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

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State: Public
Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_F39EC11590C2
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Protocols for cognitive enhancement. A user manual for Brain Health Services-part 5 of 6.
Journal
Alzheimer's research & therapy
Author(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)
Publication state
Published
Issued date
11/10/2021
Peer-reviewed
Oui
Volume
13
Number
1
Pages
172
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't ; Review
Publication Status: epublish
Abstract
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.
Keywords
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
Yes
Create date
19/10/2021 11:26
Last modification date
23/11/2022 7:16
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