正念和健康自我管理干预对主观认知能力下降的老年人的正念、自我同情和体育活动的影响:SCD-Well随机对照试验的二次分析。

IF 4 Q1 CLINICAL NEUROLOGY Alzheimer''s and Dementia: Diagnosis, Assessment and Disease Monitoring Pub Date : 2024-03-04 eCollection Date: 2024-01-01 DOI:10.1002/dad2.12558
Ylenia D'elia, Tim Whitfield, Marco Schlosser, Antoine Lutz, Thorsten Barnhofer, Gaël Chételat, Natalie L Marchant, Julie Gonneaud, Olga Klimecki
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引用次数: 0

摘要

简介主观认知能力下降(SCD)的老年人患痴呆症的风险较高。通过行为干预来降低这种风险对 SCD 来说至关重要,因为行为干预可以增加情感幸福感(正念和同情心)和体育锻炼:SCD-Well 是一项多中心、观察者盲法、随机对照、优越性试验。从欧洲四个地方的记忆诊所招募了 347 名参与者(平均年龄[标准差]:72.7 [6.9]岁;64.6% 为女性),以评估为期 8 周的关爱老年人正念方法(CMBAS)和健康自我管理计划(HSMP)对正念、自我同情和体育锻炼的影响:CMBAS显示,从基线到干预后,组内自我同情明显增加,到随访(24周)时,组内和组间自我同情均有增加。HSMP显示,从基线到干预后再到随访,体育锻炼在组内和组间都有明显增加:讨论:非药物干预可以不同程度地促进与 SCD 老年人健康老龄化相关的可调节因素。
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Impact of mindfulness-based and health self-management interventions on mindfulness, self-compassion, and physical activity in older adults with subjective cognitive decline: A secondary analysis of the SCD-Well randomized controlled trial.

Introduction: Older adults experiencing subjective cognitive decline (SCD) have a higher risk of dementia. Reducing this risk through behavioral interventions, which can increase emotional well-being (mindfulness and compassion) and physical activity, is crucial in SCD.

Methods: SCD-Well is a multicenter, observer-blind, randomized, controlled, superiority trial. Three hundred forty-seven participants (mean [standard deviation] age: 72.7 [6.9] years; 64.6% women) were recruited from memory clinics in four European sites to assess the impact of an 8-week caring mindfulness-based approach for seniors (CMBAS) and a health self-management program (HSMP) on mindfulness, self-compassion, and physical activity.

Results: CMBAS showed a significant within-group increase in self-compassion from baseline to post-intervention and both a within- and between-group increase to follow-up visit (24 weeks). HSMP showed a significant within- and between-group increase in physical activity from baseline to post-intervention and to follow-up visit.

Discussion: Non-pharmacological interventions can differentially promote modifiable factors linked to healthy aging in older adults with SCD.

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来源期刊
CiteScore
7.80
自引率
7.50%
发文量
101
审稿时长
8 weeks
期刊介绍: Alzheimer''s & Dementia: Diagnosis, Assessment & Disease Monitoring (DADM) is an open access, peer-reviewed, journal from the Alzheimer''s Association® that will publish new research that reports the discovery, development and validation of instruments, technologies, algorithms, and innovative processes. Papers will cover a range of topics interested in the early and accurate detection of individuals with memory complaints and/or among asymptomatic individuals at elevated risk for various forms of memory disorders. The expectation for published papers will be to translate fundamental knowledge about the neurobiology of the disease into practical reports that describe both the conceptual and methodological aspects of the submitted scientific inquiry. Published topics will explore the development of biomarkers, surrogate markers, and conceptual/methodological challenges. Publication priority will be given to papers that 1) describe putative surrogate markers that accurately track disease progression, 2) biomarkers that fulfill international regulatory requirements, 3) reports from large, well-characterized population-based cohorts that comprise the heterogeneity and diversity of asymptomatic individuals and 4) algorithmic development that considers multi-marker arrays (e.g., integrated-omics, genetics, biofluids, imaging, etc.) and advanced computational analytics and technologies.
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