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预防痴呆症计划(pdp):卢森堡全国个性化预防计划。

Programme Dementia Prevention (pdp): A Nationwide Program for Personalized Prevention in Luxembourg.

机构信息

Luxembourg Centre for Systems Biomedicine (LCSB), University of Luxembourg, Esch-sur-Alzette, Luxembourg.

Department of Neurology, Centre Hospitalier de Luxembourg (CHL), Luxembourg, Luxembourg.

出版信息

J Alzheimers Dis. 2024;97(2):791-804. doi: 10.3233/JAD-230794.

Abstract

BACKGROUND

With continuously aging societies, an increase in the number of people with cognitive decline is to be expected. Aside from the development of causative treatments, the successful implementation of prevention strategies is of utmost importance to reduce the high societal burden caused by neurodegenerative diseases leading to dementia among which the most common cause is Alzheimer's disease.

OBJECTIVE

The aim of the Luxembourgish "programme dementia prevention (pdp)" is to prevent or at least delay dementia in an at-risk population through personalized multi-domain lifestyle interventions. The current work aims to provide a detailed overview of the methodology and presents initial results regarding the cohort characteristics and the implementation process.

METHODS

In the frame of the pdp, an extensive neuropsychological evaluation and risk factor assessment are conducted for each participant. Based on the results, individualized multi-domain lifestyle interventions are suggested.

RESULTS

A total number of 450 participants (Mean age = 69.5 years; SD = 10.8) have been screened at different recruitment sites throughout the country, among whom 425 participants (94.4%) met the selection criteria.

CONCLUSIONS

We provide evidence supporting the feasibility of implementing a nationwide dementia prevention program and achieving successful recruitment of the target population by establishing a network of different healthcare providers.

摘要

背景

随着社会的不断老龄化,预计认知能力下降的人数将会增加。除了开发病因治疗方法外,成功实施预防策略对于减轻导致痴呆的神经退行性疾病的高社会负担至关重要,其中最常见的病因是阿尔茨海默病。

目的

卢森堡的“预防痴呆计划(pdp)”旨在通过个性化的多领域生活方式干预来预防或至少延迟高危人群的痴呆。本研究旨在详细介绍该计划的方法,并提供关于队列特征和实施过程的初步结果。

方法

在 pdp 的框架内,对每个参与者进行广泛的神经心理学评估和风险因素评估。根据结果,建议进行个性化的多领域生活方式干预。

结果

在全国不同的招募地点共筛查了 450 名参与者(平均年龄=69.5 岁;标准差=10.8),其中 425 名参与者(94.4%)符合入选标准。

结论

我们通过建立一个由不同医疗保健提供者组成的网络,为实施全国性的预防痴呆计划和成功招募目标人群提供了证据,证明这是可行的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0665/10836551/e1bf6e029075/jad-97-jad230794-g001.jpg

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