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Study design and methods: U.S. study to protect brain health through lifestyle intervention to reduce risk (U.S. POINTER).


ABSTRACT:

Introduction

The U.S. study to protect brain health through lifestyle intervention to reduce risk (U.S. POINTER) is conducted to confirm and expand the results of the Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability (FINGER) in Americans.

Methods

U.S. POINTER was planned as a 2-year randomized controlled trial of two lifestyle interventions in 2000 older adults at risk for dementia due to well-established factors. The primary outcome is a global cognition composite that permits harmonization with FINGER.

Results

U.S. POINTER is centrally coordinated and conducted at five clinical sites (ClinicalTrials.gov: NCT03688126). Outcomes assessments are completed at baseline and every 6 months. Both interventions focus on exercise, diet, cognitive/social stimulation, and cardiovascular health, but differ in intensity and accountability. The study partners with a worldwide network of similar trials for harmonization of methods and data sharing.

Discussion

U.S. POINTER is testing a potentially sustainable intervention to support brain health and Alzheimer's prevention for Americans. Impact is strengthened by the targeted participant diversity and expanded scientific scope through ancillary studies.

SUBMITTER: Baker LD 

PROVIDER: S-EPMC10916955 | biostudies-literature | 2024 Feb

REPOSITORIES: biostudies-literature

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Publications

Study design and methods: U.S. study to protect brain health through lifestyle intervention to reduce risk (U.S. POINTER).

Baker Laura D LD   Snyder Heather M HM   Espeland Mark A MA   Whitmer Rachel A RA   Kivipelto Miia M   Woolard Nancy N   Katula Jeffrey J   Papp Kathryn V KV   Ventrelle Jennifer J   Graef Sarah S   Hill Marcus A MA   Rushing Scott S   Spell Julia J   Lovato Laura L   Felton Deborah D   Williams Benjamin J BJ   Ghadimi Nouran Mina M   Raman Rema R   Ngandu Tiia T   Solomon Alina A   Wilmoth Sharon S   Cleveland Maryjo L ML   Williamson Jeff D JD   Lambert Katherine L KL   Tomaszewski Farias Sarah S   Day Claire E CE   Tangney Christy C CC   Gitelman Darren R DR   Matongo Olivia O   Reynolds Terrianne T   Pavlik Valory N VN   Yu Melissa M MM   Alexander Ashley S AS   Elbein Richard R   McDonald Ann Marie AM   Salloway Stephen S   Wing Rena R RR   Antkowiak Susan S   Morris Martha Clare MC   Carrillo Maria C MC  

Alzheimer's & dementia : the journal of the Alzheimer's Association 20230930 2


<h4>Introduction</h4>The U.S. study to protect brain health through lifestyle intervention to reduce risk (U.S. POINTER) is conducted to confirm and expand the results of the Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability (FINGER) in Americans.<h4>Methods</h4>U.S. POINTER was planned as a 2-year randomized controlled trial of two lifestyle interventions in 2000 older adults at risk for dementia due to well-established factors. The primary outcome is a global  ...[more]

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