Skip to main content

Table 1 Lifestyle interventions recommended for MCI based on expert opinion

From: Souvenaid in the management of mild cognitive impairment: an expert consensus opinion

Intervention Recommendation Degree of confidence*
Medical • Ensure blood pressure is optimal [34] +++
• Ensure body mass index (BMI) is optimal [35] ++
• Ensure cholesterol level is optimal [36] +
• Ensure no undiagnosed diabetes or if diabetic ensure control is optimal for age [37] +
• Review medicines and assess for anticholinergic burden [38] +
• Ensure hearing loss is addressed [3] +
• Adopt practices to avoid head injury (use helmets, avoid unprotected contact sports) [39]  
Lifestyle • Advise smoking reduction and cessation support [40] +++
• Advise limiting alcohol intake in line with currently accepted guidelines [41] ++
• Encourage physical activity and exercise [32, 33, 42] +++
• Protect against head injury [39] +
• Encourage brain fitness activities and social connectedness  
• Promote good sleep patterns and adequate sleep time  
Psychosocial • Adequately treat depression and anxiety [43] +++
• Advise on methods of cognitive training [44] ++
• Recommend opportunities for increasing social engagement [45] +
• Reduce stress  
Nutritional • Advise on dietary principles around maintaining general health [4] ++
• Encourage adherence to diets with some evidence of benefit, such as Mediterranean, MIND, and DASH [46] +++
• Recommend evidence-based nutritional supplements, such as Souvenaid, are considered [9] +++
  1. *Degree of confidence is based on an expert assessment of published evidence and personal experience, rather than a formal, systematic, evidence-based review: +++, high degree of confidence with strong supporting evidence from randomized controlled trials; ++, good degree of confidence with supporting evidence; +, fair degree of confidence with some supporting evidence