Kunkler Michelle Celine, Falkenreck Julia Maria, Ophey Anja, Dencker Katharina, Friese Andrea, Jahr Petra, Kalbe Elke, Nelles Gereon, Polidori M Cristina
Ageing Clinical Research, Department II of Internal Medicine and Center for Molecular Medicine Cologne, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.
Department of Medical Psychology | Neuropsychology and Gender Studies & Center for Neuropsychological Diagnostics and Interventions (CeNDI), Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.
J Alzheimers Dis Rep. 2024 Jul 18;8(1):1069-1087. doi: 10.3233/ADR-230199. eCollection 2024.
BACKGROUND: Age-related neuronal changes impact cognitive integrity, which is a major contributor to health and quality of life. The best strategy to prevent cognitive decline and Alzheimer's disease is still debated. OBJECTIVE: To investigate the long-term effects of the eight-week multicomponent training program BrainProtect on cognitive abilities compared to general health counseling (GHC) in cognitively healthy adults in Germany. METHODS: Healthy adults (age ≥50 years) previously randomized to either GHC ( = 72) or BrainProtect (intervention group, IG, = 60) for eight-weeks (once weekly, 90 minutes, group-based) underwent a comprehensive neuropsychological test battery and health-related quality of life (HRQoL) evaluation 3- and 12-months after intervention end. RESULTS: Dropout rates were = 8 after 3 months and = 19 after 12 months. No significant long-term effect of BrainProtect was observed for the primary endpoint Consortium to Establish a Registry for Alzheimer's Disease (CERAD-Plus) total score. Logical reasoning was significantly improved ( = 0.024) 12 months after completion of the training program in IG participants compared to the GHC group independent of sex, age, education, diet, and physical activity. In IG participants, thinking flexibility ( = 0.019) and confrontational naming ( = 0.010) were improved 3 months after completing the intervention compared to the GHC group, however, after conservative Bonferroni adjustment, significance was lost. CONCLUSIONS: BrainProtect independently improved logical reasoning compared to GHC up to 12 months after cognitive training's end in healthy adults. To uncover the long-term clinical significance of multicomponent cognitive training in healthy adults, studies with larger sample size and frequent follow up visits are necessary.
背景:与年龄相关的神经元变化会影响认知完整性,而认知完整性是健康和生活质量的主要影响因素。预防认知能力下降和阿尔茨海默病的最佳策略仍存在争议。 目的:在德国认知健康的成年人中,研究为期八周的多成分训练项目“脑保护”(BrainProtect)与一般健康咨询(GHC)相比对认知能力的长期影响。 方法:健康成年人(年龄≥50岁)先前被随机分为GHC组(n = 72)或“脑保护”组(干预组,IG,n = 60),接受为期八周的训练(每周一次,90分钟,小组形式),在干预结束后3个月和12个月进行全面的神经心理测试组套和健康相关生活质量(HRQoL)评估。 结果:3个月后的失访率为n = 8,12个月后的失访率为n = 19。对于主要终点阿尔茨海默病注册协作组(CERAD-Plus)总分,未观察到“脑保护”有显著的长期影响。与GHC组相比,IG组参与者在完成训练项目12个月后,逻辑推理能力显著提高(P = 0.024),且不受性别、年龄、教育程度、饮食和身体活动的影响。与GHC组相比,IG组参与者在完成干预3个月后,思维灵活性(P = 0.019)和对答命名能力(P = 0.010)有所改善,然而,经过保守的Bonferroni校正后,显著性消失。 结论:在健康成年人中,与GHC相比,“脑保护”在认知训练结束后长达12个月的时间里能独立改善逻辑推理能力。为了揭示多成分认知训练在健康成年人中的长期临床意义,有必要开展样本量更大且随访频繁的研究。
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