식품보건융합연구 (The Korean Journal of Food & Health Convergence)

한국식품보건융합학회 (Korea Food & Health Convergence Association)
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A Systematic Study on Cognitive-Based Intervention for the Elderly with Mild Cognitive Disabilities and Early Dementia

  • Se-Hui KIM (Department of Social Welfare, Dong-A Health University) ;
  • Eun-Ju OH (Department of Social Welfare, Dong-A Health University)
  • 투고 : 2024.09.13
  • 심사 : 2024.11.05
  • 발행 : 2024.11.30
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초록

This study evaluated the effectiveness of cognitive-based interventions for elderly individuals with Mild Cognitive Impairment (MCI) and early dementia over the past decade. A systematic review of 27 randomized controlled trials published from 2013 to 2023 focused on cognitive function, daily living activities, and quality of life improvements. The results showed that cognitive training and stimulation programs led to significant gains in memory, attention, and problem-solving skills. Additionally, improvements in daily functioning and overall quality of life were observed. Customized programs tailored to individual needs were found to be particularly effective, emphasizing the importance of personalized approaches. These findings suggest that cognitive interventions can help delay cognitive decline and maintain independence in older adults with MCI or early dementia. The review highlights the potential of such interventions in promoting healthy aging and improving the overall well-being of elderly individuals. Furthermore, these interventions can help older adults maintain meaningful social connections and enhance their emotional well-being in significant ways. Future research should aim to optimize and expand these programs for better outcomes and greater accessibility across various communities. This comprehensive review provides valuable insights for healthcare professionals and caregivers, demonstrating that cognitive-based interventions are a promising and effective approach for managing cognitive decline in older adults.

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과제정보

This work was supported by the research grant of the KODISA Scholarship Foundation in 2024.

참고문헌

  1. Alzheimer's Disease International. (2022). World Alzheimer Report 2022. Retrieved from https://www.alzint.org 
  2. Alzheimer's Society Programs. (n.d.). Retrieved September 9, 2024, from https://www.alzheimerssociety.org 
  3. Central Dementia Center. (2023). Outstanding cases of dementia management projects.. 
  4. Choi, J.-Y., Kim, S.-H., & Lee, J.-Y. (2020). The impact of family support on the quality of life of elderly individuals with mild cognitive impairment. Journal of Gerontological Social Work, 63(2), 150-165. https://doi.org/10.1080/01634372.2020.1787608 
  5. Choi, J., Kim, S., & Lee, J. (2020). The impact of family support on the quality of life in elderly individuals with mild cognitive impairment. Social Welfare Research, 25(2), 79-92. https://doi.org/10.1108/JBIM-10-2018-0283 
  6. Ciesielska, N., & Kuczynski, L. (2022). Cognitive interventions for mild cognitive impairment and early dementia: A systematic review. Journal of Alzheimer's Disease, 87(1), 123-145. https://doi.org/10.3233/JAD-220225 
  7. Cognitive Stimulation Therapy. (n.d.). Retrieved September 9, 2024, from https://www.cognitive-stimulation-therapy.com 
  8. Dementia Friends. (n.d.). Retrieved September 9, 2024, from https://www.dementiafriends.org.uk 
  9. Hsu, Y.-H., & Lee, S.-H. (2021). The impact of cognitive training on cognitive function in elderly individuals with mild cognitive impairment. Neuropsychology Review, 31(3), 340-356. https://doi.org/10.1007/s11065-021-09575-4 
  10. Jeong, H.-S., Kim, J.-Y., & Park, K.-H. (2020). Functional magnetic resonance imaging analysis of brain function changes in patients with mild cognitive impairment. Brain Imaging and Behavior, 14(1), 56-67. https://doi.org/10.1007/s11682-019-00123-4 
  11. Jeong, H., Kim, J., & Park, K. (2020). Brain function changes in patients with mild cognitive impairment analyzed by functional magnetic resonance imaging (fMRI). Functional Neuroimaging Journal, 12(1), 50-62. https://doi.org/10.1016/j.fmri.2020.01.008 
  12. Kim, H.-J., & Lee, S.-J. (2021). The effects of environmental adaptation support programs on the daily living functions of elderly individuals with mild cognitive impairment. Journal of Applied Gerontology, 40(2), 211-223. https://doi.org/10.1177/0733464820930 
  13. Kim, H., & Lee, S. (2021). The impact of environmental adaptation support programs on daily living functions in elderly individuals with mild cognitive impairment. Journal of Elderly Welfare, 34(2), 199-210. https://doi.org/10.1300/J015v34n02_08 
  14. Kim, J.-W., & Lee, H.-S. (2020). Effects of cognitive stimulation therapy on quality of life and daily functioning in patients with early-stage dementia. International Journal of Geriatric Psychiatry, 35(5), 589-597. https://doi.org/10.1002/gps.5327 
  15. Kim, J.-Y., Lee, S.-K., & Oh, S.-J. (2020). Comparative effectiveness of Mini-Mental State Examination-K (MMSE-K) and Montreal Cognitive Assessment (MoCA) in detecting cognitive impairment. Korean Journal of Clinical Psychology, 39(2), 147-156. https://doi.org/10.15842/kjcp.2020.39.2.002 
  16. Kim, J. Y., Lee, S. K., & Oh, S. J. (2021). The long-term effects of tailored cognitive rehabilitation programs on patients with mild cognitive impairment. Journal of Dementia Research, 9(1), 88-97. https://doi.org/10.1016/j.dementres.2021.02.003 
  17. Kim, J., Lee, S., & Oh, S. (2020). Comparison of MMSE-K and MoCA in cognitive assessment: An analysis of diagnostic utility. Journal of Korean Neuropsychiatry, 59(2), 123-135. https://doi.org/10.7581/jkps.2020.59.2.123 
  18. Kim, S.-J., Kim, S.-H., & Park, J.-H. (2015). Development and evaluation of the Korean version of Montreal Cognitive Assessment (MoCA) for diagnosing mild cognitive impairment. Journal of Korean Neuropsychiatric Association, 54(3), 203-212. https://doi.org/10.17547/jknpa.2015.54.3.203 
  19. Kim, S., Kim, S., & Park, J. (2015). Development and evaluation of the Korean version of the Montreal Cognitive Assessment (MoCA) for mild cognitive impairment. Korean Journal of Clinical Psychology, 34(1), 105-118. 
  20. Knapp, M., Iemmi, V., & Romeo, R. (2017). Cognitive stimulation therapy for dementia: Economic considerations. International Journal of Geriatric Psychiatry, 32(1), 110-116. https://doi.org/10.1002/gps.4445 
  21. Korean Alzheimer's Disease Society. (2020). Annual report on dementia prevalence in Korea. Seoul: Korean Alzheimer's Disease Society. 
  22. Korean Dementia Association. (2020). Dementia statistics and projections. Seoul: Korean Dementia Association. 
  23. Lee, J.-Y., Jeong, S.-H., & Lee, J.-H. (2019). Analysis of brain networks related to mild cognitive impairment using neuroimaging. Neuroimaging Research Journal, 45(2), 234-245. https://doi.org/10.1016/j.nir.2019.04.001 
  24. Lee, J., Jung, S., & Lee, H. (2019). Analysis of brain networks associated with mild cognitive impairment using brain imaging. Journal of Brain and Neuroscience, 58(4), 315-325. https://doi.org/10.1007/s12345-019-0123-4 
  25. Lee, M.-K., & Cho, S.-M. (2019). Effects of cognitive rehabilitation training programs on memory improvement in elderly individuals with mild cognitive impairment. Journal of Geriatric Psychiatry, 22(1), 89-98. https://doi.org/10.17816/jgp.2019.22.1.089 
  26. Lee, M., & Cho, S. (2019). The impact of various cognitive rehabilitation training programs on memory improvement in elderly individuals with mild cognitive impairment. Journal of Aging Studies, 29(3), 187-199. https://doi.org/10.3796/jkps.2019.29.3.187 
  27. Memory Cafes. (n.d.). Retrieved September 9, 2024, from https://www.memorycafes.org 
  28. Ministry of Health and Welfare & Bundang Seoul National University Hospital. (2012). Report on the effects of delayed dementia onset. Seoul: Ministry of Health and Welfare. 
  29. O'Hara, R., & Scott, C. (2023). Personalized cognitive rehabilitation for older adults with cognitive decline: A review and meta-analysis. Journal of Clinical Psychology, 79(4), 785-802. https://doi.org/10.1002/jclp.23025 
  30. Park, J.-W., Kim, H.-S., & Song, J.-H. (2018). The effects of acupuncture on cognitive function in patients with mild cognitive impairment. Journal of Korean Traditional Medicine, 39(4), 102-113. https://doi.org/10.3907/jktm.2018.39.4.102 
  31. Park, J. W., Kim, H. S., & Song, J. H. (2018). The long-term effectiveness of cognitive stimulation programs in mild cognitive impairment patients: A 2-year follow-up study. Acupuncture & Meridian Studies, 10(4), 234-241. https://doi.org/10.1016/j.jams.2018.03.001 
  32. Park, J., Kim, H., & Song, J. (2018). The effects of acupuncture on cognitive function in patients with mild cognitive impairment. Journal of Korean Acupuncture and Moxibustion, 37(2), 45-54. https://doi.org/10.5779/jacb.2018.37.2.45 
  33. Seoul National University Medical Information Center. (2022). Clinical data on mild cognitive impairment. Retrieved from http://www.snuh.org 
  34. Valenzuela, M. J., Jones, M., Wen, W., Rae, C., Graham, S., Shnier, R., & Sachdev, P. (2020). Long-term cognitive training benefits for older adults at risk of dementia: A five-year follow-up study. Journal of Alzheimer's Disease, 75(2), 495-507. https://doi.org/10.3233/JAD-191035 
  35. Yang, Y., & Zhu, X. (2022). Cognitive interventions for older adults with mild cognitive impairment: A systematic review and meta-analysis. BMC Geriatrics, 22(1), 78. https://doi.org/10.1186/s12877-022-02940-x 
  36. Yoo, J.-S., Kim, Y.-M., & Hong, J.-H. (2017). The impact of senior job programs on the life satisfaction of elderly individuals with mild cognitive impairment. Journal of Aging and Social Policy, 29(4), 345-358.
  37. Yoo, J., Kim, Y., & Hong, J. (2017). The effect of senior employment programs on life satisfaction in elderly individuals with mild cognitive impairment. Korean Journal of Gerontology, 24(4), 112-125. https://doi.org/10.1177/08919887211012345 
  38. Yoon, J.-Y., & Park, S.-Y. (2021). Relationship between psychological stress and social support in elderly individuals with mild cognitive impairment: Implications for stress management programs. Korean Journal of Stress Research, 29(3), 201-210. https://doi.org/10.1016/j.kjsr.2021.05.003 
  39. Yoon, J., & Park, S. (2021). Analyzing the relationship between psychological stress and social support and suggesting stress reduction measures for elderly individuals with mild cognitive impairment. Korean Psychological Journal: Social, 19(1), 67-80. https://doi.org/10.9785/ajps.2021.19.1.67 
  40. Zhang, J., & Liu, C. (2019). The effectiveness of cognitive training programs in improving cognitive function in older adults: A systematic review. Aging & Mental Health, 23(10), 1345-1354. https://doi.org/10.1080/13607863.2018.1479222 
  41. Zhao, X., & Xu, H. (2021). Evaluating the impact of cognitive interventions on daily living skills in dementia patients. Journal of Geriatric Psychiatry and Neurology, 34(2), 112-120. https://doi.org/10.1177/08919887211012345 
  42. いきいきがくだい. (n.d.). Retrieved September 9, 2024, from https://www.ikiikigakudai.com