Dual-task training and cognitive performance in individuals with coronary artery disease and/or heart failure: a systematic review
Dual-task training and cognitive performance in individuals with coronary artery disease and/or heart failure: a systematic review
Data
2025
Autores
Cezareti, Talita
Souza, Wallace Machado Magalhães de
Deslandes, Andrea Camaz
Guimarães, Tereza Cristina Felippe
Kasal, Daniel Arthur Barata
Rodrigues Junior, Luiz Fernando
Mediano Mauro Felippe Felix
Journal Title
Journal ISSN
Volume Title
Publisher
Frontiers in Cardiovascular Medicine
Resumo
Introduction: Dual-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).
Method: This 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.
Results: A 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.
Conclusion: The studies reviewed indicate motor-cognitive DTT as a potential
approach to improve CP in individuals with CAD and/or HF.
Description
Palavras-chave
Coronary artery disease, Heart failure, Myocardial ischemia, Multitasking behavior, Dual task, Cognition, Cognitive performance.
Citação
Cezareti T, de Souza WMM, Deslandes AC, Guimarães TCF, Kasal DAB, Rodrigues Junior LF, Mediano MFF. Dual-task training and cognitive performance in individuals with coronary artery disease and/or heart failure: a systematic review. Front Cardiovasc Med. 2025 Mar 6;12:1462385. doi: 10.3389/fcvm.2025.1462385.