可延緩老年認知功能下降的身體活動

Which Physical Activity that Can Delay Cognitive Function Decline

陳杰(Chieh Chen)

《臺灣老人保健學刊》 18卷1&2期 (2022/12) Pp. 34-50

摘要

全世界的老年人口均快速成長，台灣於2018年邁入高齡社會，老年人口的增長速度比我們想像中的快，高齡化伴隨而來的健康議題如：輕度認知功能障礙的人口快速增加，病人的照護可能會導致國家經濟、社會、家庭人力與醫療資源和藥物負擔巨大支出費用等。本文從回顧文獻的角度，利用關鍵字：認知功能障礙、身體適能、運動處方、運動介入、生活品質，搜尋關於身體活動和認知功能、神經內分泌，分子生物學等文獻；其中含病例對照研究，系統回顧分析，統合分析研究與隨機臨床對照性試驗，探討身體活動介入與老年族群體適能的好壞，對於認知症的流行病學、預防認知功能下降、改善認知功能、提升生活品質方面的助益，進一步提出體適能對增進大腦認知功能、生活品質的運動建議，幫助我們了解哪些類型的運動介入，對輕度認知功能障礙、認知症患者提升生活品質有正面幫助，文章結果期望能建立台灣本土的體適能指引或運動處方，作為國內健康促進、未來老年族群認知功能障礙及失智症防治參考。

關鍵字

認知功能障礙 ； 體適能表現 ； 運動介入 ； 生活品質 ； 運動處方

並列摘要

The elderly population all over the world is growing rapidly. Taiwan has entered an advanced age society in 2018. The growth rate of the elderly population is faster than we thought. The health issues associated with aging, such as the rapid population with mild cognitive impairment increasing, patient care may result in huge expenditures on national economy, society, family human and medical resources, and drugs; this article uses Cochrane library, PubMed (Medline), UpToDate, Google scholar as the database from the perspective of literature review with keywords: cognitive dysfunction, physical fitness, exercise prescription intervention, quality of life, etc. Search for 12 related documents on physical activity and cognitive function, neuroendocrine, molecular biology, etc.; including: case-control studies, systematic reviews, integrate analytical research and randomized clinical controlled trials to explore the effects of physical activity intervention and the fitness of the elderly in the epidemiology of dementia, prevention of cognitive decline, improvement of cognitive function, and improvement of quality of life. To further exercise prescription recommendations for physical fitness to improve cognitive function and quality of life. Understand which types of exercise intervention are positively helpful to improve the quality of life of patients with mild cognitive impairment and dementia; hope that the results of the article can be used as a reference for domestic health promotion plans, providing future care for the elderly with cognitive dysfunction and dementia prevention and treatment. Ideal physical fitness guidelines and exercise prescriptions in Taiwan.

並列關鍵字

Cognitive impairment ； physical performance ； activity intervention ； quality of life ； exercise prescription