Evidence map›Paper›PMID 38872204›Full record

Trial reportAlzheimer's research & therapy2024

A multidomain lifestyle intervention to maintain optimal cognitive functioning in Dutch older adults-study design and baseline characteristics of the FINGER-NL randomized controlled trial.

Kay Deckers, Marissa D Zwan, Lion M Soons, Lisa Waterink, Sonja Beers, Sofie van Houdt, Berrit Stiensma, Judy Z Kwant, Sophie C P M Wimmers, Rachel A M Heutz and 14 more

2 registry-linked trialsAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Alzheimer's research & therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT05256199 naactive not recruitingnot on this map

Dutch Multidomain Lifestyle Intervention in Older Adults at Risk of Cognitive Decline

TypeinterventionalSponsorAlzheimercentrum AmsterdamRan2022 to 2027Enrolled1,210ConditionsCognitive Decline, Life Style, Risk ReductionArmsMultidomain lifestyle intervention
NCT06832761 narecruitingnot on this mapstarted 2025, after this paper: background citation

Secondary Prevention of Dementia in Memory Clinics: Implementation and (Cost-)Effectiveness of an Integrated Lifestyle Intervention

TypeinterventionalSponsorMaastricht University Medical CenterRan2025 to 2027Enrolled300ConditionsLifestyle Intervention, Lifestyle Risk Reduction, Cognitive Decline, DementiaArmsPersonalized lifestyle intervention
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Review
  8. Article
  9. Article
  10. Review
  11. Modernizing diagnosis of Alzheimer's disease: A review of global trends and Asia-specific perspectives.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Review
  12. Review
  13. Review
  14. Review
  15. A point-based cognitive impairment scoring system for southeast Asian adults.The journal of prevention of Alzheimer's disease · 2025
    Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Review
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

24 authors.

Kay Deckers *Department of Psychiatry and Neuropsychology, Alzheimer Centrum Limburg, Mental Health and Neuroscience Research Institute (MHeNs), Maastricht University, PO Box 616, 6200 MD, Maastricht, The Netherlands. kay.deckers@maastrichtuniversity.nl.
Marissa D Zwan *Alzheimer Center Amsterdam, Neurology, Vrije Universiteit Amsterdam, Amsterdam UMC Location VUmc, Amsterdam, The Netherlands.
Lion M SoonsDepartment of Psychiatry and Neuropsychology, Alzheimer Centrum Limburg, Mental Health and Neuroscience Research Institute (MHeNs), Maastricht University, PO Box 616, 6200 MD, Maastricht, The Netherlands.
Lisa WaterinkAlzheimer Center Amsterdam, Neurology, Vrije Universiteit Amsterdam, Amsterdam UMC Location VUmc, Amsterdam, The Netherlands.
Sonja BeersDivision of Human Nutrition and Health, Wageningen University & Research, Wageningen, The Netherlands.
Sofie van HoudtDivision of Human Nutrition and Health, Wageningen University & Research, Wageningen, The Netherlands.
Berrit StiensmaDepartment of Epidemiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Judy Z KwantDepartment of Epidemiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Sophie C P M WimmersAlzheimer Center Amsterdam, Neurology, Vrije Universiteit Amsterdam, Amsterdam UMC Location VUmc, Amsterdam, The Netherlands.
Rachel A M HeutzDepartment of Geriatrics, Radboud University Medical Center, Radboudumc Alzheimer Center, Nijmegen, The Netherlands.
Jurgen A H R ClaassenDepartment of Geriatrics, Radboud University Medical Center, Radboudumc Alzheimer Center, Nijmegen, The Netherlands.
Joukje M OostermanRadboud University, Donders Institute for Brain, Cognition and Behaviour, Nijmegen, The Netherlands.
Rianne A A de HeusDepartment of Geriatrics, Radboud University Medical Center, Radboudumc Alzheimer Center, Nijmegen, The Netherlands.
Ondine van de RestDivision of Human Nutrition and Health, Wageningen University & Research, Wageningen, The Netherlands.
Yannick VermeirenDivision of Human Nutrition and Health, Wageningen University & Research, Wageningen, The Netherlands.
Richard C Oude VoshaarDepartment of Psychiatry, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Nynke SmidtDepartment of Epidemiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Laus M BroersenDanone Research & Innovation, Utrecht, The Netherlands.
Sietske A M SikkesAlzheimer Center Amsterdam, Neurology, Vrije Universiteit Amsterdam, Amsterdam UMC Location VUmc, Amsterdam, The Netherlands.
Esther AartsRadboud University, Donders Institute for Brain, Cognition and Behaviour, Nijmegen, The Netherlands.
MOCIA consortium
FINGER-NL consortium
Sebastian Köhler *Department of Psychiatry and Neuropsychology, Alzheimer Centrum Limburg, Mental Health and Neuroscience Research Institute (MHeNs), Maastricht University, PO Box 616, 6200 MD, Maastricht, The Netherlands.
Wiesje M van der Flier *Alzheimer Center Amsterdam, Neurology, Vrije Universiteit Amsterdam, Amsterdam UMC Location VUmc, Amsterdam, The Netherlands.

Funding

Nederlandse Organisatie voor Wetenschappelijk Onderzoek 17611
6 · The paper itself

Abstract

backgroundEvidence on the effectiveness of multidomain lifestyle interventions to prevent cognitive decline in older people without dementia is mixed. Embedded in the World-Wide FINGERS initiative, FINGER-NL aims to investigate the effectiveness of a 2-year multidomain lifestyle intervention on cognitive functioning in older Dutch at risk individuals.

methodsMulti-center, randomized, controlled, multidomain lifestyle intervention trial with a duration of 24 months. 1210 adults between 60-79 years old with presence of ≥ 2 modifiable risk factors and ≥ 1 non-modifiable risk factor for cognitive decline were recruited between January 2022 and May 2023 via the Dutch Brain Research Registry and across five study sites in the Netherlands. Participants were randomized to either a high-intensity or a low-intensity intervention group. The multidomain intervention comprises a combination of 7 lifestyle components (physical activity, cognitive training, cardiovascular risk factor management, nutritional counseling, sleep counseling, stress management, and social activities) and 1 nutritional product (Souvenaid®) that could help maintain cognitive functioning. The high-intensity intervention group receives a personalized, supervised and hybrid intervention consisting of group meetings (on-site and online) and individual sessions guided by a trained lifestyle coach, and access to a digital intervention platform that provides custom-made training materials and selected lifestyle apps. The low-intensity intervention group receives bi-monthly online lifestyle-related health advice via the digital intervention platform. Primary outcome is 2-year change on a cognitive composite score covering processing speed, executive function, and memory.

resultsWithin 17 months, participant recruitment has been successfully completed (N = 1210; mean age: 67.7 years (SD: 4.6); 64% female). Modifiable risk factors commonly present at baseline were physical inactivity (89%), low mental/cognitive activity (50%), low social engagement (39%), hypertension (39%) and high alcohol consumption (39%). The mean body mass index of participants was 28.3 (SD: 4.2) and the total serum cholesterol was 5.4 mmol/L (SD: 1.2).

conclusionsBaseline lifestyle and clinical measurements showed successful recruitment of participants with sufficient potential for prevention. Results of FINGER-NL will provide further insight into the efficacy of a multidomain lifestyle intervention to prevent cognitive decline in older adults.

trial registrationClinicalTrials.gov (ID: NCT05256199)/2022-01-11.

Indexed as

Cognitive DysfunctionLife StyleAgedCognitionExerciseFemaleHumansMaleMiddle AgedNetherlandsRisk FactorsRisk Reduction BehaviorAlzheimer’s diseaseCognitive impairmentDementiaInterventionLifestyleMultidomainPreventionRandomized controlled trialRisk factors

Identifiers

PMID38872204
PMCPMC11170777

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.