|
ИСТИНА |
Войти в систему Регистрация |
ИСТИНА ИНХС РАН |
||
Physical activity and exercise for the prevention and management of mild cognitive impairment and dementia: a collaborative international guidelineстатья
- Авторы: Veronese Nicola, Soysal Pinar, Demurtas Jacopo, Solmi Marco, Bruyère Olivier, Christodoulou Nikos, Ramalho Rodrigo, Fusar-Poli Paolo, Lappas Andreas S., Pinto Daniel, Frederiksen Kristian Steen, Corbi Grazia Maria, Karpenko Olga, Georges Jean, Durães João, Schlögl Mathias, Yilmaz Ozlem, Sieber Cornel, Shenkin Susan D., Smith Lee, Reginster Jean-Yves, Maggi Stefania, Limongi Federica, Ars Joan, Barbagallo Mario, Cherubini Antonio, Quinn Terry, of Alzheimer Europe on behalf, of Neuropsychopharmacology European College, Medicine Society (Lead Society) European Geriatric, Council on Ageing European Interdisciplinary, of Clinical European Society, of Osteoporosis Economic Aspects, Osteoarthritis, of Gerontology International Association, Region Geriatrics-European, Health ARC Scottish Brain, Association-Preventive Psychiatry Section World Psychiatry, the European Academy of Neurology endorsed by
- Журнал: European Geriatric Medicine
- Год издания: 2023
- Издательство: Elsevier Masson
- Местоположение издательства: Italy
- DOI: 10.1007/s41999-023-00858-y
- Аннотация: AbstractBackgroundPhysical activity and exercise have been suggested as effective interventions for the prevention and management of mild cognitive impairment (MCI) and dementia, but there are no international guidelines.ObjectivesTo create a set of evidence- and expert consensus-based prevention and management recommendations regarding physical activity (any bodily movement produced by skeletal muscles that results in energy expenditure) and exercise (a subset of physical activity that is planned, structured, repetitive), applicable to a range of individuals from healthy older adults to those with MCI/dementia.MethodsGuideline content was developed with input from several scientific and lay representatives’ societies. A systematic search across multidisciplinary databases was carried out until October 2021. Recommendations for prevention and management were developed according to the GRADE and complemented by consensus statements from the expert panels.RecommendationsPhysical activity may be considered for the primary prevention of dementia. In people with MCI there is continued uncertainty about the role of physical activity in slowing the conversion to dementia. Mind–body interventions have the greatest supporting evidence. In people with moderate dementia, exercise may be used for maintaining disability and cognition. All these recommendations were based on a very low/low certainty of evidence.ConclusionsAlthough the scientific evidence on the beneficial role of physical activity and exercise in preserving cognitive functions in subjects with normal cognition, MCI or dementia is inconclusive, this panel, composed of scientific societies and other stakeholders, recommends their implementation based on their beneficial effects on almost all facets of health.
- Добавил в систему: Карпенко Ольга Анатольевна