Dual-task training and cognitive performance in individuals with coronary artery disease and/or heart failure: a systematic review
IntroductionDual-task training (DTT) emerged as a promising intervention strategy to improve cognition in individuals with cardiovascular diseases (CVDs). The aim of this study is to describe the literature on the relationship between motor-cognitive DTT and cognitive performance (CP) in individuals...
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Frontiers Media S.A.
2025-03-01
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| Series: | Frontiers in Cardiovascular Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2025.1462385/full |
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| author | Talita Cezareti Wallace Machado Magalhães de Souza Andrea Camaz Deslandes Tereza Cristina Felippe Guimarães Daniel Arthur Barata Kasal Luiz Fernando Rodrigues Junior Luiz Fernando Rodrigues Junior Mauro Felippe Felix Mediano Mauro Felippe Felix Mediano |
| author_facet | Talita Cezareti Wallace Machado Magalhães de Souza Andrea Camaz Deslandes Tereza Cristina Felippe Guimarães Daniel Arthur Barata Kasal Luiz Fernando Rodrigues Junior Luiz Fernando Rodrigues Junior Mauro Felippe Felix Mediano Mauro Felippe Felix Mediano |
| author_sort | Talita Cezareti |
| collection | DOAJ |
| description | IntroductionDual-task training (DTT) emerged as a promising intervention strategy to improve cognition in individuals with cardiovascular diseases (CVDs). The aim of this study is to describe the literature on the relationship between motor-cognitive DTT and cognitive performance (CP) in individuals with coronary artery disease (CAD) and/or heart failure (HF).MethodThis systematic review includes intervention and observational studies that assessed motor-cognitive DTT on CP in individuals with CAD and/or HF. Searches were performed in the MEDLINE/Pubmed, Scielo, Lilacs, PEDro, and EMBASE databases. Methodological quality was assessed using the PEDro and ROBII scales for intervention studies and the Newcastle-Ottawa Scale for observational studies. The certainty of evidence was assessed using Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach.ResultsA total of 2,098 articles were retrieved, and 21 articles were selected for full reading. Among these, 16 were excluded according to pre-specified exclusion criteria, resulting in five studies conducted between 2018 and 2022, conducted in three countries (United States, Portugal, and Russia). The studies included 228 individuals, comprising one study with HF participants, one including women with CAD, two including individuals that underwent myocardial revascularization, and one with patients with CAD enrolled in a phase 2 of cardiac rehabilitation program. Each study used different combinations of motor and cognitive tasks, conducted sequentially (n = 2 studies) or simultaneously (n = 3 studies), with one study using virtual training. The overall certainty of evidence for CP was low according to GRADE approach. Reduction in postoperative cognitive dysfunction after myocardial revascularization was observed in two studies. Moreover, the results indicate that DTT may have a positive impact on memory, selective attention, and conflict resolution capacity.ConclusionThe studies reviewed indicate motor-cognitive DTT as a potential approach to improve CP in individuals with CAD and/or HF.Systematic Review Registrationwww.crd.york.ac.uk/prospero/display_record.php?ID=CRD4202341516, identifier (CRD 4202341516). |
| format | Article |
| id | doaj-art-682d73ebbb8b4ed299572ac1a47ca96d |
| institution | DOAJ |
| issn | 2297-055X |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj-art-682d73ebbb8b4ed299572ac1a47ca96d2025-08-20T03:16:35ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2025-03-011210.3389/fcvm.2025.14623851462385Dual-task training and cognitive performance in individuals with coronary artery disease and/or heart failure: a systematic reviewTalita Cezareti0Wallace Machado Magalhães de Souza1Andrea Camaz Deslandes2Tereza Cristina Felippe Guimarães3Daniel Arthur Barata Kasal4Luiz Fernando Rodrigues Junior5Luiz Fernando Rodrigues Junior6Mauro Felippe Felix Mediano7Mauro Felippe Felix Mediano8Department of Research and Education, National Institute of Cardiology, Rio de Janeiro, BrazilCenter for Cardiology and Exercise, Aloysio de Castro State Institute of Cardiology, Rio de Janeiro, BrazilInstitute of Psychiatry, Federal University of Rio de Janeiro, Rio de Janeiro, BrazilDepartment of Research and Education, National Institute of Cardiology, Rio de Janeiro, BrazilDepartment of Research and Education, National Institute of Cardiology, Rio de Janeiro, BrazilDepartment of Research and Education, National Institute of Cardiology, Rio de Janeiro, BrazilDepartment of Physiological Sciences, Biomedical Institute, Federal University of the State of Rio de Janeiro, Rio de Janeiro, BrazilDepartment of Research and Education, National Institute of Cardiology, Rio de Janeiro, BrazilEvandro Chagas National Institute of Infectious Diseases, Oswaldo Cruz Foundation, Rio de Janeiro, BrazilIntroductionDual-task training (DTT) emerged as a promising intervention strategy to improve cognition in individuals with cardiovascular diseases (CVDs). The aim of this study is to describe the literature on the relationship between motor-cognitive DTT and cognitive performance (CP) in individuals with coronary artery disease (CAD) and/or heart failure (HF).MethodThis systematic review includes intervention and observational studies that assessed motor-cognitive DTT on CP in individuals with CAD and/or HF. Searches were performed in the MEDLINE/Pubmed, Scielo, Lilacs, PEDro, and EMBASE databases. Methodological quality was assessed using the PEDro and ROBII scales for intervention studies and the Newcastle-Ottawa Scale for observational studies. The certainty of evidence was assessed using Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach.ResultsA total of 2,098 articles were retrieved, and 21 articles were selected for full reading. Among these, 16 were excluded according to pre-specified exclusion criteria, resulting in five studies conducted between 2018 and 2022, conducted in three countries (United States, Portugal, and Russia). The studies included 228 individuals, comprising one study with HF participants, one including women with CAD, two including individuals that underwent myocardial revascularization, and one with patients with CAD enrolled in a phase 2 of cardiac rehabilitation program. Each study used different combinations of motor and cognitive tasks, conducted sequentially (n = 2 studies) or simultaneously (n = 3 studies), with one study using virtual training. The overall certainty of evidence for CP was low according to GRADE approach. Reduction in postoperative cognitive dysfunction after myocardial revascularization was observed in two studies. Moreover, the results indicate that DTT may have a positive impact on memory, selective attention, and conflict resolution capacity.ConclusionThe studies reviewed indicate motor-cognitive DTT as a potential approach to improve CP in individuals with CAD and/or HF.Systematic Review Registrationwww.crd.york.ac.uk/prospero/display_record.php?ID=CRD4202341516, identifier (CRD 4202341516).https://www.frontiersin.org/articles/10.3389/fcvm.2025.1462385/fullcoronary artery diseaseheart failuremyocardial ischemiamultitasking behaviordual taskcognition |
| spellingShingle | Talita Cezareti Wallace Machado Magalhães de Souza Andrea Camaz Deslandes Tereza Cristina Felippe Guimarães Daniel Arthur Barata Kasal Luiz Fernando Rodrigues Junior Luiz Fernando Rodrigues Junior Mauro Felippe Felix Mediano Mauro Felippe Felix Mediano Dual-task training and cognitive performance in individuals with coronary artery disease and/or heart failure: a systematic review Frontiers in Cardiovascular Medicine coronary artery disease heart failure myocardial ischemia multitasking behavior dual task cognition |
| title | Dual-task training and cognitive performance in individuals with coronary artery disease and/or heart failure: a systematic review |
| title_full | Dual-task training and cognitive performance in individuals with coronary artery disease and/or heart failure: a systematic review |
| title_fullStr | Dual-task training and cognitive performance in individuals with coronary artery disease and/or heart failure: a systematic review |
| title_full_unstemmed | Dual-task training and cognitive performance in individuals with coronary artery disease and/or heart failure: a systematic review |
| title_short | Dual-task training and cognitive performance in individuals with coronary artery disease and/or heart failure: a systematic review |
| title_sort | dual task training and cognitive performance in individuals with coronary artery disease and or heart failure a systematic review |
| topic | coronary artery disease heart failure myocardial ischemia multitasking behavior dual task cognition |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2025.1462385/full |
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