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Les publications qui changent la vie de l interniste : G riatrie

Article 1 Exercise is associated with reduced risk for incident dementia among persons 65 years of age and older. . Larson EB et alAnn Intern Med. 2006 Jan 17;144(2):73-81.. ACT study (Adult Change in Tought) . Objectif : d

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Les publications qui changent la vie de l interniste : G riatrie

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    1. Les publications qui changent la vie de l’interniste : Gériatrie Dr Olivier Hanon, MD, PHD Hôpital Broca, service de gériatrie, Paris

    2. Article 1 Exercise is associated with reduced risk for incident dementia among persons 65 years of age and older. Larson EB et al Ann Intern Med. 2006 Jan 17;144(2):73-81.

    3. ACT study (Adult Change in Tought) Objectif : déterminer les relations entre exercice physique et survenue de démence Sujets > 65 ans, Seattle, Étude prospective (1994 à 2003), suivi moyen = 6,2±2 ans 6782 randomisés => 2581 participants Pas de démence à l’entrée (screening CASI = cognitive ability screening instrument) Au total 1740 inclus Décès, perdus de vu = 397 (23%)

    4. Méthodes Incidence des démences CASI (cognitive ability screening instrument) Score > 86/100 (= MMSE > 26) Score < 86/100 => évaluation clinique, diagnostic de démences DSM IV, NINCDS-ADRDA Exercice physique Nombre de jour / semaine au moins 15’ d’exercice (interview) Marche, excursion, vélo, aérobic, natation, stretching… Exercice ? 3 / semaines (= activité physique régulière) Activité physique : PPF (Performance-based physical function) Marche, assis-debout, équilibre, force motrice 0 à 16 (16=normal)

    5. FDR des démences

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