Effectiveness of integrative medicine program for dementia prevention on cognitive function and depression of elderly in a public health center

Background: This study investigated the effectiveness of an integrative medicine program (IMP) for dementia prevention on cognitive function, depression and quality of life (QOL) of elderly in a public health center. Methods: This study employed a before-after study design to assess effectiveness of...

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Main Authors: Hae In Ahn, Min Kyung Hyun
Format: Article
Language:English
Published: Elsevier 2019-06-01
Series:Integrative Medicine Research
Online Access:http://www.sciencedirect.com/science/article/pii/S2213422019300733
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author Hae In Ahn
Min Kyung Hyun
author_facet Hae In Ahn
Min Kyung Hyun
author_sort Hae In Ahn
collection DOAJ
description Background: This study investigated the effectiveness of an integrative medicine program (IMP) for dementia prevention on cognitive function, depression and quality of life (QOL) of elderly in a public health center. Methods: This study employed a before-after study design to assess effectiveness of the IMP for dementia prevention for community dwelling elderly over 60 without diagnosis of dementia. Cognitive function was measured using the Mini Mental State Examination for Dementia screening (MMSE-DS), digit span test (DST) and trail making test (TMT). The Geriatric Depression Scale Short Form- Korean version (GDSSF-K) and EQ-5D were used to evaluate depression and health-related quality of life. The IMP composed of acupuncture, moxibustion, physical activities, meditation, laughter therapy and music therapy was held once a week over 8 weeks. A paired t-test was used to compare the pre and post-test results. Results: After screening 93 people, a total of 48 were included in the analysis. Evaluation of the cognitive function revealed that TMT-A (p = 0.028) and TMT-B (p = 0.0013) were significantly reduced, but MMSE-DS (p = 0.309) and DST (DSF: p = 0.855, DSB: p = 0.176) were not statistically significant. Depression (p < 0.01) and preventive behavior for dementia (p < 0.0001) of the participants were improved after the IMP. Conclusion: The IMP for dementia prevention may have beneficial effects on cognitive function and depression of elderly. However, a well-designed follow-up study is needed to confirm this conclusion. Keywords: Integrative medicine program, Cognitive function, Public health center, Korean medicine, Health promotion program
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spelling doaj-art-7d0eddf23a9d45cfa826c3281e568de12025-08-20T01:55:46ZengElsevierIntegrative Medicine Research2213-42202019-06-018213313710.1016/j.imr.2019.04.008Effectiveness of integrative medicine program for dementia prevention on cognitive function and depression of elderly in a public health centerHae In Ahn0Min Kyung Hyun1Hongeun Branch Center (Korean Medicine Health Promotion Center), Seodaemun-gu Community Health Center, Seoul, Republic of KoreaDepartment of Preventive Medicine, College of Korean Medicine, College of Korean Medicine, Dongguk University, Gyeongju, Republic of Korea; Corresponding author at: Department of Preventive Medicine, College of Korean Medicine, Dongguk University, 123, Dongdae-ro, Gyeongju-si, Gyeongsanbuk-do 38066, Republic of Korea.Background: This study investigated the effectiveness of an integrative medicine program (IMP) for dementia prevention on cognitive function, depression and quality of life (QOL) of elderly in a public health center. Methods: This study employed a before-after study design to assess effectiveness of the IMP for dementia prevention for community dwelling elderly over 60 without diagnosis of dementia. Cognitive function was measured using the Mini Mental State Examination for Dementia screening (MMSE-DS), digit span test (DST) and trail making test (TMT). The Geriatric Depression Scale Short Form- Korean version (GDSSF-K) and EQ-5D were used to evaluate depression and health-related quality of life. The IMP composed of acupuncture, moxibustion, physical activities, meditation, laughter therapy and music therapy was held once a week over 8 weeks. A paired t-test was used to compare the pre and post-test results. Results: After screening 93 people, a total of 48 were included in the analysis. Evaluation of the cognitive function revealed that TMT-A (p = 0.028) and TMT-B (p = 0.0013) were significantly reduced, but MMSE-DS (p = 0.309) and DST (DSF: p = 0.855, DSB: p = 0.176) were not statistically significant. Depression (p < 0.01) and preventive behavior for dementia (p < 0.0001) of the participants were improved after the IMP. Conclusion: The IMP for dementia prevention may have beneficial effects on cognitive function and depression of elderly. However, a well-designed follow-up study is needed to confirm this conclusion. Keywords: Integrative medicine program, Cognitive function, Public health center, Korean medicine, Health promotion programhttp://www.sciencedirect.com/science/article/pii/S2213422019300733
spellingShingle Hae In Ahn
Min Kyung Hyun
Effectiveness of integrative medicine program for dementia prevention on cognitive function and depression of elderly in a public health center
Integrative Medicine Research
title Effectiveness of integrative medicine program for dementia prevention on cognitive function and depression of elderly in a public health center
title_full Effectiveness of integrative medicine program for dementia prevention on cognitive function and depression of elderly in a public health center
title_fullStr Effectiveness of integrative medicine program for dementia prevention on cognitive function and depression of elderly in a public health center
title_full_unstemmed Effectiveness of integrative medicine program for dementia prevention on cognitive function and depression of elderly in a public health center
title_short Effectiveness of integrative medicine program for dementia prevention on cognitive function and depression of elderly in a public health center
title_sort effectiveness of integrative medicine program for dementia prevention on cognitive function and depression of elderly in a public health center
url http://www.sciencedirect.com/science/article/pii/S2213422019300733
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