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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10.1016/j.jalz.2017.09.006Metadata
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Rosenberg, A. Ngandu, T. Rusanen, M. Antikainen, R. Bäckman, L. Havulinna, S. Hänninen, T. Laatikainen, T. Lehtisalo, J. Levälahti, E. Lindström, J. Paajanen, T. Peltonen, M. Soininen, H. Stigsdotter-Neely, A. Strandberg, T. Tuomilehto, J. Solomon, A. Kivipelto, M. (2018). Multidomain lifestyle intervention benefits a large elderly population at risk for cognitive decline and dementia regardless of baseline characteristics: The FINGER trial. Alzheimer's & Dementia, 14 (3) , 263-270. 10.1016/j.jalz.2017.09.006.Rights
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Abstract
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.
Subjects
prevention cognitive impairment dementia Alzheimer's disease multidomain lifestyle intervention randomized controlled trialLink to the original item
http://dx.doi.org/10.1016/j.jalz.2017.09.006Publisher
Elsevier BVCollections
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