认知
干预(咨询)
随机对照试验
心理干预
痴呆
神经心理学
医学
执行职能
物理疗法
临床心理学
社会认知理论
老年学
心理学
物理医学与康复
作者
Tiia Ngandu,Jenni Lehtisalo,Saana Korkki,Alina Solomon,Nicola Coley,Riitta Antikainen,Lars Bäckman,Tuomo Hänninen,Jaana Lindström,Tiina Laatikainen,Teemu Paajanen,Satu Havulinna,Markku Peltonen,Anna Stigsdotter Neely,Timo E. Strandberg,Jaakko Tuomilehto,Hilkka Soininen,Miia Kivipelto
摘要
Introduction Lifestyle interventions may prevent cognitive decline, but the sufficient dose of intervention activities and lifestyle changes is unknown. We investigated how intervention adherence affects cognition in the FINGER trial (pre-specified subgroup analyses). Methods FINGER is a multicenter randomized controlled trial examining the efficacy of multidomain lifestyle intervention (ClinicalTrials.gov NCT01041989). A total of 1260 participants aged 60 to 77 with increased dementia risk were randomized to a lifestyle intervention and control groups. Percentage of completed intervention sessions, and change in multidomain lifestyle score (self-reported diet; physical, cognitive, and social activity; vascular risk) were examined in relation to change in Neuropsychological Test Battery (NTB) scores. Results Active participation was associated with better trajectories in NTB total and all cognitive subdomains. Improvement in lifestyle was associated with improvement in NTB total and executive function. Discussion Multidomain lifestyle changes are beneficial for cognitive functioning, but future interventions should be intensive enough, and supporting adherence is essential.
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