Efficacy of comprehensive cognitive health management for Shanghai community older adults with mild cognitive impairment

作     者：Jiayuan Qiu Lu Zhao Shifu Xiao Shaowei Zhang Ling Li Jing Nie Li Bai Shixing Qian Yang Yang Michael Phillips Meiqing Sheng Yuan Fang Xia Li Jiayuan Qiu;Lu Zhao;Shifu Xiao;Shaowei Zhang;Ling Li;Jing Nie;Li Bai;Shixing Qian;Yang Yang;Michael R Phillips;Meiqing Sheng;Yuan Fang;Xia Li

作者机构：Department of Geriatric PsychiatryShanghai Mental Health CenterShanghai Jiao Tong University School of MedicineShanghaiChina Shanghai I-Zhaohu Senior Care ServicesShanghaiChina 

出 版 物：《General Psychiatry》 (综合精神医学（英文）)

年 卷 期：2022年第35卷第4期

页      面：240-248页

核心收录：

学科分类：1002[医学-临床医学] 100205[医学-精神病与精神卫生学] 10[医学] 

基　　金：funded by Fifth Three-year Action Plans for Public Health(grant number:GWV-9.2) Youth Scientific Research Project of Shanghai Municipal Commission of Health and Family Planning(grant number:20184Y0298) Project of advanced and appropriate technology from Shanghai Municipal Health Commission(grant number:2019SY045) National Key R&D Program of China(grant number:2017YFC1310501) 

主　　题：impairment comprehensive management 

摘      要：Background The management of modifiable risk factors and comorbidities may impact the future trajectory of cognitive impairment,but easy-to-implement management methods are *** This study investigated the effects of simple but comprehensive cognitive health management practices on the cognitive function of older adults in the community with normal cognition(NC)and mild cognitive impairment(MCI).Methods The comprehensive cognitive health management programme included a psychiatric assessment of the cognitive risk factors for those in the intervention groups and individualised recommendations for reducing the risks through self-management supported by regular medical professional *** intervention groups for this study included 84 elderly participants with NC and 43 elderly participants with MCI who received comprehensive cognitive health *** control groups included 84 elderly participants with NC and 43 elderly participants with MCI who matched the intervention group’s general characteristics and scale scores using the propensity matching score *** Montreal Cognitive Assessment(MoCA)scale and Geriatric Depression Scale(GDS)scores were compared after a 1-year *** For older adults with MCI in the intervention group,MoCA scores were higher at the 1-year followup than at baseline(24.07(3.674)vs 22.21(3.052),p=0.002).For the MoCA subscales,the intervention group’s abstract and delayed memory scores had significantly increased during the 1-year ***,in a generalised linear mixed model analysis,the interaction effect of group×follow-up was statistically significant for the MCI group(F=6.61,p=0.011;coefficients=5.83).Conclusions After the comprehensive cognitive health management intervention,the older adults with MCI in the community showed improvement at the 1-year *** preliminary study was the first to demonstrate an easy-to-implement strategy for modifying the cognitive risk factors of elderl