- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03679221
Motoric Cognitive Risk and Depression
The Association of Depression With "Motoric Cognitive Risk" Syndrome in the Canadian Population
The overall objective of the proposal is to examine the association between depression and the newly reported "motoric cognitive risk" (MCR) syndrome, which is a pre-dementia syndrome combining subjective cognitive complaint (i.e.; memory complaint) with objective slow gait speed, in the Canadian population, with the baseline assessment of the Canadian Longitudinal Study on Aging (CLSA).
The Canadian and global population are continuously aging. Moreover, the number of individuals affected by dementia is on the rise. One good predictor of dementia is Motoric Cognitive Risk (MCR) syndrome. MCR syndrome is a highly prevalent, newly defined syndrome that combines slow gait and subjective cognitive complaint. Depression is also highly prevalent in the older population and can affect both cognition and gait. Thus, an overlap between MCR and depression is possible. Yet few studies have examined the association between MCR and depression, thus emphasizing the importance of further investigating this association. This project encompasses determining the association of MCR syndrome with depression in the Canadian context as a step to better understand MCR syndrome in Canada.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Motoric Cognitive Risk syndrome (MCR) is a new clinical syndrome associating subjective cognitive complaint and objective slow gait speed with a high prevalence calculated around 10% in population aged 60 and above. MCR syndrome predicts mild and major neurocognitive disorders. MCR syndrome does not rely on a complex and time-consuming assessment, making it applicable to the aging population. Thus, MCR syndrome seems to be a good syndrome to identify individuals at risk of mild and major neurocognitive disorders in any type of healthcare setting.
Slow gait speed and cognitive complaint are unspecific symptoms that can apply to a wide variety of morbidities (i.e., having a disease or a symptom of disease), thus causing overlap with other syndromes which may influence the predictive value of MCR syndrome. One example of the same seen in previous literature is the overlap between MCR syndrome and Mild Cognitive Impairment (MCI) which is, a pre-dementia syndrome similar to MCR syndrome. Patients diagnosed with MCR syndrome can also be diagnosed with MCI, however, this is not always the case. It has been suggested that patients cumulating both syndromes could be more at risk of mild and major neurocognitive disorders. Similarly, anxiety, depressive symptomatology and/or clinical depression (ADSCD) may be associated with slow gait speed and cognitive complaint. Prevalence of ADSCD like MCR syndrome is high and estimated around 9%, with some age dependent variation: younger adults have a higher prevalence compared to older adults. Due to the high prevalence of both MCR syndrome and ADSCD, and in conjunction that subjective cognitive complaint (for MCR syndrome definition) has previously been extracted from an item of depressive questionnaires like Center for Epidemiologic Studies Depression scale (CESD) or Geriatric Depression Scale (GDS), there is a high probability of overlap between MCR syndrome and depression. As ADSCD is not a pre-dementia stage, an overlap between ADSCD and MCR syndrome can conversely to MCI syndrome result in a decreased risk for mild and major neurocognitive disorders.
Few studies have examined the association between ADSCD and MCR syndrome and reported diverging results. They found both significant and not significant associations between MCR syndrome and ADSCD. These mixed results may be explained by the definition used for ADSCD. For instance, studies have used depressive questionnaires or antidepressant use. Moreover, this divergence could also be related to the nature of the symptomology (e.g., anxiety or mood disorders), as well as age. Thus, it is important to examine the association between ADSCD and MCR syndrome taking in consideration these parameters.
The investigator has the opportunity with the baseline assessment of a large population-based prospective and observational study in Canada, known as the Canadian Longitudinal Study on Aging (CLSA) to better understand the parameters influencing the association between ADSCD and MCR syndrome.
Study Type
Enrollment (Estimated)
Contacts and Locations
Study Locations
-
-
Quebec
-
Montréal, Quebec, Canada, H3T 1E2
- Jewish General Hospital
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- be participant of the comprehensive CLSA
Exclusion Criteria:
- dementia,
- mobility disability,
- no information about cognitive complaint,
- no measure of walking speed
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Group 45-54 years old
divided in two subgroups: individuals with and without cardio-vascular risk factors and diseases
|
telephone interview questionnaire, in-home face-to-face interview, and data from the Collection Site
|
Group 54-64 years old
divided in two subgroups: individuals with and without cardio-vascular risk factors and diseases
|
telephone interview questionnaire, in-home face-to-face interview, and data from the Collection Site
|
Group 65-74 years old
divided in two subgroups: individuals with and without cardio-vascular risk factors and diseases
|
telephone interview questionnaire, in-home face-to-face interview, and data from the Collection Site
|
Group 75-85 years old
divided in two subgroups: individuals with and without cardio-vascular risk factors and diseases
|
telephone interview questionnaire, in-home face-to-face interview, and data from the Collection Site
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Subjective cognitive complaint
Time Frame: 1 hour
|
elicited from the 60-minute interview telephone questionnaire item Chronic Conditions Tracking (CTT_19 CCT_MEMPB_TRM) done in CLSA study
|
1 hour
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Slow gait speed
Time Frame: 1 day
|
defined as gait speed that is one standard deviation (SD) or more below age-and sex-appropriate mean values
|
1 day
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Olivier Beauchet, MD, Jewish General Hospital
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2019-1501
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Depression
-
ProgenaBiomeRecruitingDepression | Depression, Postpartum | Depression, Anxiety | Depression Moderate | Depression Severe | Clinical Depression | Depression in Remission | Depression, Endogenous | Depression ChronicUnited States
-
Washington University School of MedicineCompletedTreatment Resistant Depression | Late Life Depression | Geriatric Depression | Refractory Depression | Therapy-Resistant DepressionUnited States, Canada
-
University of California, San FranciscoRecruitingDepression Moderate | Depression Mild | Depression, TeenUnited States
-
University GhentUniversiteit Antwerpen; Janssen-Cilag Ltd.RecruitingDepression Moderate | Depression Severe | Depression MildBelgium
-
Baylor College of MedicineUniversity of TexasRecruitingDepression | Depression Moderate | Depression Severe | Suicide and Self-harm | Depression in Adolescence | Depression MildUnited States
-
University of Cape TownNational Institute of Mental Health (NIMH)CompletedPostpartum Depression | Clinical Depression | Moderate DepressionSouth Africa
-
Washington University School of MedicinePatient-Centered Outcomes Research Institute; National Institute of Mental...CompletedMajor Depressive Disorder | Treatment Resistant Depression | Treatment-Refractory Depression | Late Life Depression | Geriatric DepressionUnited States, Canada
-
Northern Illinois UniversityUniversity Autonoma de Santo DomingoTerminatedDepression Moderate | Depression MildUnited States, Dominican Republic
-
Lawson Health Research InstituteTerminated
-
Gerbera Therapeutics, Inc.Not yet recruitingPostpartum Depression | Depression, Postpartum | Postnatal Depression | Post-partum Depression | Post-Natal DepressionUnited States
Clinical Trials on Data collection
-
Care Management PlusCompletedHealth Information Technology | Nurse Based Care ManagementUnited States
-
University Hospital, Basel, SwitzerlandRecruitingInfections With CPBSwitzerland
-
M.D. Anderson Cancer CenterUnknownPediatric CancerUnited States
-
GlaxoSmithKlineCompletedInfections, StreptococcalRomania, Slovenia, Poland, Lithuania, Estonia
-
GCS Ramsay Santé pour l'Enseignement et la RechercheNot yet recruiting
-
Assistance Publique - Hôpitaux de ParisRecruiting
-
Assistance Publique - Hôpitaux de ParisCompleted
-
Hospices Civils de LyonCompleted
-
Centre Hospitalier Universitaire de Saint EtienneRecruitingCerebrospinal; DisorderFrance