Multidomain lifestyle interventions for the prevention of cognitive decline after ischemic stroke randomized trial

Stroke

Volumn 46, Issue 10, 2015, Pages 2874-2880

  Matz, Karl ^a,b   Teuschl, Yvonne ^a   Firlinger, Bernadette ^a   Dachenhausen, Alexandra ^a   Keindl, Magdalena ^a   Seyfang, Leonhard ^a   Tuomilehto, Jaakko ^a,c,d   Brainin, Michael ^a,b,e  

^a DANUBE UNIVERSITY KREMS   (Austria)

^b General Hospital Tulln   (Austria)

^c NATIONAL PUBLIC HEALTH INSTITUTE   (Finland)

^d KING ABDULAZIZ UNIVERSITY   (Saudi Arabia)

^e Universitätsklinikum Tulln Karl Landsteiner Privatuniversität für Gesundheitswissenschaften   (Austria)

Author keywords

Cognition; Dementia, vascular; Life style; Prevention and control; Stroke

Indexed keywords

ADULT; AGED; ALZHEIMER DISEASE ASSESSMENT SCALE; ARTICLE; BODY MASS; BRAIN ISCHEMIA; CLINICAL EFFECTIVENESS; COGNITIVE DEFECT; CONTROLLED STUDY; EXECUTIVE FUNCTION; HEART INFARCTION; HUMAN; INFORMATION PROCESSING; INTENTION TO TREAT ANALYSIS; LIFESTYLE MODIFICATION; MAJOR CLINICAL STUDY; MEDICATION COMPLIANCE; MULTIDOMAIN LIFESTYLE INTERVENTION; OUTCOME ASSESSMENT; PHYSICAL ACTIVITY; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; RECURRENT DISEASE; SINGLE BLIND PROCEDURE; SPATIAL MEMORY; STANDARD; TRANSIENT ISCHEMIC ATTACK; VISUAL MEMORY; WORKING MEMORY; AUSTRIA; CLINICAL TRIAL; COGNITION; COGNITION DISORDERS; COMPLICATION; DIABETES MELLITUS; DYSLIPIDEMIAS; FEEDING BEHAVIOR; FEMALE; HYPERTENSION; MALE; MIDDLE AGED; MOTOR ACTIVITY; MULTICENTER STUDY; NEUROPSYCHOLOGICAL TEST; OBESITY; PROCEDURES; RISK REDUCTION; SECONDARY PREVENTION; SMOKING CESSATION; STROKE; VERY ELDERLY; WEIGHT REDUCTION;

ADULT; AGED; AGED, 80 AND OVER; AUSTRIA; COGNITION; COGNITION DISORDERS; DIABETES MELLITUS; DYSLIPIDEMIAS; FEMALE; FOOD HABITS; HUMANS; HYPERTENSION; MALE; MEDICATION ADHERENCE; MIDDLE AGED; MOTOR ACTIVITY; NEUROPSYCHOLOGICAL TESTS; OBESITY; RISK REDUCTION BEHAVIOR; SECONDARY PREVENTION; SINGLE-BLIND METHOD; SMOKING CESSATION; STROKE; WEIGHT LOSS;

EID: 84942945575     PISSN: 00392499     EISSN: 15244628     Source Type: Journal    
DOI: 10.1161/STROKEAHA.115.009992     Document Type: Article

References (18)

1. Olesen J, Gustavsson A, Svensson M, Wittchen HU, Jönsson B, et al; CDBE2010 Study group. The economic cost of brain disorders in Europe. Eur J Neurol 2012;19:155-162.
2. Pendlebury ST, Rothwell PM. Prevalence, incidence, and factors associated with pre-stroke and post-stroke dementia: a systematic review and meta-analysis. Lancet Neurol. 2009;8:1006-1018. doi: 10.1016/S1474-4422(09)70236-4.
3. Ballard C, Rowan E, Stephens S, Kalaria R, Kenny RA. Prospective follow-up study between 3 and 15 months after stroke: improvements and decline in cognitive function among dementia-free stroke survivors >75 years of age. Stroke. 2003;34:2440-2444. doi: 10.1161/01. STR.0000089923.29724.CE.
4. Brainin M, Tuomilehto J, Heiss WD, Bornstein NM, Bath PM, Teuschl Y, et al; Post Stroke Cognition Study Group. Post-stroke cognitive decline: an update and perspectives for clinical research. Eur J Neurol. 2015;22:229-238. doi: 10.1111/ene.12626.
5. Dichgans M, Zietemann V. Prevention of vascular cognitive impairment. Stroke. 2012;43:3137-3146. doi: 10.1161/STROKEAHA.112.651778.
6. Ankolekar S, Geeganage C, Anderton P, Hogg C, Bath PM. Clinical trials for preventing post stroke cognitive impairment. J Neurol Sci. 2010;299:168-174. doi: 10.1016/j.jns.2010.08.052.
7. Sahathevan R, Brodtmann A, Donnan GA. Dementia, stroke, and vascular risk factors; a review. Int J Stroke. 2012;7:61-73. doi: 10.1111/j.1747-4949.2011.00731.x.
8. Kivipelto M, Ngandu T, Fratiglioni L, Viitanen M, Kåreholt I, Winblad B, et al. Obesity and vascular risk factors at midlife and the risk of dementia and Alzheimer disease. Arch Neurol. 2005;62:1556-1560. doi: 10.1001/archneur.62.10.1556.
9. Eskelinen MH, Ngandu T, Tuomilehto J, Soininen H, Kivipelto M. Midlife healthy-diet index and late-life dementia and Alzheimer's disease. Dement Geriatr Cogn Dis Extra. 2011;1:103-112. doi: 10.1159/000327518.
10. Beydoun MA, Beydoun HA, Gamaldo AA, Teel A, Zonderman AB, Wang Y. Epidemiologic studies of modifable factors associated with cognition and dementia: systematic review and meta-analysis. BMC Public Health. 2014;14:643. doi: 10.1186/1471-2458-14-643.
11. Ngandu T, Lehtisalo J, Solomon A, Levälahti E, Ahtiluoto S, Antikainen R, et al. A 2 year multidomain intervention of diet, exercise, cognitive training, and vascular risk monitoring versus control to prevent cognitive decline in at-risk elderly people (FINGER): a randomised controlled trial. Lancet. 2015;385:2255-2263. doi: 10.1016/S0140-6736(15)60461-5.
12. Lawrence M, Kerr S, McVey C, Godwin J. The effectiveness of secondary prevention lifestyle interventions designed to change lifestyle behavior following stroke: summary of a systematic review. Int J Stroke. 2012;7:243-247. doi: 10.1111/j.1747-4949.2012.00771.x.
13. Teuschl Y, Matz K, Brainin M. Prevention of post-stroke cognitive decline: a review focusing on lifestyle interventions. Eur J Neurol. 2013;20:35-49. doi: 10.1111/j.1468-1331.2012.03757.x.
14. Brainin M, Matz K, Nemec M, Teuschl Y, Dachenhausen A, Asenbaum-Nan S, et al; ASPIS Study Group. Prevention of poststroke cognitive decline: ASPIS-a multicenter, randomized, observer-blind, parallel group clinical trial to evaluate multiple lifestyle interventions-study design and baseline characteristics. Int J Stroke 2015;10:627-635. doi: 10.1111/ijs.12188.
15. European Stroke Organisation (ESO) Executive Committee, ESO Writing Committee. Guidelines for management of ischaemic stroke and transient ischaemic attack 2008. Cerebrovasc Dis. 2008;25:457-507.
16. R Development Core Team. A Language and Environment for Statistical Computing. Vienna, Austria: R Foundation for Statistical Computing; 2012. http://cran.r-project.org/Accessed May 6, 2015.
17. Ihle-Hansen H, Thommessen B, Fagerland MW, Øksengård AR, Wyller TB, Engedal K, et al. Multifactorial vascular risk factor intervention to prevent cognitive impairment after stroke and TIA: a 12-month randomized controlled trial. Int J Stroke. 2014;9:932-938. doi: 10.1111/j.1747-4949.2012.00928.x.
18. Forette F, Seux ML, Staessen JA, Thijs L, Babarskiene MR, Babeanu S, et al; Systolic Hypertension in Europe Investigators. The prevention of dementia with antihypertensive treatment: new evidence from the Systolic Hypertension in Europe (Syst-Eur) study. Arch Intern Med. 2002;162:2046-2052.