Effects of exercise interventions in Alzheimer's disease: A meta‐analysis

Abstract Objective The aim of this study was to investigate the clinical efficacy of exercise intervention in the treatment of patients with Alzheimer's disease (AD) by meta‐analysis. Methods From January 2000 to January 2022, PubMed, Web of Science, Embase, CNKI, and WanFang databases were sea...

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Main Authors: Sagor Kumar Roy, Jing‐jing Wang, Yu‐ming Xu
Format: Article
Language:English
Published: Wiley 2023-07-01
Series:Brain and Behavior
Subjects:
Online Access:https://doi.org/10.1002/brb3.3051
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author Sagor Kumar Roy
Jing‐jing Wang
Yu‐ming Xu
author_facet Sagor Kumar Roy
Jing‐jing Wang
Yu‐ming Xu
author_sort Sagor Kumar Roy
collection DOAJ
description Abstract Objective The aim of this study was to investigate the clinical efficacy of exercise intervention in the treatment of patients with Alzheimer's disease (AD) by meta‐analysis. Methods From January 2000 to January 2022, PubMed, Web of Science, Embase, CNKI, and WanFang databases were searched for all studies on the clinical efficacy of exercise intervention in the treatment of AD patients. Stata 17.0 statistical software was used for meta‐analysis. Results Specifically, data of 983 patients were subjected to meta‐analysis, including 463 patients in the control group (conventional drug therapy) and 520 patients in the treatment group (physical exercise on the basis of conventional therapy). The results of meta‐analysis showed that Mini‐Mental State Examination (MMSE) score and Activities of Daily Living Scale (ADL) score in the treatment group were significantly higher than those in the control group. Further subgroup analysis of exercise intervention >16 weeks found that MMSE and ADL scores in the treatment group were significantly higher than those in the control group. Subgroup analysis of exercise intervention ≤16 weeks demonstrated that MMSE and ADL in the treatment group were higher than those in the control group. In addition, the treatment group had a significant lower Neuropsychiatric Inventory (NPI) score compared with the control group (SMD = –0.76, 95% CI (–1.37, –0.16), p = .013); subgroup analysis showed that the NPI score in the treatment group were lower than that in the control group when exercise intervention was >16 weeks [SMD = –1.01, 95% CI (–1.99, –0.04), p = .042] and ≤16 weeks [SMD = 0.43, 95% CI (–0.82, –0.03), p = .034]. Conclusion Exercise intervention can improve the neuropsychiatric symptoms, activities of daily living and cognitive function of AD patients, but the improvement is not significant in case of exercise intervention ≤16 weeks.
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spelling doaj.art-653def2f083d4bed93b464832fbbcbed2023-07-13T04:43:15ZengWileyBrain and Behavior2162-32792023-07-01137n/an/a10.1002/brb3.3051Effects of exercise interventions in Alzheimer's disease: A meta‐analysisSagor Kumar Roy0Jing‐jing Wang1Yu‐ming Xu2Department of Neurology The First Affiliated Hospital of Zhengzhou University Zhengzhou Henan ChinaDepartment of Neurology The First Affiliated Hospital of Zhengzhou University Zhengzhou Henan ChinaDepartment of Neurology The First Affiliated Hospital of Zhengzhou University Zhengzhou Henan ChinaAbstract Objective The aim of this study was to investigate the clinical efficacy of exercise intervention in the treatment of patients with Alzheimer's disease (AD) by meta‐analysis. Methods From January 2000 to January 2022, PubMed, Web of Science, Embase, CNKI, and WanFang databases were searched for all studies on the clinical efficacy of exercise intervention in the treatment of AD patients. Stata 17.0 statistical software was used for meta‐analysis. Results Specifically, data of 983 patients were subjected to meta‐analysis, including 463 patients in the control group (conventional drug therapy) and 520 patients in the treatment group (physical exercise on the basis of conventional therapy). The results of meta‐analysis showed that Mini‐Mental State Examination (MMSE) score and Activities of Daily Living Scale (ADL) score in the treatment group were significantly higher than those in the control group. Further subgroup analysis of exercise intervention >16 weeks found that MMSE and ADL scores in the treatment group were significantly higher than those in the control group. Subgroup analysis of exercise intervention ≤16 weeks demonstrated that MMSE and ADL in the treatment group were higher than those in the control group. In addition, the treatment group had a significant lower Neuropsychiatric Inventory (NPI) score compared with the control group (SMD = –0.76, 95% CI (–1.37, –0.16), p = .013); subgroup analysis showed that the NPI score in the treatment group were lower than that in the control group when exercise intervention was >16 weeks [SMD = –1.01, 95% CI (–1.99, –0.04), p = .042] and ≤16 weeks [SMD = 0.43, 95% CI (–0.82, –0.03), p = .034]. Conclusion Exercise intervention can improve the neuropsychiatric symptoms, activities of daily living and cognitive function of AD patients, but the improvement is not significant in case of exercise intervention ≤16 weeks.https://doi.org/10.1002/brb3.3051Alzheimer ’s diseasedietary interventionexercise therapymeta‐analysis
spellingShingle Sagor Kumar Roy
Jing‐jing Wang
Yu‐ming Xu
Effects of exercise interventions in Alzheimer's disease: A meta‐analysis
Brain and Behavior
Alzheimer ’s disease
dietary intervention
exercise therapy
meta‐analysis
title Effects of exercise interventions in Alzheimer's disease: A meta‐analysis
title_full Effects of exercise interventions in Alzheimer's disease: A meta‐analysis
title_fullStr Effects of exercise interventions in Alzheimer's disease: A meta‐analysis
title_full_unstemmed Effects of exercise interventions in Alzheimer's disease: A meta‐analysis
title_short Effects of exercise interventions in Alzheimer's disease: A meta‐analysis
title_sort effects of exercise interventions in alzheimer s disease a meta analysis
topic Alzheimer ’s disease
dietary intervention
exercise therapy
meta‐analysis
url https://doi.org/10.1002/brb3.3051
work_keys_str_mv AT sagorkumarroy effectsofexerciseinterventionsinalzheimersdiseaseametaanalysis
AT jingjingwang effectsofexerciseinterventionsinalzheimersdiseaseametaanalysis
AT yumingxu effectsofexerciseinterventionsinalzheimersdiseaseametaanalysis