Trial Outcomes & Findings for Exercise Effects on Word Learning (NCT NCT03370471)

NCT ID: NCT03370471

Last Updated: 2021-09-05

Results Overview

Study-specific word recall task comprising trained items. Participant is shown each trained item and types the name. Acquisition: immediately after exercise or stretching on Monday, Wednesday and Friday. Consolidation: immediately before exercise or stretching on Wednesday and Friday, one week after training (Friday)

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

28 participants

Primary outcome timeframe

Assessment occurs over a two-week period for each of the 4 intervention/arms: Week 1: Monday, Wednesday, Friday, Week 2: Friday

Results posted on

2021-09-05

Participant Flow

Participant milestones

Participant milestones
Measure
Healthy Older Adults
Participants complete all four interventions Retrieval Practice + Moderate Intensity Exercise: Subjects will engage in 30 minutes of moderate-intensity cycling prior to word learning using Retrieval Practice (active retrieval during learning) Retrieval Practice + Gentle Stretching: Subject will engage in 30 minutes of gentle upper- and lower- limb stretching prior to word learning using Retrieval Practice (active retrieval during learning) Study Only + Moderate Intensity Exercise: Subjects will engage in 30 minutes of gentle stretching prior to word learning using Study Only (no active retrieval during learning) Study Only + Gentle Stretching: Subjects will engage in 30 minutes of gentle stretching prior to word learning using Study Only (no active retrieval during learning)
Individuals With Aphasia
Participants complete all four interventions Retrieval Practice + Moderate Intensity Exercise: Subjects will engage in 30 minutes of moderate-intensity cycling prior to word learning using Retrieval Practice (active retrieval during learning) Retrieval Practice + Gentle Stretching: Subject will engage in 30 minutes of gentle upper- and lower- limb stretching prior to word learning using Retrieval Practice (active retrieval during learning) Study Only + Moderate Intensity Exercise: Subjects will engage in 30 minutes of gentle stretching prior to word learning using Study Only (no active retrieval during learning) Study Only + Gentle Stretching: Subjects will engage in 30 minutes of gentle stretching prior to word learning using Study Only (no active retrieval during learning)
Overall Study
STARTED
23
5
Overall Study
COMPLETED
16
3
Overall Study
NOT COMPLETED
7
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Healthy Older Adults
Participants complete all four interventions Retrieval Practice + Moderate Intensity Exercise: Subjects will engage in 30 minutes of moderate-intensity cycling prior to word learning using Retrieval Practice (active retrieval during learning) Retrieval Practice + Gentle Stretching: Subject will engage in 30 minutes of gentle upper- and lower- limb stretching prior to word learning using Retrieval Practice (active retrieval during learning) Study Only + Moderate Intensity Exercise: Subjects will engage in 30 minutes of gentle stretching prior to word learning using Study Only (no active retrieval during learning) Study Only + Gentle Stretching: Subjects will engage in 30 minutes of gentle stretching prior to word learning using Study Only (no active retrieval during learning)
Individuals With Aphasia
Participants complete all four interventions Retrieval Practice + Moderate Intensity Exercise: Subjects will engage in 30 minutes of moderate-intensity cycling prior to word learning using Retrieval Practice (active retrieval during learning) Retrieval Practice + Gentle Stretching: Subject will engage in 30 minutes of gentle upper- and lower- limb stretching prior to word learning using Retrieval Practice (active retrieval during learning) Study Only + Moderate Intensity Exercise: Subjects will engage in 30 minutes of gentle stretching prior to word learning using Study Only (no active retrieval during learning) Study Only + Gentle Stretching: Subjects will engage in 30 minutes of gentle stretching prior to word learning using Study Only (no active retrieval during learning)
Overall Study
Withdrawal by Subject
6
1
Overall Study
Unable to access veins for blood draw
0
1
Overall Study
Screen fail
1
0

Baseline Characteristics

Exercise Effects on Word Learning

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Healthy Older Adults
n=16 Participants
Participants complete all four study interventions Retrieval Practice + Moderate Intensity Exercise: Subjects will engage in 30 minutes of moderate-intensity cycling prior to word learning using Retrieval Practice (active retrieval during learning) Retrieval Practice + Gentle Stretching: Subject will engage in 30 minutes of gentle upper- and lower- limb stretching prior to word learning using Retrieval Practice (active retrieval during learning) Study Only + Moderate Intensity Exercise: Subjects will engage in 30 minutes of gentle stretching prior to word learning using Study Only (no active retrieval during learning) Study Only + Gentle Stretching: Subjects will engage in 30 minutes of gentle stretching prior to word learning using Study Only (no active retrieval during learning)
Individuals With Aphasia
n=3 Participants
Participants complete all four study interventions Retrieval Practice + Moderate Intensity Exercise: Subjects will engage in 30 minutes of moderate-intensity cycling prior to word learning using Retrieval Practice (active retrieval during learning) Retrieval Practice + Gentle Stretching: Subject will engage in 30 minutes of gentle upper- and lower- limb stretching prior to word learning using Retrieval Practice (active retrieval during learning) Study Only + Moderate Intensity Exercise: Subjects will engage in 30 minutes of gentle stretching prior to word learning using Study Only (no active retrieval during learning) Study Only + Gentle Stretching: Subjects will engage in 30 minutes of gentle stretching prior to word learning using Study Only (no active retrieval during learning)
Total
n=19 Participants
Total of all reporting groups
Race (NIH/OMB)
Asian
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Black or African American
4 Participants
n=93 Participants
1 Participants
n=4 Participants
5 Participants
n=27 Participants
Age, Continuous
74.1 years
STANDARD_DEVIATION 5.1 • n=93 Participants
57.7 years
STANDARD_DEVIATION 21.1 • n=4 Participants
71.5 years
STANDARD_DEVIATION 10.4 • n=27 Participants
Sex: Female, Male
Female
7 Participants
n=93 Participants
2 Participants
n=4 Participants
9 Participants
n=27 Participants
Sex: Female, Male
Male
9 Participants
n=93 Participants
1 Participants
n=4 Participants
10 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
16 Participants
n=93 Participants
3 Participants
n=4 Participants
19 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
White
11 Participants
n=93 Participants
2 Participants
n=4 Participants
13 Participants
n=27 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=93 Participants
0 Participants
n=4 Participants
1 Participants
n=27 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Region of Enrollment
United States
16 Participants
n=93 Participants
3 Participants
n=4 Participants
19 Participants
n=27 Participants

PRIMARY outcome

Timeframe: Assessment occurs over a two-week period for each of the 4 intervention/arms: Week 1: Monday, Wednesday, Friday, Week 2: Friday

Study-specific word recall task comprising trained items. Participant is shown each trained item and types the name. Acquisition: immediately after exercise or stretching on Monday, Wednesday and Friday. Consolidation: immediately before exercise or stretching on Wednesday and Friday, one week after training (Friday)

Outcome measures

Outcome measures
Measure
Healthy Older Adults
n=16 Participants
Participants complete all four interventions Retrieval Practice + Moderate Intensity Exercise: Subjects will engage in 30 minutes of moderate-intensity cycling prior to word learning using Retrieval Practice (active retrieval during learning) Retrieval Practice + Gentle Stretching: Subject will engage in 30 minutes of gentle upper- and lower- limb stretching prior to word learning using Retrieval Practice (active retrieval during learning) Study Only + Moderate Intensity Exercise: Subjects will engage in 30 minutes of gentle stretching prior to word learning using Study Only (no active retrieval during learning) Study Only + Gentle Stretching: Subjects will engage in 30 minutes of gentle stretching prior to word learning using Study Only (no active retrieval during learning)
Individuals With Aphasia
n=3 Participants
Participants complete all four interventions Retrieval Practice + Moderate Intensity Exercise: Subjects will engage in 30 minutes of moderate-intensity cycling prior to word learning using Retrieval Practice (active retrieval during learning) Retrieval Practice + Gentle Stretching: Subject will engage in 30 minutes of gentle upper- and lower- limb stretching prior to word learning using Retrieval Practice (active retrieval during learning) Study Only + Moderate Intensity Exercise: Subjects will engage in 30 minutes of gentle stretching prior to word learning using Study Only (no active retrieval during learning) Study Only + Gentle Stretching: Subjects will engage in 30 minutes of gentle stretching prior to word learning using Study Only (no active retrieval during learning)
Study-Specific Word Recall Task
Acquisition- Retrieval Practice + Moderate Intensity Exercise
6.4 number of words gained
Standard Deviation 3.6
1.7 number of words gained
Standard Deviation 2.1
Study-Specific Word Recall Task
Consolidation- Retrieval Practice + Moderate Intensity Exercise
4.6 number of words gained
Standard Deviation 4.1
1.5 number of words gained
Standard Deviation 2.1
Study-Specific Word Recall Task
Acquisition- Retrieval Practice + Gentle Stretching
4.8 number of words gained
Standard Deviation 3.8
1.7 number of words gained
Standard Deviation 2.5
Study-Specific Word Recall Task
Consolidation- Retrieval Practice + Gentle Stretching
4.6 number of words gained
Standard Deviation 4.5
0.7 number of words gained
Standard Deviation 2.1
Study-Specific Word Recall Task
Acquisition- Study Only + Moderate Intensity Exercise
4.8 number of words gained
Standard Deviation 3.6
1.7 number of words gained
Standard Deviation 3.8
Study-Specific Word Recall Task
Consolidation- Study Only + Moderate Intensity Exercise
3.6 number of words gained
Standard Deviation 3.2
1.3 number of words gained
Standard Deviation 2.3
Study-Specific Word Recall Task
Acquisition- Study Only + Gentle Stretching
5.4 number of words gained
Standard Deviation 2.7
2.7 number of words gained
Standard Deviation 2.9
Study-Specific Word Recall Task
Consolidation- Study Only + Gentle Stretching
3.5 number of words gained
Standard Deviation 3.6
1.3 number of words gained
Standard Deviation 2.3

SECONDARY outcome

Timeframe: Assessment occurs on Monday, Wednesday and Friday of Week 1 for each of the 4 intervention/arms

Blood samples collected to measure serum BDNF concentration levels (pg/mL), as follows: 1. Before moderate intensity exercise or gentle stretching 2. Immediately after moderate intensity exercise or gentle stretching 3. Immediately after word learning 4. 15 minutes after word learning

Outcome measures

Outcome measures
Measure
Healthy Older Adults
n=13 Participants
Participants complete all four interventions Retrieval Practice + Moderate Intensity Exercise: Subjects will engage in 30 minutes of moderate-intensity cycling prior to word learning using Retrieval Practice (active retrieval during learning) Retrieval Practice + Gentle Stretching: Subject will engage in 30 minutes of gentle upper- and lower- limb stretching prior to word learning using Retrieval Practice (active retrieval during learning) Study Only + Moderate Intensity Exercise: Subjects will engage in 30 minutes of gentle stretching prior to word learning using Study Only (no active retrieval during learning) Study Only + Gentle Stretching: Subjects will engage in 30 minutes of gentle stretching prior to word learning using Study Only (no active retrieval during learning)
Individuals With Aphasia
n=2 Participants
Participants complete all four interventions Retrieval Practice + Moderate Intensity Exercise: Subjects will engage in 30 minutes of moderate-intensity cycling prior to word learning using Retrieval Practice (active retrieval during learning) Retrieval Practice + Gentle Stretching: Subject will engage in 30 minutes of gentle upper- and lower- limb stretching prior to word learning using Retrieval Practice (active retrieval during learning) Study Only + Moderate Intensity Exercise: Subjects will engage in 30 minutes of gentle stretching prior to word learning using Study Only (no active retrieval during learning) Study Only + Gentle Stretching: Subjects will engage in 30 minutes of gentle stretching prior to word learning using Study Only (no active retrieval during learning)
Serum BDNF Concentration Levels (pg/mL)
Moderate Intensity Exercise- Before Exercise
195.50 serum BDNF concentration levels (pg/mL)
Standard Deviation 36.00
137.83 serum BDNF concentration levels (pg/mL)
Standard Deviation 51.88
Serum BDNF Concentration Levels (pg/mL)
Moderate Intensity Exercise- Immediately After Exercise
218.98 serum BDNF concentration levels (pg/mL)
Standard Deviation 79.39
156.01 serum BDNF concentration levels (pg/mL)
Standard Deviation 70.25
Serum BDNF Concentration Levels (pg/mL)
Moderate Intensity Exercise- Immediately After Learning
209.95 serum BDNF concentration levels (pg/mL)
Standard Deviation 75.70
153.70 serum BDNF concentration levels (pg/mL)
Standard Deviation 28.94
Serum BDNF Concentration Levels (pg/mL)
Moderate Intensity Exercise- 15 Minutes After Learning
204.17 serum BDNF concentration levels (pg/mL)
Standard Deviation 57.36
129.34 serum BDNF concentration levels (pg/mL)
Standard Deviation 12.90
Serum BDNF Concentration Levels (pg/mL)
Gentle Stretching- Before Stretching
199.92 serum BDNF concentration levels (pg/mL)
Standard Deviation 48.72
180.25 serum BDNF concentration levels (pg/mL)
Standard Deviation 42.48
Serum BDNF Concentration Levels (pg/mL)
Gentle Stretching- Immediately After Stretching
217.14 serum BDNF concentration levels (pg/mL)
Standard Deviation 49.33
201.19 serum BDNF concentration levels (pg/mL)
Standard Deviation 93.51
Serum BDNF Concentration Levels (pg/mL)
Gentle Stretching- Immediately After Learning
222.03 serum BDNF concentration levels (pg/mL)
Standard Deviation 58.78
140.85 serum BDNF concentration levels (pg/mL)
Standard Deviation 23.66
Serum BDNF Concentration Levels (pg/mL)
Gentle Stretching- 15 Minutes After Learning
218.00 serum BDNF concentration levels (pg/mL)
Standard Deviation 60.00
117.76 serum BDNF concentration levels (pg/mL)
Standard Deviation 40.87

SECONDARY outcome

Timeframe: Assessment occurs on Monday, Wednesday and Friday of Week 1 for each of the 4 intervention/arms

Population: We were not able to obtain reliable measurements of dopamine for analysis.

The investigators will collect blood samples to detect changes in plasma dopamine in the training conditions on Monday and Friday sessions, as follows:. 1. Before exercise or stretching 2. Immediately after exercise or stretching 3. Immediately after word learning 4. 15 minutes after word learning

Outcome measures

Outcome data not reported

POST_HOC outcome

Timeframe: Assessment occurs over a two-week period for each of the 4 intervention/arms: Week 1: Monday, Wednesday, Friday, Week 2: Friday

Participants complete word recognition task on trained items. Acquisition: immediately after exercise or stretching on Monday, Wednesday, and Friday Consolidation: immediately before exercise or stretching on Monday and Wednesday, and one week after learning (Friday)

Outcome measures

Outcome measures
Measure
Healthy Older Adults
n=16 Participants
Participants complete all four interventions Retrieval Practice + Moderate Intensity Exercise: Subjects will engage in 30 minutes of moderate-intensity cycling prior to word learning using Retrieval Practice (active retrieval during learning) Retrieval Practice + Gentle Stretching: Subject will engage in 30 minutes of gentle upper- and lower- limb stretching prior to word learning using Retrieval Practice (active retrieval during learning) Study Only + Moderate Intensity Exercise: Subjects will engage in 30 minutes of gentle stretching prior to word learning using Study Only (no active retrieval during learning) Study Only + Gentle Stretching: Subjects will engage in 30 minutes of gentle stretching prior to word learning using Study Only (no active retrieval during learning)
Individuals With Aphasia
n=3 Participants
Participants complete all four interventions Retrieval Practice + Moderate Intensity Exercise: Subjects will engage in 30 minutes of moderate-intensity cycling prior to word learning using Retrieval Practice (active retrieval during learning) Retrieval Practice + Gentle Stretching: Subject will engage in 30 minutes of gentle upper- and lower- limb stretching prior to word learning using Retrieval Practice (active retrieval during learning) Study Only + Moderate Intensity Exercise: Subjects will engage in 30 minutes of gentle stretching prior to word learning using Study Only (no active retrieval during learning) Study Only + Gentle Stretching: Subjects will engage in 30 minutes of gentle stretching prior to word learning using Study Only (no active retrieval during learning)
Word Recognition
Acquisition- Retrieval Practice + Moderate Intensity Exercise
3.1 number of words gained
Standard Deviation 2.3
4.0 number of words gained
Standard Deviation 1.7
Word Recognition
Consolidation- Retrieval Practice + Moderate Intensity Exercise
3.0 number of words gained
Standard Deviation 3.0
3.5 number of words gained
Standard Deviation .07
Word Recognition
Acquisition- Retrieval Practice + Gentle Stretching
3.1 number of words gained
Standard Deviation 2.0
3.0 number of words gained
Standard Deviation 3.5
Word Recognition
Consolidation- Retrieval Practice + Gentle Stretching
2.9 number of words gained
Standard Deviation 2.6
-1.7 number of words gained
Standard Deviation 1.5
Word Recognition
Acquisition- Study Only + Moderate Intensity Exercise
2.7 number of words gained
Standard Deviation 2.2
2.3 number of words gained
Standard Deviation 1.5
Word Recognition
Consolidation- Study Only + Moderate Intensity Exercise
1.8 number of words gained
Standard Deviation 2.4
0.3 number of words gained
Standard Deviation 2.1
Word Recognition
Acquisition- Study Only + Gentle Stretching
1.9 number of words gained
Standard Deviation 2.2
2.7 number of words gained
Standard Deviation 3.1
Word Recognition
Consolidation- Study Only + Gentle Stretching
3.2 number of words gained
Standard Deviation 2.8
1.7 number of words gained
Standard Deviation 0.5

Adverse Events

Healthy Older Adults

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Individuals With Aphasia

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Healthy Older Adults
n=23 participants at risk
Participants complete all four interventions Retrieval Practice + Moderate Intensity Exercise: Subjects will engage in 30 minutes of moderate-intensity cycling prior to word learning using Retrieval Practice (active retrieval during learning) Retrieval Practice + Gentle Stretching: Subject will engage in 30 minutes of gentle upper- and lower- limb stretching prior to word learning using Retrieval Practice (active retrieval during learning) Study Only + Moderate Intensity Exercise: Subjects will engage in 30 minutes of gentle stretching prior to word learning using Study Only (no active retrieval during learning) Study Only + Gentle Stretching: Subjects will engage in 30 minutes of gentle stretching prior to word learning using Study Only (no active retrieval during learning)
Individuals With Aphasia
n=5 participants at risk
Participants complete all four interventions Retrieval Practice + Moderate Intensity Exercise: Subjects will engage in 30 minutes of moderate-intensity cycling prior to word learning using Retrieval Practice (active retrieval during learning) Retrieval Practice + Gentle Stretching: Subject will engage in 30 minutes of gentle upper- and lower- limb stretching prior to word learning using Retrieval Practice (active retrieval during learning) Study Only + Moderate Intensity Exercise: Subjects will engage in 30 minutes of gentle stretching prior to word learning using Study Only (no active retrieval during learning) Study Only + Gentle Stretching: Subjects will engage in 30 minutes of gentle stretching prior to word learning using Study Only (no active retrieval during learning)
General disorders
Dizziness and Syncope
4.3%
1/23 • Number of events 1 • 3 months
0.00%
0/5 • 3 months
Injury, poisoning and procedural complications
Skin Burn
0.00%
0/23 • 3 months
20.0%
1/5 • Number of events 1 • 3 months

Additional Information

Amy D Rodriguez, PhD

Atlanta VA Health Care System

Phone: 404-321-6111

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place