Multidomain lifestyle intervention benefits a large elderly population at risk for cognitive decline and dementia regardless of baseline characteristics:

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Multidomain lifestyle intervention benefits a large elderly population at risk for cognitive decline and dementia regardless of baseline characteristics: The FINGER trial  Anna Rosenberg, Tiia Ngandu, Minna Rusanen, Riitta Antikainen, Lars Bäckman, Satu Havulinna, Tuomo Hänninen, Tiina Laatikainen, Jenni Lehtisalo, Esko Levälahti, Jaana Lindström, Teemu Paajanen, Markku Peltonen, Hilkka Soininen, Anna Stigsdotter-Neely, Timo Strandberg, Jaakko Tuomilehto, Alina Solomon, Miia Kivipelto  Alzheimer's & Dementia: The Journal of the Alzheimer's Association  Volume 14, Issue 3, Pages 263-270 (March 2018) DOI: 10.1016/j.jalz.2017.09.006 Copyright © 2017 The Authors Terms and Conditions

Fig. 1 Influence of sociodemographic factors, socioeconomic status, cognitive performance, and cardiovascular factors on intervention effects on the primary cognitive outcome (change in NTB total score). ∗P values are shown for interactions where baseline characteristics are continuous variables (except for sex, household income, and presence of cardiovascular comorbidity). Mixed-model repeated-measures analyses were used to investigate whether the baseline characteristics of the participants influenced intervention effects on cognitive performance (group × time × characteristic interactions). Nonsignificant P values for interaction (P > .05) indicate that the intervention effects on cognition do not vary by baseline characteristics. Characteristics were either dichotomous (sex, presence of cardiovascular comorbidity, and annual household income that was dichotomized based on median value) or continuous variables (age, education, MMSE, cardiovascular risk factors, and overall cardiovascular risk). To determine estimates for the difference between intervention and control groups per year within each subgroup, the continuous variables were dichotomized based on median values and mixed-models repeated-measures analyses were performed (group × time × dichotomous variable). A positive value of the estimate for the difference between intervention and control groups indicates that the effect is in favor of the intervention group. Data are based on all participants with at least one postbaseline measurement (mITT population). Overall cardiovascular risk is based on the FINRISK score and represents the risk of developing CVD compared to a person with the same age and sex but low risk. Presence of cardiovascular comorbidity is defined as having at least one of the following: history of stroke, history of myocardial infarction, or diabetes. Abbreviations: CI, confidence interval; CVD, cardiovascular disease; HDL-C, high-density lipoprotein cholesterol; LDL-C, low-density lipoprotein cholesterol; mITT, modified intention-to-treat; MMSE, Mini–Mental State Examination; NTB, Neuropsychological Test Battery. Alzheimer's & Dementia: The Journal of the Alzheimer's Association 2018 14, 263-270DOI: (10.1016/j.jalz.2017.09.006) Copyright © 2017 The Authors Terms and Conditions