Evidence map›Paper›PMID 34308814›Full record

ArticleJournal of the International Neuropsychological Society : JINS2021

Comparative Effects of Physical Exercise and Other Behavioral Interventions on Functional Status Outcomes in Mild Cognitive Impairment.

Anne L Shandera-Ochsner, Melanie J Chandler, Dona E Locke, Colleen T Ball, Julia E Crook, Vaishali S Phatak, Glenn E Smith

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in Journal of the International Neuropsychological Society : JINS, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Longitudinal neuropsychological evaluation allows diagnosis of MCI with less severe memory change.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  5. What clinicians could consider in providing group interventions for people with cognitive impairments: a scoping review.Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society · 2024
    Article
  6. Article
  7. Review
  8. Behavioral Interventions in Mild Cognitive Impairment (MCI): Lessons from a Multicomponent Program.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2022
    Review
  9. Review
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 1 country.

Anne L Shandera-OchsnerDepartment of Psychiatry and Psychology, Mayo Clinic Health System, 700 West Ave S, La Crosse, WI54601, USA.
Melanie J ChandlerDepartment of Psychiatry and Psychology, Mayo Clinic, 4500 San Pablo Rd S, Jacksonville, FL32224, USA.
Dona E LockeDivision of Psychology, Mayo Clinic, 13400 East Shea Blvd, Scottsdale, AZ85259, USA.
Colleen T BallDivision of Biomedical Statistics and Informatics, Mayo Clinic, 13400 East Shea Blvd, Scottsdale, AZ85259, USA.
Julia E CrookDivision of Biomedical Statistics and Informatics, Mayo Clinic, 13400 East Shea Blvd, Scottsdale, AZ85259, USA.
Vaishali S PhatakDepartment of Neurological Sciences, University of Nebraska Medical Center, 42nd and Emile, Omaha, NE68198, USA.
Glenn E SmithDepartment of Clinical and Health Psychology, University of Florida, PO Box 100165, Gainesville, FL32610, USA.ORCID 0000-0003-1506-9484
Mayo Clinic in Arizona · USJacksonville College · USMayo Clinic Health System · USUniversity of Florida Health · USUniversity of Nebraska Medical Center · US

Funding

Research Education ComponentP30AG062677 · NIA · MAYO CLINIC ROCHESTER · PI Walter K. Kremers · 2019 to 2026
$33.5M
Research Education ComponentP30AG019610 · NIA · SUN HEALTH RESEARCH INSTITUTE · PI GONZALEZ HERNANDEZ, GRACIELA · 2001 to 2020
$32.5M
Social Determinants of Health, Race/Ethnicity, and White Matter HyperintensitiesP30AG066506 · NIA · UNIVERSITY OF FLORIDA · PI Ranjan Duara, DAVID LOEWENSTEIN · 2020 to 2026
$25.6M
Research Education ComponentP30AG072980 · NIA · BANNER HEALTH · PI HEATHER Allyson BIMONTE-NELSON · 2021 to 2026
$24.9M
NIA NIH HHS P30 AG019610NIA NIH HHS P30 AG062677NIA NIH HHS P30 AG066506NIA NIH HHS P30 AG072980
6 · The paper itself

Abstract

objectivesLifestyle modifications for those with mild cognitive impairment (MCI) may promote functional stability, lesson disease severity, and improve well-being outcomes such as quality of life. The current analysis of our larger comparative effectiveness study evaluated which specific combinations of lifestyle modifications offered as part of the Mayo Clinic Healthy Action to Benefit Independence in Thinking (HABIT) program contributed to the least functional decline in people with MCI (pwMCI) over 18 months.

methodsWe undertook to compare evidence-based interventions with one another rather than to a no-treatment control group. The interventions were five behavioral treatments: computerized cognitive training (CCT), yoga, Memory Support System (MSS) training, peer support group (SG), and wellness education (WE), each delivered to both pwMCI and care partners, in a group-based program. To compare interventions, we randomly withheld one of the five HABIT® interventions in each of the group sessions. We conducted 24 group sessions with between 8 and 20 pwMCI-partner dyads in a session.

resultsWithholding yoga led to the greatest declines in functional ability as measured by the Functional Activities Questionnaire and Clinical Dementia Rating. In addition, memory compensation (calendar) training and cognitive exercise appeared to have associations (moderate effect sizes) with better functional outcomes. Withholding SG or WE appeared to have little effect on functioning at 18 months.

conclusionsOverall, these results add to the growing literature that physical exercise can play a significant and lasting role in modifying outcomes in a host of medical conditions, including neurodegenerative diseases.

Indexed as

Cognitive DysfunctionQuality of LifeActivities of Daily LivingExerciseFunctional StatusHumansActivities of daily livingCognitive dysfunctionLifestyleNeurodegenerative diseasesQuality of lifeYoga

Identifiers

PMID34308814
PMCPMC8458219
OpenAlexW3185531341

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.