Effectiveness of physio-cognitive dual-task training on improving global cognition, health-related quality of life, and physical outcomes among older adults with neurocognitive disorders: an umbrella review.
Background Physio-cognitive dual-task training (PCDT), combining physical and cognitive tasks, is a promising approach. However, clarity regarding its effectiveness and evidence credibility remains limited. Objective To evaluate PCDT effectiveness on global cognition, health-related quality of life,...
| Publicado en: | Age & Ageing Vol. 55; no. 3; pp. 1 - 17 |
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| Autores principales: | , , , , , |
| Formato: | Artículo |
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Oxford University Press / USA
Mar2026
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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=192797130&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 192797130 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Mar2026 vid: 55 iid: 3 pid: 622 pub: Oxford University Press / USA artinfo: ui: 192797130 10.1093/ageing/afag061 ppf: 1 ppct: 16 formats: tig: atl: Effectiveness of physio-cognitive dual-task training on improving global cognition, health-related quality of life, and physical outcomes among older adults with neurocognitive disorders: an umbrella review. aug: au: Chern, Calvin Wei Jie Cheng, Ling Jie Chiang, Glenys Shu Wen Yap, Siat Yee Giang, Thuy Anh Lau, Siew Tiang affil: National University of Singapore, Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, Singapore, Singapore National University of Singapore, Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, Singapore, SingaporeUniversity of Oxford, National Perinatal Epidemiology Unit, Nuffield Department of Women's & Reproductive Health, Oxford, England, United Kingdom of Great Britain and Northern Ireland Ng Teng Fong General Hospital, Nursing Department, Singapore, Singapore Khoo Teck Puat Hospital, Department of Rehabilitation Services, Singapore, Singapore su: Elder care Task performance Health status indicators Quality of life Activities of daily living Old age Exercise physiology Medical information storage & retrieval systems Cognitive testing Exercise therapy CINAHL database Gait in humans Neurological disorders Systematic reviews MEDLINE Cognition disorders Medical databases Online information services Physical activity Psychology information storage & retrieval systems Postural balance sug: subj: Elder care Task performance Health status indicators Quality of life Activities of daily living Old age Continuing Care Retirement Communities Exercise physiology Medical information storage & retrieval systems Cognitive testing Exercise therapy CINAHL database Gait in humans Neurological disorders Systematic reviews MEDLINE Cognition disorders Medical databases Online information services Physical activity Psychology information storage & retrieval systems Postural balance keyword: activities of daily living aged cognition cognitive training copyrightHolder:British Geriatrics Society copyrightYear:2026 credibility dementia dual-task tests gait health-related quality of life https://dx.doi.org/10.1093/ageing/afag061 inLanguage:en minimal cognitive impairment neurocognitive disorders older adult older people publisher:Oxford University Press quality of life rehabilitation sameAs:https://pubmed.ncbi.nlm.nih.gov/41894199/ systematic review activities of daily living aged cognition cognitive training copyrightHolder:British Geriatrics Society copyrightYear:2026 credibility dementia dual-task tests gait health-related quality of life https://dx.doi.org/10.1093/ageing/afag061 inLanguage:en minimal cognitive impairment neurocognitive disorders older adult older people publisher:Oxford University Press quality of life rehabilitation sameAs:https://pubmed.ncbi.nlm.nih.gov/41894199/ systematic review ab: Background Physio-cognitive dual-task training (PCDT), combining physical and cognitive tasks, is a promising approach. However, clarity regarding its effectiveness and evidence credibility remains limited. Objective To evaluate PCDT effectiveness on global cognition, health-related quality of life, and physical outcomes (activities of daily living, gait, balance) in older adults with neurocognitive disorders, assess review quality and evidence certainty, and explore moderator effects. Methods Eight databases and grey literature were searched to 31 December 2024. Two reviewers independently screened, extracted data, and assessed review quality (AMSTAR-2) and evidence certainty (GRADE). Meta-level and study-level meta-analyses were conducted. Subgroup analyses and meta-regression explored moderator effects. PROSPERO: CRD42024622115. Results Seventeen reviews with 47 unique meta-analyses involving 81 unique studies were included. Meta-level analyses indicated small significant improvements across outcomes except health-related quality of life. Study-level analyses, correcting for overlapping primary studies, confirmed significant benefits for global cognition and health-related quality of life; however, physical outcome effects were non-significant. Prediction intervals for all outcomes were non-significant. Simultaneous PCDT and higher weekly frequency showed greater benefits. Participants with dementia benefited less than those with mild cognitive impairment. Age was not a significant moderator. Most reviews were low or critically low quality, and evidence certainty was low. Conclusions PCDT is potentially associated with improvements in cognitive, physical, and quality-of-life outcomes among older adults with neurocognitive disorders. However, prediction intervals suggest effectiveness uncertainty, and heavy sample weighting toward prodromal stages warrants caution. PCDT may not be indicated for cognitive improvement in established dementia. High-quality reviews are urgently needed. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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