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Volume 08
Journal of Alzheimers Disease & Parkinsonism
Alzheimer's Congress 2018
May 30-31, 2018
Page 14
Notes:
conference
series
.com
May 30-31, 2018 Osaka, Japan
10
th
World Congress on
Alzheimer's Disease & Dementia
HAPPY (Healthy Ageing Promotion Program for You) for ageing in place
P
opulation, health and prevention of frailty and dementia have become a public health priority to reduce healthcare cost and
institutionalization.The primary aimof HealthyAgeing PromotionProgramfor You (HAPPY) was to improve cognition and
function. Participants were older adults aged above 60 years recruited from senior activity centres and community. In addition
to demographics data, information on frailty, quality of life, cognition and function was collected. Physical measurements
including Short Performance Battery test (SPPB) was also carried out. Those screened to be pre-frail or frail and ambulant or
have underlying cognitive impairment were invited to participate in HAPPY. Exclusion criteria included diagnosis of dementia
and wheelchair bound. 40 participants were followed up for 3 months. Baseline characteristics of participants include mean
age of 75.5 years. 25 (62.5%) of participants complained of subjective memory problems and 8 (20%) of participants had Mini
Mental State Examination (MMSE) scores below 24. About 29 (72.5%) had hypertension, 17 (42.5%) had hyperlipidemia
and 11 (27.5%) had diabetes. 8 (20%) of participants had 3 or more chronic diseases. 34 (85%) were prefrail and 5 (12.5%)
were classified as frail. After 3 months, MMSE mean scores improved from 25.9 to 26.8 and Montreal cognitive assessment
mean scores improved from 23.0 to 24.9. In addition to cognitive scores, there was small but significant improvement in gait
speed and total SPPB scores without any change in self-rated quality of life. Community based engagement and intervention
programs are useful in delaying the onset of dementia and frailty.
Biography
Reshma A Merchant has graduated from University of Edinburgh and currently a Fellow of Royal College of Physician, Edinburg. She is currently the Head of
Division of Geriatric Medicine at the National University of Singapore, Singapore. Her primary interest is in cognitive frailty.
reshmaa@nuhs.edu.sgReshma A Merchant
National University of Singapore, Singapore
Reshma A Merchant, J Alzheimers Dis Parkinsonism 2018, Volume 8
DOI: 10.4172/2161-0460-C4-044