Latin American Initiative for Lifestyle Intervention to Prevent Cognitive Decline (LatAm-FINGERS): Study design and harmonization

Crivelli, Lucía - Calandri, Ismael Luis - Suemoto, Claudia Kimie - Salinas, Rosa María - Velilla, Lina Marcela - Yassuda, Mônica Sanches - Caramelli, Paulo - Lopera, Francisco - Nitrini, Ricardo - Sevlever, Gustavo Emilio - Sosa, Ana Luisa - Acosta, Daisy - Charamelo Baietti, Ana Maria - Cusicanqui, María Isabel - Custodio, Nilton - De Simone, Sergio Dansilio - Delgado Derio, Carolina - Duque-Peñailillo, Lissette - Duran, Juan Carlos - Jiménez-Velázquez, Ivonne Z. - Leon-Salas, Jorge Mario - Bergamo, Yanina - Clarens, María Florencia - Damian, Andrés - Demey, Ignacio - Helou, María Belén - Márquez, Carlos - Martin, María Eugenia - Martin, Maria da Graça Morais

Resumen:

Introduction: Latin American Initiative for Lifestyle Intervention to Prevent Cognitive Decline (LatAm-FINGERS) is the first non-pharmacological multicenter randomized clinical trial (RCT) to prevent cognitive impairment in Latin America (LA). Our aim is to present the study design and discuss the strategies used for multicultural harmonization. Methods: This 1-year RCT (working on a 1-year extension) investigates the feasibility of a multi-domain lifestyle intervention in LA and the efficacy of the intervention, primarily on cognitive function. An external harmonization process was carried out to follow the FINGER model, and an internal harmonization was performed to ensure this study was feasible and comparable across the 12 participating LA countries. Results: Currently, 1549 participants have been screened, and 815 randomized. Participants are ethnically diverse (56% are Nestizo) and have high cardiovascular risk (39% have metabolic syndrome). Discussion: LatAm-FINGERS overcame a significant challenge to combine the region's diversity into a multi-domain risk reduction intervention feasible across LA while preserving the original FINGER design.

Detalles Bibliográficos
2023
Alzheimer's disease
World-Wide FINGERS
Cognitive impairment
Dementia lifestyle
Multidomain intervention
Prevention
Randomized controlled trial
COGNICIÓN
DISFUNCIÓN COGNITIVA
PREVENCIÓN DE ENFERMEDADES
ESTILO DE VIDA
DISEÑO DE INVESTIGACIONES EPIDEMIOLÓGICAS
Inglés
Universidad de la República
COLIBRI
https://hdl.handle.net/20.500.12008/52236
Acceso abierto
Licencia Creative Commons Atribución - No Comercial - Sin Derivadas (CC - By-NC-ND 4.0)