Efficacy of cognitive training associated with physical exercises on Alzheimer's dementia: a meta-analysis

Bibliographic Details
Main Author: Lima Neta, Ana Gonçalves
Publication Date: 2020
Other Authors: David, Mírian Celly Medeiros Miranda, Araújo, Bruna Thays Santana de, Gama, Gabriela Lopes, Leite, Jéssica Costa
Format: Article
Language: por
Source: Research, Society and Development
Download full: https://rsdjournal.org/index.php/rsd/article/view/11022
Summary: Objective: To investigate the effects of cognitive training associated with physical exercise on cognitive performance of elderly people with Alzheimer's Disease (AD). Methodology: A systematic review was carried out with a meta-analysis of controlled and cross-over clinical trials. The literature search was carried out in databases Pubmed / MEDLINE, LILACS, SciELO, PEDro, Scopus, CINAHL and Web of Science, using terms MeSH / DeCS. The risk of bias was assessed according to recommendations of Cochrane Handbook for Systematic Reviews of Interventions and RevMan 5.3 software was used for the meta-analysis. . Results: Initially, 1126 articles were found, nine were chosen for qualitative synthesis and two for meta-analysis. The meta-analysis data showed significant differences in effect size for executive functions and attention, evaluated by Clock Drawing Test (Z = 3.05; p = 0.002) and frontal cognitive functions evaluated by Frontal Assessment Battery (Z = 3.56; p = 0.0004). For qualitative analysis, seven studies demonstrated positive effects of cognitive training associated with physical exercise to improve/maintain cognitive functions of elderly with AD. Conclusion: Despite the limitations found in analyzed studies, it can be suggested that cognitive training associated with physical exercise can benefit the cognitive performance of elderly with AD. However, the dearth of studies developed with greater discerning methodology limits generalizations of these results.
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spelling Efficacy of cognitive training associated with physical exercises on Alzheimer's dementia: a meta-analysisEficiencia del entrenamiento cognitivo asociado al ejercicio físico en individuos con enfermedad de Alzheimer: un metanálisisEficácia do treinamento cognitivo associado ao exercício físico em indivíduos com doença de Alzheimer: uma metanáliseDoença de AlzheimerCogniçãoMemóriaExercício.Alzheimer DiseaseCognitionMemoryExercise.Enfermedad de AlzheimerCogniciónMemoriaEjercicio.Objective: To investigate the effects of cognitive training associated with physical exercise on cognitive performance of elderly people with Alzheimer's Disease (AD). Methodology: A systematic review was carried out with a meta-analysis of controlled and cross-over clinical trials. The literature search was carried out in databases Pubmed / MEDLINE, LILACS, SciELO, PEDro, Scopus, CINAHL and Web of Science, using terms MeSH / DeCS. The risk of bias was assessed according to recommendations of Cochrane Handbook for Systematic Reviews of Interventions and RevMan 5.3 software was used for the meta-analysis. . Results: Initially, 1126 articles were found, nine were chosen for qualitative synthesis and two for meta-analysis. The meta-analysis data showed significant differences in effect size for executive functions and attention, evaluated by Clock Drawing Test (Z = 3.05; p = 0.002) and frontal cognitive functions evaluated by Frontal Assessment Battery (Z = 3.56; p = 0.0004). For qualitative analysis, seven studies demonstrated positive effects of cognitive training associated with physical exercise to improve/maintain cognitive functions of elderly with AD. Conclusion: Despite the limitations found in analyzed studies, it can be suggested that cognitive training associated with physical exercise can benefit the cognitive performance of elderly with AD. However, the dearth of studies developed with greater discerning methodology limits generalizations of these results.Objetivo: Investigar los efectos del entrenamiento cognitivo asociado al ejercicio físico sobre el desempeño cognitivo de ancianos con Enfermedad de Alzheimer (EA). Metodología: Se realizó una revisión sistemática con metanálisis de ensayos clínicos controlados e de tipo cross-over. La búsqueda de la literatura fue realizada a través de las bases de datos de Pubmed / MEDLINE, LILACS, SciELO, PEDro, Scopus, CINAHL y Web of Science, utilizando los descriptores de términos MeSH / DeCS. El riesgo de sesgo se evaluó de acuerdo a las recomendaciones de Cochrane Handbook for Systematic Reviews of Interventions y el metanálisis fue realizado con el software RevMan 5.3. Resultados: De los 1126 artículos obtenidos de la búsqueda, fueron escogidos nueve para la síntesis cualitativa y dos para el metanálisis. Los datos del metanálisis mostraron diferencias significativas en el tamaño del efecto para las funciones ejecutivas y atención evaluadas por el Test del Dibujo del Reloj (Z= 3,05; p= 0,002) y funciones cognitivas frontales evaluadas por la Batería de Evaluación Frontal (Z= 3,56; p = 0,0004). En el análisis cualitativo, siete estudios demostraron efectos positivos del entrenamiento cognitivo asociado al ejercicio físico en la mejora/mantenimiento de las funciones cognitivas de ancianos con EA. Conclusión: Apesar de las limitaciones encontradas en los estudios disponibles sobre este tema, se puede sugerir que el entrenamiento cognitivo asociado al ejercicio físico presenta beneficios sobre el desempeño cognitivo en ancianos con EA. Sin embargo, se requieren más estudios de mayor calidad metodológica para corroborar los efectos de esta terapia combinada.Objetivo: Investigar os efeitos do treinamento cognitivo associado ao exercício físico no desempenho cognitivo de idosos com Doença de Alzheimer (Dos Santos Picanco et al.). Metodologia: Foi realizada uma revisão sistemática com metanálise de ensaios clínicos controlados e cross-over. A busca na literatura foi realizada nas bases de dados Pubmed / MEDLINE, LILACS, SciELO, PEDro, Scopus, CINAHL e Web of Science, utilizando os descritores MeSH / DeCS. O risco de viés foi avaliado de acordo com as recomendações do Cochrane Handbook for Systematic Reviews of Interventions e a metanálise foi realizada com o software RevMan 5.3. Resultados: Dos 1126 artigos obtidos na busca, nove foram escolhidos para a síntese qualitativa e dois para a metanálise. Os dados da metanálise mostraram diferenças significativas no tamanho do efeito para as funções executivas e atenção avaliadas pelo Teste do Desenho do Relógio (Z = 3,05; p = 0,002) e funções cognitivas frontais avaliadas pela Bateria de Avaliação Frontal (Z = 3,56; p = 0,0004). Na análise qualitativa, sete estudos demonstraram efeitos positivos do treinamento cognitivo associado ao exercício físico na manutenção e melhora das funções cognitivas de idosos com DA. Conclusão: Apesar das limitações encontradas nos estudos disponíveis sobre o tema, pode-se sugerir que o treinamento cognitivo associado ao exercício físico apresenta benefícios no desempenho cognitivo de idosos com DA. No entanto, a escassez de estudos desenvolvidos com melhor rigor metodológico limita generalizações desses resultados.Research, Society and Development2020-12-17info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/1102210.33448/rsd-v9i12.11022Research, Society and Development; Vol. 9 No. 12; e15791211022Research, Society and Development; Vol. 9 Núm. 12; e15791211022Research, Society and Development; v. 9 n. 12; e157912110222525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/11022/9777Copyright (c) 2020 Ana Gonçalves Lima Neta; Mírian Celly Medeiros Miranda David; Bruna Thays Santana de Araújo; Gabriela Lopes Gama; Jéssica Costa Leitehttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessLima Neta, Ana GonçalvesDavid, Mírian Celly Medeiros MirandaAraújo, Bruna Thays Santana deGama, Gabriela LopesLeite, Jéssica Costa2020-12-30T23:32:22Zoai:ojs.pkp.sfu.ca:article/11022Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:32:57.545734Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false
dc.title.none.fl_str_mv Efficacy of cognitive training associated with physical exercises on Alzheimer's dementia: a meta-analysis
Eficiencia del entrenamiento cognitivo asociado al ejercicio físico en individuos con enfermedad de Alzheimer: un metanálisis
Eficácia do treinamento cognitivo associado ao exercício físico em indivíduos com doença de Alzheimer: uma metanálise
title Efficacy of cognitive training associated with physical exercises on Alzheimer's dementia: a meta-analysis
spellingShingle Efficacy of cognitive training associated with physical exercises on Alzheimer's dementia: a meta-analysis
Lima Neta, Ana Gonçalves
Doença de Alzheimer
Cognição
Memória
Exercício.
Alzheimer Disease
Cognition
Memory
Exercise.
Enfermedad de Alzheimer
Cognición
Memoria
Ejercicio.
title_short Efficacy of cognitive training associated with physical exercises on Alzheimer's dementia: a meta-analysis
title_full Efficacy of cognitive training associated with physical exercises on Alzheimer's dementia: a meta-analysis
title_fullStr Efficacy of cognitive training associated with physical exercises on Alzheimer's dementia: a meta-analysis
title_full_unstemmed Efficacy of cognitive training associated with physical exercises on Alzheimer's dementia: a meta-analysis
title_sort Efficacy of cognitive training associated with physical exercises on Alzheimer's dementia: a meta-analysis
author Lima Neta, Ana Gonçalves
author_facet Lima Neta, Ana Gonçalves
David, Mírian Celly Medeiros Miranda
Araújo, Bruna Thays Santana de
Gama, Gabriela Lopes
Leite, Jéssica Costa
author_role author
author2 David, Mírian Celly Medeiros Miranda
Araújo, Bruna Thays Santana de
Gama, Gabriela Lopes
Leite, Jéssica Costa
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Lima Neta, Ana Gonçalves
David, Mírian Celly Medeiros Miranda
Araújo, Bruna Thays Santana de
Gama, Gabriela Lopes
Leite, Jéssica Costa
dc.subject.por.fl_str_mv Doença de Alzheimer
Cognição
Memória
Exercício.
Alzheimer Disease
Cognition
Memory
Exercise.
Enfermedad de Alzheimer
Cognición
Memoria
Ejercicio.
topic Doença de Alzheimer
Cognição
Memória
Exercício.
Alzheimer Disease
Cognition
Memory
Exercise.
Enfermedad de Alzheimer
Cognición
Memoria
Ejercicio.
description Objective: To investigate the effects of cognitive training associated with physical exercise on cognitive performance of elderly people with Alzheimer's Disease (AD). Methodology: A systematic review was carried out with a meta-analysis of controlled and cross-over clinical trials. The literature search was carried out in databases Pubmed / MEDLINE, LILACS, SciELO, PEDro, Scopus, CINAHL and Web of Science, using terms MeSH / DeCS. The risk of bias was assessed according to recommendations of Cochrane Handbook for Systematic Reviews of Interventions and RevMan 5.3 software was used for the meta-analysis. . Results: Initially, 1126 articles were found, nine were chosen for qualitative synthesis and two for meta-analysis. The meta-analysis data showed significant differences in effect size for executive functions and attention, evaluated by Clock Drawing Test (Z = 3.05; p = 0.002) and frontal cognitive functions evaluated by Frontal Assessment Battery (Z = 3.56; p = 0.0004). For qualitative analysis, seven studies demonstrated positive effects of cognitive training associated with physical exercise to improve/maintain cognitive functions of elderly with AD. Conclusion: Despite the limitations found in analyzed studies, it can be suggested that cognitive training associated with physical exercise can benefit the cognitive performance of elderly with AD. However, the dearth of studies developed with greater discerning methodology limits generalizations of these results.
publishDate 2020
dc.date.none.fl_str_mv 2020-12-17
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/11022
10.33448/rsd-v9i12.11022
url https://rsdjournal.org/index.php/rsd/article/view/11022
identifier_str_mv 10.33448/rsd-v9i12.11022
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/11022/9777
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Research, Society and Development
publisher.none.fl_str_mv Research, Society and Development
dc.source.none.fl_str_mv Research, Society and Development; Vol. 9 No. 12; e15791211022
Research, Society and Development; Vol. 9 Núm. 12; e15791211022
Research, Society and Development; v. 9 n. 12; e15791211022
2525-3409
reponame:Research, Society and Development
instname:Universidade Federal de Itajubá (UNIFEI)
instacron:UNIFEI
instname_str Universidade Federal de Itajubá (UNIFEI)
instacron_str UNIFEI
institution UNIFEI
reponame_str Research, Society and Development
collection Research, Society and Development
repository.name.fl_str_mv Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)
repository.mail.fl_str_mv rsd.articles@gmail.com
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