Efficacy of Nonpharmacological Interventions in Cognitive Impairment: Systematic Review And Network Meta-Analysis

Luis Carlos Venegas-Sanabria; Iván Cavero‑Redondo; Patricia Lorenzo-Garcia; Guillermo Sánchez-Vanegas; Celia Álvarez-Bueno

doi:10.1016/j.jagp.2024.06.012

Efficacy of Nonpharmacological Interventions in Cognitive Impairment: Systematic Review And Network Meta-Analysis

Título traducido de la contribución: Eficacia de las intervenciones no farmacológicas en el deterioro cognitivo: Revisión sistemática y metaanálisis en red

Luis Carlos Venegas-Sanabria, Iván Cavero‑Redondo, Patricia Lorenzo-Garcia, Guillermo Sánchez-Vanegas, Celia Álvarez-Bueno

Producción científica: Contribución a una revista › Artículo de Investigación › revisión exhaustiva

Resumen

Introducción: En la actualidad no existe cura conocida para el deterioro cognitivo, lo que pone de manifiesto la necesidad de explorar otras formas de tratar esta afección. Este tema se ha convertido recientemente en un área de investigación activa. Sin embargo, la disponibilidad de opciones no farmacológicas plantea un reto a la hora de determinar el mejor tratamiento para mejorar la función cognitiva. Métodos: Se realizó una revisión sistemática y un metanálisis de red bayesiano para comparar los efectos de las intervenciones no farmacológicas sobre la cognición global en pacientes con deterioro cognitivo leve y demencia. Las intervenciones no farmacológicas se clasificaron como ejercicio aeróbico, ejercicio de fuerza, ejercicio físico multicomponente, otros ejercicios físicos, tai chi, ejercicios mente-cuerpo, rehabilitación cognitiva tradicional, rehabilitación cognitiva basada en ordenador, terapia ocupacional, musicoterapia, rehabilitación físico-cognitiva y terapia de reminiscencia. Resultados: La rehabilitación físico-cognitiva resultó ser la intervención no farmacológica más eficaz para mejorar la cognición global en pacientes con deterioro cognitivo no especificado y demencia, mientras que la terapia ocupacional centrada en intervenciones de doble tarea resultó ser la intervención no farmacológica más eficaz para el deterioro cognitivo leve. Conclusiones: Estos resultados subrayan la importancia de adoptar un enfoque dual para manejar el deterioro cognitivo, integrando tanto la rehabilitación cognitiva como la física dentro de la misma intervención.

Título traducido de la contribución	Eficacia de las intervenciones no farmacológicas en el deterioro cognitivo: Revisión sistemática y metaanálisis en red
Idioma original	Inglés estadounidense
Páginas (desde-hasta)	1-23
Número de páginas	23
Publicación	American Journal of Geriatric Psychiatry
DOI	https://doi.org/10.1016/j.jagp.2024.06.012
Estado	Publicada - jul. 8 2024

Áreas temáticas de ASJC Scopus

Geriatría y gerontología
Psiquiatría y salud mental

ODS de las Naciones Unidas

Este resultado contribuye a los siguientes Objetivos de Desarrollo Sostenible

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10.1016/j.jagp.2024.06.012

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title = "Efficacy of Nonpharmacological Interventions in Cognitive Impairment: Systematic Review And Network Meta-Analysis",

abstract = "Introduction: There is currently no known cure for cognitive impairment, which highlights the need to explore other ways of managing this condition. This topic has recently become an area of active research. However, the availability of nonpharmacological options poses a challenge when trying to determine the best treatment for improving cognitive function. Methods: We conducted a systematic review and a Bayesian network meta-analysis to compare the effects of nonpharmacological interventions on global cognition in patients with mild cognitive impairment and dementia. The nonpharmacological interventions were classified as aerobic exercise, strength exercise, multicomponent physical exercise, other physical exercises, tai chi, mind-body exercises, traditional cognitive rehabilitation, computer-based cognitive rehabilitation, occupational therapy, music therapy, physical-cognitive rehabilitation, and reminiscence therapy. Results: Physical-cognitive rehabilitation emerged as the most effective nonpharmacological intervention for enhancing global cognition in patients with unspecified cognitive impairment and dementia, whereas occupational therapy focused on dual-task interventions was found to be the most effective nonpharmacological intervention for mild cognitive impairment. Conclusion: These results underscore the importance of adopting a dual approach to managing cognitive impairment, integrating both cognitive and physical rehabilitation within the same intervention.",

author = "Venegas-Sanabria, {Luis Carlos} and Iv{\'a}n Cavero‑Redondo and Patricia Lorenzo-Garcia and Guillermo S{\'a}nchez-Vanegas and Celia {\'A}lvarez-Bueno",

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doi = "10.1016/j.jagp.2024.06.012",

language = "English (US)",

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Efficacy of Nonpharmacological Interventions in Cognitive Impairment: Systematic Review And Network Meta-Analysis. / Venegas-Sanabria, Luis Carlos; Cavero‑Redondo, Iván; Lorenzo-Garcia, Patricia et al.
En: American Journal of Geriatric Psychiatry, 08.07.2024, p. 1-23.

Producción científica: Contribución a una revista › Artículo de Investigación › revisión exhaustiva

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AU - Venegas-Sanabria, Luis Carlos

AU - Cavero‑Redondo, Iván

AU - Lorenzo-Garcia, Patricia

AU - Sánchez-Vanegas, Guillermo

AU - Álvarez-Bueno, Celia

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N2 - Introduction: There is currently no known cure for cognitive impairment, which highlights the need to explore other ways of managing this condition. This topic has recently become an area of active research. However, the availability of nonpharmacological options poses a challenge when trying to determine the best treatment for improving cognitive function. Methods: We conducted a systematic review and a Bayesian network meta-analysis to compare the effects of nonpharmacological interventions on global cognition in patients with mild cognitive impairment and dementia. The nonpharmacological interventions were classified as aerobic exercise, strength exercise, multicomponent physical exercise, other physical exercises, tai chi, mind-body exercises, traditional cognitive rehabilitation, computer-based cognitive rehabilitation, occupational therapy, music therapy, physical-cognitive rehabilitation, and reminiscence therapy. Results: Physical-cognitive rehabilitation emerged as the most effective nonpharmacological intervention for enhancing global cognition in patients with unspecified cognitive impairment and dementia, whereas occupational therapy focused on dual-task interventions was found to be the most effective nonpharmacological intervention for mild cognitive impairment. Conclusion: These results underscore the importance of adopting a dual approach to managing cognitive impairment, integrating both cognitive and physical rehabilitation within the same intervention.

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