文献类型：期刊文献

英文题名：Aerobic exercise interventions for older adults with cognitive frailty: a systematic review

作者：Zhou, Xu[1];Chen, Lin[1];Huang, Zheng[2];Zhang, Zihao[1];Li, Meng[3];Yang, Zhongfang[4]

第一作者：Zhou, Xu

通信作者：Yang, ZF[1]

机构：[1]Shanghai Univ Tradit Chinese Med, Shanghai Municipal Hosp Tradit Chinese Med, Dept Orthopaed, Shanghai, Peoples R China;[2]Shanghai Univ Tradit Chinese Med, Shanghai Municipal Hosp Tradit Chinese Med, Nursing Dept, Shanghai, Peoples R China;[3]Gansu Univ Chinese Med, Sch Nursing, Lanzhou, Gansu, Peoples R China;[4]Soochow Univ, Suzhou Med Coll, Sch Nursing, Suzhou, Peoples R China

第一机构：Shanghai Univ Tradit Chinese Med, Shanghai Municipal Hosp Tradit Chinese Med, Dept Orthopaed, Shanghai, Peoples R China

通信机构：[1]corresponding author), Soochow Univ, Suzhou Med Coll, Sch Nursing, Suzhou, Peoples R China.

年份：2026

卷号：18

外文期刊名：FRONTIERS IN AGING NEUROSCIENCE

收录：;Scopus(收录号：2-s2.0-105044425159);WOS:【SCI-EXPANDED(收录号:WOS:001815461300001)】；

语种：英文

外文关键词：aerobic exercise; Chinese traditional medicine; cognitive function; frailty; older adults

摘要：Objective The purpose of this study was to systematically review the effects of aerobic exercise on cognitive function in older adults using randomized controlled trials (RCTs). Design This study was a systematic review. Data sources Ten databases, namely PubMed, the Cochrane Library, Wanfang, China National Knowledge Infrastructure (CNKI), SinoMed, Medline, Embase, the Social Science Citation Index (SSCI), Bielefeld Academic Search Engine (BASE), and OpenGrey, were searched from their inception to 30 April 2026. The qualification standard of the selective study The randomized controlled trials of the aerobic exercise interventions for the cognitive function of older adults were addressed. Results A total of 16 studies were included in the review. The primary conclusion of the quoted studies was that they evaluated the effects of interventions on cognitive function. Many studies (68.8%) used a single-blinded design, while 6.3% used a double-blind design and 25% used an open-label design. Overall, 14 studies (87.5%) reported significant cognitive benefits. Interventions were classified as pure aerobic (n = 7), intrinsic/embedded (n = 6), simultaneous dual-task (n = 2), and sequential (n = 1) interventions. All pure aerobic and dual-task interventions improved cognition; the single sequential trial showed no cognitive gain. Intrinsic/embedded interventions consistently enhanced both cognitive and physical outcomes. Two studies (12.5%) found no overall cognitive improvement, but one reported improvements in male patients. Intensity monitoring was heterogeneous. Quality assessment indicated a low risk of bias in a majority of trials. Conclusion These findings prove that aerobic exercise benefits cognition, verbal fluency, attention, sleep quality, executive function, flanker task reaction time, and postural balance. Simultaneous dual-task aerobic exercise may yield larger executive and memory gains than lower-cognitive-load activities.