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Multidomain lifestyle intervention benefits a large elderly population at risk for cognitive decline and dementia regardless of baseline characteristics: The FINGER trial
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2018 (English)In: Alzheimer's & Dementia, ISSN 1552-5260, E-ISSN 1552-5279, Vol. 14, no 3, p. 263-270Article in journal (Refereed) Published
Abstract [en]

Introduction: The 2-year Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability (FINGER) multidomain lifestyle intervention trial (NCT01041989) demonstrated beneficial effects on cognition. We investigated whether sociodemographics, socioeconomic status, baseline cognition, or cardiovascular factors influenced intervention effects on cognition.

Methods: The FINGER recruited 1260 people from the general Finnish population (60-77 years, at risk for dementia). Participants were randomized 1: 1 to multidomain intervention (diet, exercise, cognition, and vascular risk management) and regular health advice. Primary outcome was change in cognition (Neuropsychological Test Battery z-score). Prespecified analyses to investigate whether participants' characteristics modified response to intervention were carried out using mixed-model repeated-measures analyses.

Results: Sociodemographics (sex, age, and education), socioeconomic status (income), cognition (Mini-Mental State Examination), cardiovascular factors (body mass index, blood pressure, cholesterol, fasting glucose, and overall cardiovascular risk), and cardiovascular comorbidity did not modify response to intervention (P-values for interaction > .05). Conclusions: The FINGER intervention was beneficial regardless of participants' characteristics and can thus be implemented in a large elderly population at increased risk for dementia. 

Place, publisher, year, edition, pages
Elsevier, 2018. Vol. 14, no 3, p. 263-270
Keywords [en]
Prevention, Cognitive impairment, Dementia, Alzheimer's disease, Multidomain, Lifestyle, tervention, Randomized controlled trial
National Category
Geriatrics
Identifiers
URN: urn:nbn:se:umu:diva-146577DOI: 10.1016/j.jalz.2017.09.006ISI: 000427993000001PubMedID: 29055814OAI: oai:DiVA.org:umu-146577DiVA, id: diva2:1205799
Available from: 2018-05-15 Created: 2018-05-15 Last updated: 2018-06-09Bibliographically approved

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Stigsdotter-Neely, Anna

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