PMID- 29843238 OWN - NLM STAT- MEDLINE DCOM- 20190610 LR - 20190613 IS - 1875-8908 (Electronic) IS - 1387-2877 (Linking) VI - 63 IP - 4 DP - 2018 TI - Oxidative Stress in Elderly with Different Cognitive Status: My Mind Project. PG - 1405-1414 LID - 10.3233/JAD-171117 [doi] AB - BACKGROUND: Biomarkers of oxidative stress have been associated with cognitive status in humans and have been proposed to guide prognosis/treatment in Alzheimer's disease (AD) and mild cognitive impairment (MCI). OBJECTIVE: The aim of this study was to compare oxidative stress status in the plasma of mild-moderate AD, MCI, and healthy elderly with normal cognition (HE) undergoing a non-pharmacological intervention including multi-modal cognitive training ("My Mind Project"). METHODS: A prospective randomized trial involving 321 elderly people enrolled in Marche Region, Italy. Each subject was randomly assigned to an experimental (cognitive training) or to a control group. Cognitive performances and biomarkers have been analyzed before intervention (baseline), immediately after termination (follow-up 1), after 6 months (follow-up 2), and after 2 years (follow-up 3). The biological antioxidant potential (BAP) to Diacron reactive oxygen metabolites (d-ROM) ratio has been used as an indicator of oxidative stress status and as outcome variable. RESULTS: We have found no differences in the oxidative status among AD, MCI, and HE. Neither did we find a significant effect of the intervention within experimental groups. Gender was the sole factor with a strong significant effect on BAP/d-ROM. CONCLUSIONS: Based on these results, the utility of biomarkers of oxidative stress to guide prognosis/treatment in AD or MCI seems to be limited by lack of specificity, large interindividual variability, and gender bias. FAU - Fattoretti, Patrizia AU - Fattoretti P AD - Cellular Bioenergetics Laboratory, Center for Neurobiology of Aging, INRCA-IRCCS, Ancona, Italy. FAU - Malavolta, Marco AU - Malavolta M AD - Advanced Technology Center for Aging Research, INRCA-IRCCS, Ancona, Italy. FAU - Fabbietti, Paolo AU - Fabbietti P AD - Unit of Geriatric Pharmacoepidemiology, INRCA-IRCCS, Cosenza, Italy. FAU - Papa, Roberta AU - Papa R AD - Centre of Socio-Economic Gerontological Research, INRCA-IRCCS, Ancona, Italy. FAU - Giacconi, Robertina AU - Giacconi R AD - Advanced Technology Center for Aging Research, INRCA-IRCCS, Ancona, Italy. FAU - Costarelli, Laura AU - Costarelli L AD - Clinical Laboratory and Molecular Diagnostics, INRCA-IRCCS, Ancona, Italy. FAU - Galeazzi, Roberta AU - Galeazzi R AD - Clinical Laboratory and Molecular Diagnostics, INRCA-IRCCS, Ancona, Italy. FAU - Paoloni, Cristina AU - Paoloni C AD - Geriatrics Operative Unit, INRCA-IRCCS, Fermo, Italy. FAU - Postacchini, Demetrio AU - Postacchini D AD - Geriatrics Operative Unit, INRCA-IRCCS, Fermo, Italy. FAU - Lattanzio, Fabrizia AU - Lattanzio F AD - Scientific Direction, INRCA-IRCCS, Ancona, Italy. FAU - Giuli, Cinzia AU - Giuli C AD - Geriatrics Operative Unit, INRCA-IRCCS, Fermo, Italy. LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - Netherlands TA - J Alzheimers Dis JT - Journal of Alzheimer's disease : JAD JID - 9814863 RN - 0 (Biomarkers) RN - 0 (Reactive Oxygen Species) SB - IM MH - Aged MH - *Aging MH - Alzheimer Disease/*physiopathology/rehabilitation MH - Biomarkers/blood MH - Cognitive Behavioral Therapy MH - Cognitive Dysfunction/*physiopathology/rehabilitation MH - Female MH - Humans MH - Italy MH - Longitudinal Studies MH - Male MH - Neuropsychological Tests MH - Oxidative Stress/*physiology MH - Prospective Studies MH - Reactive Oxygen Species/blood OTO - NOTNLM OT - Aging OT - Alzheimer's disease OT - cognitive dysfunction OT - oxidative stress EDAT- 2018/05/31 06:00 MHDA- 2019/06/14 06:00 CRDT- 2018/05/31 06:00 PHST- 2018/05/31 06:00 [pubmed] PHST- 2019/06/14 06:00 [medline] PHST- 2018/05/31 06:00 [entrez] AID - JAD171117 [pii] AID - 10.3233/JAD-171117 [doi] PST - ppublish SO - J Alzheimers Dis. 2018;63(4):1405-1414. doi: 10.3233/JAD-171117.