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Efficacy of comprehensive cognitive health management for Shanghai community older adults with mild cognitive impairment
BACKGROUND: The management of modifiable risk factors and comorbidities may impact the future trajectory of cognitive impairment, but easy-to-implement management methods are lacking. AIMS: This study investigated the effects of simple but comprehensive cognitive health management practices on the c...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9422796/ https://www.ncbi.nlm.nih.gov/pubmed/36118417 http://dx.doi.org/10.1136/gpsych-2021-100532 |
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author | Qiu, Jiayuan Zhao, Lu Xiao, Shifu Zhang, Shaowei Li, Ling Nie, Jing Bai, Li Qian, Shixing Yang, Yang Phillips, Michael Sheng, Meiqing Fang, Yuan Li, Xia |
author_facet | Qiu, Jiayuan Zhao, Lu Xiao, Shifu Zhang, Shaowei Li, Ling Nie, Jing Bai, Li Qian, Shixing Yang, Yang Phillips, Michael Sheng, Meiqing Fang, Yuan Li, Xia |
author_sort | Qiu, Jiayuan |
collection | PubMed |
description | BACKGROUND: The management of modifiable risk factors and comorbidities may impact the future trajectory of cognitive impairment, but easy-to-implement management methods are lacking. AIMS: This study investigated the effects of simple but comprehensive cognitive health management practices on the cognitive function of older adults in the community with normal cognition (NC) and mild cognitive impairment (MCI). METHODS: The comprehensive cognitive health management programme included a psychiatric assessment of the cognitive risk factors for those in the intervention groups and individualised recommendations for reducing the risks through self-management supported by regular medical professional follow-up. The intervention groups for this study included 84 elderly participants with NC and 43 elderly participants with MCI who received comprehensive cognitive health management. The control groups included 84 elderly participants with NC and 43 elderly participants with MCI who matched the intervention group’s general characteristics and scale scores using the propensity matching score analysis. The Montreal Cognitive Assessment (MoCA) scale and Geriatric Depression Scale (GDS) scores were compared after a 1-year follow-up. RESULTS: For older adults with MCI in the intervention group, MoCA scores were higher at the 1-year follow-up than at baseline (24.07 (3.674) vs 22.21 (3.052), p=0.002). For the MoCA subscales, the intervention group’s abstract and delayed memory scores had significantly increased during the 1-year follow-up. Furthermore, in a generalised linear mixed model analysis, the interaction effect of group×follow-up was statistically significant for the MCI group (F=6.61, p=0.011; coefficients=5.83). CONCLUSIONS: After the comprehensive cognitive health management intervention, the older adults with MCI in the community showed improvement at the 1-year follow-up. This preliminary study was the first to demonstrate an easy-to-implement strategy for modifying the cognitive risk factors of elderly individuals with MCI in the community, providing new insight into early-stage intervention for dementia. |
format | Online Article Text |
id | pubmed-9422796 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-94227962022-09-16 Efficacy of comprehensive cognitive health management for Shanghai community older adults with mild cognitive impairment Qiu, Jiayuan Zhao, Lu Xiao, Shifu Zhang, Shaowei Li, Ling Nie, Jing Bai, Li Qian, Shixing Yang, Yang Phillips, Michael Sheng, Meiqing Fang, Yuan Li, Xia Gen Psychiatr Original Research BACKGROUND: The management of modifiable risk factors and comorbidities may impact the future trajectory of cognitive impairment, but easy-to-implement management methods are lacking. AIMS: This study investigated the effects of simple but comprehensive cognitive health management practices on the cognitive function of older adults in the community with normal cognition (NC) and mild cognitive impairment (MCI). METHODS: The comprehensive cognitive health management programme included a psychiatric assessment of the cognitive risk factors for those in the intervention groups and individualised recommendations for reducing the risks through self-management supported by regular medical professional follow-up. The intervention groups for this study included 84 elderly participants with NC and 43 elderly participants with MCI who received comprehensive cognitive health management. The control groups included 84 elderly participants with NC and 43 elderly participants with MCI who matched the intervention group’s general characteristics and scale scores using the propensity matching score analysis. The Montreal Cognitive Assessment (MoCA) scale and Geriatric Depression Scale (GDS) scores were compared after a 1-year follow-up. RESULTS: For older adults with MCI in the intervention group, MoCA scores were higher at the 1-year follow-up than at baseline (24.07 (3.674) vs 22.21 (3.052), p=0.002). For the MoCA subscales, the intervention group’s abstract and delayed memory scores had significantly increased during the 1-year follow-up. Furthermore, in a generalised linear mixed model analysis, the interaction effect of group×follow-up was statistically significant for the MCI group (F=6.61, p=0.011; coefficients=5.83). CONCLUSIONS: After the comprehensive cognitive health management intervention, the older adults with MCI in the community showed improvement at the 1-year follow-up. This preliminary study was the first to demonstrate an easy-to-implement strategy for modifying the cognitive risk factors of elderly individuals with MCI in the community, providing new insight into early-stage intervention for dementia. BMJ Publishing Group 2022-08-25 /pmc/articles/PMC9422796/ /pubmed/36118417 http://dx.doi.org/10.1136/gpsych-2021-100532 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) . |
spellingShingle | Original Research Qiu, Jiayuan Zhao, Lu Xiao, Shifu Zhang, Shaowei Li, Ling Nie, Jing Bai, Li Qian, Shixing Yang, Yang Phillips, Michael Sheng, Meiqing Fang, Yuan Li, Xia Efficacy of comprehensive cognitive health management for Shanghai community older adults with mild cognitive impairment |
title | Efficacy of comprehensive cognitive health management for Shanghai community older adults with mild cognitive impairment |
title_full | Efficacy of comprehensive cognitive health management for Shanghai community older adults with mild cognitive impairment |
title_fullStr | Efficacy of comprehensive cognitive health management for Shanghai community older adults with mild cognitive impairment |
title_full_unstemmed | Efficacy of comprehensive cognitive health management for Shanghai community older adults with mild cognitive impairment |
title_short | Efficacy of comprehensive cognitive health management for Shanghai community older adults with mild cognitive impairment |
title_sort | efficacy of comprehensive cognitive health management for shanghai community older adults with mild cognitive impairment |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9422796/ https://www.ncbi.nlm.nih.gov/pubmed/36118417 http://dx.doi.org/10.1136/gpsych-2021-100532 |
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