Key Findings from the LatAm-FINGERS Study
Overview
The LatAm-FINGERS study demonstrated that culturally adapted lifestyle interventions can improve cognitive health in older adults at risk of dementia across multiple Latin American countries.
Study Design
- Funded by the Alzheimer’s Association.
- Followed participants for two years.
- Included 1,065 participants from 12 countries (Argentina, Bolivia, Brazil, Chile, Colombia, Costa Rica, Dominican Republic, Ecuador, Mexico, Peru, and Uruguay).
Intervention Groups
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Systematic Lifestyle Intervention (SLI): Involved 539 participants, offering continuous coaching and support through:
- Supervised exercises
- Nutrition counseling (modified MIND diet)
- Computerized cognitive training
- Regular group meetings (38 total) for social engagement.
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Flexible Lifestyle Intervention (FLI): Included 526 participants who received:
- Periodic health education
- General lifestyle recommendations
- Four group meetings during the study without ongoing coaching.
Results
- The SLI group showed a 55% greater improvement in overall cognitive function compared to the FLI group.
- Significant enhancements were noted in memory, executive function, and processing speed.
Cultural Adaptations
- The program was tailored to local habits and resources—exercise included traditional activities like salsa and tango, and nutritional guidance incorporated local foods such as avocado and quinoa.
- Study materials and technology support were adapted for local communities.
Diversity and Inclusivity
- The study encompassed significant racial and ethnic diversity, addressing participants of varying education and socioeconomic status.
- Findings suggest that interventions can be effective across diverse populations.
Implications
- Results align with previous studies (e.g., U.S. POINTER) indicating that structured lifestyle programs could be beneficial globally, including in low- and middle-income countries.
- Emphasizes that support and structure in programs are crucial for enhancing brain health.
Future Directions
- The study seeks to engage Latino and Hispanic communities in the U.S. and expand similar interventions globally.
- Researchers advocate for combining lifestyle interventions with emerging pharmaceutical therapies to potentially reduce cognitive decline.
