Study design of FINGER‐NL: A multidomain lifestyle intervention in Dutch older adults to prevent cognitive decline

Abstract Background Previous multidomain lifestyle intervention trials to prevent cognitive decline in non‐demented elderly have found conflicting effects, with positive findings including the multidomain FINnish GERiatric intervention (FINGER) study (Ngandu T, Lehtisalo J, Solomon A, et al. Lancet 2015), and in specific at‐risk subgroups in other trials (Moll van Charante EP, Richard E, Eurelings LS, et al. Lancet 2016; Andrieu S, Guyonnet S, Coley N, et al. Lancet Neurol. 2017). As part of a world‐wide effort to replicate and build on these results, FINGER‐NL aims to investigate the effectiv... Mehr ...

Verfasser: Zwan, Marissa D.
Deckers, Kay
Claassen, Jurgen A.H.R.
Oosterman, Joukje M.
de Heus, Rianne A.A.
van de Rest, Ondine
de Groot, Lisette C.P.G.M.
Smidt, Nynke
Broersen, Laus M.
Counotte, Danielle
Sikkes, Sietske A.M.
van Boxtel, Martin P.J.
Aarts, Esther
van der Flier, Wiesje M
Koehler, Sebastian
Dokumenttyp: Artikel
Erscheinungsdatum: 2021
Reihe/Periodikum: Alzheimer's & Dementia ; volume 17, issue S9 ; ISSN 1552-5260 1552-5279
Verlag/Hrsg.: Wiley
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-29050891
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : http://dx.doi.org/10.1002/alz.055136

Abstract Background Previous multidomain lifestyle intervention trials to prevent cognitive decline in non‐demented elderly have found conflicting effects, with positive findings including the multidomain FINnish GERiatric intervention (FINGER) study (Ngandu T, Lehtisalo J, Solomon A, et al. Lancet 2015), and in specific at‐risk subgroups in other trials (Moll van Charante EP, Richard E, Eurelings LS, et al. Lancet 2016; Andrieu S, Guyonnet S, Coley N, et al. Lancet Neurol. 2017). As part of a world‐wide effort to replicate and build on these results, FINGER‐NL aims to investigate the effectivity of a 2‐year multidomain lifestyle intervention in Dutch older adults to prevent cognitive decline. Method FINGER‐NL is a Dutch multi‐center, randomized, controlled, multidomain lifestyle intervention trial among 1,206 adults at risk for cognitive decline with a duration of 24 months. Inclusion criteria are 60‐80 years of age and presence of both modifiable (based on LIfestyle for BRAin health (LIBRA) score) and non‐modifiable (family history, worries about subjective cognitive decline) dementia risk factors. Participants will be randomized in a 1:1 ratio to the structured intervention group or the self‐guided control group. The multidomain lifestyle intervention comprises 8 modules, namely physical exercise, cognitive training, management of metabolic and vascular risk factors, nutritional counseling, Souvenaid®, sleep counseling, stress management, and social activities. The structured intervention group receives a personalized, supervised and hybrid (both online and at study site) intervention consisting of group meetings and individual sessions. The self‐guided control group receives online lifestyle‐related health education. Primary outcome is 2‐year change from baseline on a cognitive composite score covering processing speed, executive function and memory. Secondary outcomes including changes in specific cognitive domains, Amsterdam Instrumental Activity of Daily Living Questionnaire (A‐IADL‐Q), LIBRA score, ...