SHORT-TERM IMPACT OF A COMBINED NUTRACEUTICAL ON COGNITIVE FUNCTION, PERCEIVED STRESS AND DEPRESSION IN YOUNG ELDERLY WITH COGNITIVE IMPAIRMENT: A PILOT, DOUBLE-BLIND, RANDOMIZED CLINICAL TRIAL

IF 8.5 3区 医学 Q1 CLINICAL NEUROLOGY
A. Cicero, M. Bove, A. Colletti, M. Rizzo, F. Fogacci, M. Giovannini, C. Borghi
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引用次数: 5

Abstract

Background: The prevalence of senile dementia is increasing worldwide, especially in the developed countries. Nevertheless, drug therapy isn’t often enough to treat this condition. Researchers are evaluating the possible impact of a preventive approach, based on an improvement of lifestyle and the intake of micronutrients. Moreover, there is an increasing interest for combined nutraceuticals that can act as memory and learning enhancers, with a significant and beneficial potential on the cognitive disorders. Objective: To evaluate the effects of a rational assemblage of nutraceuticals on cognitive functions in a sample of 30 elderly subjects. Design: Double bind, cross-over designed trial versus placebo Setting: outpatient clinical practice Participants: 30 elderly subjects with basal Mini-Mental State Examination score between 20 and 27 and self-perceived cognitive decline. Intervention: Treatment with a combination of nutraceuticals based on Bacopa monnieri, L-theanine, Crocus sativus, copper, folate and vitamins of B and D group. After2 months of treatment or placebo. Measurements: Patients were evaluated with Mini-Mental State Examination (MMSE), Perceived Stress Questionnaire (PSQ) and Index and Self-Rating Depression Scale (SRDS). Results: MMSE and PSQ Index significantly improved in the active treatment arm, both versus baseline and versus the parallel arm. Both groups experienced a significant improving in the SRDS scores. Conclusions: We obtained a good and significant improvement of the cognitive functions tested with the MMSE, PSQ-Index and SRDS score, after 2 months of combined therapy of nutraceuticals. Further confirmation will be needed to verify these observations on the middle and long term in a larger number of subjects.
复合营养品对老年认知障碍患者认知功能、感知压力和抑郁的短期影响:一项先导、双盲、随机临床试验
背景:老年性痴呆的患病率在世界范围内呈上升趋势,尤其是在发达国家。然而,药物治疗往往不足以治疗这种情况。研究人员正在评估一种基于改善生活方式和摄入微量营养素的预防方法可能产生的影响。此外,人们对能够作为记忆和学习增强剂的联合营养保健品越来越感兴趣,这在认知障碍方面具有显著和有益的潜力。目的:评价营养保健品合理组合对30名老年人认知功能的影响。设计:双重约束,交叉设计试验与安慰剂设置:门诊临床实践参与者:30名老年受试者,基础迷你精神状态检查得分在20 - 27之间,自我认知能力下降。干预:以假马齿苋、l -茶氨酸、藏红花、铜、叶酸和B组和D组维生素为基础的营养品组合治疗。治疗或安慰剂2个月后。测量方法:采用简易精神状态检查(MMSE)、感知压力问卷(PSQ)和抑郁指数自评量表(SRDS)对患者进行评估。结果:与基线和平行治疗组相比,积极治疗组的MMSE和PSQ指数均有显著改善。两组患者的SRDS评分均有显著改善。结论:经过2个月的营养药物联合治疗,我们的认知功能(MMSE、psq指数和SRDS评分)得到了良好而显著的改善。将需要进一步的确认,以核实这些中期和长期的观察结果在更多的主题。
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来源期刊
自引率
7.80%
发文量
85
期刊介绍: The JPAD « Journal of Prevention of Alzheimer’Disease » will publish reviews, original research articles and short reports to improve our knowledge in the field of Alzheimer prevention including : neurosciences, biomarkers, imaging, epidemiology, public health, physical cognitive exercise, nutrition, risk and protective factors, drug development, trials design, and heath economic outcomes. JPAD will publish also the meeting abstracts from Clinical Trial on Alzheimer Disease (CTAD) and will be distributed both in paper and online version worldwide.
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