The effect of active video games on cognitive functioning in clinical and non-clinical populations: A meta-analysis of randomized controlled trials

NEUROSCIENCE AND BIOBEHAVIORAL REVIEWS

卷:78

Review

Stanmore, Emma¹  Stubbs, Brendon^2,3  Vancampfort, Davy^4,5  de Bruin, Eling D.⁶  Firth, Joseph⁷ 

[1] Univ Manchester, Div Nursing Midwifery & Social Work, Manchester, Lancs, England

[2] South London & Maudsley NHS Fdn Trust, Physiotherapy Dept, London, England

[3] Kings Coll London, Hlth Serv & Populat Res Dept, Inst Psychiat Psychol & Neurosci, London, England

[4] Katholieke Univ Leuven, Dept Rehabil Sci, Leuven, Belgium

[5] UPC KU Leuven, KU Leuven, Dept Neurosci, Leuven, Belgium

[6] Swiss Fed Inst Technol, Dept Hlth Sci & Technol, Inst Human Movement Sci & Sport, Zurich, Switzerland

[7] Univ Manchester, Div Psychol & Mental Hlth, Manchester, Lancs, England

关键词: Physical activity;    Exercise;    Cognitive impairment;    Alzheimer's;    Parkinson's disease;    Dementia;   

DOI  :  10.1016/j.neubiorev.2017.04.011

来源: Elsevier

【 摘 要 】

Physically-active video games ('exergames') have recently gained popularity for leisure and entertainment purposes. Using exergames to combine physical activity and cognitively-demanding tasks may offer a novel strategy to improve cognitive functioning. Therefore, this systematic review and meta-analysis was performed to establish effects of exergames on overall cognition and specific cognitive domains in clinical and non-clinical populations. We identified 17 eligible RCTs with cognitive outcome data for 926 participants. Random-effects meta-analyses found exergames significantly improved global cognition (g = 0.436, 95% CI = 0.18-0.69, p = 0.001). Significant effects still existed when excluding waitlist-only controlled studies, and when comparing to physical activity interventions. Furthermore, benefits of exergames where observed for both healthy older adults and clinical populations with conditions associated with neurocognitive impairments (all p < 0.05). Domain-specific analyses found exergames improved executive functions, attentional processing and visuospatial skills. The findings present the first meta-analytic evidence for effects of exergames on cognition. Future research must establish which patient/treatment factors influence efficacy of exergames, and explore neurobiological mechanisms of action.

【 授权许可】

Free