Effect of Regular Exercise on Cognitive Frailty in the Elderly: A Systematic Review.

Objectives: As one of the common senile syndromes characterized by the co-existence of physical frailty and cognitive impairment without dementia, the occurrence of cognitive frailty (CF) increases the risk of adverse health outcomes in older adults. However, its reversibility has attracted the inte...

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Publicado en:Experimental Aging Research Vol. 52; no. 1; pp. 30 - 57
Autores principales: Ji, Wenting, Sun, Liwei, Geng, Qian, Zheng, Guohua
Formato: research systematic review tables/charts Journal Article
Publicado: Taylor & Francis Ltd Jan/Feb2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan/Feb2026
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      pub: Taylor & Francis Ltd
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        10.1080/0361073X.2025.2485619
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        atl: Effect of Regular Exercise on Cognitive Frailty in the Elderly: A Systematic Review.
      aug:
        au:
          Ji, Wenting
          Sun, Liwei
          Geng, Qian
          Zheng, Guohua
        affil: Graduate School, Shanghai University of Traditional Chinese Medicine, China
      sug:
        subj:
          Cognition Disorders Therapy
          Therapeutic Exercise
          Exercise Physiology Evaluation
          Frailty Syndrome Therapy
          Training Effect (Physiology)
          Community Living Psychosocial Factors
          Human
          Systematic Review
          Funding Source
          Male
          Female
          Middle Age
          Aged
          Aged, 80 and Over
          Frail Elderly Psychosocial Factors
          Checklists
          Frailty Syndrome Complications
          Cochrane Library
          PubMed
          China
          Confidence Intervals
          Descriptive Statistics
          Data Analysis Software
          Task Performance and Analysis
          Executive Function Evaluation
          Physical Activity Evaluation
          Phenotype
          Balance, Postural
          Functional Status
          Gait Analysis
          Quality of Life
          Psychological Tests
          Processing Speed Evaluation
          Grip Strength
          Exercise Intensity
          Healthy Aging
          Physical Performance
          Resistance Training
          Aerobic Exercises
          Balance Training, Physical
          Step
          Exergames
          Walking Speed
          Mindfulness
          Tai Chi
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Objectives: As one of the common senile syndromes characterized by the co-existence of physical frailty and cognitive impairment without dementia, the occurrence of cognitive frailty (CF) increases the risk of adverse health outcomes in older adults. However, its reversibility has attracted the interest of researchers in the search for effective interventions. A growing number of studies have been conducted to investigate the effect of regular physical exercise intervention on cognitive frailty in older adults with CF, but findings remain inconclusive. This study aimed to synthesize the pooled effect of current regular exercise intervention in community-dwelling older adults with cognitive frailty. Methods: Nine electronic databases (Cochrane Library, PubMed, EBSCOHost, Web of Science, Scopus, CNKI, Wanfang Database, VIP and SinoMed) were searched from their inception to 15 May, 2024. The Cochrane risk-of-bias tool (ROB 2) for RCTs was applied to assess the methodological quality. The mean difference or standardized mean difference with 95% CIs was calculated by using Stata 18.0. Results: Seventeen eligible studies involving a total of 2239 participants were included. The pooled results showed that older adults with CF in the intervention group had significant improvement in global cognitive function performance (MMSE scores: MD = 1.93 95% CI: 1.02 to 2.85, p <.0001, and MoCA scores: MD = 3.24, 95% CI: 1.57 to 4.91, p <.0001), executive function (time of TMT-B test: MD = -20.73, 95% CI: −33.96 to −7.50, p =.002), physical frailty state (Fried frailty phenotype scores: MD = -1.48, 95% CI: -2.37 to −0.58, p =.001, and EFS scores: MD = −0.81 points, 95% CI: -1.13 to −0.49, p <.0001), grip strength (SMD = 0.92, 95% CI: 0.15 to 1.07, p =.02), gait and balance (time of TUG: MD = −2.62, 95% CI: −4.12 to −1.11, p =.001), balance (BBS scores: MD = 8.56, 95% CI:- 3.37 to 13.75, p =.001) and quality of life (SMD = 0.75, 95% CI: 0.30 to 1.21, p =.001). Conclusions: More than eight weeks of regular exercise interventions may improve global cognitive function and physical frailty status, but the effect on specific domains of cognitive or physical function needs further study to confirm.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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