Independent Walking for Brain Health

NCT ID: NCT03058146

Last Updated: 2023-07-17

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

53 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-10-12

Study Completion Date

2020-05-20

Brief Summary

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Physical activity interventions with older adults can improve brain health; however most interventions have been performed in gym-like settings that reach a small sector of the senior population. Since not everyone can access a gym, it is important to study whether brisk walking in real world environments can also help brain health. This study will use mobile health devices to help older adults independently walk for brain health, thus representing a critical step towards the dissemination of physical activity intervention programs aimed at preserving cognitive function in aging.

Detailed Description

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Physical activity interventions conducted in supervised settings (laboratories and group settings) with older adults have consistently shown improved cardiovascular and cerebrovascular health and improved cognitive function. What is lacking is the development of interventions that take place in real world environments and that take advantage of new technologies to help objectively track real time physical activity behaviors. Real world physical activity interventions have the potential to reach a larger segment of the population and to enhance maintenance after the intervention period ends. This study will develop a novel physical activity intervention using mobile health technologies to promote physical activity levels likely to affect cerebral blood flow and cognition in real world environments in cognitively normal older adults. A randomized controlled trial will be conducted with 30 participants being assigned to the mobile health physical activity condition (walking in free-living environments tracked via mobile health technologies) and another 30 to an education control condition (at home reading about healthy aging materials) for 3 months.

Conditions

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Physical Activity Aging

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomized Controlled Trial with ongoing enrollment into each arm (individual intervention)
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Mobile Health Walking Condition

Physically inactive older adults in this condition will perform 3 months of prescribed brisk walking (to increase cardio respiratory fitness) in their real world environments, using mobile health (mHealth) devices during each exercise session to achieve and maintain a minimum of 150 minutes of moderate to vigorous physical activity (MVPA) per week.

Group Type EXPERIMENTAL

Mobile Health Walking Condition

Intervention Type BEHAVIORAL

Physically inactive older adults in this condition will perform 3 months of prescribed brisk walking (to increase cardio respiratory fitness) in their real world environments, using mobile health (mHealth) devices during each exercise session to achieve and maintain a minimum of 150 minutes of moderate to vigorous physical activity (MVPA) per week.

Healthy Aging Education Condition

The education control condition will provide participants with printed materials and homework assignments on issues related to successful aging, such as nutrition, social activity, cognitive and social engagement.

Group Type ACTIVE_COMPARATOR

Healthy Aging Education Condition

Intervention Type BEHAVIORAL

The education control condition will provide participants with printed materials and homework assignments on issues related to successful aging, such as nutrition, social activity, cognitive and social engagement.

Interventions

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Mobile Health Walking Condition

Physically inactive older adults in this condition will perform 3 months of prescribed brisk walking (to increase cardio respiratory fitness) in their real world environments, using mobile health (mHealth) devices during each exercise session to achieve and maintain a minimum of 150 minutes of moderate to vigorous physical activity (MVPA) per week.

Intervention Type BEHAVIORAL

Healthy Aging Education Condition

The education control condition will provide participants with printed materials and homework assignments on issues related to successful aging, such as nutrition, social activity, cognitive and social engagement.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Men and women between the ages of 65-80
* Ability to obtain a signed physician's clearance for participation in this study
* English-speaking as needed to complete cognitive testing and follow study procedures
* Cognitively normal (based on comprehensive neuropsychological assessment)
* No contraindications for Magnetic Resonance Imaging (MRI)
* Must be ambulatory and able to walk independently

Exclusion Criteria

* History of head injury involving loss of consciousness within the past 6 months and/or history of severe traumatic brain injury
* Major neurological disorders (dementia, multiple sclerosis, epilepsy, etc)
* Chronic major psychiatric disorders (schizophrenia, major recurrent affective disorder)
* History of major vascular events (myocardial infarction, stroke, etc),
* History of diabetes
* History of falls in the last year resulting in hospitalization
* Unstable or poorly controlled medical problems e.g. heart failure, diabetes (poorly controlled or on insulin), uncontrolled hypertension, pulmonary disease with hypoxia or hypercapnia, significant liver problems or renal failure, treatment of cancer in the past 2 years (other than non-melanoma skin cancer), HIV positive
* Objective evidence of cognitive impairment based on neuropsychological assessment
Minimum Eligible Age

65 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Institutes of Health (NIH)

NIH

Sponsor Role collaborator

National Institute on Aging (NIA)

NIH

Sponsor Role collaborator

University of California, San Diego

OTHER

Sponsor Role lead

Responsible Party

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Zvinka Z. Zlatar

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Zvinka Z Zlatar, PhD

Role: PRINCIPAL_INVESTIGATOR

University of California, San Diego

Locations

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University of California, San Diego

La Jolla, California, United States

Site Status

Countries

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United States

References

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Hays Weeks CC, Moore AA, Allison M, Patrick K, Bondi MW, Nebeker C, Liu TT, Wing D, Higgins M, Hartman SJ, Rissman RA, Zlatar ZZ. The Independent Walking for Brain Health Intervention for Older Adults: Protocol for a Pilot Randomized Controlled Trial. JMIR Res Protoc. 2023 Feb 13;12:e42980. doi: 10.2196/42980.

Reference Type DERIVED
PMID: 36535765 (View on PubMed)

Nebeker C, Zlatar ZZ. Learning From Older Adults to Promote Independent Physical Activity Using Mobile Health (mHealth). Front Public Health. 2021 Aug 12;9:703910. doi: 10.3389/fpubh.2021.703910. eCollection 2021.

Reference Type DERIVED
PMID: 34476229 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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K23AG049906

Identifier Type: NIH

Identifier Source: secondary_id

View Link

20153238

Identifier Type: -

Identifier Source: org_study_id

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