- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03855475
Aging Brain Structure and Memory in Response to Exercise
Mechanical Integrity of Memory Systems in Mild Cognitive Impairment
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Mechanical properties of the human brain, measured with magnetic resonance elastography (MRE), reflect the health of brain tissue. Our previous research has shown that these mechanical properties of the hippocampus are highly sensitive to memory function in young adults. Based on these findings, we believe that these mechanical properties may be strong indicators of memory health in older adults and populations experiencing decline in memory function (i.e. mild cognitive impairment, MCI). Further, our results indicate these properties and associated functions are positively impacted by fitness and exercise training, thus making them potentially ideal markers for brain health in assessing rehabilitation.
The objective of this research is to examine these properties in older adults with and without MCI. We will do the following: (1) determine if there are differences in mechanical properties of memory systems in older adults with and without MCI; (2) establish structure-function relationships between mechanical properties and memory performance in the older adult population; and (3) determine if both mechanical properties and memory performance are impacted by cardiovascular health, both through cross-sectional assessment of aerobic fitness and longitudinal response to exercise training.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Delaware
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Newark, Delaware, United States, 19713
- University of Delaware
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Cognitive function scores consistent with amnestic mild cognitive impairment based on pre-screening evaluation
- age 60-90 years
- MMSE score >24 at time of initial consent
Exclusion Criteria:
- major psychiatric disorder (e.g. schizophrenia, bipolar disorder, major depression within past two years)
- neurological or autoimmune conditions affecting cognition (e.g. Parkinson's disease, epilepsy, multiple sclerosis, head trauma with loss of consciousness greater than 30 min, large vessel infarct)
- other systemic medical illnesses (e.g. cardiovascular disease, cancer, renal failure, diabetes, chronic obstructive pulmonary disease, liver diseases, hypertension)
- current medication use likely to affect CNS functions (e.g. long active benzodiazepines)
- failed outcome on the baseline graded exercise test
- hypertension (systolic 130+ mmHg OR diastolic 80+ mmHg) from baseline blood pressure measurement
- claustrophobia, metal implants, pacemaker or other factors affecting feasibility and/or safety of MRI scanning
- concussion within last 2 years and more than 3 lifetime concussions
- current smoking (including marijuana) within the past 3 months
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Basic Science
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Aerobic exercise
Exercise training
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Participants will complete 12 weeks of supervised aerobic exercise, 3 times per week, on a treadmill or stationary bicycle
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Active Comparator: Stretching
Control
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Participants will complete 12 weeks of supervised stretching, 3 times per week
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in brain mechanical properties
Time Frame: Baseline, 12 weeks
|
Investigators are assessing change in brain structure through mechanical properties in response to exercise from baseline to the end of the 12 week program.
An MRI scan with magnetic resonance elastography (MRE) will be used to measure properties of brain regions important to memory (e.g.
hippocampus).
|
Baseline, 12 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in relational memory performance
Time Frame: Baseline, 12 weeks
|
Behavioral memory test will be used to assess relational memory through accuracy on a spatial reconstruction task.
|
Baseline, 12 weeks
|
Change in cardiorespiratory fitness
Time Frame: Baseline, 12 weeks
|
Graded exercise test will measure cardiorespiratory fitness through volume of oxygen uptake (VO2)
|
Baseline, 12 weeks
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in brain morphometry
Time Frame: Baseline, 12 weeks
|
MRI will be used to measure brain morphometry, i.e. volume
|
Baseline, 12 weeks
|
Change in brain function
Time Frame: Baseline, 12 weeks
|
MRI will be used to measure brain function, i.e. functional connectivity
|
Baseline, 12 weeks
|
Change in brain white matter integrity
Time Frame: Baseline, 12 weeks
|
Diffusion MRI will be used to measure integrity of white matter tracts
|
Baseline, 12 weeks
|
Change in cognitive function
Time Frame: Baseline, 12 weeks
|
NIH Toolbox will be used to assess cognitive function across several domains
|
Baseline, 12 weeks
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Curtis L Johnson, PhD, University of Delaware
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 1256861
- R01AG058853 (U.S. NIH Grant/Contract)
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.
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