Institute of Social Medicine, Occupational Health and Public Health (ISAP), Medical Faculty, University of Leipzig, 04103 Leipzig, Germany.
Global Brain Health Institute (GBHI), Trinity College Dublin, D02 PN40 Dublin, Ireland.
Int J Environ Res Public Health. 2021 Jan 7;18(2):408. doi: 10.3390/ijerph18020408.
Targeting dementia prevention, first trials addressing multiple modifiable risk factors showed promising results in at-risk populations. In Germany, AgeWell.de is the first large-scale initiative investigating the effectiveness of a multi-component lifestyle intervention against cognitive decline. We aimed to investigate the recruitment process and baseline characteristics of the AgeWell.de participants to gain an understanding of the at-risk population and who engages in the intervention. General practitioners across five study sites recruited participants (aged 60-77 years, Cardiovascular Risk Factors, Aging, and Incidence of Dementia/CAIDE dementia risk score ≥ 9). Structured face-to-face interviews were conducted with eligible participants, including neuropsychological assessments. We analyzed group differences between (1) eligible vs. non-eligible participants, (2) participants vs. non-participants, and (3) between intervention groups. Of 1176 eligible participants, 146 (12.5%) dropped out before baseline; the study population was thus 1030 individuals. Non-participants did not differ from participants in key sociodemographic factors and dementia risk. Study participants were M = 69.0 (SD = 4.9) years old, and 52.1% were women. The average Montreal Cognitive Assessment/MoCA score was 24.5 (SD = 3.1), indicating a rather mildly cognitively impaired study population; however, 39.4% scored ≥ 26, thus being cognitively unimpaired. The bandwidth of cognitive states bears the interesting potential for differential trial outcome analyses. However, trial conduction is impacted by the COVID-19 pandemic, requiring adjustments to the study protocol with yet unclear methodological consequences.
针对痴呆预防,首先针对多个可改变风险因素的试验在高危人群中显示出了有希望的结果。在德国,AgeWell.de 是第一个大规模的倡议,旨在调查针对认知能力下降的多成分生活方式干预的有效性。我们旨在调查 AgeWell.de 参与者的招募过程和基线特征,以了解高危人群和参与干预的人群。五个研究地点的全科医生招募了参与者(年龄 60-77 岁,心血管危险因素、衰老和痴呆发生率/CAIDE 痴呆风险评分≥9)。合格的参与者接受了面对面的结构化访谈,包括神经心理评估。我们分析了(1)合格参与者与不合格参与者、(2)参与者与非参与者以及(3)干预组之间的组间差异。在 1176 名合格的参与者中,有 146 名(12.5%)在基线前退出;因此,研究人群为 1030 人。非参与者与参与者在关键的社会人口因素和痴呆风险方面没有差异。研究参与者的平均年龄为 69.0(SD=4.9)岁,52.1%为女性。蒙特利尔认知评估/MoCA 的平均得分为 24.5(SD=3.1),表明研究人群的认知功能受损程度较轻;然而,39.4%的人得分≥26,因此认知功能未受损。认知状态的带宽具有对差异试验结果分析的有趣潜力。然而,试验的进行受到 COVID-19 大流行的影响,需要对研究方案进行调整,其方法学后果尚不清楚。
J Gerontol A Biol Sci Med Sci. 2021-2-25
Alzheimers Dement (N Y). 2025-1-3
Alzheimers Dement. 2020-7
Front Psychiatry. 2020-5-4
Nat Rev Neurol. 2018-11
Clin Epidemiol. 2018-9-18
J Gerontol B Psychol Sci Soc Sci. 2018-4-16