2021
DOI: 10.14283/jpad.2021.53
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The Effect of Multidomain Interventions on Global Cognition, Symptoms of Depression and Apathy – A Pooled Analysis of Two Randomized Controlled Trials

Abstract: BACKGROUND: Cardiovascular risk factors and lifestyle factors are associated with an increased risk of cognitive decline and dementia in observational studies, and have been targeted by multidomain interventions. Objectives: We pooled individual participant data from two multi-domain intervention trials on cognitive function and symptoms of depression to increase power and facilitate subgroup analyses. Design: Pooled analysis of individual participant data. Setting: Prevention of Dementia by Intensive Vascular… Show more

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Cited by 6 publications
(6 citation statements)
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“…Importantly, this study highlights barriers that hinder the uptake of multidomain interventions: lack of knowledge about potential benefits, lack of support networks, and (perceived) financial costs, which were particularly hindering participation of those with higher dementia risk. This stands in contrast to findings from a pooled analysis of MAPT and preDIV data, that, despite not providing conclusive evidence that multidomain interventions reduce risk of cognitive decline, suggested these interventions may be more effective in those with lower cognitive functioning [35].…”
Section: Barriers Facilitators and Adherence To Multidomain Intervent...contrasting
confidence: 99%
“…Importantly, this study highlights barriers that hinder the uptake of multidomain interventions: lack of knowledge about potential benefits, lack of support networks, and (perceived) financial costs, which were particularly hindering participation of those with higher dementia risk. This stands in contrast to findings from a pooled analysis of MAPT and preDIV data, that, despite not providing conclusive evidence that multidomain interventions reduce risk of cognitive decline, suggested these interventions may be more effective in those with lower cognitive functioning [35].…”
Section: Barriers Facilitators and Adherence To Multidomain Intervent...contrasting
confidence: 99%
“…A pooled analysis of 2 multidomain intervention trials focused on cardiovascular and lifestyle strategies (MAPT and PreDIVA; N=4162 participants; median age, 74 years) found no significant overall association between multidomain prevention and cognitive decline. 166 Cognitive benefits were observed among participants with lower baseline cognitive function (MMSE score <26; n=250; mean difference in change, 0.84 [95% CI, 0.15–1.54]; P <0.001]).…”
Section: Brain Healthmentioning
confidence: 98%
“…A pooled analysis of 2 multidomain intervention trials focused on cardiovascular and lifestyle strategies (MAPT and PreDIVA; N=4162 participants; median age, 74 years) found no significant overall association between multidomain prevention and cognitive decline. 205 Cognitive benefits were observed among participants with lower baseline cognitive function (MMSE score <26; n=250; mean difference in change, 0.84 [95% CI, 0.15–1.54]; P <0.001]).…”
Section: Brain Healthmentioning
confidence: 98%