Efficacy of Nonpharmacological Interventions in Cognitive Impairment: Systematic Review And Network Meta-Analysis

IF 4.4 2区 医学 Q1 GERIATRICS & GERONTOLOGY American Journal of Geriatric Psychiatry Pub Date : 2024-07-09 DOI:10.1016/j.jagp.2024.06.012
Luis Carlos Venegas-Sanabria MD , Iván Cavero‑Redondo PhD , Patricia Lorenzo-Garcia PhD , Guillermo Sánchez-Vanegas PhD , Celia Álvarez-Bueno PhD
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Abstract

Introduction

There is currently no known cure for cognitive impairment, which highlights the need to explore other ways of managing this condition. This topic has recently become an area of active research. However, the availability of nonpharmacological options poses a challenge when trying to determine the best treatment for improving cognitive function.

Methods

We conducted a systematic review and a Bayesian network meta-analysis to compare the effects of nonpharmacological interventions on global cognition in patients with mild cognitive impairment and dementia. The nonpharmacological interventions were classified as aerobic exercise, strength exercise, multicomponent physical exercise, other physical exercises, tai chi, mind-body exercises, traditional cognitive rehabilitation, computer-based cognitive rehabilitation, occupational therapy, music therapy, physical-cognitive rehabilitation, and reminiscence therapy.

Results

Physical-cognitive rehabilitation emerged as the most effective nonpharmacological intervention for enhancing global cognition in patients with unspecified cognitive impairment and dementia, whereas occupational therapy focused on dual-task interventions was found to be the most effective nonpharmacological intervention for mild cognitive impairment.

Conclusion

These results underscore the importance of adopting a dual approach to managing cognitive impairment, integrating both cognitive and physical rehabilitation within the same intervention.
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非药物干预对认知障碍的疗效:系统综述和网络荟萃分析
导言:目前还没有已知的治疗认知障碍的方法,这就凸显了探索其他方法来控制这种疾病的必要性。这一课题最近已成为一个活跃的研究领域。方法我们进行了一项系统性综述和贝叶斯网络荟萃分析,比较了非药物干预对轻度认知障碍和痴呆症患者总体认知能力的影响。非药物干预分为有氧运动、力量运动、多成分体育锻炼、其他体育锻炼、太极拳、身心锻炼、传统认知康复、基于计算机的认知康复、职业疗法、音乐疗法、物理认知康复和回忆疗法。结果发现,物理认知康复是提高不明认知障碍和痴呆症患者总体认知能力的最有效非药物干预措施,而以双任务干预为重点的职业疗法则是治疗轻度认知障碍的最有效非药物干预措施。
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来源期刊
CiteScore
13.00
自引率
4.20%
发文量
381
审稿时长
26 days
期刊介绍: The American Journal of Geriatric Psychiatry is the leading source of information in the rapidly evolving field of geriatric psychiatry. This esteemed journal features peer-reviewed articles covering topics such as the diagnosis and classification of psychiatric disorders in older adults, epidemiological and biological correlates of mental health in the elderly, and psychopharmacology and other somatic treatments. Published twelve times a year, the journal serves as an authoritative resource for professionals in the field.
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