Page 75 - Annual Report 2018
P. 75

4. THE VALLECAS PROJECT




















          •  Signing an informed consent.                       • Neurological history: mental retardation,
          • Be aged between 70 and 85 years old.                   head injuries, etc.
          • Availability and ability to reach the Alzheimer     • Consumption and/or toxic addiction:
            Centre for visits.                                     alcoholism/level of regular alcohol intake,
          • Visual and hearing abilities that allow                addiction/consumption of other psychotropic
            conducting the study tests.                            substances.
                                                                • Psychiatric pathology: depression, dysthymia,
          In addition, a number of exclusion criteria were es-     bipolar disorder, psychotic disorders, anxiety
          tablished, including the following: i) suspected or      syndromes.
          diagnosed dementia; ii) inability to perform neuroi-  • Other relevant systemic diseases: hepatic
          maging studies; iii) alcohol abuse; iv) mental retar-    failure, renal failure, Obstructive Sleep Apnea
          dation; or v) history of certain psychiatric or          Syndrome (OSA)...
          neurological diseases (e.g. schizophrenia, stroke,    • Family history with special attention to the
                                                                   history of dementia or movement disorders,
          severe head trauma, Central nervous system infec-
                                                                   developmental delay or psychiatric disorders.
          tions, uncorrected vitamin deficiencies, etc.).
                                                                • Regular drug treatment during the last 5
                                                                   years.
          In the table some global data from the cohort of ap-
                                                                • Since 2018, all volunteers who consent to
          proximately 1,213 individuals evaluated to date are      carry an accelerometer device (Actigraph®),
          indicated.                                               similar to a wrist watch, are being provided
                                                                   with it for the recording of physical activity
          4.3.2. Sociodemographic profile                          and sleep for a week
          The following variables are collected through semi-  4.3.4. General examination
          structured interview: gender, date of birth, marital
          status, number of children, type and amount of in-  All subjects undergo a general and neurological
          come, primary occupation and education level,       standard examination: cranial nerves, muscle ba-
          hobbies and leisure activities, etc.                lance, coordination, extrapyramidal system, gait, os-
                                                              teotendinous reflexes, midline release reflexes, etc.
          In addition, each year volunteers also must com-    The following parameters are analyzed in a special
          plete a scale of quality of life and subjective well-  way:
          being (mobility, personal care, daily activities,
          pain/discomfort, anxiety/depression, and perceived  • Gait disturbance
                                                              • Handwriting
          health status) as well as various questionnaires to ga-  • Instrumental activities of daily living
          ther information related to lifestyle.
                                                              4.3.5. Neuropsychological Examination
          4.3.3. Clinical evaluation
                                                              The neuropsychological evaluation allows to explore
          At each visit relevant information is collected from
                                                              in a holistic way the various cognitive domains (gno-
          each volunteer by applying a semi-structured clini-
                                                              sias, attention, memory, language, praxis and exe-
          cal interview:
                                                              cutive functions), as well as a series of variables
            • Vascular risk factors: blood pressure, diabetes  related to affectivity, behavior and level of auto-
               mellitus, smoking, heart disease, stroke       nomy in the daily life of an individual. To do this, the








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