运动-认知双重任务训练对认知衰弱老年人的干预效果

doi:10.3969/j.issn.1003-9198.2024.08.015

实用老年医学 ›› 2024, Vol. 38 ›› Issue (8): 821-825.doi: 10.3969/j.issn.1003-9198.2024.08.015

运动-认知双重任务训练对认知衰弱老年人的干预效果

赖小星, 陈宝玉, 刘晓萱, 李奇, 朱宏伟, 霍晓鹏

100730 北京市,中国医学科学院北京协和医院神经内科病房(赖小星);保健医疗部(刘晓萱,李奇);国际医疗部(朱宏伟);护理部(霍晓鹏);
100191 北京市,北京大学第六医院神经内科(陈宝玉)

收稿日期:2023-10-23 出版日期:2024-08-20 发布日期:2024-08-26
通讯作者: 霍晓鹏,Email:huoxp001@126.com
基金资助:
中央高水平医院临床科研业务费资助项目(2022-PUMCH-B-130);北京协和医院院内课题(XHHLKY202313)

Effect of motor-cognitive dual task training on cognitive frailty in the elderly

LAI Xiaoxing, CHEN Baoyu, LIU Xiaoxuan, LI Qi, ZHU Hongwei, HUO Xiaopeng

Department of Neurology(LAI Xiaoxing);Department of Health Care(LIU Xiaoxuan, LI Qi); Department of International Medical Care(ZHU Hongwei);Department of Nursing(HUO Xiaopeng), Peking Union Medical College Hospital,Chinese Academy of Medical Sciences, Beijing 100730, China;
Department of Neurology, Peking University Sixth Hospital, Beijing 100191, China(CHEN Baoyu)

Received:2023-10-23 Online:2024-08-20 Published:2024-08-26
Contact: HUO Xiaopeng, Email:huoxp001@126.com

摘要/Abstract

摘要： 目的探讨运动-认知双重任务训练对认知衰弱老年人的干预效果。方法招募符合纳入标准的认知衰弱老年人72例,随机将其分为干预组和对照组,每组36例。对照组给予认知衰弱的健康教育,干预组在对照组基础上实施为期 16 周的运动-认知双重任务训练。分别在干预前、干预16周后评估老年人的衰弱状况、认知功能及躯体运动功能。结果干预前,干预组和对照组一般资料、Tilburg衰弱指数(TFI)量表评分、MoCA 评分、Tinetti 步态和平衡测试量表(POMA)评分、计时-起立行走测试(TUGT)时间比较,差异均无统计学意义(P＞0.05)。干预后,与对照组相比,干预组的TFI评分明显下降,MoCA 、POMA评分显著升高,TUGT时间明显缩短(P＜0.01)。结论运动-认知双重任务训练可有效改善认知衰弱老年人的衰弱状况、认知功能及躯体运动功能,适宜在认知衰弱老年人中推广。

关键词: 认知衰弱, 老年人, 双重任务训练, 运动, 认知

Abstract: Objective To explore the effect of motor-cognitive dual task training in the elderly patients with cognitive frailty. Methods A total of 72 elderly people with cognitive frailty meeting the inclusion criteria were enrolled and randomly divided into intervention group and control group, with 36 cases in each group. The control group was given health education about cognitive frailty, while the intervention group received motor-cognitive dual task training for 16 weeks in addition. The frailty status, cognitive and motor function before and after intervention in the two groups were assessed and compared. Results Before intervention, there were no significant differences in the general information, scores of Tilburg frailty indicator (TFI), Montreal Cognitive Assessment(MoCA), Performance Oriented Mobility Assessment (POMA)and time up and go test(TUGT) between the two groups(P>0.05). After intervention, the score of TFI and the time of TUGT were significantly lower and the scores of MoCA and POMA were significantly higher in intervention group than those in control group (P<0.05). Conclusions Motor-cognitive dual task training can effectively improve the frailty, cognitive and physical function of the elderly with cognitive frailty, and it is suitable to popularize in the elderly with cognitive frailty.

Key words: cognitive frailty, aged, dual task training, exercise, cognition

中图分类号:

R459.7
R494

赖小星, 陈宝玉, 刘晓萱, 李奇, 朱宏伟, 霍晓鹏. 运动-认知双重任务训练对认知衰弱老年人的干预效果[J]. 实用老年医学, 2024, 38(8): 821-825.

LAI Xiaoxing, CHEN Baoyu, LIU Xiaoxuan, LI Qi, ZHU Hongwei, HUO Xiaopeng. Effect of motor-cognitive dual task training on cognitive frailty in the elderly[J]. Practical Geriatrics, 2024, 38(8): 821-825.

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运动-认知双重任务训练对认知衰弱老年人的干预效果

Effect of motor-cognitive dual task training on cognitive frailty in the elderly

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