medicina56巻11号

2019年10月発行

連載 物忘れ外来から学ぶ現場のコツ 認知症患者の診かた・17

生活指導はどのようにしたらよいですか？

著者： 重松一生¹

所属機関： ¹南京都病院神経内科

ページ範囲：P.1864 - P.1869

ポイント
認知症では適切な生活習慣の維持が大切です．患者さんが無理をせず楽しくできることを，介護者に負担（精神的にも）をかけすぎないよう指導します．

参考文献

1）Ngandu T et al：A 2 year multidomain intervention of diet, exercise, cognitive training, and vascular risk monitoring versus control to prevent cognitive decline in at-risk elderly people（FINGER）：A randomised controlled trial. Lancet. 2015 Jun 6；385：2255-2263

2）Rabin JS, et al：Associations of Physical Activity and β-Amyloid with Longitudinal Cognition and Neurodegeneration in Clinically Normal Older Adults. JAMA Neurol Published online July 16, 2019

3）Kivimäki K, et al：Physical inactivity, cardiometabolic disease, and risk of dementia：An individual-participant meta-analysis. BMJ 365：l1495, 2019

4）Falck RS, et al：Improving sleep quality in mild cognitive impairment through chronotherapy and physical activity：A randomized controlled trial. Abstract ID：29939 AAIC 2019, LA

5）Letellier N, et al：Sex-specific association between neighborhood characteristics and dementia：The Three-City cohort. Alzheimers Dement 14：473-482, 2018

6）Letellier N, et al：Influence of activity space on the association between neighborhood characteristics and dementia risk：Results from the 3-City study cohort. BMC Geriatrics 19：4, 2019

7）Liu CM, Lee CTC：Association of hearing loss with dementia. JAMA Netw Open 2：e198112, 2019

1）Jessen F, et al：A conceptual framework for research on subjective cognitive decline in preclinical Alzheimer's disease. Alzheimers Dement 10：844-852, 2014