The effect of dance on mental health and quality of life of people with Parkinson's disease: A systematic review and three-level meta-analysis.

OBJECTIVES: Parkinson's disease (PD) is a neurodegenerative disease that affects millions of individuals worldwide. Dance has emerged as a comprehensive intervention for enhancing well-being in this population. This meta-analysis aimed to assess the effectiveness of dance on mental health and quality of life among individuals with PD. METHODS: Three databases were searched in December 2022. Research papers comparing the effects of dance with a non-dance control on the quality of life or mental health of individuals with PD were included. Two authors independently screened the studies, extracted data, and assessed methodological quality of eligible studies. To address the interdependence of effect sizes within studies, the three-level meta-analysis approach was employed to analyze the data. RESULTS: Thirteen trials involving a total of 496 participants were included, with 11 being subjected to statistical analysis. The results indicated that dance had a positive impact on mental health (g = 0.43, 95 % CI = [0.11, 0.75]) and quality of life (g = 0.46, 95 % CI = [-0.04, 0.95]) when compared to passive control groups. Moderator analyses revealed that non-partnered dance and dance interventions with lower total dosages were particularly beneficial for mental health. CONCLUSION: Dance interventions are an effective lifestyle activity for enhancing mental health and quality of life in individuals with PD. A theoretical framework is proposed to explain the impact of dance on well-being from neurological, social, physical, and psychological perspectives.

Music Engagement as a Source of Cognitive Reserve.

Music engagement is a ubiquitous activity that is thought to have cognitive benefits for the rapidly aging population. In the absence of robust treatment approaches for many age-related and neuropathological health issues, interest has emerged surrounding lifestyle-enriching activities, like exercise and music engagement, to build cognitive reserve across the lifespan and preserve neurocognitive function in older adults. The present review evaluates evidence of neurocognitive preservation arising from lifelong music engagement with respect to the cognitive reserve hypothesis. We collated a body of neuroimaging, behavioral and epidemiological evidence to adjudicate the benefits of music engagement for cognitive reserve. The findings suggest that music engagement should be considered in tandem with other well-established cognitive reserve proxies as a contributor to differential clinical outcomes in older populations at risk of age-related and neuropathological cognitive decline.

Slow tempo music preserves attentional efficiency in young children.

Past research has shown that listening to slow- or fast-tempo music can affect adults' executive attention (EA) performance. This study examined the immediate impact of brief exposure to slow- or fast-tempo music on EA performance in 4- to 6-year-old children. A within-subject design was used, where each child completed three blocks of the EA task after listening to fast-tempo music (fast-tempo block), slow-tempo music (slow-tempo block), and ocean waves (control block), with block-order counterbalanced. In each block, children were also asked to report their pre-task subjective emotional status (experienced arousal and valence) before listening to music and their post-task emotional status after the EA task. Three major results emerged. First, reaction time (RT) was significantly faster in the slow-tempo block than in the fast-tempo, suggesting that listening to slow-tempo music preserves processing efficiency, relative to fast-tempo music. Second, children's accuracy rate in the EA task did not differ across blocks. Third, children's subjective emotional status did not differ across blocks and did not change across the pre- and post-task phases in any block, suggesting the faster RT observed in the slow-tempo block cannot be explained by changes in arousal or mood.