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Table 1 Characteristics of included studies

From: Mind body exercise improves cognitive function more than aerobic- and resistance exercise in healthy adults aged 55 years and older – an umbrella review

Author, year, reference, title

Type of review

No. relevant studies / total no. studies

No. relevant participant / total no. participants, age and cognitive status of participants

Physical activity / exercise description

Control group activity

Outcome cognitive domain

Main results of the Healthy persons without cognitive impairment

Angevaren et al., 2008 [7]*

Physical activity and enhanced fitness to improve cognitive function in older people without known cognitive impairment

MA of RCTs

11/11

MD/612

 > 55 years, without MCI

Aerobic exercise

Exercise programs of any intensity, duration, frequency, and length

Any intervention,

No intervention,

Flexibility,

Balance,

Resistance,

Social activities

Mental activities

Attention,

Executive function,

Memory,

Processing speed

Aerobic exercise had a large effect on cognitive function, especially motor function, and a moderate effect on auditory attention

Small effects were found on cognitive speed and visual attention

Bhattacharyya et al.,

2021 [9]*

Effects of yoga-related mind–body therapies on cognitive function in older adults: a systematic review with meta-analysis

MA of

RCTs NRCTs

6/12

673/912

 > 55 years, with and without MCI

Mind body exercise

Duration 60 min, Frequency1-4/week,

Length 2–6 months

Health education,

Memory enhancement training,

Stretching, Resistance,

Music listening

Executive function, Memory,

Processing speed

Mind–body exercises (Kundalini and Hatha yoga and yogic meditation) had a small positive effect on executive function, memory, and attention and processing speed

Chen et al., 2020 [10]*

Effects of exercise training interventions on executive function in older adults: a systematic review and meta-analysis

MA of RCTs

13/24

1989/7023

 > 55 years with or without MCI

Aerobic exercise

Resistance exercise

Mind body exercise

Intensity 3–9 METs, Duration 45–60 min, Frequency 2—7/week,

Length 1- 6 months

No activity, Stretching,

Social activity,

Flexibility

Executive function

Exercise training was associated with a small improvement in executive function, especially inhibition, especially updating and shifting

Clifford et al., 2022 [45]*

The effect of dance on physical health and cognition in community dwelling older adults: A systematic review and meta-analysis

MA of RCTs

5/22

400/1090

 > 60 years without MCI

Aerobic exercise

Freq 1–3/week

Length 6 weeks to 18 months

No activity

Other exercise

Global cognition,

Memory

The effect of dance on cognition was not significantly different compared to other exercise interventions

Coelho-Junior et al., 2022 [8]*

Resistance training improves cognitive function in older adults with different cognitive status: a systematic review and meta-analysis

MA of RCTs

11/18

383/MD

 ≥ 60 years Healthy participants with or without MCI

Resistance exercise

Intensity low–high, Frequency 1–3/week, Length 6–36 weeks

No intervention,

Stretching,

Balance,

Social activities

Attention,

Global cognitive function,

Memory,

Resistance training had a moderate effect in improving overall global cognitive function and a small effect on short term memory. No improvement was seen regarding concentration and attention

Falck et al., 2019 [40]*

Impact of exercise training on physical and cognitive function among older adults: a systematic review and meta-analysis

MA of RCTs

32/48

3523/6281

 ≥ 60 years without MCI

Aerobic

Resistance

Mixed

Exercise

Frequency ≥ 1/week, Length ≥ 2 months

MD

Executive function,

Global cognitive function,

Memory,

Processing speed

Exercise training had a small positive effect on cognitive function

Gasquoine and Chen, 2022 [41]*

Effect of physical exercise on popular measures of executive function in older, nonclinical, participants of randomized controlled trials: a meta-analytic review

MA of RCTs

50/50

MD

 > 60 years

Nonclinical participants

Aerobic

Resistance

Mixed

Duration 1.5–3 h, Length 12–104 weeks

Placebo,

Waitlist,

No exercise,

Stretching,

Health lectures,

Educational lectures,

Balance

Executive function,

Memory,

Processing speed

Exercise training had only a small positive effect on executive functions (digit symbol). Memory tests were all not significantly different from zero

Hindin and Zelinski, 2012 [46]

Extended practice and aerobic exercise interventions benefit untrained cognitive outcomes in older adults: a meta-analysis

MA of NRCTs

17/42

1016/3781

 > 55 years without MCI

Aerobic exercise

Duration 3–79 min, Length 2–52 weeks

Extended practice of cognitive tasks

Choice reaction time, Executive function,

Memory

Aerobic fitness training produced a small improvement in executive function, choice reaction time and memory

Jiang, et al. 2022 [47]*

Effects of exergaming on executive function of older adults: a systematic review and meta-analysis

MA of RCTs

11/15

489/650

 > 60 Without MCI

Aerobic exercise

Freq 1–3/week

Length single session (one study)-26 weeks

No activity

Bike

Balance/stretching

Education material

Aerobic

Cognitive training

Exercise without VR

Executive function

Participants who were subjected to an exergaming intervention had better overall EF than control subjects

Loprinzi et al., 2019 [48]*

The temporal effects of acute exercise on episodic memory function: systematic review with meta-analysis

MA of SR

2/25

68/2085

middle-age 45–60 years and older adults > 60 years

Aerobic exercise

Intensity low – vigorous, Duration 2–35 min

MD

Memory

Acute aerobic exercise before memory encoding and during early consolidation had a negative effect on episodic memory

Ma et al., 2023 [13]*

The effect of rhythmic movement on physical and cognitive functions among cognitively healthy older adults: A systematic review and meta-analysis

MA of RCTs

10/44

1358/2752

 ≥ 60 years without MCI

Aerobic exercise

Freq 1–3/ week

Length 8 weeks—4 years

No activity, health education, walking, wait-listing

Global cognition, Executive function,

memory,

attention

An association was found between rhythmic movement and global cognitive function. No significant improvement was found in executive function

Martins et al., 2022 [49]*

The Effects of High-Speed Resistance Training on Health Outcomes in Independent Older Adults: A Systematic Review

and Meta-Analysis

MA of RCTs

4/14

133/408

 ≥ 65 years without MCI

High-speed resistance training

Freq 1–3/weeks

Length 18–16 weeks

MD

Global cognition

High-speed resistance training had large effects on global cognitive function

Roig et al., 2013 [14]*

The effects of cardiovascular exercise on human memory: a review with meta-analysis

MA of

RCTs NRCTs

14/50

1244/2224

 ≥ 60 years without MCI

Aerobic exercise

Intensity low—vigorous, Duration 20–40 min, Length 1–60 months

No exercise

Memory

Acute aerobic exercise had a large effect and long-term exercise an insignificant effect on long-term memory

Long-term exercise had an insignificant effect on short-term memory

Scherder et al., 2014 [50]*

Executive functions of sedentary elderly may benefit from walking: a systematic review and meta-analysis

MA of RCTs

5/8

363/642

 > 55 years, with or without MCI

Aerobic exercise

Intensity low – moderate, Frequency 3–5/week,

Duration 40–60 min, Length 1–12 months

No intervention,

Flexibility,

Toning,

Balance,

Strength

Executive function

Walking had a small positive effect on executive functions, set-shifting and inhibition, in older persons without cognitive impairment. Walking had no effect on executive function in older persons with cognitive impairment

Wang et al., 2021 [51]*

Effects of square-stepping exercise on motor and cognitive function in older adults—a systematic review and meta-analysis

MA of

RCTs

NRCTs

5/10

308/423

 ≥ 55 years

without significant medical conditions

Aerobic exercise

Frequency 3–7/week,

Duration 30–60 min, Length 1.5–12 months

Maintained lifestyle,

Outdoor supervised walking,

Daily activities,

Aerobic exercise

Balance

Executive function, Global cognitive function

Square-stepping exercise had no effect on reaction time or executive function

Xiong et al., 2021 [39]*

Effects of physical exercise on executive function in cognitively healthy older adults: a systematic review and meta-analysis of randomized controlled trials: physical exercise for executive function

MA of RCTs

25/25

3197/3197

 ≥ 60 years without MCI

Aerobic exercise

Resistance exercise

Mind–body exercise

Frequency ≥ 3/week,

Duration 20–90 min, Length 1–12 months

Flexibility,

Balance,

Toning,

Stretching,

Daily routine,

Waitlist,

Social activities,

Reading,

Health education

Memory

Physical exercise had a medium effect in improving the executive function subdomain cognitive flexibility but no effect on working memory or inhibitory control

Ye et al., 2021 [32]*

The effect of mind–body exercise on memory in older adults: a systematic review and meta-analysis

MA of RCTs

6/12

490/1051

 ≥ 60 years with or without MCI

Mind body exercise

Frequency 3–7/week,

Duration 30–90 min,

Length 8–48 weeks

Daily routine,

Health education,

Stretching,

Toning,

Resistance

Memory

Mind body exercise had a large effect in improving general memory and long-term memory in participants without cognitive impairment. Corresponding effects were moderate on episodic memory, semantic memory and short-term memory. A small effect was seen on working memory

Zhao et al., 2022 [52]*

Physical Activity and Cognition in Sedentary Older Adults: A Systematic

Review and Meta-Analysis

MA of RCTs

5/7

280/350

 ≥ 60 years with or without MCI

Aerobic exercise

Freq 2–4/weeks

Length 8–24 weeks

No exercise

Global cognition, Memory, Executive function, Processing speed

Physical activity might have a general positive effect on the cognition of sedentary older adults

Zhidong et al., 2021 [53]*

Effects of physical exercise on working memory in older adults: a systematic and meta-analytic review

MA of RCTs

17/28

1259/2063

 ≥ 60 years with or without MCI

Aerobic exercise

Resistance exercise

Mind body exercise

Mixed

Exercise

Freq 1–5/week

Length 4–52 weeks

No activity

social activities,

health education,

stretching exercises, cognitive

training,

Memory

Physical exercise can improve the working memory of older adults. Greatest effects are seen in multi-component exercise or mind–body exercise of moderate intensity for 45–60 min 3 times a week, for more than 6 months

Zhu et al., 2023 [54]*

Effects of physical activity on visuospatial working memory in healthy individuals: A systematic review and meta-analysis

MA of RCTs

12/21

867/1595

Children, adults and Seniors without MCI

Aerobic

Freq 15 min –5/week

Single session—18 weeks

No movement; cognitive training; daily routine; stretching; reading; passive cycling; Walk

Working memory

Physical activity had a small but significant positive impact on VSWM in healthy individuals

  1. Twenty systematic reviews and meta-analyses assessing the effects of exercise on cognitive functions in healthy individuals aged 55 years and older were included in our study. To summarize the effects were eleven of these studies (*) also included in a meta-analysis. CCTs Clinical controlled trials, MA Meta-analyses, MCI mild cognitive impairment, MD missing data, No. number of, RCTs Randomized controlled trials, NRCTs not randomized controlled trials, SMD Standardized mean difference, SR Systematic review, WMD weighted mean difference, WSTs Within subjects trials