Protocols for cognitive enhancement. A user manual for Brain Health Services-part 5 of 6.

Détails

Ressource 1Télécharger: 34635149_BIB_F39EC11590C2.pdf (1753.06 [Ko])
Etat: Public
Version: Final published version
Licence: CC BY 4.0
ID Serval
serval:BIB_F39EC11590C2
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
Protocols for cognitive enhancement. A user manual for Brain Health Services-part 5 of 6.
Périodique
Alzheimer's research & therapy
Auteur⸱e⸱s
Brioschi Guevara A., Bieler M., Altomare D., Berthier M., Csajka C., Dautricourt S., Démonet J.F., Dodich A., Frisoni G.B., Miniussi C., Molinuevo J.L., Ribaldi F., Scheltens P., Chételat G.
ISSN
1758-9193 (Electronic)
Statut éditorial
Publié
Date de publication
11/10/2021
Peer-reviewed
Oui
Volume
13
Numéro
1
Pages
172
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't ; Review
Publication Status: epublish
Résumé
Cognitive complaints in the absence of objective cognitive impairment, observed in patients with subjective cognitive decline (SCD), are common in old age. The first step to postpone cognitive decline is to use techniques known to improve cognition, i.e., cognitive enhancement techniques.We aimed to provide clinical recommendations to improve cognitive performance in cognitively unimpaired individuals, by using cognitive, mental, or physical training (CMPT), non-invasive brain stimulations (NIBS), drugs, or nutrients. We made a systematic review of CMPT studies based on the GRADE method rating the strength of evidence.CMPT have clinically relevant effects on cognitive and non-cognitive outcomes. The quality of evidence supporting the improvement of outcomes following a CMPT was high for metamemory; moderate for executive functions, attention, global cognition, and generalization in daily life; and low for objective memory, subjective memory, motivation, mood, and quality of life, as well as a transfer to other cognitive functions. Regarding specific interventions, CMPT based on repeated practice (e.g., video games or mindfulness, but not physical training) improved attention and executive functions significantly, while CMPT based on strategic learning significantly improved objective memory.We found encouraging evidence supporting the potential effect of NIBS in improving memory performance, and reducing the perception of self-perceived memory decline in SCD. Yet, the high heterogeneity of stimulation protocols in the different studies prevent the issuing of clear-cut recommendations for implementation in a clinical setting. No conclusive argument was found to recommend any of the main pharmacological cognitive enhancement drugs ("smart drugs", acetylcholinesterase inhibitors, memantine, antidepressant) or herbal extracts (Panax ginseng, Gingko biloba, and Bacopa monnieri) in people without cognitive impairment.Altogether, this systematic review provides evidence for CMPT to improve cognition, encouraging results for NIBS although more studies are needed, while it does not support the use of drugs or nutrients.
Mots-clé
Acetylcholinesterase, Brain, Cognition, Cognitive Dysfunction, Health Services, Humans, Quality of Life, Systematic Reviews as Topic, Brain Health Service, Cognitive enhancement, Cognitive intervention, Drugs, Mindfulness meditation, Non-invasive brain stimulation, Physical training, Subjective cognitive decline
Pubmed
Web of science
Open Access
Oui
Création de la notice
19/10/2021 12:26
Dernière modification de la notice
23/11/2022 8:16
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