AUTHOR=Liu Yud Dan , Li Hui Fang , Zhai Ya Xian , Shen Yun Xia , Yang Jinmei , He Li Mei , Shen Ting 

TITLE=Summary of the best evidence for non-pharmaceutical interventions for mild cognitive impairment in Parkinson’s disease

JOURNAL=Frontiers in Neurology

VOLUME=Volume 16 - 2025

YEAR=2025

URL=https://www.frontiersin.org/journals/neurology/articles/10.3389/fneur.2025.1598974

DOI=10.3389/fneur.2025.1598974

ISSN=1664-2295

ABSTRACT=ObjectiveThis study aimed to synthesize and evaluate the best evidence for non-pharmacological interventions targeting mild cognitive impairment in Parkinson’s disease (PD-MCI), thereby informing the development of cognitive management strategies for this population.MethodsA systematic search was conducted across multiple databases (e.g., UpToDate, BMJ Best Practice, and Cochrane Library) up to November 2024. Two researchers independently screened literature, assessed quality using standardized tools (AGREE II, JBI criteria), and graded evidence.ResultsThirteen studies were included (five guidelines, two clinical decisions, two systematic reviews, one meta-analysis, and three RCTs). Twenty evidence points were categorized into six themes: safety/efficacy, assessment, cognitive training, exercise, health education, and multi-strategy approaches.ConclusionThis study consolidates evidence supporting non-pharmacological interventions for PD-MCI, offering actionable recommendations for clinical practice to delay progression to Parkinson’s disease dementia (PDD).