Ortega-Díaz DI, Orozco-Barajas M, Sánchez-González VJ

Language: Spanish
References: 16
Page: 26-31
PDF size: 232.86 Kb.

ABSTRACT

Objectives: The aim of this study was to measure the effects of a cognitive training program (CTP) over the cognitive status, depression and functional dependence among older adults from Los Altos, Jalisco. Methods: This was a randomized clinical assay, with a control and experimental group. Cluster sampling at regional nursing homes was employed. A 16-weeks cognitive training program was administered. Aft er clinical history, a Geriatric Depression Scale (GDS), Lawton & Brody, Barthel Scale, and Mini Mental State Examination (MMSE) were applied pre and post-intervention. Results: 102 out of 143 fellows from nursing homes were included. The mean age was 76,5 YO. After CTP, the experimental group improved its MMSE score by 6% (22.6 ± 4.88 vs. 23.9 ± 4.08). The depression score among experimental group decreased 31% (p‹ 0.05) (5.54 ± 3.31 vs. 3.82 ± 2.7). No effects on functional dependence were observed. No further statistically significant changes in the control group were obtained. Conclusions: Cognitive training proved beneficious in diminishing depression scores and improving them in a cognition test, however, no effect was observed on the functional dependence. CT could be a great strategy for attenuating cognitive impairment-dementia (DI/D) and minimizing depression.

REFERENCES

1. Mosconi L, Perani D, Sorbi S, Herholz K, Nacmias B, Volthoff V, et al. MCI conversion to dementia and the APOE genotype. Neurology 2004; 63, 2333-40.

2. Yamaguchi T, Foloppe DA, Emmanuelle-Richard PR, Allain PA. Dual-modal virtual reality kitchen for (re) learning of everyday cooking activitues in Alzheimer’s disease. Presence. 2012; 21(1), 43-57.

3. Centro Nacional de Excelencia Tecnológica en Salud. Guía de práctica clínica para el Diagnóstico y tratamiento de la demencia tipo Alzheimer. Secretaría de Salud, México. 2010; 7-10.

4. Custodio N, Herrera E, Lira D, Montesinos R, Linares J, Bendezú L. Deterioro cognitivo leve: ¿Dónde termina el envejecimiento normal y empieza la demencia? An. Fac. Med, 2012; 73(4), 321- 20.

5. Aguilar-Navarro SG, Mimenza-Alvarado AJ, Ávila-Funes JA, Juárez-Cedillo T, López-Bernal C, Hernández-Favela CG. Clinical and demographic predictors of conversion to dementia in mexican elderly with mild cognitive impairment. Rev Invest Clin. 2017; 69(1), 33-39

6. Petersen R, Stevens, J, Ganguli, M, Tangalos E, Cummings J, DeKosky S. Practice parameter: early detection of dementia: Mild cognitive impairment (an evidence-based review). Report of the Quality Standars Subcommittee of the American Academy of Neurology. Neurology, 2001; 56, 1133-42.

7. American Psychiatric Association. Manual Diagnóstico y Estadístico de los Trastornos Mentales. DSM-5. Editorial Panamericana. 2015;591-645.

8. Dieuleveult AL, Siemonsma PC, Van-Erp JBF, Brouwer AM. Eff ects of Aging in Multisensory Integration: A Systematic Review. Front. Aging Neurosci. 2017; 9, 80.

9. Organización Panamericana de la Salud. Demencia: Una prioridad de salud pública. Washington, DC. 2013.

10. Segura-Cardona A, Garzón-Duque M, Cardona-Arango D, Segura-Cardona A. Riesgo de deterioro cognitivo en personas mayors de las subregiones de Antioquía, Colombia. R. bras. Est. Pop. 2016; 33(3), 613-28.

11. Whitmer RA, Sydney S, Selby J, Claiborne-Johnston S, Yaff e K. Midlife cardiovascular risk factors and risk of dementia in late life. Neurology. 2005; 64, 277-281.

12. Colombe S, Kramer AF. Fitness eff ects on the cognitive function of older adults: a meta-analytic study. Psychol Sci. 2003; 14(2),125-130.

13. Haesner M., O’Sullivan JL, Gövercin M, Steinhagen-Th iessen E. Requirements of older adults for a daily use of an internet-based cognitive training platform. Inform Health Soc Care. 2015; 40 (2), 139-153.

14. Gottlieb S. Mental activity may help prevent dementia. BMJ. 2003; 326 (7404), 1418.

15. Th ompson G, Foth D. Cognitive-training programs for older adults: what are they and can they enhance mental fi tness? Educational Gerontology (2005); 31, 603-26.

16. Garamendi-Araujo F, Delgado-Ruiz DA, Amaya-Alemán MA. Programa de entrenamiento cognitivo en adultos mayores. Revista Mexicana de Medicina Física y Rehabilitación. 2010; 22: 26-31