The Effects of Exergaming on the Depressive Symptoms of People With Dementia: A Systematic Review and Meta‐Analysis
Journal of Clinical Nursing,
Год журнала:
2025,
Номер
unknown
Опубликована: Янв. 24, 2025
ABSTRACT
Background
Depressive
symptoms
are
common
among
people
with
dementia
(PWD).
Exergaming
consisting
of
combined
cognitive
and
physical
training
in
gaming
is
increasingly
used
to
alleviate
their
depressive
research.
With
its
potential
synergistic
neurobiological
psychosocial
effects
on
reducing
PWD,
this
review
aimed
understand
effectiveness
contents.
Methods
This
a
systematic
the
exergames
older
adults
dementia.
A
search
was
conducted
7
May
2024
online
databases
CINAHL,
Embase,
PsycINFO,
PubMed
China
Academic
Journal
Network
Publishing
Database
(CNKI).
The
methodological
quality
randomised
controlled
trials
(RCT)
quasi‐experimental
studies
assessed
RoB2
ROBINS‐I,
respectively.
meta‐analysis
included
RCTs
conducted.
Results
Six
four
two
involving
235
participants
various
stages
were
included.
showed
significant
overall
improvement
depression
large
effect
size
(SMD
=
1.46,
95%
CI
−2.50,
−0.43;
p
0.006).
Despite
high
heterogeneity
(
I
2
91%),
all
demonstrated
trend
after
intervention.
adopted
had
following
elements:
simultaneous
motor‐cognitive
training,
scoring
mechanism
social
play.
dose
ranged
from
15
60
min
per
session
for
at
least
8
weeks,
minimum
sessions
weekly.
However,
moderate‐to‐serious
risk
bias.
certainty
evidence
very
low.
Conclusion
Exergames
could
be
effective
improving
Yet,
moderate‐to‐severe
bias
shows
rigorous
study
should
future.
Implications
Patient
Care
provides
healthcare
professionals
informal
caregivers
use
address
PWD.
Review
Registration
registered
PROSPERO
reference
CRD42022372762.
Язык: Английский
Effects of Exergame Training on Executive Function and Heart Rate Variability in Middle‐Aged and Older Adults: A Randomized Controlled Study
European Journal of Sport Science,
Год журнала:
2025,
Номер
25(2)
Опубликована: Янв. 16, 2025
Exergame
has
become
widely
popular
and
offers
great
levels
of
cognitive
demands,
thus
may
facilitate
benefits.
In
addition,
researchers
have
proposed
that
cardiac
autonomic
function,
assessed
via
heart
rate
variability
(HRV),
is
associated
with
executive
function.
However,
few
exergame
training
studies
investigated
this
relationship.
This
study
aimed
to
investigate
the
effects
10-week
on
function
HRV
in
middle-aged
older
adults.
Ninety-one
participants
were
randomly
assigned
either
an
group
(63.73
±
4.48
years)
or
a
control
(62.46
4.77
years).
The
program
was
50
min
per
session,
twice
week
for
10
weeks.
instructed
maintain
their
usual
lifestyle.
All
completed
questionnaires
received
assessments
functions
electrocardiography
at
baseline
postintervention.
Results
revealed
significant
group-by-time
interaction
three
indices
digit
span
test
total
initiation
time
Tower
London
task
better
postintervention
performances
achieved
by
group.
6
walk
also
improved
significantly
but
not
No
change
observed
both
groups.
There
correlations
between
scores.
Our
results
suggest
effective
improving
working
memory,
inhibitory
control,
planning
ability
as
well
aerobic
fitness
Moreover,
Язык: Английский
Effects of Exergaming on Frailty: A Systematic Review and Meta‐Analysis
Journal of Clinical Nursing,
Год журнала:
2025,
Номер
unknown
Опубликована: Янв. 28, 2025
ABSTRACT
Aim
To
evaluate
the
effects
of
exergaming
on
physical
frailty
in
older
adults.
Design
Systematic
review
with
meta‐analysis.
Methods
Six
electronic
databases
were
searched
for
randomised
controlled
trials
evaluating
Data
synthesised
using
narrative
synthesis
and
The
risk
bias
certainty
evidence
assessed.
Sources
CINAHL,
Cochrane
Library,
Embase,
PubMed,
Web
Science,
China
Academic
Journal
Network
Publishing
Database
from
their
inception
through
February
2024.
Results
Five
studies
(
n
=
391)
included.
Exergaming,
which
was
delivered
20–36
sessions
over
8–12
weeks,
resulted
improvements
scores
indices,
status,
phenotypes,
including
exhaustion,
low
activity
levels,
gait
speed,
muscle
weakness
time.
There
no
effect
unintentional
weight
loss.
Meta‐analyses
showed
that
not
significantly
different
those
observed
control
groups.
rate
adherence
to
intervention
group
slightly
higher
than
comparison
(87.3%–87.7%
vs.
81.1%–85.4%).
overall
high
all
studies.
very
low.
Conclusion
Exergaming
exerts
comparable
conventional
exercises.
Participants
appeared
have
better
exergaming.
Future
robust
designs
are
warranted.
Implications
Profession
and/or
Patient
Care
With
exercises,
could
be
considered
clinical
settings
address
frailty.
Impact
This
addressed
instead
outcomes.
exercises
improving
four
phenotypes.
findings
provide
insights
healthcare
providers
design
exergames.
Reporting
Method
PRISMA
guidelines.
Protocol
Registration
PROSPERO
number:
CRD42023460495.
or
Public
Contribution
No
Contribution.
Язык: Английский
Effects of a 12-week digital training equipment program on cognitive function and mental health in older women: a randomized controlled trial
Digital Health,
Год журнала:
2025,
Номер
11
Опубликована: Янв. 1, 2025
Objective
Combined
interventions
of
physical
activity
and
cognitive
training
have
been
shown
to
effectively
enhance
mental
factors
in
older
adults.
Digital-based
tools
offer
various
social
advantages
may
be
more
effective
improving
the
well-being
As
digital
health
content
can
simultaneously
provide
training,
this
study
aims
investigate
effects
a
digital-based
program
on
women
explore
potential
for
Methods
The
participants,
women,
engaged
three
times
week
12
weeks,
with
each
session
lasting
30
minutes
(10
components).
included
such
as
VR,
motion
tracking,
touchscreens
designed
fitness.
Measurements
were
taken
one
before
after
intervention
both
groups,
assessing
body
composition,
function,
depression,
quality
life.
Results
Data
from
36
participants
analyzed.
Interaction
observed
fat
mass
(
P
=
.011)
percentage
.01),
improvements
noted
group.
Cognitive
function
.017)
depression
also
showed
significant
Quality
life
subdomains,
including
Physical
Function
.009),
Limitation
.004),
Pain
.002),
demonstrated
interaction
effects,
though
no
found
other
subdomains.
Conclusion
This
that
combined
did
not
significantly
impact
comb
position
but
improve
women.
These
findings
suggest
utilized
comprehensive
management
well-being.
Such
insights
contribute
promoting
healthy
aging
an
efficient
method
managing
Язык: Английский
PEMOCS: effects of a concept-guided, PErsonalized, MOtor-Cognitive exergame training on cognitive functions and gait in chronic Stroke—a randomized, controlled trial
Frontiers in Aging Neuroscience,
Год журнала:
2025,
Номер
17
Опубликована: Март 13, 2025
Purpose
Motor-cognitive
exergames
may
be
beneficial
for
addressing
both
motor
and
cognitive
residual
impairments
in
chronic
stroke,
however,
effective
training
schedules
are
yet
to
determined.
Therefore,
this
study
investigates
the
effects
of
a
concept-guided,
personalized,
motor-cognitive
exergame
on
functions
gait
stroke
survivors.
Methods
In
single-blind,
randomized,
controlled
trial,
survivors
(at
least
six-months
post-stroke
able
perform
step-based
exergaming)
were
allocated
either
intervention
(usual
care
+
training)
or
control
group
only).
Global
functioning
was
primarily
targeted,
while
health-related
quality
life
(HRQoL),
functions,
mobility,
evaluated
secondarily.
Analyses
performed
with
linear-mixed
effect
models.
Results
Effects
global
non-significant,
no
differences
between
responders
(participants
exhibiting
clinically
relevant
change)
non-responders
change).
Among
secondary
outcomes,
mobility
domain
HRQoL
questionnaire,
intrinsic
visual
alertness,
flexibility,
working
memory,
outdoor
walking
speed
as
well
swing
width
(unaffected
side)
showed
significant
interaction
favour
group.
Discussion
Additional
exergaming
helped
maintaining
encouraging
outcomes.
Responders
did
not
differ
adherence,
baseline
values
age.
Enhancing
frequency
intensity
sessions
could
unlock
more
substantial
benefits.
Adopting
blended
therapy
approach
key
maximizing
positive
effects.
Clinical
trial
registration
clinicaltrials.gov
,
identifier
NCT05524727.
Язык: Английский
Enhancing cognition in older adults with Interactive Wall Exergames: (why) does it work?
Research Square (Research Square),
Год журнала:
2025,
Номер
unknown
Опубликована: Март 28, 2025
Abstract
Interactive
Wall
Exergames
(IWE)
are
potentially
more
effective
than
traditional
training
methods
for
enhancing
cognitive
functions
in
older
adults.
However,
the
contribution
of
its
different
components
specifically
physical,
motor-cognitive,
and
social
interactions,
remains
unclear.
The
goal
was
to
determine
whether
IWE
reduced
cognitive-motor
component
(IWE-)
also
associated
benefits
comparison
with
incorporated
aerobic
resistance
exercises
(IWE+).
30
healthy
adults
were
randomly
assigned
either
IWE-
or
IWE+,
8
weeks,
3
times
a
week,
during
45
minutes
75
IWE+.
Physical,
motor,
tests
conducted
before
after
training.
Secondary
outcomes
included
assessments
effort
enjoyment
addition
percentage
responders
degree
progress
each
group.
Both
groups
exhibited
high
adherence
rates
(>
85%).
Significant
improvement
performance
over
time
both
detected,
but
no
significant
advantage
+
terms
cognitive,
physical
motor
performances.
No
differences
observed
number
responders,
magnitude
progress,
levels.
Overall,
findings
suggest
that
motor-cognitive
is
crucial
part
effectively
Язык: Английский
Test-retest reliability and validity of vagally-mediated heart rate variability to monitor internal training load in older adults: a within-subjects (repeated-measures) randomized study
BMC Sports Science Medicine and Rehabilitation,
Год журнала:
2024,
Номер
16(1)
Опубликована: Июнь 27, 2024
Abstract
Background
Vagally-mediated
heart
rate
variability
(vm-HRV)
shows
promise
as
a
biomarker
of
internal
training
load
(ITL)
during
exergame-based
or
motor-cognitive
in
general.
This
study
evaluated
the
test-retest
reliability
vm-HRV
exergaming
healthy
older
adults
(HOA)
and
its
validity
to
monitor
ITL.
Methods
A
within-subjects
(repeated-measures)
randomized
was
conducted
that
included
baseline
assessments
4
measurement
sessions.
Participants
played
5
exergames
at
3
standardized
levels
external
task
demands
(i.e.,
“easy”,
“challenging”,
“excessive”)
random
order
for
90
s.
Test-retest
assessed
on
basis
repeated-measures
analyses
variance
(ANOVA),
intraclass
correlation
coefficients
(ICC
3,1
),
standard
errors
(SEM),
smallest
detectable
differences
(SDD).
Validity
determined
by
examining
effect
game
level
ANOVA.
Results
Fourty-three
HOA
(67.0
±
7.0
years;
58.1%
females
(25
females,
18
males);
body
mass
index
=
23.7
3.0
kg·m
−2
)
were
included.
Mean
R-R
time
intervals
(mRR)
parasympathetic
nervous
system
tone
(PNS-Index)
exhibited
mostly
good
excellent
relative
with
no
systematic
error.
SEM%
SDD%
36.4%
100.7%
mRR,
44.6%
123.7%
PNS-Index,
respectively.
Significant
mRR
PNS-Index
observed
between
demands,
large
sizes
(mean
r
0.847).
These
results
persisted
irrespective
type
neurocognitive
domain
trained
when
only
motoric
cognitive
manipulated
while
physical
intensity
kept
constant.
The
remaining
parameters
showed
inconsistent
poor
validity.
Conclusion
Only
demonstrated
reliable
served
valid
biomarkers
ITL
group
level.
Nonetheless,
presence
SEMs
hampers
detection
individual
changes
over
suggests
insufficient
precision
these
measurements
Future
research
should
further
investigate
specific
focus
comparing
different
methodologies
exercise
conditions,
particularly
focusing
ultra-short-term
HRV
measurements,
potential
implications
superiority
other
markers
monitoring
strategies?)
using
Язык: Английский
Beyond FITT
Опубликована: Май 21, 2024
Research
on
physical
activity
and
health,
including
planned
structured
forms
such
as
acute
chronic
exercise,
has
focused
understanding
potential
dose-response
relationships.Traditionally,
the
variables
of
(i)
Frequency,
(ii)
Intensity,
(iii)
Time,
(iv)
Type
(known
FITT
principle)
have
been
used
to
operationalize
dose
activity.In
this
article,
we
describe
limitations
propose
that
it
should
be
complemented
by
underappreciated
variable
density,
which
defines
temporal
distribution
stimuli
within
a
single
bout
or
between
successive
bouts
relative
time
spent
resting
(e.g.,
in
napping/sleeping
sedentary
behaviors).Using
field
brain
health
an
example,
discuss
challenges
opportunities
for
further
research
use
density
improve
our
doseresponse
relationships
health-related
outcomes.
Язык: Английский
Diagnostic accuracy of heart rate variability as a screening tool for mild neurocognitive disorder
Frontiers in Aging Neuroscience,
Год журнала:
2024,
Номер
16
Опубликована: Дек. 17, 2024
Mild
neurocognitive
disorder
(mNCD)
is
recognized
as
an
early
stage
of
dementia
and
gaining
attention
a
significant
healthcare
problem
due
to
current
demographic
changes
increasing
numbers
patients.
Timely
detection
mNCD
provides
opportunity
for
interventions
that
can
potentially
slow
down
or
prevent
cognitive
decline.
Heart
rate
variability
(HRV)
may
be
promising
measure,
it
has
been
shown
sensitive
impairment.
However,
there
currently
no
evidence
regarding
the
diagnostic
accuracy
HRV
measurements
in
context
population.
This
study
aimed
evaluate
vagally-mediated
(vm-HRV)
screening
tool
investigate
relationship
between
vm-HRV
with
executive
functioning
depression
older
adults
who
have
mNCD.
Язык: Английский
Effects of Active Video Games Combined with Conventional Physical Therapy on Perceived Functionality in Older Adults with Knee or Hip Osteoarthritis: A Randomized Controlled Trial
Applied Sciences,
Год журнала:
2024,
Номер
15(1), С. 93 - 93
Опубликована: Дек. 26, 2024
Background:
Osteoarthritis
(OA)
leads
to
functional
decline
in
older
adults.
This
study
aimed
evaluate
the
effectiveness
of
active
video
games
(AVGs)
as
a
complement
conventional
physical
therapy
(CPT)
improving
disability.
Methods:
Sixty
participants
were
randomly
assigned
an
experimental
group
(EG,
n
=
30,
68.7
±
5.4
years),
which
received
CPT
combined
with
AVGs,
or
control
(CG,
69.0
5.5
alone.
Sessions
performed
three
times
week
for
ten
weeks.
Functional
disability
was
assessed
using
WOMAC
index
before,
during,
and
after
intervention.
Secondary
outcomes
included
Global
Rating
Change
(GRoC),
Minimal
Clinically
Important
Difference,
patient
trajectories
through
strata.
Results:
The
EG
showed
progressive
improvements
all
scores,
moderate
large
increases
by
end
intervention,
while
CG
only
significant
changes
later
stages.
demonstrated
greater
pain
GroC
scale
(p
<
0.05),
maintaining
most
gains
at
follow-up,
whereas
regression.
Additionally,
had
higher
proportion
responders,
particularly
pain,
predominance
non-responders
adverse
responders.
In
EG,
70%
improved
their
stratification
compared
50%
CG.
Conclusion:
Integration
AVGs
further
improves
perceived
adults
OA.
Future
research
should
explore
these
findings
further.
Язык: Английский