TY  - JOUR
PY  - 2020//
TI  - Efficacy of lifestyle and psychosocial interventions in reducing cognitive decline in older people: systematic review
JO  - Ageing research reviews
A1  - Whitty, Emma
A1  - Mansour, Hassan
A1  - Aguirre, Elisa
A1  - Palomo, Marina
A1  - Charlesworth, Georgina
A1  - Ramjee, Serena
A1  - Poppe, Michaela
A1  - Brodaty, Henry
A1  - Kales, Helen C.
A1  - Morgan-Trimmer, Sarah
A1  - Nyman, Samuel
A1  - Lang, Iain
A1  - Walters, Kate
A1  - Petersen, Irene
A1  - Wenborn, Jennifer
A1  - Minihane, Anne-Marie
A1  - Ritchie, Karen
A1  - Huntley, Jonathan
A1  - Walker, Zuzana
A1  - Cooper, Claudia
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - It is unclear what non-pharmacological interventions to prevent cognitive decline should comprise. We systematically reviewed lifestyle and psychosocial interventions that aimed to reduce cognitive decline in healthy people aged 50+, and people of any age with Subjective Cognitive Decline or Mild Cognitive Impairment. We narratively synthesised evidence, prioritising results from studies rated as at lower Risk of Bias (ROB) and assigning Centre for Evidence Based Medicine grades. We included 64 papers, describing: psychosocial (n = 12), multi-domain (n = 10), exercise (n = 36), and dietary (n = 6) interventions. We found Grade A evidence that over 4+ months: aerobic exercise twice weekly had a moderate effect on global cognition in people with/ without MCI; and interventions that integrate cognitive and motor challenges (e.g. dance, dumb bell training) had small to moderate effects on memory or global cognition in people with MCI. We found Grade B evidence that 4+ months of creative art or story-telling groups in people with MCI; 6 months of resistance training in people with MCI and a two-year, dietary, exercise, cognitive training and social intervention in people with or without MCI had small, positive effects on global cognition. Effects for some intervention remained up to a year beyond facilitated sessions.<p />  <p>Language: en</p>
LA  - en
SN  - 1568-1637
UR  - http://dx.doi.org/10.1016/j.arr.2020.101113
ID  - ref1
ER  -