Is it possible to prevent the progression of mild cognitive impairment through non-pharmacological treatments?

Yeimi Yulie Romero Reyes, Lina Paola Andrade Valbuena
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Abstract

Introduction

Mild cognitive impairment produces slight cognitive and motor disturbances without affecting daily life during aging, however, if this symptomatology is not controlled, the speed of deterioration can increase, and even some cases of dementia can appear in the elderly population.

Objective

To describe non-pharmacological therapies that seek to prevent, control and reduce the symptoms of mild cognitive impairment.

Methods

An initial search was carried out in the databases of PubMed, Lilacs, EBSCO, ScienceDirect, Taylor & Francis and ProQuest. The results found were filtered through the PRISMA system and biases evaluated using the Cochrane Handbook for Systematic Reviews of Interventions.

Results

Four categories of non-pharmacological therapies were created, using 50 articles found in the search, which contribute to controlling and improving cognitive and motor areas, in order to reduce the symptoms presented by mild cognitive impairment. The treatments have different methods, instruments and objectives, so that no meta-analysis of the studies could be performed. In addition, limitations related to the sample, the effectiveness of the results and the methodological quality were found.

Conclusions

It was found that non-pharmacological therapies prevent, improve and control the symptoms caused by mild cognitive impairment, however, it is necessary to carry out more studies with better methodologies to corroborate these results.

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是否有可能通过非药物治疗来预防轻度认知障碍的进展?
简介:轻度认知障碍在衰老过程中产生轻微的认知和运动障碍,不影响日常生活,但如果这种症状不加以控制,恶化的速度会加快,甚至在老年人群中出现痴呆的情况。目的:描述旨在预防、控制和减轻轻度认知障碍症状的非药物治疗方法。方法:初步检索PubMed、Lilacs、EBSCO、ScienceDirect、Taylor & Francis、ProQuest等数据库。发现的结果通过PRISMA系统过滤,并使用Cochrane干预措施系统评价手册评估偏差。结果:利用在检索中发现的50篇文章,创建了四类非药物治疗方法,这些方法有助于控制和改善认知和运动区域,以减轻轻度认知障碍所呈现的症状。这些治疗有不同的方法、工具和目的,因此无法对这些研究进行meta分析。此外,还发现了与样本、结果的有效性和方法学质量有关的局限性。结论:非药物治疗可以预防、改善和控制轻度认知障碍患者的症状,但需要开展更多的研究,以更好的方法来证实这些结果。
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