'Camminando e Leggendo ... Ricordo' (Walking and Reading ... I Remember): Prevention of Frailty Through the Promotion of Physical Activity and Reading in People with Mild Cognitive Impairment. Results from the TREDEM Registry
| Autor: | Mauro Ramigni, Anna Paola Mazzarolo, Cinzia Piovesan, Maurizio Gallucci, Emanuele Marzetti, Manuela Mazzetto, Lucia Focella |
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| Rok vydání: | 2020 |
| Předmět: |
Male
Gerontology Institutionalisation Frail Elderly media_common.quotation_subject Physical activity Vulnerability Walking multi-domain intervention TREDEM registry Promotion (rank) Reading (process) Humans Medicine Cognitive Dysfunction Registries Cognitive impairment Exercise Aged media_common Aged 80 and over neuroimaging Cognitive frailty Frailty business.industry General Neuroscience Settore MED/09 - MEDICINA INTERNA Stressor General Medicine Cognitive training Psychiatry and Mental health Clinical Psychology Italy Reading community Female Geriatrics and Gerontology business Follow-Up Studies |
| Zdroj: | Journal of Alzheimer's Disease. 77:689-699 |
| ISSN: | 1875-8908 1387-2877 |
| DOI: | 10.3233/jad-200542 |
| Popis: | Background: Frailty is a condition of increased vulnerability to exogenous and endogenous stressors, which is correlated with aging, functional decline, institutionalization, hospitalization, and mortality. Given the multifaceted nature of frailty, programs aimed at its prevention are recommended to act on multiple domains. Objective: The present intervention program aimed at assessing the effects of combined physical and cognitive training in older people with mild cognitive impairment (MCI) and at investigating how their frailty status changed over one year of follow-up. Methods: Two-hundred and seven participants were recruited among outpatients of the Cognitive Impairment Center who agreed to receive a comprehensive assessment. Forty-six participants, who joined a structured program of physical activity and group readings for a period of one year, were defined as active. The remaining 161, who decided not to engage in those activities, were considered controls. In both groups, frailty status was assessed at baseline and over one year of follow-up. Results: Control participants showed twice the risk of becoming frail at 12 months compared with those in the active group. Participants in the active group had more than three times the probability of improving their frailty status compared with the control group from T0 to T12. Age and NPI scores were significantly associated with worsening frailty status. When analyses were restricted to participants who were robust at baseline, the frailty status varied significantly between groups over time. Conclusion: Findings of the present study confirm the beneficial effects of physical activity and reading to prevent frailty in older people with MCI. |
| Databáze: | OpenAIRE |
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