Original Article
Summary of the best evidence for exercise intervention in elderly patients with mild cognitive impairment
Wang Haiyan, Sun Chao, Zhang Jie, Yang Xue, Hu Nannan, Li Hong, Hu Huixiu
Published 2022-03-16
Cite as Chin J Mod Nurs, 2022, 28(8): 1020-1026. DOI: 10.3760/cma.j.cn115682-20210826-03839
Abstract
ObjectiveTo evaluate and synthesize the best evidence for exercise intervention in elderly patients with mild cognitive impairment.
MethodsAll evidence on exercise intervention for elderly patients with mild cognitive impairment were retrieved from the UK National Institute for Health and Care Excellence (NICE) , the US Agency for Healthcare Research and Quality (AHRQ) , Scottish Intercollegiate Guidelines Network (SIGN) , Medlive, China National Knowledge Infrastructure, WanFang Data and so on. The retrieval time limit was from the establishment of the database to December 31, 2020. The quality of the articles were assessed by investigators trained in evidence-based methodology, and the best evidence for exercise intervention in elderly patients with mild cognitive impairment was extracted.
ResultsA total of 23 articles were included, including 2 guidelines, 2 expert consensus, 1 evidence summary, and 18 systematic reviews. A total of 15 pieces of evidence for exercise intervention in elderly patients with mild cognitive impairment were summarized, involving five aspects, namely, management/training mode, exercise mode, exercise intensity, exercise duration/frequency, and exercise safety.
ConclusionsIn the process of evidence application, specific clinical scenarios should be fully considered, and on the premise of ensuring patient safety, an individualized exercise intervention plan should be formulated according to the specific conditions of elderly patients with mild cognitive impairment to improve cognitive function in elderly patients.
Key words:
Aged; Mild cognitive dysfunction; Exercise intervention; Evidence summary; Evidence-based nursing
Contributor Information
Wang Haiyan
Department of Geriatrics, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing 100730, China
Sun Chao
Nursing Department, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing 100730, China
Zhang Jie
Department of Geriatrics, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing 100730, China
Yang Xue
Nursing Department, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing 100730, China
Hu Nannan
School of Nursing, Beijing University of Chinese Medicine, Beijing 102488, China
Li Hong
Department of Geriatrics, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing 100730, China
Hu Huixiu
Nursing Department, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing 100730, China