Preserving cognition, quality of life, physical health and functional ability in Alzheimer's disease: the effect of physical exercise (ADEX trial): rationale and design.

Abstract:

BACKGROUND:Exercise is hypothesized to improve cognition, physical performance, functional ability and quality of life, but evidence is scarce. Previous studies were of short duration, often underpowered and involving home-based light exercise programs in patients with undefined dementia. The aim of the ADEX ('Preserving Cognition, Quality of Life, Physical Health and Functional Ability in Alzheimer's Disease: the Effect of Physical Exercise') trial is to establish whether aerobic exercise is effective in improving cognition as well as in reducing the prevalence of psychiatric symptoms among patients with Alzheimer's disease (AD). METHODS:The ADEX study is a multicenter, single-blind, randomized trial with two arms: an intervention group attending 16 weeks of continuously supervised moderate-to-high intensity aerobic exercise and a control group receiving usual care. We plan to recruit 192 patients with mild AD. The primary outcome measure is change from baseline in cognitive performance at 16 weeks (as measured by the Symbol Digit Modalities test). CONCLUSIONS:To our knowledge this is the first large-scale controlled study to investigate the effects of supervised moderate aerobic exercise on cognition in patients with AD. Recruitment began in January 2012 and results are expected to be available in 2014. We summarize the methodological challenges we and other studies have faced in this type of complex multicenter intervention with unique challenges to study design.

journal_name

Neuroepidemiology

journal_title

Neuroepidemiology

authors

Hoffmann K,Frederiksen KS,Sobol NA,Beyer N,Vogel A,Simonsen AH,Johannsen P,Lolk A,Terkelsen O,Cotman CW,Hasselbalch SG,Waldemar G

doi

10.1159/000354632

subject

Has Abstract

pub_date

2013-01-01 00:00:00

pages

198-207

issue

3-4

eissn

0251-5350

issn

1423-0208

pii

000354632

journal_volume

41

pub_type

杂志文章,多中心研究,随机对照试验
  • Parkinson's and Alzheimer's diseases: epidemiological comparison. 2. Persons at risk.

    abstract::Parkinson's and Alzheimer's diseases are age-related degenerative disorders that share common clinical, pathological and biochemical features. Epidemiological studies demonstrate a similar distribution of the disease in place and time. Causes of death and populations at higher risk are similar. These findings suggest ...

    journal_title:Neuroepidemiology

    pub_type: 杂志文章,评审

    doi:10.1159/000110337

    authors: Treves TA,Chandra V,Korczyn AD

    更新日期:1993-01-01 00:00:00

  • Assessment of cerebrovascular risk profiles in healthy persons: definition of research goals and the Austrian Stroke Prevention Study (ASPS).

    abstract::The advent of new laboratory methods and noninvasive imaging modalities has extended the diagnostic possibilities in normal individuals. This article elaborates the new options for the assessment of stroke risk offered by these techniques. In this context we present the Austrian Stroke Prevention Study, which is the f...

    journal_title:Neuroepidemiology

    pub_type: 杂志文章

    doi:10.1159/000110396

    authors: Schmidt R,Lechner H,Fazekas F,Niederkorn K,Reinhart B,Grieshofer P,Horner S,Offenbacher H,Koch M,Eber B

    更新日期:1994-01-01 00:00:00

  • Nutritional factors in cerebral aging and dementia: epidemiological arguments for a role of oxidative stress.

    abstract::There is increasing evidence that oxidative stress is involved in cerebral aging and dementia. The objective of this review is to give a progress report on the more recent results of the various epidemiologic cohorts studied for the association between nutrition of older people, the evolution of cognitive performances...

    journal_title:Neuroepidemiology

    pub_type: 杂志文章,评审

    doi:10.1159/000054752

    authors: Deschamps V,Barberger-Gateau P,Peuchant E,Orgogozo JM

    更新日期:2001-02-01 00:00:00

  • Characteristics and Long-Term Outcome of Neurosarcoidosis: A Population-Based Study from 1976-2013.

    abstract:BACKGROUND/AIMS:Neurosarcoidosis is a rare condition with serious health consequences. However, little is known about clinical characteristics and outcome of neurosarcoidosis in the community setting. METHODS:Patients with neurosarcoidosis were identified from a previously described cohort of patients with incident sa...

    journal_title:Neuroepidemiology

    pub_type: 杂志文章

    doi:10.1159/000477300

    authors: Ungprasert P,Crowson CS,Matteson EL

    更新日期:2017-01-01 00:00:00

  • A case-control study on the environmental risk factors of Parkinson's disease in Tianjin, China.

    abstract::Using a case-control method, we studied the role of environmental risk factors and viral infection in the development of Parkinson's disease (PD) in China. Ninety-three PD patients and 186 controls were investigated with a questionnaire and from most of them, blood was taken to test the antibody levels of four virus (...

    journal_title:Neuroepidemiology

    pub_type: 杂志文章

    doi:10.1159/000110319

    authors: Wang WZ,Fang XH,Cheng XM,Jiang DH,Lin ZJ

    更新日期:1993-01-01 00:00:00

  • The global epidemiology of hereditary ataxia and spastic paraplegia: a systematic review of prevalence studies.

    abstract:BACKGROUND:Hereditary cerebellar ataxias (HCA) and hereditary spastic paraplegias (HSP) are two groups of neurodegenerative disorders that usually present with progressive gait impairment, often leading to permanent disability. Advances in genetic research in the last decades have improved their diagnosis and brought n...

    journal_title:Neuroepidemiology

    pub_type: 杂志文章,meta分析,评审

    doi:10.1159/000358801

    authors: Ruano L,Melo C,Silva MC,Coutinho P

    更新日期:2014-01-01 00:00:00

  • Spatial Assessment of the Association between Long-Term Exposure to Environmental Factors and the Occurrence of Amyotrophic Lateral Sclerosis in Catalonia, Spain: A Population-Based Nested Case-Control Study.

    abstract:BACKGROUND:It is believed that an interaction between genetic and non-genetic factors may be involved in the development of amyotrophic lateral sclerosis (ALS). With the exception of exposure to agricultural chemicals like pesticides, evidence of an association between environmental risk factors and ALS is inconsistent...

    journal_title:Neuroepidemiology

    pub_type: 杂志文章

    doi:10.1159/000489664

    authors: Povedano M,Saez M,Martínez-Matos JA,Barceló MA

    更新日期:2018-01-01 00:00:00

  • National General Practice Study of Epilepsy and Epileptic Seizures: objectives and study methodology of the largest reported prospective cohort study of epilepsy. National General Practice Study of Epilepsy and Epileptic Seizures (NGPSE).

    abstract::Most available data on the prognosis of epileptic seizures come from hospital-based clinics in which patients with chronic or severe disease are over-represented. The National General Practice Study of Epilepsy and Epileptic Seizures is a large prospective community-based study of people with newly diagnosed seizures ...

    journal_title:Neuroepidemiology

    pub_type: 杂志文章

    doi:10.1159/000110186

    authors: Hart YM,Sander JW,Sharvon SD

    更新日期:1989-01-01 00:00:00

  • Homocysteine as a risk factor for ischemic stroke: an epidemiological story in evolution.

    abstract::Homocysteine is a metabolite of methionine that may be remethylated by enzymes requiring folate and cobalamin (vitamin B12) to again form methionine or catabolized by the pyridoxine (vitamin B6) dependent enzyme, cystathionine beta synthase (CBS) to form cysteine (fig. 1) [1]. Homocysteine exists as a combination of v...

    journal_title:Neuroepidemiology

    pub_type: 杂志文章,评审

    doi:10.1159/000026169

    authors: Sacco RL,Roberts JK,Jacobs BS

    更新日期:1998-01-01 00:00:00

  • Genetic analysis of late-onset diseases using first-degree relatives.

    abstract::We consider the problem of testing that a disease with variable age at onset is an autosomal dominant or recessive genetic trait. Specific reference is made to Alzheimer's disease and recent publications proposing an autosomal dominant inheritance pattern. The pedigree structure allowed is restricted to first-degree r...

    journal_title:Neuroepidemiology

    pub_type: 杂志文章

    doi:10.1159/000110139

    authors: Sobel E,Davanipour Z,Alter M

    更新日期:1988-01-01 00:00:00

  • Neuroepidemiologic research initiatives on Guam: past and present.

    abstract::Since the middle of this century, a remarkable concentration of cases of neurodegenerative disease(s), referred to as amyotrophic lateral sclerosis and Parkinson-dementia complex (ALS/PDC), has been recognized among Chamorro natives of Guam. Intense investigations over the last 4 decades have failed to determine the e...

    journal_title:Neuroepidemiology

    pub_type: 历史文章,杂志文章,评审

    doi:10.1159/000026223

    authors: Wiederholt WC

    更新日期:1999-01-01 00:00:00

  • Incidence of dementia in Melton Mowbray: a proposed study and its problems.

    abstract::This paper describes a proposed study to investigate the incidence of dementia in a population of over 75 year olds in Melton Mowbray, Leicestershire, England. The study population (n = 438) underwent a detailed psychiatric assessment using the Cambridge Examination for Mental Disorders of the Elderly (CAMDEX) as the ...

    journal_title:Neuroepidemiology

    pub_type: 杂志文章

    doi:10.1159/000110980

    authors: Jagger C,Clarke M,Anderson J

    更新日期:1992-01-01 00:00:00

  • Seasonal variation in incidence of pediatric medulloblastoma in the United States, 1995-2001.

    abstract:BACKGROUND/AIMS:Brain tumors are the second most common pediatric malignancy. The literature suggests that one of the most common subtypes of malignant childhood brain tumor, medulloblastoma, has some seasonal variation in incidence by month of birth. METHODS:Data from cases in the Central Brain Tumor Registry of the ...

    journal_title:Neuroepidemiology

    pub_type: 杂志文章

    doi:10.1159/000109502

    authors: Hoffman S,Schellinger KA,Propp JM,McCarthy BJ,Campbell RT,Davis FG

    更新日期:2007-01-01 00:00:00

  • Identifying patients with myasthenia for epidemiological research by linkage of automated registers.

    abstract:BACKGROUND:We validated a new method of identifying patients with incident myasthenia in automated Danish registers for the purpose of conducting epidemiological studies of the disorder. METHODS:For residents of a Danish county (population 484,862) in 1993-2008, we identified any hospital contacts coded for myasthenia...

    journal_title:Neuroepidemiology

    pub_type: 杂志文章

    doi:10.1159/000331481

    authors: Pedersen EG,Hallas J,Hansen K,Jensen PE,Gaist D

    更新日期:2011-01-01 00:00:00

  • Tracers for paralysis agitans in epidemiological research. IV. Trends in national drug policy and measurement of the prevalence of the disease in Sweden.

    abstract::This study is a time series analysis of the utilization of L-dopa derivatives (LDD) and bromocriptine by parkinsonism (PA) patients and of the age-specific PA prevalences estimated by using a previously reported model. The model combines information on LDD sales, infant mortality rates (IMR) and demographic data for S...

    journal_title:Neuroepidemiology

    pub_type: 杂志文章

    doi:10.1159/000110228

    authors: de Pedro J,Rosenqvist U

    更新日期:1985-01-01 00:00:00

  • Projected neurodegenerative disease mortality among minorities in the United States, 1990-2040.

    abstract::Between 1992 and 2040, the United States nonwhite elderly population is expected to grow from 3.3 to 14.1 million. In order to assess the implications of this increase on the mortality from neurodegenerative diseases in the United States, we used Census Bureau population estimates to formulate projections of the annua...

    journal_title:Neuroepidemiology

    pub_type: 杂志文章

    doi:10.1159/000110377

    authors: Lilienfeld DE,Perl DP

    更新日期:1994-01-01 00:00:00

  • Frequency of multiple sclerosis in Valle d'Aosta, 1971-1985.

    abstract::According to studies done before 1980, the multiple sclerosis (MS) prevalence rate in Italy ranged from 7.2 to 27.1 cases per 100,000 inhabitants. More recent work has consistently put the MS prevalence rate to over 30 cases per 100,000 inhabitants. If these recent data are confirmed in the future, Italy can no longer...

    journal_title:Neuroepidemiology

    pub_type: 杂志文章

    doi:10.1159/000110249

    authors: Sironi L,Mamoli A,D'Alessandro G,Camerlingo M,Bottacchi E

    更新日期:1991-01-01 00:00:00

  • Mortality trends of multiple sclerosis in Spain, 1951-1997: an age-period-cohort analysis.

    abstract::Trends of multiple sclerosis mortality in Spain from 1951 to 1997 are examined. Age-adjusted mortality strongly decreased from 3.08 per 100,000 women in 1951-1967 to 0.59 in 1968-1980 (similar figures were obtained for men). This decrease seems to be due to an artifact produced by changes in codification of causes of ...

    journal_title:Neuroepidemiology

    pub_type: 杂志文章

    doi:10.1159/000083000

    authors: Llorca J,Guerrero-Alonso P,Prieto-Salceda D

    更新日期:2005-01-01 00:00:00

  • Short Sitting Height and Low Relative Sitting Height Are Associated with Severe Cognitive Impairment among Older Women in an Urban Community in China.

    abstract:BACKGROUND:Anthropometric indexes are powerful indicators of the environment and the plasticity of the human body. This study aimed at exploring the anthropometric indexes that are associated with late-life cognition impairment among the elderly Chinese in the Shanghai Aging Study. METHODS:The height, weight, and sitt...

    journal_title:Neuroepidemiology

    pub_type: 杂志文章

    doi:10.1159/000439569

    authors: Liang X,Li X,Ding D,Zhao Q,Luo J,Guo Q,Hong Z

    更新日期:2015-01-01 00:00:00

  • Association between Hypertension and the Risk of Parkinson's Disease: A Meta-Analysis of Analytical Studies.

    abstract:BACKGROUND:The results of analytical studies show that the association between hypertension and the risk of Parkinson's disease (PD) remains controversial. METHOD:We searched studies related to the association between hypertension and the risk of PD. We pooled the ORs and risk ratios (RRs) with 95% confidence interval...

    journal_title:Neuroepidemiology

    pub_type: 杂志文章,meta分析

    doi:10.1159/000496977

    authors: Chen J,Zhang C,Wu Y,Zhang D

    更新日期:2019-01-01 00:00:00

  • Ambient air quality and occurrence of multiple sclerosis relapse.

    abstract::Infectious viruses and bacteria can trigger multiple sclerosis (MS) exacerbations. Seasonally changing concentrations of ambient air pollutants are known to predispose to transmissible infections, to induce systemic immune responses and to enhance existing peripheral inflammation. Ambient air quality and monthly MS re...

    journal_title:Neuroepidemiology

    pub_type: 杂志文章

    doi:10.1159/000067108

    authors: Oikonen M,Laaksonen M,Laippala P,Oksaranta O,Lilius EM,Lindgren S,Rantio-Lehtimäki A,Anttinen A,Koski K,Erälinna JP

    更新日期:2003-01-01 00:00:00

  • Changes in Mini-Mental State Exam in community-dwelling older persons over 6 years: relationship to health and neuropsychological measures.

    abstract::Although cognitive screening test scores change with advanced age, the significance of these changes (particularly decline in score) needs to be defined in terms of general health and neuropsychological functioning. Such analysis was undertaken in a subgroup of 287 healthy older men (mean age at baseline = 70.7 years)...

    journal_title:Neuroepidemiology

    pub_type: 杂志文章

    doi:10.1159/000067113

    authors: Eslinger PJ,Swan GE,Carmelli D

    更新日期:2003-01-01 00:00:00

  • Familial coaggregation of Alzheimer's disease and Parkinson's disease: systematic review and meta-analysis.

    abstract:BACKGROUND:Familial aggregation has been shown for Alzheimer's disease (AD) and Parkinson's disease (PD) separately, and it has been hypothesized that these diseases also coaggregate in families. METHODS:The authors investigated familial coaggregation of AD and PD by conducting a systematic review and meta-analysis. P...

    journal_title:Neuroepidemiology

    pub_type: 杂志文章,meta分析,评审

    doi:10.1159/000355452

    authors: Feldman AL,Johansson AL,Lambert PC,Sieurin J,Yang F,Pedersen NL,Wirdefeldt K

    更新日期:2014-01-01 00:00:00

  • Validity of a screening question for head tremor: an analysis of four essential tremor case samples.

    abstract:BACKGROUND:The goal of this study was to assess the validity of a screening question for head tremor in essential tremor (ET). There are no published data on this topic, and the knowledge will guide future epidemiological investigations of this disorder. METHODS:These analyses utilized four distinct patient samples: a...

    journal_title:Neuroepidemiology

    pub_type: 杂志文章

    doi:10.1159/000365991

    authors: Louis ED,Michalec M

    更新日期:2014-01-01 00:00:00

  • High prevalence of mild cognitive impairment in the elderly: a community-based study in four cities of the Hebei province, china.

    abstract:BACKGROUND:Mild cognitive impairment (MCI) has been suggested as a term for a boundary area between normal aging and dementia. This study was designed to determine the prevalence of MCI in the elderly in the Hebei province, China, and explore its related factors. METHODS:Participants included 2,601 community-dwelling ...

    journal_title:Neuroepidemiology

    pub_type: 杂志文章

    doi:10.1159/000357374

    authors: Xu S,Xie B,Song M,Yu L,Wang L,An C,Zhu Q,Han K,Zhao X,Zhang R,Dong L,Chai N,Gao Y,Zhang Q,Wang X

    更新日期:2014-01-01 00:00:00

  • Risk factors for multiple sclerosis in Kuwait: a population-based case-control study.

    abstract::Multiple sclerosis (MS) is a chronic and progressively disabling inflammatory autoimmune disorder of the central nervous system. MS has a multifactorial etiology and is triggered by environmental factors in individuals with complex genetic risk profiles. The epidemiology of MS changes with the spatial and temporal dis...

    journal_title:Neuroepidemiology

    pub_type: 杂志文章

    doi:10.1159/000341240

    authors: Al-Afasy HH,Al-Obaidan MA,Al-Ansari YA,Al-Yatama SA,Al-Rukaibi MS,Makki NI,Suresh A,Akhtar S

    更新日期:2013-01-01 00:00:00

  • Incidence and prevalence of spinal cord injury in Canada: a national perspective.

    abstract:BACKGROUND:Despite decades of research, there are no national estimates of the incidence or prevalence of spinal cord injury (SCI) in Canada. Our objective was to utilize the best available data to estimate the incidence and prevalence of traumatic SCI (TSCI) and non-traumatic SCI (NTSCI) in Canada for 2010. METHODS:I...

    journal_title:Neuroepidemiology

    pub_type: 杂志文章

    doi:10.1159/000336014

    authors: Noonan VK,Fingas M,Farry A,Baxter D,Singh A,Fehlings MG,Dvorak MF

    更新日期:2012-01-01 00:00:00

  • A population-based prospective 24-month study of stroke: incidence and 30-day case-fatality rates of first-ever strokes in Croatia.

    abstract:BACKGROUND:In Central/Eastern European countries, cerebrovascular diseases are among the leading causes of mortality. We aimed to determine the incidence of first-ever stroke (FES) in the north-western part of Croatia. METHODS:A population-based prospective incidence study was conducted between July 1, 2007, and June ...

    journal_title:Neuroepidemiology

    pub_type: 杂志文章

    doi:10.1159/000336114

    authors: Pikija S,Cvetko D,Malojčić B,Trkanjec Z,Pavliček I,Lukić A,Kopjar A,Hajduk M,Andrović A,Bilić-Genter M,Trkulja V

    更新日期:2012-01-01 00:00:00

  • Different aetiology of familial low-grade and high-grade glioma? A nationwide cohort study of familial glioma.

    abstract::An increased risk for first-degree relatives (FDR) of glioma patients has previously been observed. The novel objective of this study was to investigate differences in familial risk among FDR of low-grade glioma (LGG) and high-grade glioma (HGG) cases, respectively. Two cohorts were constructed, one from 15,321 FDR of...

    journal_title:Neuroepidemiology

    pub_type: 杂志文章

    doi:10.1159/000065528

    authors: Malmer B,Henriksson R,Grönberg H

    更新日期:2002-11-01 00:00:00

  • Antecedent events in amyotrophic lateral sclerosis: do they influence clinical onset and progression?

    abstract::Risk factors for amyotrophic lateral sclerosis (ALS) such as country of residence, hard labour, intense athletic activities, heavy metal and pet exposure, skeletal trauma, surgical procedures, malignancies, and recurrent infectious disease were investigated in 77 patients and 80 controls, matching the cases for select...

    journal_title:Neuroepidemiology

    pub_type: 杂志文章

    doi:10.1159/000110782

    authors: Provinciali L,Giovagnoli AR

    更新日期:1990-01-01 00:00:00