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      Clinical Interventions in Aging (submit here)

      This international, peer-reviewed Open Access journal by Dove Medical Press focuses on prevention and treatment of diseases in people over 65 years of age. Sign up for email alerts here.

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      The effectiveness of Tai Chi for short-term cognitive function improvement in the early stages of dementia in the elderly: a systematic literature review

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          Abstract

          Purpose: This systematic review examines intervention studies using Tai Chi in the early stages of dementia to determine the effectiveness of Tai Chi for the short-term improvement of cognitive functions for elderly persons with the disease.

          Methods: A keyword search was done in PubMed/MEDLINE, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Excerpta Medica Database (EMBASE), and Cochrane Library databases using keywords such as Tai Chi, Dementia*, and cognition. A secondary search strategy consisting of a manual search in the reference lists of selected articles was also used.

          Results: A total of nine studies were reviewed including six randomized controlled trials, two non-randomized controlled trials, and one non-randomized prospective study. The studies suggest Tai Chi has impacts on global cognitive functions, visuospatial skills, semantic memory, verbal learning/memory, and self-perception of memory. The effects of Tai Chi on overall cognition for people with mild cognitive impairment are comparable to those in control groups which engaged in exercise.

          Conclusion: The studies reviewed affirm the potential of Tai Chi to improve short-term cognitive function in the elderly at the onset of dementia.

          Most cited references19

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          Exercise programs for people with dementia.

          This is an update of our previous 2013 review. Several recent trials and systematic reviews of the impact of exercise on people with dementia are reporting promising findings.
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            Aerobic exercise effects on cognitive and neural plasticity in older adults.

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              Cognitive Reserve and the Prevention of Dementia: the Role of Physical and Cognitive Activities

              Purpose of Review The article discusses the two most significant modifiable risk factors for dementia, namely, physical inactivity and lack of stimulating cognitive activity, and their effects on developing cognitive reserve. Recent Findings Both of these leisure-time activities were associated with significant reductions in the risk of dementia in longitudinal studies. In addition, physical activity, particularly aerobic exercise, is associated with less age-related gray and white matter loss and with less neurotoxic factors. On the other hand, cognitive training studies suggest that training for executive functions (e.g., working memory) improves prefrontal network efficiency, which provides support to brain functioning in the face of cognitive decline. Summary While physical activity preserves neuronal structural integrity and brain volume (hardware), cognitive activity strengthens the functioning and plasticity of neural circuits (software), thus supporting cognitive reserve in different ways. Future research should examine whether lifestyle interventions incorporating these two domains can reduce incident dementia.
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                Author and article information

                Journal
                Clin Interv Aging
                Clin Interv Aging
                CIA
                clinintag
                Clinical Interventions in Aging
                Dove
                1176-9092
                1178-1998
                08 May 2019
                2019
                : 14
                : 827-839
                Affiliations
                [1 ]Centre Intégré Universitaire de Sante at Service Sociaux du Nord de l‘île de Montréal , Montréal, QC, Canada
                [2 ]Department of Geography and Planning, Queen’s University , Kingston, ON, Canada
                [3 ]Centre de Recherche de l’In Université de Montréalstitut Universitaire de Gériatrie de Montréal , Montréal, QC, Canada
                [4 ]École de Réadaptation, Université de Montréal , Montréal, QC, Canada
                Author notes
                Correspondence: Louise DemersÉcole de réadaptation, Faculté de médecine, Université de Montréal , C.P. 6128, succursale Centre-ville, Montréal, QCH3C 3J7, CanadaTel +1 514 343 6417Fax +1514 343 2105Email louise.demers@ 123456umontreal.ca
                Article
                202055
                10.2147/CIA.S202055
                6512568
                31190769
                bcd46d4a-264d-442b-8e30-82e16d595291
                © 2019 Lim et al.

                This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License ( http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms ( https://www.dovepress.com/terms.php).

                History
                : 24 January 2019
                : 06 April 2019
                Page count
                Figures: 1, Tables: 2, References: 34, Pages: 13
                Categories
                Review

                Health & Social care
                behavioral intervention,cognition,dementia,older adult,tai chi,systematic review
                Health & Social care
                behavioral intervention, cognition, dementia, older adult, tai chi, systematic review

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