Effects of exergaming on executive function of older adults: a systematic review and meta-analysis

Background Executive function (EF) involves a series of high-level processes, such as inhibition, switching, and updating. Aging-related cognitive decline has been shown to be strongly associated with EF worsening. The aims of this study were to perform a meta-analysis to evaluate the effects of exe...

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Main Authors: Jiahui Jiang, Wei Guo, Biye Wang
Format: Article
Language:English
Published: PeerJ Inc. 2022-04-01
Series:PeerJ
Subjects:
Online Access:https://peerj.com/articles/13194.pdf
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author Jiahui Jiang
Wei Guo
Biye Wang
author_facet Jiahui Jiang
Wei Guo
Biye Wang
author_sort Jiahui Jiang
collection DOAJ
description Background Executive function (EF) involves a series of high-level processes, such as inhibition, switching, and updating. Aging-related cognitive decline has been shown to be strongly associated with EF worsening. The aims of this study were to perform a meta-analysis to evaluate the effects of exergaming, an emerging intervention, on EF performance in older adults and to conduct a moderator analysis of exergaming effects on EF. Methods Randomized controlled trials examining exergaming influences on EF in older adults were collated by searching the Web of Science, Elsevier Science, PubMed, and Google Scholar databases. Statistical data were quantified in Comprehensive Meta-analysis software. Overall EF and EF domains (inhibition, switching, and updating) were analyzed separately. Results A total of 15 studies were included. The meta-analysis results indicated that exergaming had a significant influence on overall EF in the older adult (standardized mean difference (SMD) = 0.349, 95% confidence interval (CI) [0.191–0.506], p < 0.001). The same effects were also found in EF domains of inhibition (SMD = 0.415, 95% CI [0.102–0.729], p = 0.009), switching (SMD = 0.243, 95% CI [0.071–0.415], p = 0.005), and updating (SMD = 0.366, 95% CI [0.140–0.592], p = 0.002). The effects of exergaming on overall EF were found to be moderated by the frequency of the intervention (Q(1) = 3.537, p = 0.06). Conclusion Exergaming was confirmed to improve overall EF, as well as in older adults, and the effect of exergaming on EF was shown to be moderated by intervention frequency.
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spelling doaj.art-f395c5e4a0f94f22995efee25f1d95de2023-12-03T00:59:37ZengPeerJ Inc.PeerJ2167-83592022-04-0110e1319410.7717/peerj.13194Effects of exergaming on executive function of older adults: a systematic review and meta-analysisJiahui Jiang0Wei Guo1Biye Wang2College of Physical Education, Yangzhou University, Yangzhou, ChinaCollege of Physical Education, Yangzhou University, Yangzhou, ChinaCollege of Physical Education, Yangzhou University, Yangzhou, ChinaBackground Executive function (EF) involves a series of high-level processes, such as inhibition, switching, and updating. Aging-related cognitive decline has been shown to be strongly associated with EF worsening. The aims of this study were to perform a meta-analysis to evaluate the effects of exergaming, an emerging intervention, on EF performance in older adults and to conduct a moderator analysis of exergaming effects on EF. Methods Randomized controlled trials examining exergaming influences on EF in older adults were collated by searching the Web of Science, Elsevier Science, PubMed, and Google Scholar databases. Statistical data were quantified in Comprehensive Meta-analysis software. Overall EF and EF domains (inhibition, switching, and updating) were analyzed separately. Results A total of 15 studies were included. The meta-analysis results indicated that exergaming had a significant influence on overall EF in the older adult (standardized mean difference (SMD) = 0.349, 95% confidence interval (CI) [0.191–0.506], p < 0.001). The same effects were also found in EF domains of inhibition (SMD = 0.415, 95% CI [0.102–0.729], p = 0.009), switching (SMD = 0.243, 95% CI [0.071–0.415], p = 0.005), and updating (SMD = 0.366, 95% CI [0.140–0.592], p = 0.002). The effects of exergaming on overall EF were found to be moderated by the frequency of the intervention (Q(1) = 3.537, p = 0.06). Conclusion Exergaming was confirmed to improve overall EF, as well as in older adults, and the effect of exergaming on EF was shown to be moderated by intervention frequency.https://peerj.com/articles/13194.pdfExergamingExecutive functionOlder adultsMeta-analysis
spellingShingle Jiahui Jiang
Wei Guo
Biye Wang
Effects of exergaming on executive function of older adults: a systematic review and meta-analysis
PeerJ
Exergaming
Executive function
Older adults
Meta-analysis
title Effects of exergaming on executive function of older adults: a systematic review and meta-analysis
title_full Effects of exergaming on executive function of older adults: a systematic review and meta-analysis
title_fullStr Effects of exergaming on executive function of older adults: a systematic review and meta-analysis
title_full_unstemmed Effects of exergaming on executive function of older adults: a systematic review and meta-analysis
title_short Effects of exergaming on executive function of older adults: a systematic review and meta-analysis
title_sort effects of exergaming on executive function of older adults a systematic review and meta analysis
topic Exergaming
Executive function
Older adults
Meta-analysis
url https://peerj.com/articles/13194.pdf
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