Elena Rolandi, Alessandra Dodich, Sara Mandelli, Nicola Canessa, Clarissa Ferrari, Federica Ribaldi, Giulio Munaretto, Claudia Ambrosi, Roberto Gasparotti, Davide Violi, Sandro Iannaccone, Alessandra Marcone, Andrea Falini, Giovanni B. Frisoni, Samantha Galluzzi, Chiara Cerami, Enrica Cavedo
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引用次数: 0
Abstract
Background
Multidomain lifestyle interventions are a promising approach to prevent cognitive decline, but their effects in subjective cognitive decline (SCD) remain controversial. We investigated the effects of lifestyle interventions on cognition and brain integrity in these at-risk individuals.
Methods
One-hundred twenty-eight older adults with SCD were randomly assigned to either Active Control Intervention (ACI), i.e. health education; Partial Intervention (PI), i.e. tramiprosate supplementation (100 mg/die) and dietary advice; or Multilevel Intervention (MI), i.e. PI plus computerized cognitive training and physical exercise, for one year. Neuropsychological assessment and MRI were performed at baseline and at 1-year follow-up. Analyses of covariance were used to measure the effects of interventions on predefined outcomes.
Results
The MI group significantly improved in attention-executive functioning (p = 0.003) compared to ACI (Cohen’s d: 0.47, 95% CI 0.13–0.79). In addition, depressive symptoms (Cohen’s d: – 0.48, 95% C.I. – 0.81 to – 0.14) and memory concerns (Cohen’s d: – 0.77, 95% C.I. – 1.12 to – 0.41) decreased in the MI and PI respectively, relative to the ACI. The MI group also showed increased resting-state (i.e., intrinsic) brain activity in the right fronto-parietal executive network. No significant intervention effects on brain structural or vascular outcomes were found.
Conclusion
The study shows that a multidomain lifestyle intervention can enhance attention-executive function, ameliorate depressive symptoms and increase functional connectivity in SCD. These findings support the role of lifestyle interventions in public health strategies to mitigate cognitive decline risk.
Trial registration
The trial has been registered at the United States National Library of Medicine at the National Institutes of Health Registry of Clinical Trials under the code NCT04744922 on December 9th, 2017 (https://www.clinicaltrials.gov/ct2/show/NCT03382353).
期刊介绍：
Aging clinical and experimental research offers a multidisciplinary forum on the progressing field of gerontology and geriatrics. The areas covered by the journal include: biogerontology, neurosciences, epidemiology, clinical gerontology and geriatric assessment, social, economical and behavioral gerontology. “Aging clinical and experimental research” appears bimonthly and publishes review articles, original papers and case reports.
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