function and mobility. This systematic review investigated the effectiveness of co...
| Publicado en: | European Review of Aging & Physical Activity Vol. 17; no. 1; pp. 1 - 23 |
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| Autores principales: | , , , , |
| Formato: | Artículo |
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BioMed Central
7/2/2020
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=144356759&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 144356759 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 18137253 3RAQ jtl: European Review of Aging & Physical Activity issn: 18137253 maglogo: N pubinfo: dt: 7/2/2020 vid: 17 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 144356759 10.1186/s11556-020-00240-y ppf: 1 ppct: 22 formats: fmt: – @attributes: type: T – @attributes: type: P size: 1.5MB tig: atl: The effects of cognitive-motor training interventions on executive functions in older people: a systematic review and meta-analysis. aug: au: Wollesen, Bettina Wildbredt, Alicia van Schooten, Kimberley S. Lim, Mei Ling Delbaere, Kim affil: Department of Human Movement Science, University of Hamburg, Hamburg, Germany Biological Psychology and Neuroergonomics, Technical University of Berlin, Fasanenstr. 1, D-10623, Berlin, Germany Neuroscience Research Australia, Sydney, New South Wales, Australia School of Public Health and Community Medicine, Faculty of Medicine, University of New South Wales, Sydney, New South Wales, Australia su: Executive function Cognitive ability Health of older people Quality of life Randomized controlled trials Response inhibition sug: subj: Executive function Cognitive ability Health of older people Quality of life Randomized controlled trials Response inhibition keyword: Aged1 Cognitive function5 Dual-task2 Exergame3 Motor-cognitive intervention4 Aged1 Cognitive function5 Dual-task2 Exergame3 Motor-cognitive intervention4 ab: Background: Ageing is associated with physical and cognitive decline, affecting independence and quality of life in older people. Recent studies show that in particular executive functions are important for daily-life function and mobility. This systematic review investigated the effectiveness of cognitive-motor training including exergaming on executive function (EF, set-shifting, working memory, inhibitory control) in healthy older people. Methods: An electronic database search for randomised controlled trials (RCT), controlled clinical trials (CCT) and parallel group trials was performed using MEDLINE, EMBASE, and PsychINFO following PRISMA guidelines. Inclusion criteria were: (1) community-dwelling participants > 60 years without a medical condition or medical treatment, (2) reporting at least one cognitive-motor intervention while standing or walking, (3) use of dual-task interventions using traditional methods or modern technology to deliver a cognitive-motor task, (4) inclusion of at least one cognitive outcome. The PEDro scale was used for quality assessment. Results: A total of 1557 studies were retrieved, of which 25 studies were included in this review. Eleven studies used a technology-based dual-task intervention, while 14 trials conducted a general cognitive-motor training. The age range of the cohort was 69 to 87 years. The interventions demonstrated positive effects on global cognitive function [mean difference 0.6, 95% CI 0.29–0.90] and inhibitory control [mean difference 0.61, 95% CI 0.28–0.94]. Effects were heterogeneous (I range: 60–95) and did not remain after a sensitivity analysis. Processing speed and dual-task costs also improved, but meta-analysis was not possible. Conclusion: Cognitive-motor and technology-based interventions had a positive impact on some cognitive functions. Dual-task interventions led to improvements of domains related global cognitive functions and inhibitory control. Likewise, technology-based exergame interventions improved functions related to processing speed, attentional and inhibitory control. Training interventions with a certain level of exercise load such as progression in difficulty and task specificity were more effective to gain task-related adaptations on cognitive functions. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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