The effect of remotely delivered lifestyle interventions on cognition in older adults without dementia : A systematic review and meta-analysis
Copyright © 2021. Published by Elsevier B.V..
Up to 40% of dementias may be preventable via risk factor modification. This inference has motivated the development of lifestyle interventions for reducing cognitive decline. Typically delivered to older adults face-to-face, the COVID-19 pandemic has necessitated their adaptation for remote delivery. We systematically reviewed randomized controlled trials of remotely delivered lifestyle interventions (≥4 weeks duration and delivered >50% remotely), for adults aged ≥ 60 without dementia, examining effects on objective cognitive measures. Comparators were active (face-to-face or remote) or passive. Ten studies (n = 2967) comprising multidomain (k = 4), physical activity (k = 3) or psychosocial (k = 3) remote interventions were included. Data were synthesized using robust variance estimation meta-analysis. The pooled estimate comparing the effect of remote interventions versus comparators on cognition was not significant (g=-0.02; 95%CI [-0.14, 0.09]; p = .66); subgroup analyses by type of intervention or comparator also yielded non-significant effects. Most studies had low risk of bias. Current evidence to support remote lifestyle interventions is limited. Included studies were conducted pre-pandemic, and evaluated individual, rather than group interventions. Future studies may exploit the greater digital connectivity of older people since the pandemic. Group formats, more frequently efficacious than individual interventions in face-to-face dementia prevention trials, may be a rational approach for future remote trials.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:72 |
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| Enthalten in: |
Ageing research reviews - 72(2021) vom: 10. Dez., Seite 101505 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Whitfield, Tim [VerfasserIn] |
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| Links: |
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| Themen: |
Cognitive function |
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| Anmerkungen: |
Date Completed 30.11.2021 Date Revised 03.01.2023 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.arr.2021.101505 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM332951138 |
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| 100 | 1 | |a Whitfield, Tim |e verfasserin |4 aut | |
| 245 | 1 | 4 | |a The effect of remotely delivered lifestyle interventions on cognition in older adults without dementia |b A systematic review and meta-analysis |
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| 500 | |a Date Revised 03.01.2023 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2021. Published by Elsevier B.V. | ||
| 520 | |a Up to 40% of dementias may be preventable via risk factor modification. This inference has motivated the development of lifestyle interventions for reducing cognitive decline. Typically delivered to older adults face-to-face, the COVID-19 pandemic has necessitated their adaptation for remote delivery. We systematically reviewed randomized controlled trials of remotely delivered lifestyle interventions (≥4 weeks duration and delivered >50% remotely), for adults aged ≥ 60 without dementia, examining effects on objective cognitive measures. Comparators were active (face-to-face or remote) or passive. Ten studies (n = 2967) comprising multidomain (k = 4), physical activity (k = 3) or psychosocial (k = 3) remote interventions were included. Data were synthesized using robust variance estimation meta-analysis. The pooled estimate comparing the effect of remote interventions versus comparators on cognition was not significant (g=-0.02; 95%CI [-0.14, 0.09]; p = .66); subgroup analyses by type of intervention or comparator also yielded non-significant effects. Most studies had low risk of bias. Current evidence to support remote lifestyle interventions is limited. Included studies were conducted pre-pandemic, and evaluated individual, rather than group interventions. Future studies may exploit the greater digital connectivity of older people since the pandemic. Group formats, more frequently efficacious than individual interventions in face-to-face dementia prevention trials, may be a rational approach for future remote trials | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Meta-Analysis | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 650 | 4 | |a Review | |
| 650 | 4 | |a Systematic Review | |
| 650 | 4 | |a Cognitive function | |
| 650 | 4 | |a Dementia | |
| 650 | 4 | |a Mild cognitive impairment | |
| 650 | 4 | |a Prevention | |
| 650 | 4 | |a Randomized controlled trial | |
| 650 | 4 | |a Remote delivery | |
| 700 | 1 | |a McConnell, Brittany |e verfasserin |4 aut | |
| 700 | 1 | |a Renouf, Philippa |e verfasserin |4 aut | |
| 700 | 1 | |a Mansour, Hassan |e verfasserin |4 aut | |
| 700 | 1 | |a Zabihi, Sedigheh |e verfasserin |4 aut | |
| 700 | 1 | |a Aguirre, Elisa |e verfasserin |4 aut | |
| 700 | 1 | |a Walker, Zuzana |e verfasserin |4 aut | |
| 700 | 1 | |a Cooper, Claudia |e verfasserin |4 aut | |
| 700 | 1 | |a Marchant, Natalie L |e verfasserin |4 aut | |
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