Abstract
ObjectiveIn the present paper we present an observational study of the implementation of a Neuropsychological Stimulation Program at an Elderly Day Care Center in low-educated participants with very similar backgrounds concerning social economic status.MethodsThe implemented program tackled several dimensions, including daily orientation sessions, cognitive stimulation sessions twice a week, followed by movement sessions, and structured sessions conducted every two weeks. Cognitive Evaluation was performed before and after implementation of the program.ResultsResults are discussed taking into consideration cognitive outputs as well as non-cognitive outputs and the specificities of community-based intervention.ConclusionIt was concluded that community-based intervention is set to become vital in promoting dementia prevention.
Highlights
Portugal is presently the 6o most-aged country in the world
In a review of the concept based on epidemiological evidence, Stern pointed to measures of socioeconomic status (SES), as proxies for cognitive reserve, such as income or occupational attainment, educational attainment and leisure activities
It is widely accepted that the risk of dementia and Alzheimer disease in old age is reduced in persons with higher levels of educational attainment compared to those with lower levels
Summary
Portugal is presently the 6o most-aged country in the world. an ageing population is common to Europe as a whole, the factor distinguishing the Portuguese case is the speed at which the aging process has occurred.[1]. In a review of the concept based on epidemiological evidence, Stern pointed to measures of socioeconomic status (SES), as proxies for cognitive reserve, such as income or occupational attainment, educational attainment and leisure activities According to this perspective, education, income and occupational attainment are protective factors against several brain disorders, including dementia.[12] It is widely accepted that the risk of dementia and Alzheimer disease in old age is reduced in persons with higher levels of educational attainment compared to those with lower levels. As highlighted by the authors, the research reviewed suggests unequivocally that education can serve as an effective moderator of cognitive vitality in late adulthood but that its interaction with other factors such as lifestyle, SES and occupational complexity has yet to be clearly established This may be why results regarding the impact of education on the rate of cognitive decline are not clear, especially when considering that heterogeneity increases with age.[16].
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