Cognitive and Aerobic Resilience for the Brain

NCT ID: NCT02390453

Last Updated: 2023-03-07

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

201 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-01-31

Study Completion Date

2019-10-25

Brief Summary

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This is a randomized controlled trial (RCT) of the effectiveness of cognitive and exercise training versus control condition on cognitive function in older adults with mild cognitive impairment (MCI).

Detailed Description

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Exercise and cognitive training hold promise for delaying progression of MCI. Exercise improves cognitive ability, brain function, and brain structure in older adults. Cognitive training has been shown to durably improve mental abilities and functional status in older adults. In addition, persons with MCI respond to some forms of cognitive training just as robustly as healthy older adults.

This pilot study is a 4 group design with a home-based multi-modal physical exercise intervention, cognitive training, combined cognitive and physical training, and a social contact control enrolling older adults with MCI.

This pilot study is designed to be consistent with current recommended approaches to establishing trial feasibility. If the aims are achieved, it will provide a conceptual and practical rationale to support a large, multi-site, randomized clinical trial to test the efficacy of combined physical and cognitive training in delaying time to a clinical diagnosis of dementia.

Conditions

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Mild Cognitive Impairment

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Combined Cognitive and Physical

This consists of 45 minutes of Cognitive arm + 45 minutes of Physical arm (90 minutes total), 3 days a week for 12 weeks (36 sessions).

Group Type EXPERIMENTAL

Combined Cognitive and Physical

Intervention Type BEHAVIORAL

Combined modules provide Cognitive training from Posit Science designed to improve information processing speed, learning, memory, and attention, and Physical training focused on seated aerobic and progressive resistance exercises designed to improve aerobic capacity, muscular strength, and endurance consistent with current exercise recommendations for older adults.

Cognitive

This consists of 45 minutes of cognitive modules from Posit Science, 3 days a week for 12 weeks (36 sessions).

Group Type ACTIVE_COMPARATOR

Cognitive

Intervention Type BEHAVIORAL

Cognitive modules from Posit Science are designed to improve information processing speed, learning, memory, and attention.

Physical

This consists of 45 minutes of multi-modal physical exercise, 3 days a week for 12 weeks (36 sessions).

Group Type ACTIVE_COMPARATOR

Physical

Intervention Type BEHAVIORAL

Physical modules are focused on seated aerobic and progressive resistance training designed to improve aerobic capacity, muscular strength, and endurance consistent with current exercise recommendations for older adults.

Active Control

This consists of 45 minutes of group discussion of health and successful aging, 2 days a week for 12 weeks (24 sessions).

Group Type ACTIVE_COMPARATOR

Active Control

Intervention Type BEHAVIORAL

Control modules provide social contact for group discussion of health and successful aging.

Interventions

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Combined Cognitive and Physical

Combined modules provide Cognitive training from Posit Science designed to improve information processing speed, learning, memory, and attention, and Physical training focused on seated aerobic and progressive resistance exercises designed to improve aerobic capacity, muscular strength, and endurance consistent with current exercise recommendations for older adults.

Intervention Type BEHAVIORAL

Cognitive

Cognitive modules from Posit Science are designed to improve information processing speed, learning, memory, and attention.

Intervention Type BEHAVIORAL

Physical

Physical modules are focused on seated aerobic and progressive resistance training designed to improve aerobic capacity, muscular strength, and endurance consistent with current exercise recommendations for older adults.

Intervention Type BEHAVIORAL

Active Control

Control modules provide social contact for group discussion of health and successful aging.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* subjective memory complaint
* minimal impairment in daily function per Functional Activity Questionnaire (FAQ)
* sedentary
* English speaking
* access to telephone

Exclusion Criteria

* dementia or Alzheimer disease
* stroke, past 12 months
* myocardial infarction, past 12 months
* angina
* Parkinson disease
* multiple sclerosis
* epilepsy
* AIDS
* brain tumor, infection, or surgery
* brain injury with \> 30 minute LOC
* schizophrenia
* bipolar disorder
* cancer with short life expectancy
* current chemotherapy or radiation therapy
* depression
* alcohol consumption ≥ 8 drinks per week for women, or ≥15 drinks per week for men
* prescription of Aricept or Namenda, past or present
* self-reported difficulty reading a newspaper (low visual acuity)
* low hearing or communicative ability (examiner-rated) that would interfere with interventions and outcome assessments
* prior involvement in similar cognitive training studies, programs, or online training
* prior use of online brain training or brain fitness programs
* unable to pass the Exercise Assessment and Screening for You (EASY)
* living in nursing home
* scheduling conflicts with intervention schedule
* unwilling to use a computer or be on video conferencing
* Baseline blood pressure of Systolic \> 180
* Baseline blood pressure of Diastolic \> 100
* Baseline pulse of \< 40 or \> 100
* unable to provide informed consent
Minimum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute on Aging (NIA)

NIH

Sponsor Role collaborator

Indiana University

OTHER

Sponsor Role lead

Responsible Party

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Frederick Unverzagt

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Frederick W Unverzagt, PhD

Role: PRINCIPAL_INVESTIGATOR

Indiana University

Locations

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Indiana University

Indianapolis, Indiana, United States

Site Status

Countries

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United States

Other Identifiers

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1R01AG045157-01A1

Identifier Type: NIH

Identifier Source: secondary_id

View Link

R01AG045157

Identifier Type: NIH

Identifier Source: org_study_id

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