N Schneider1, C Yvon. 1. Nestec Ltd., Nestlé Research Center Lausanne, Switzerland.
Abstract
OBJECTIVE: The risk for cognitive decline and for developing Alzheimer's disease increases with age. The aetiology is assumed to be of multi-factorial origin, and treatment opportunities are lacking. Despite the multi-factorial origin, many intervention studies focused on single factors to influence cognitive health with inconsistent findings. In this view, more and more intervention studies aim to intervene on multiple factors simultaneously to affect or slow down cognitive decline. The purpose of this paper is to give an overview of these multidomain intervention trials. METHODS: We conducted a non-systematic literature search in Medline, Scopus, Cochrane Library, and clinical trials databases up to October 2011 to review multidomain interventions that investigated effects of combined lifestyle-related factors on cognitive decline and the progression of dementia. RESULTS: Interest in multidomain interventions increased over the past years. We identified six completed and published trials and eight ongoing or not yet published studies that investigated effects on cognitive outcomes. First completed trials yielded promising results for the combination of exercise and mental training and diet and behavioural weight management. Results of ongoing multidomain trials are awaited. CONCLUSIONS: Some evidence suggests that strategies which target multiple factors simultaneously may prove more effective than those focusing on a single mechanism or domain. Larger high-quality randomized controlled trials are required to systematically investigate the cognitive effect of programs comprising physical and mental activity as well as nutritional aspects.
OBJECTIVE: The risk for cognitive decline and for developing Alzheimer's disease increases with age. The aetiology is assumed to be of multi-factorial origin, and treatment opportunities are lacking. Despite the multi-factorial origin, many intervention studies focused on single factors to influence cognitive health with inconsistent findings. In this view, more and more intervention studies aim to intervene on multiple factors simultaneously to affect or slow down cognitive decline. The purpose of this paper is to give an overview of these multidomain intervention trials. METHODS: We conducted a non-systematic literature search in Medline, Scopus, Cochrane Library, and clinical trials databases up to October 2011 to review multidomain interventions that investigated effects of combined lifestyle-related factors on cognitive decline and the progression of dementia. RESULTS: Interest in multidomain interventions increased over the past years. We identified six completed and published trials and eight ongoing or not yet published studies that investigated effects on cognitive outcomes. First completed trials yielded promising results for the combination of exercise and mental training and diet and behavioural weight management. Results of ongoing multidomain trials are awaited. CONCLUSIONS: Some evidence suggests that strategies which target multiple factors simultaneously may prove more effective than those focusing on a single mechanism or domain. Larger high-quality randomized controlled trials are required to systematically investigate the cognitive effect of programs comprising physical and mental activity as well as nutritional aspects.
Authors: T N Akbaraly; F Portet; S Fustinoni; J-F Dartigues; S Artero; O Rouaud; J Touchon; K Ritchie; C Berr Journal: Neurology Date: 2009-09-15 Impact factor: 9.910
Authors: Claudine Legault; Janine M Jennings; Jeffrey A Katula; Dale Dagenbach; Sarah A Gaussoin; Kaycee M Sink; Stephen R Rapp; W Jack Rejeski; Sally A Shumaker; Mark A Espeland Journal: BMC Geriatr Date: 2011-05-26 Impact factor: 3.921
Authors: Sophie Laforest; Agathe Lorthios-Guilledroit; Kareen Nour; Manon Parisien; Michel Fournier; Dave Ellemberg; Danielle Guay; Charles-Émile Desgagnés-Cyr; Nathalie Bier Journal: Health Educ Res Date: 2017-04-01
Authors: B Vellas; I Carrie; S Gillette-Guyonnet; J Touchon; T Dantoine; J F Dartigues; M N Cuffi; S Bordes; Y Gasnier; P Robert; L Bories; O Rouaud; F Desclaux; K Sudres; M Bonnefoy; A Pesce; C Dufouil; S Lehericy; M Chupin; J F Mangin; P Payoux; D Adel; P Legrand; D Catheline; C Kanony; M Zaim; L Molinier; N Costa; J Delrieu; T Voisin; C Faisant; F Lala; F Nourhashémi; Y Rolland; G Abellan Van Kan; C Dupuy; C Cantet; P Cestac; S Belleville; S Willis; M Cesari; M W Weiner; M E Soto; P J Ousset; S Andrieu Journal: J Prev Alzheimers Dis Date: 2014-06
Authors: J Lehtisalo; J Lindström; T Ngandu; M Kivipelto; S Ahtiluoto; P Ilanne-Parikka; S Keinänen-Kiukaanniemi; J G Eriksson; M Uusitupa; J Tuomilehto; J Luchsinger Journal: J Nutr Health Aging Date: 2016-02 Impact factor: 4.075
Authors: Prashanthi Vemuri; David S Knopman; Timothy G Lesnick; Scott A Przybelski; Michelle M Mielke; Jonathan Graff-Radford; Melissa E Murray; Rosebud O Roberts; Maria Vassilaki; Val J Lowe; Mary M Machulda; David T Jones; Ronald C Petersen; Clifford R Jack Journal: JAMA Neurol Date: 2017-06-01 Impact factor: 18.302
Authors: Vjera A Holthoff; Kira Marschner; Maria Scharf; Julius Steding; Shirin Meyer; Rainer Koch; Markus Donix Journal: PLoS One Date: 2015-04-17 Impact factor: 3.240