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Wittmann FG, Pabst A, Zülke A, Luppa M, Blotenberg I, Cardona MI, Bauer A, Fuchs S, Zöllinger I, Sanftenberg L, Brettschneider C, Döhring J, Lunden L, Czock D, Wiese B, Thyrian JR, Hoffmann W, Frese T, Gensichen J, König HH, Kaduszkiewicz H, Riedel-Heller SG. Who Benefited the Most? Effectiveness of a Lifestyle Intervention Against Cognitive Decline in Older Women and Men - Secondary Analysis of the AgeWell.de-trial. J Prev Alzheimers Dis 2024; 11:348-355. [PMID: 38374741 DOI: 10.14283/jpad.2024.13] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/21/2024]
Abstract
INTRODUCTION Differences between women and men matter in the prevalence and risk factors of dementia. We aimed to examine potential sex differences regarding the effectiveness by running a secondary analysis of the AgeWell.de trial, a cluster-randomized multicenter multi-domain lifestyle intervention to reduce cognitive decline. METHODS Intention-to-treat analyses of women (n=433) and men (n=386) aged 60 to 77 years were used for models including interactions between intervention group allocation and sex followed by subgroup analysis stratified by sex on primary and secondary outcomes. Further, the same procedure was repeated for age groups (60-69 vs. 70-77) within sex-specific subgroups to assess the effectiveness in different age groups. TRIAL REGISTRATION German Clinical Trials Register (ref. number: DRKS00013555). RESULTS No differences were found between women and men in the effectiveness of the intervention on cognitive performance. However, women benefitted from the intervention regarding depressive symptoms while men did not. Health-related quality of life was enhanced for younger intervention participants (60-69 years) in both women and men. CONCLUSION The AgeWell.de intervention was able to improve depressive symptoms in women and health-related quality of life in younger participants. Female participants between 60 and 69 years benefited the most. Results support the need of better individually targeted lifestyle interventions for older adults.
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Affiliation(s)
- F G Wittmann
- Felix G. Wittmann, Institute of Social Medicine, Occupational Health and Public Health (ISAP), Medical Faculty, University of Leipzig, Phillip-Rosenthal-Str. 55, 04103 Leipzig, Germany, E-Mail:
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Neidenbach RC, Pieper L, Sanftenberg L, Schelling J, Freilinger S, Seidel L, Oberhoffer R, Nagdyman N, Ewert P, Kaemmerer H. P718Adults with congenital heart disease: lack of specific disease related medical health care from the general practitioners view. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy564.p718] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- R C Neidenbach
- Deutsches Herzzentrum Technische Universitat, Department of Paediatric Cardiology and Congenital Cardiac Defects, Munich, Germany
| | - L Pieper
- Dresden University of Technology, Dresden, Germany
| | | | - J Schelling
- Ludwig-Maximilians University, Munich, Germany
| | - S Freilinger
- Deutsches Herzzentrum Technische Universitat, Department of Paediatric Cardiology and Congenital Cardiac Defects, Munich, Germany
| | - L Seidel
- Deutsches Herzzentrum Technische Universitat, Department of Paediatric Cardiology and Congenital Cardiac Defects, Munich, Germany
| | - R Oberhoffer
- Deutsches Herzzentrum Technische Universitat, Department of Paediatric Cardiology and Congenital Cardiac Defects, Munich, Germany
| | - N Nagdyman
- Deutsches Herzzentrum Technische Universitat, Department of Paediatric Cardiology and Congenital Cardiac Defects, Munich, Germany
| | - P Ewert
- Deutsches Herzzentrum Technische Universitat, Department of Paediatric Cardiology and Congenital Cardiac Defects, Munich, Germany
| | - H Kaemmerer
- Deutsches Herzzentrum Technische Universitat, Department of Paediatric Cardiology and Congenital Cardiac Defects, Munich, Germany
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Böhme M, Riemenschneider H, Voigt K, Balogh E, Sanftenberg L, Bergmann A. Pertussis-Impfstatus bei Medizinstudierenden: Eine internationale Multicenterstudie. Das Gesundheitswesen 2018. [DOI: 10.1055/s-0038-1667720] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- M Böhme
- Bereich Allgemeinmedizin, Medizinische Klinik und Poliklinik III des Universitätsklinikums Carl Gustav Carus an der TU Dresden, Dresden, Deutschland
| | - H Riemenschneider
- Bereich Allgemeinmedizin, Medizinische Klinik und Poliklinik III des Universitätsklinikums Carl Gustav Carus an der TU Dresden, Dresden, Deutschland
| | - K Voigt
- Bereich Allgemeinmedizin, Medizinische Klinik und Poliklinik III des Universitätsklinikums Carl Gustav Carus an der TU Dresden, Dresden, Deutschland
| | - E Balogh
- Department of Public Health Medicine, University of Pécs Medical School, Pécs, Ungarn
| | - L Sanftenberg
- Institut für Allgemeinmedizin, Ludwig-Maximilians-Universität München, München, Deutschland
| | - A Bergmann
- Bereich Allgemeinmedizin, Medizinische Klinik und Poliklinik III des Universitätsklinikums Carl Gustav Carus an der TU Dresden, Dresden, Deutschland
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Neidenbach RC, Diebold I, Pieper L, Freilinger S, Oberhoffer R, Krauss A, Seidel H, Sanftenberg L, Nagdyman N, Ewert P, Kaemmerer H. P2603Adults with congenital heart defects: insufficient medical primary health care in patients with genetic disorders. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy565.p2603] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- R C Neidenbach
- Deutsches Herzzentrum Technische Universitat, Department of Paediatric Cardiology and Congenital Cardiac Defects, Munich, Germany
| | - I Diebold
- Deutsches Herzzentrum Technische Universitat, Department of Paediatric Cardiology and Congenital Cardiac Defects, Munich, Germany
| | - L Pieper
- Dresden University of Technology, Dresden, Germany
| | - S Freilinger
- Deutsches Herzzentrum Technische Universitat, Department of Paediatric Cardiology and Congenital Cardiac Defects, Munich, Germany
| | - R Oberhoffer
- Deutsches Herzzentrum Technische Universitat, Department of Paediatric Cardiology and Congenital Cardiac Defects, Munich, Germany
| | - A Krauss
- Deutsches Herzzentrum Technische Universitat, Department of Paediatric Cardiology and Congenital Cardiac Defects, Munich, Germany
| | - H Seidel
- Deutsches Herzzentrum Technische Universitat, Department of Paediatric Cardiology and Congenital Cardiac Defects, Munich, Germany
| | | | - N Nagdyman
- Deutsches Herzzentrum Technische Universitat, Department of Paediatric Cardiology and Congenital Cardiac Defects, Munich, Germany
| | - P Ewert
- Deutsches Herzzentrum Technische Universitat, Department of Paediatric Cardiology and Congenital Cardiac Defects, Munich, Germany
| | - H Kaemmerer
- Deutsches Herzzentrum Technische Universitat, Department of Paediatric Cardiology and Congenital Cardiac Defects, Munich, Germany
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Neidenbach RC, Pieper L, Freilinger S, Nebel K, Sanftenberg L, Schelling J, Nagdyman N, Ewert P, Kaemmerer H. P717Adults with congenital heart disease: lack of specific disease related medical health care from the patients point of view. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy564.p717] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- R C Neidenbach
- Deutsches Herzzentrum Technische Universitat, Department of Paediatric Cardiology and Congenital Cardiac Defects, Munich, Germany
| | - L Pieper
- Dresden University of Technology, Dresden, Germany
| | - S Freilinger
- Deutsches Herzzentrum Technische Universitat, Department of Paediatric Cardiology and Congenital Cardiac Defects, Munich, Germany
| | - K Nebel
- Deutsches Herzzentrum Technische Universitat, Department of Paediatric Cardiology and Congenital Cardiac Defects, Munich, Germany
| | | | - J Schelling
- Ludwig-Maximilians University, Munich, Germany
| | - N Nagdyman
- Deutsches Herzzentrum Technische Universitat, Department of Paediatric Cardiology and Congenital Cardiac Defects, Munich, Germany
| | - P Ewert
- Deutsches Herzzentrum Technische Universitat, Department of Paediatric Cardiology and Congenital Cardiac Defects, Munich, Germany
| | - H Kaemmerer
- Deutsches Herzzentrum Technische Universitat, Department of Paediatric Cardiology and Congenital Cardiac Defects, Munich, Germany
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Neidenbach R, Schelling J, Pieper L, Sanftenberg L, Oberhoffer R, de Haan F, Weyand M, Schlensak C, Lossnitzer D, Nagdyman N, von Kodolitsch Y, Kallfelz HC, Helm PC, Bauer UMM, Ewert P, Meinertz T, Kaemmerer H. Sind Erwachsene mit angeborenen Herzfehlern ausreichend versorgt? Z Herz- Thorax- Gefäßchir 2017. [DOI: 10.1007/s00398-016-0134-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
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Neidenbach R, Pieper L, Schelling J, Sanftenberg L, Oberhoffer R, Nagdyman N, Ewert P, Kaemmerer H. Klärung der Versorgungssituation von Erwachsenen mit angeborenen Herzfehlern (EMAH) aus der Sicht der Patienten. Thorac Cardiovasc Surg 2017. [DOI: 10.1055/s-0037-1599043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- R. Neidenbach
- Klinik für Kinderkardiologie und angeborene Herzfehler, Deutsches Herzzentrum München, Technische Universität München, München, Germany
| | - L. Pieper
- Institut für Klinische Psychologie und Psychotherapie, Professur für Behaviorale Epidemiologie, Technische Universität Dresden, Dresden, Germany
| | - J. Schelling
- Institut für Allgemeinmedizin, Ludwig-Maximilians-Universität München, München, Germany
| | - L. Sanftenberg
- Institut für Allgemeinmedizin, Ludwig-Maximilians-Universität München, München, Germany
| | - R. Oberhoffer
- Technische Universität München, Lehrstuhl für präventive Pädiatrie, München, Germany
| | - N. Nagdyman
- Klinik für Kinderkardiologie und angeborene Herzfehler, Deutsches Herzzentrum München, Technische Universität München, München, Germany
| | - P. Ewert
- Klinik für Kinderkardiologie und angeborene Herzfehler, Deutsches Herzzentrum München, Technische Universität München, München, Germany
| | - H. Kaemmerer
- Klinik für Kinderkardiologie und angeborene Herzfehler, Deutsches Herzzentrum München, Technische Universität München, München, Germany
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Neidenbach R, Pieper L, Schelling J, Sanftenberg L, Oberhoffer R, Nagdyman N, Ewert P, Kaemmerer H. Die Versorgungssituation von Erwachsenen mit angeborenen Herzfehlern (EMAH) aus Sicht der Allgemein Ärzte und Internisten, sowie praktischer Ärzte. Thorac Cardiovasc Surg 2017. [DOI: 10.1055/s-0037-1599044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- R. Neidenbach
- Klinik für Kinderkardiologie und angeborene Herzfehler, Deutsches Herzzentrum München, Technische Universität München, München, Germany
| | - L. Pieper
- Institut für Klinische Psychologie und Psychotherapie, Professur für Behaviorale Epidemiologie, Technische Universität Dresden, Dresden, Germany
| | - J. Schelling
- Institut für Allgemeinmedizin, Ludwig-Maximilians-Universität München, München, Germany
| | - L. Sanftenberg
- Institut für Allgemeinmedizin, Ludwig-Maximilians-Universität München, München, Germany
| | - R. Oberhoffer
- Technische Universität München, Lehrstuhl für präventive Pädiatrie, München, Germany
| | - N. Nagdyman
- Klinik für Kinderkardiologie und angeborene Herzfehler, Deutsches Herzzentrum München, Technische Universität München, München, Germany
| | - P. Ewert
- Klinik für Kinderkardiologie und angeborene Herzfehler, Deutsches Herzzentrum München, Technische Universität München, München, Germany
| | - H. Kaemmerer
- Klinik für Kinderkardiologie und angeborene Herzfehler, Deutsches Herzzentrum München, Technische Universität München, München, Germany
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