Comparing the impact of various exercise modalities on old adults with Alzheimer's disease: A Bayesian network meta-analysis

IF 2.2 3区 医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE Complementary Therapies in Clinical Practice Pub Date : 2025-03-10 DOI:10.1016/j.ctcp.2025.101968
Fengting Hu , Jin Peng , Weiran Wang , Lin Shen , Mingyuan Jia
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Abstract

Background and purpose

The global prevalence of Alzheimer's disease (AD) in the elderly is rising, and exercise is increasingly used as a non-pharmacological intervention. However, the most effective exercise modality for improving quality of life, alleviating depression, and reducing neuropsychiatric symptoms in AD patients remains unclear. This study aims to identify the optimal exercise modality for addressing these symptoms through a network meta-analysis.

Methods

As of November 2024, we conducted a comprehensive search across six databases: PubMed, Embase, Web of Science, the Cochrane Central Register of Controlled Trials, CINAHL, and PsycINFO. This study included only randomized controlled trials (RCTs), with study durations ranging from 2 to 24 weeks, primarily set in clinical or community environments. Following the PRISMA-NMA guidelines, we conducted statistical analysis using the "gemtc" package in R and assessed evidence quality via the CINeMA online platform.

Results

A network meta-analysis of 29 RCTs with 1507 participants showed that for global cognition, Aerobic exercise (AE) [MD = 2.83, 95 % CI (0.66, 4.85)] ranked first with 79.5 % probability; for quality of daily life, Resistance Training (RT) [SMD = 0.96, 95 % CI (−0.14, 2.07)] ranked first with 83.7 %; for depression, Physical Activity Program (PAP) [SMD = −3.76, 95 % CI (−7.06, −0.47)] ranked first with 96.0 %; and for neuropsychiatric inventory outcomes, AE [SMD = −2.35, 95 % CI (−5.95, 1.06)] ranked first with 71.1 %.

Conclusions

Based on the findings from retrospective studies, aerobic exercise may be an effective intervention for improving overall cognition and quality of life in individuals aged 60 and above with Alzheimer's disease.
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Complementary Therapies in Clinical Practice
Complementary Therapies in Clinical Practice INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
6.30
自引率
6.70%
发文量
157
审稿时长
40 days
期刊介绍: Complementary Therapies in Clinical Practice is an internationally refereed journal published to meet the broad ranging needs of the healthcare profession in the effective and professional integration of complementary therapies within clinical practice. Complementary Therapies in Clinical Practice aims to provide rigorous peer reviewed papers addressing research, implementation of complementary therapies (CTs) in the clinical setting, legal and ethical concerns, evaluative accounts of therapy in practice, philosophical analysis of emergent social trends in CTs, excellence in clinical judgement, best practice, problem management, therapy information, policy development and management of change in order to promote safe and efficacious clinical practice. Complementary Therapies in Clinical Practice welcomes and considers accounts of reflective practice.
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