Effects of different exercise modalities in elderly patients with cognitive frailty: a network Meta-analysis
10.3760/cma.j.cn115682-20240319-01448
- VernacularTitle:不同运动方式在老年认知衰弱患者中应用效果的网状Meta分析
- Author:
Yi QIN
1
;
Hong XIAO
;
Dingbi XING
;
Yan LI
;
Changyan LI
;
Lingxia SONG
Author Information
1. 遵义医科大学附属医院骨科，遵义 563003
- Publication Type:Journal Article
- Keywords:
Aged;
Cognitive frailty;
Exercise;
Randomized controlled trial;
Network meta-analysis
- From:
Chinese Journal of Modern Nursing
2025;31(7):905-914
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To assess the impact of different exercise modalities on cognitive and physical functions in elderly patients with cognitive frailty using a network meta-analysis based on frequency theory.Methods:A comprehensive computer and manual search was conducted in PubMed, Web of Science, Embase, CINAHL, Cochrane Library, China National Knowledge Infrastructure, WanFang Data, VIP, and China Biology Medicine disc for randomized controlled trials on the effects of exercise training on cognitive and physical functions in elderly patients with cognitive frailty. The search covered studies published until December 31, 2023. To ensure the rigor of the study, two researchers independently screened the literature, evaluated the quality using the Cochrane risk of bias tool, and extracted data. Statistical analysis was conducted using Stata 14.0 software.Results:A total of 16 studies were included, involving 10 different exercise interventions (Baduanjin, Tai Chi Chuan, Mindfulness-based Tai Chi Chuan, Otago exercise, high-intensity interval training, dual-task exercise training, multicomponent exercise, aerobic exercise, resistance exercise, and combined aerobic and resistance exercise). The network meta-analysis results showed that, compared with non-exercise control groups, Baduanjin and dual-task exercise training improved cognitive function in elderly patients with cognitive frailty ( P<0.05), with Baduanjin showing the best effect ( SUCRA=0.79). Multicomponent exercise improved frailty ( P<0.05) with the best effect ( SUCRA=1.00), it also improved grip strength ( P<0.05), with the best effect ( SUCRA=0.89). Multicomponent exercise and dual-task exercise training improved walking speed ( P<0.05), multicomponent exercise had the best effect ( SUCRA=1.00) . Conclusions:Baduanjin has an advantage in improving cognitive function in elderly patients with cognitive frailty, while multicomponent exercise is more effective in improving frailty, grip strength, and walking speed. However, the conclusions of this study need further validation.
