Effect Providing Brain Gym On Improving Cognitive Function In Elderly: Meta-Analysis
DOI:
https://doi.org/10.23917/fisiomu.v6i2.8470Keywords:
Brain gym, cognitive function, elderly, meta-analysis, interventionsAbstract
Introduction: Cognitive decline with aging impacts quality of life, making it crucial to explore effective interventions. Brain Gym, a program involving simple physical exercises, is proposed to enhance cognitive function, but evidence is mixed. This study aims to conduct a meta-analysis to evaluate the overall effectiveness of Brain Gym in improving cognitive function in the elderly and to identify factors that may influence its effectiveness. Methods: A meta-analysis of RCTs evaluating Brain Gym for elderly cognitive function. Databases searched included PubMed and ScienceDirect. Data were analyzed using RevMan 5.3. Results: The meta-analysis of Brain Gym interventions in elderly individuals revealed high heterogeneity among studies (I² = 95%) and no significant overall effect (P = 0.62), indicating inconsistent results. Conclusion: Brain Gym shows potential for improving cognitive function in the elderly. Future research should explore specific contexts and populations for more targeted interventions.
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Adcock, M., Fankhauser, M., Post, J., Lutz, K., Zizlsperger, L., Luft, A. R., Guimarães, V., Schättin, A., & de Bruin, E. D. (2020). Effects of an in-home multicomponent exergame training on physical functions, cognition, and brain volume of older adults: a randomized controlled trial. Frontiers in medicine, 6, 321. DOI: https://doi.org/10.3389/fmed.2019.00321
Augusto-Oliveira, M., Arrifano, G. P., Leal-Nazaré, C. G., Santos-Sacramento, L., Lopes-Araújo, A., Royes, L. F. F., & Crespo-Lopez, M. E. (2023). Exercise reshapes the brain: molecular, cellular, and structural changes associated with cognitive improvements. Molecular Neurobiology, 60(12), 6950–6974. DOI: https://doi.org/10.1007/s12035-023-03492-8
Barnes, J. N., Pearson, A. G., Corkery, A. T., Eisenmann, N. A., & Miller, K. B. (2021). Exercise, arterial stiffness, and cerebral vascular function: potential impact on brain health. Journal of the International Neuropsychological Society, 27(8), 761–775. DOI: https://doi.org/10.1017/S1355617721000394
Biazus-Sehn, L. F., Schuch, F. B., Firth, J., & de Souza Stigger, F. (2020). Effects of physical exercise on cognitive function of older adults with mild cognitive impairment: A systematic review and meta-analysis. Archives of Gerontology and Geriatrics, 89, 104048. DOI: https://doi.org/10.1016/j.archger.2020.104048
Bliss, E. S., Wong, R. H. X., Howe, P. R. C., & Mills, D. E. (2021). Benefits of exercise training on cerebrovascular and cognitive function in ageing. Journal of Cerebral Blood Flow & Metabolism, 41(3), 447–470. DOI: https://doi.org/10.1177/0271678X20957807
Borenstein, M., Hedges, L. V, Higgins, J. P. T., & Rothstein, H. R. (2021). Introduction to meta-analysis. John Wiley & Sons. DOI: https://doi.org/10.1002/9781119558378
Calverley, T. A., Ogoh, S., Marley, C. J., Steggall, M., Marchi, N., Brassard, P., Lucas, S. J. E., Cotter, J. D., Roig, M., & Ainslie, P. N. (2020). HIITing the brain with exercise: mechanisms, consequences and practical recommendations. The Journal of physiology, 598(13), 2513–2530. DOI: https://doi.org/10.1113/JP275021
Cano-Estrada, A., Jimenez-Mendoza, A., Contreras-Guerrero, D., Hernandes-Alejandro, M., & Salas-Casas, A. (2022). The Effect of Brain Gym on Global Cognitive Function of Institutionalized Older People. International Journal of Mental Health Promotion, 24(3). DOI: https://doi.org/10.32604/ijmhp.2022.018857
Chen, F.-T., Etnier, J. L., Chan, K.-H., Chiu, P.-K., Hung, T.-M., & Chang, Y.-K. (2020). Effects of exercise training interventions on executive function in older adults: a systematic review and meta-analysis. Sports Medicine, 50(8), 1451–1467. DOI: https://doi.org/10.1007/s40279-020-01292-x
Cline, A., Knox, G., De Martin Silva, L., & Draper, S. (2021). A Process Evaluation of A UK Classroom-Based Physical Activity Intervention—‘Busy Brain Breaks.’ Children, 8(2), 63. DOI: https://doi.org/10.3390/children8020063
Crivelli, L., Palmer, K., Calandri, I., Guekht, A., Beghi, E., Carroll, W., Frontera, J., García‐Azorín, D., Westenberg, E., & Winkler, A. S. (2022). Changes in cognitive functioning after COVID‐19: A systematic review and meta‐analysis. Alzheimer’s & Dementia, 18(5), 1047–1066. DOI: https://doi.org/10.1002/alz.12644
de Jong, V. M. T., Moons, K. G. M., Riley, R. D., Tudur Smith, C., Marson, A. G., Eijkemans, M. J. C., & Debray, T. P. A. (2020). Individual participant data meta‐analysis of intervention studies with time‐to‐event outcomes: a review of the methodology and an applied example. Research synthesis methods, 11(2), 148–168. DOI: https://doi.org/10.1002/jrsm.1384
Deery, H. A., Di Paolo, R., Moran, C., Egan, G. F., & Jamadar, S. D. (2023). The older adult brain is less modular, more integrated, and less efficient at rest: A systematic review of large‐scale resting‐state functional brain networks in aging. Psychophysiology, 60(1), e14159. DOI: https://doi.org/10.1111/psyp.14159
Festa, F., Medori, S., & Macrì, M. (2023). Move your body, boost your brain: the positive impact of physical activity on cognition across all age groups. Biomedicines, 11(6), 1765. DOI: https://doi.org/10.3390/biomedicines11061765
Gupta, M. D., Kakkar, M., & Meena, S. K. (2024). Brain Gym: An Emerging Occupational Therapy Practise. Revista Electronica de Veterinaria, 25(1S), 324–329.
Izquierdo, M., Merchant, R. A., Morley, J. E., Anker, S. D., Aprahamian, I., Arai, H., Aubertin-Leheudre, M., Bernabei, R., Cadore, E. L., & Cesari, M. (2021). International exercise recommendations in older adults (ICFSR): expert consensus guidelines. The journal of nutrition, health & aging, 25(7), 824–853. DOI: https://doi.org/10.1007/s12603-021-1665-8
Jalilinasab, S., Saemi, E., & Abedanzadeh, R. (2022). Fundamental motor and social skills of children: The role of Brain Gym exercise. Early Child Development and Care, 192(14), 2256–2267. DOI: https://doi.org/10.1080/03004430.2021.2003350
Jamshidi, L., Heyvaert, M., Declercq, L., Fernández-Castilla, B., Ferron, J. M., Moeyaert, M., Beretvas, S. N., Onghena, P., & Van den Noortgate, W. (2023). A systematic review of single-case experimental design meta-analyses: Characteristics of study designs, data, and analyses. Evidence-based communication assessment and intervention, 17(1), 6–30. DOI: https://doi.org/10.1080/17489539.2022.2089334
Özsungur, F. (2020). Gerontechnological factors affecting successful aging of elderly. The Aging Male, 23(5), 520–532. DOI: https://doi.org/10.1080/13685538.2018.1539963
Rismayanthi, C., Zein, M. I., Mulyawan, R., Nurfadhila, R., Prasetyawan, R. R., & Antoni, M. S. (2022). The effect of low impact aerobic exercise on increasing physical fitness for the elderly. Jurnal Keolahragaan, 10(1), 137–146. DOI: https://doi.org/10.21831/jk.v10i1.48743
Robledo-Castro, C., Castillo-Ossa, L. F., & Corchado, J. M. (2023). Artificial cognitive systems applied in executive function stimulation and rehabilitation programs: a systematic review. Arabian journal for science and engineering, 48(2), 2399–2427. DOI: https://doi.org/10.1007/s13369-022-07292-5
Romo-Parra, M. del C., García-Martín, M. Á., Delgado, J. J., & Vera-Balanza, M. T. (2021). Promoting mental fitness in the context of active ageing policies: Comparative analysis of action programme objectives in eight countries.
Sarant, J., Harris, D., Busby, P., Maruff, P., Schembri, A., Lemke, U., & Launer, S. (2020). The effect of hearing aid use on cognition in older adults: can we delay decline or even improve cognitive function? Journal of clinical medicine, 9(1), 254. DOI: https://doi.org/10.3390/jcm9010254
Silakarma, D., Adiputra, N., Sudewi, A. A. R., & Widiana, I. G. R. (2021). Brain gym application and brain vitalization exercises in Balinese dance movement improves cognitive functions, quality of live and decreasing BDNF level in elderly. International journal of health sciences, 5(2), 135–150.
Silva, R., Bobrowicz-Campos, E., Cardoso, D., Costa, P., Couto, F., Camarneiro, A. P., Abrunheiro, S., Almeida, M., & Apóstolo, J. (2020). Effects of caregiver-provided individual cognitive interventions on cognition, social functioning and quality of life in older adults with major neurocognitive disorders: a systematic review. JBI Evidence Synthesis, 18(4), 743–806.
Srinivas, N. S., Vimalan, V., Padmanabhan, P., & Gulyás, B. (2021). An overview on cognitive function enhancement through physical exercises. Brain Sciences, 11(10), 1289. DOI: https://doi.org/10.3390/brainsci11101289
Tanaka, H., Gourley, D. D., Dekhtyar, M., & Haley, A. P. (2020). Cognition, brain structure, and brain function in individuals with obesity and related disorders. Current obesity reports, 9, 544–549. DOI: https://doi.org/10.1007/s13679-020-00412-y
Tarassova, O., Ekblom, M. M., Moberg, M., Lövdén, M., & Nilsson, J. (2020). Peripheral BDNF response to physical and cognitive exercise and its association with cardiorespiratory fitness in healthy older adults. Frontiers in physiology, 11, 1080. DOI: https://doi.org/10.3389/fphys.2020.01080
Varela, S., Ayán, C., Bidaurrazaga-Letona, I., Diz, J. C., & Dunabeitia, I. (2023). The effect of Brain Gym on cognitive function in older people: A systematic review and meta-analysis. Geriatric Nursing, 53, 175–180. DOI: https://doi.org/10.1016/j.gerinurse.2023.07.015
Wollesen, B., Wildbredt, A., van Schooten, K. S., Lim, M. L., & Delbaere, K. (2020). The effects of cognitive-motor training interventions on executive functions in older people: a systematic review and meta-analysis. European Review of Aging and Physical Activity, 17(1), 1–22. DOI: https://doi.org/10.1186/s11556-020-00240-y
Zhidong, C., Wang, X., Yin, J., Song, D., & Chen, Z. (2021). Effects of physical exercise on working memory in older adults: a systematic and meta-analytic review. European Review of Aging and Physical Activity, 18(1), 1–15. DOI: https://doi.org/10.1186/s11556-021-00272-y
Ziegler, D. A., Anguera, J. A., Gallen, C. L., Hsu, W.-Y., Wais, P. E., & Gazzaley, A. (2022). Leveraging technology to personalize cognitive enhancement methods in aging. Nature aging, 2(6), 475–483. DOI: https://doi.org/10.1038/s43587-022-00237-5
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