The Japan-Multimodal Intervention Trial for Prevention of Dementia (J-MINT): The Study Protocol for an 18-Month, Multicenter, Randomized, Controlled Trial
| العنوان: | The Japan-Multimodal Intervention Trial for Prevention of Dementia (J-MINT): The Study Protocol for an 18-Month, Multicenter, Randomized, Controlled Trial |
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| المؤلفون: | T. Sugimoto, T. Sakurai, H. Akatsu, T. Doi, Y. Fujiwara, A. Hirakawa, F. Kinoshita, M. Kuzuya, S. Lee, K. Matsuo, M. Michikawa, S. Ogawa, R. Otsuka, K. Sato, H. Shimada, H. Suzuki, H. Takechi, S. Takeda, H. Umegaki, S. Wakayama, H. Arai |
| المصدر: | The Journal of Prevention of Alzheimer's Disease |
| بيانات النشر: | Springer International Publishing, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Activities of daily living, Psychological intervention, Cognitive decline, Neuropsychological Tests, Prevention of dementia, law.invention, multidomain intervention, cognitive training, Cognition, Japan, Randomized controlled trial, Risk Factors, law, physical exercise, Activities of Daily Living, medicine, Humans, Dementia, Cognitive Dysfunction, Exercise, Geriatric Assessment, Aged, Original Research, Aged, 80 and over, medicine.diagnostic_test, business.industry, Neuropsychological test, medicine.disease, Cognitive training, Nutrition Assessment, nutrition, Physical therapy, Female, business |
| الوصف: | Background/Objectives The Japan-multimodal intervention trial for prevention of dementia (J-MINT) is intended to verify the effectiveness of multi-domain interventions and to clarify the mechanism of cognitive improvement and deterioration by carrying out assessment of dementia-related biomarkers, omics analysis and brain imaging analysis among older adults at high risk of dementia. Moreover, the J-MINT trial collaborates with partnering private enterprises in the implementation of relevant interventional measures. This manuscript describes the study protocol. Design/Setting Eighteen-month, multi-centered, randomized controlled trial. Participants We plan to recruit 500 older adults aged 65–85 years with mild cognitive impairment. Subjects will be centrally randomized into intervention and control groups at a 1:1 allocation ratio using the dynamic allocation method with all subjects stratified by age, sex, and cognition. Intervention The multi-domain intervention program includes: (1) management of vascular risk factors; (2) group-based physical exercise and self-monitoring of physical activity; (3) nutritional counseling; and (4) cognitive training. Health-related information will be provided to the control group every two months. Measurements The primary and secondary outcomes will be assessed at baseline, 6-, 12-, and 18-month follow-up. The primary outcome is the change from baseline to 18 months in a global composite score combining several neuropsychological domains. Secondary outcomes include: cognitive change in each neuropsychological test, incident dementia, changes in blood and dementia-related biomarkers, changes in geriatric assessment including activities of daily living, frailty status and neuroimaging, and number of medications taken. Conclusions This trial that enlist the support of private enterprises will lead to the creation of new services for dementia prevention as well as to verify the effectiveness of multi-domain interventions for dementia prevention. Electronic Supplementary Material Supplementary material is available for this article at 10.14283/jpad.2021.29 and is accessible for authorized users. |
| اللغة: | English |
| تدمد: | 2426-0266 2274-5807 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::fc7685fcb861fdb4d32ec3988fd655f9 http://europepmc.org/articles/PMC8187136 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....fc7685fcb861fdb4d32ec3988fd655f9 |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 24260266 22745807 |
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