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The Impact of Dance Movement Interventions on Psychological Health in Older Adults without Dementia: A Systematic Review and Meta-Analysis
oleh: Odile Sophie Podolski, Tim Whitfield, Leah Schaaf, Clara Cornaro, Theresa Köbe, Sabine Koch, Miranka Wirth
| Format: | Article |
|---|---|
| Diterbitkan: | MDPI AG 2023-06-01 |
Deskripsi
Background: Lifestyle-based multimodal interventions that integrate physical, sensory, cognitive and social enrichment are suggested to promote healthy mental aging and resilience against aging and Alzheimer’s disease (AD). Objectives: This meta-analysis examined the efficacy of dance movement interventions (DMI) as an integrated mind–body activity on outcomes of psychological health in older adults. Methods: Pre-registration was carried out with PROSPERO (CRD42021265112). PubMed, Web of Science and PsycINFO were searched for randomized controlled trials (RCT) evaluating the effects of DMI (>4 weeks’ duration) compared to comparators on measures of psychological health (primary outcome) and cognitive function (additional outcome) among older adults without dementia (aged ≥55). Data of 14 primary RCT (<i>n</i> = 983, <i>n-DMI</i> = 494, <i>n-control</i> = 489) were synthesized using a random effects meta-analysis with robust variance estimation. Results: DMI had a small positive effect on overall psychological health (<i>g</i> = 0.30; 95% confidence interval [<i>CI</i>]: 0.06, 0.53; <i>p</i> = 0.02, <i>I</i><sup>2</sup><i>=</i> 65.04) compared to control conditions. Small effects of DMI on positive and negative psychological domains as well as quality of life were not statistically significant. DMI had a medium positive effect on general cognitive function (<i>g</i> = 0.50; 95% <i>CI</i>: 0.12, 0.89, <i>p</i> = 0.02, <i>I</i><sup>2</sup><i>=</i> 79.61) over comparators. None of the primary intervention studies evaluated measures of neuroplasticity. Conclusions: We found that DMI was effective in promoting mental health amongst older adults without dementia, suggesting that the multimodal enrichment tool is a potential strategy for health promotion and prevention of AD. High-quality intervention studies are needed to expand evidence on DMI-induced changes in specific psychological domains and identify underlying neurophysiological correlates.