Nurse-Enhanced Computerized Cognitive Training Increases Serum Brain-Derived Neurotropic Factor Levels and Improves Working Memory in Heart Failure

• Published in: Journal of cardiac failure Vol. 21; no. 8; pp. 630 - 641
• Main Authors: Pressler, Susan J., PhD, RN, Titler, Marita, PhD, RN, Koelling, Todd M., MD, Riley, Penny L., PhD, RN, Jung, Miyeon, MSN, RN, Hoyland-Domenico, Lisa, PhD, RN, Ronis, David L., PhD, Smith, Dean G., PhD, Bleske, Barry E., PharmD, Dorsey, Susan G., PhD, RN, Giordani, Bruno, PhD
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01-08-2015
• Subjects: Aged; BDNF; Brain-Derived Neurotrophic Factor - blood; Cardiovascular; Cognition Disorders - blood; Cognition Disorders - physiopathology; Cognition Disorders - therapy; Cognitive Therapy - methods; computerized cognitive training; Depression; Female; health-related quality of life; Heart Failure - blood; Heart Failure - physiopathology; Heart Failure - therapy; Humans; Male; Memory Disorders - blood; Memory Disorders - physiopathology; Memory Disorders - therapy; Memory loss; Memory, Short-Term - physiology; Middle Aged; Quality of Life; health-related quality of life; computerized cognitive training; BDNF; Memory loss
• ISSN: 1071-9164; 1532-8414
• DOI: 10.1016/j.cardfail.2015.05.004

Abstract Background Memory loss is common in heart failure (HF) patients, but few interventions have been tested to treat it. The objective of this study was to evaluate efficacy of a cognitive training intervention, Brain Fitness, to improve memory, serum brain-derived neurotropic factor (BDNF) levels, working memory, processing speed, executive function, instrumental activities of daily living, mobility, depressive symptoms, and health-related quality of life. Methods and Results Twenty-seven HF patients were randomly assigned to Brain Fitness and health education active control interventions. Data were collected at baseline and 8 and 12 weeks. Linear mixed models analyses were completed. Patients in the Brain Fitness group were older with lower ejection fraction. At 12 weeks, a group by time interaction effect was found for serum BDNF levels ( P  = .011): serum BDNF levels increased among patients who completed Brain Fitness and decreased among patients who completed health education. No differences were found in memory, but a group by time interaction ( P  = .046) effect was found for working memory. Conclusions Findings support efficacy of Brain Fitness in improving working memory and serum BDNF levels as a biomarker of intervention response. A randomized controlled study is needed among a larger more diverse group of HF patients.