Fit & Active Seniors Trial (FAST)
21 février 2017 mis à jour par: Edward McAuley, University of Illinois at Urbana-Champaign
Influence of Fitness on Brain and Cognition II
The investigators propose to test the hypothesis that a six-month intervention of combined fitness and cognitive training in the form of dancing will have a significant positive effect on a variety of executive control and memory processes as well as brain structure and function as compared to a non-aerobic strength and balance control/comparison group.
Additionally, these two groups will be compared to walking groups in which one of the walking groups will also be provided with a daily, liquid, milk-based nutritional supplement.
Aperçu de l'étude
Statut
Complété
Les conditions
Description détaillée
Our previous trial (known as HALT, Healthy Active Lifestyle Trial) suggests that improvements in aerobic fitness have beneficial effects on cognitive function that are rather specific.
That is, improvements in aerobic fitness appear to result in improvements in executive control processes such as scheduling, planning, coordination, inhibition, and working memory - some of the very cognitive abilities most affected during aging.
Indeed, executive control processes and the prefrontal and frontal regions which support them have shown substantial and disproportionate age-related declines.
The main hypothesis that the investigators test in the present project is that such deficits may be particularly benefited by improvements in aerobic fitness combined with cognitive training in the form of dance.
Additionally, we will compare the outcomes of these interventions with an aerobic condition (walking) group and an aerobic condition (walking) group that also is provided with a daily nutritional supplement (walking + nutrition).
The investigators will examine the relationship between aerobic fitness, physical activity, cognitive status, and brain function with this six-month aerobic training intervention study.
The investigators will collect psychosocial data and functional fitness data to assess other relevant changes in psychological and physical function brought about by exercise training.
Healthy, non-active older adults (60 to 79 years of age) will be recruited from the local community.
Half One quarter of the older adults will be randomly assigned to an aerobic/cognitive combination group (dance), one quarter will be while the remaining half of the older adults will be randomly assigned to a non-aerobic control group (stretching, strengthening, and stability), one quarter will be assigned to the walking group, and one quarter will be assigned to the walking + nutrition group.
The exercise interventions will be conducted by trained exercise staff.
The participants will be assessed before and after the intervention (6 months).
Assessments will include (a) cardiorespiratory testing, (b) physical activity monitoring (c) performance on neurocognitive tests of executive and non-executive function (d) measures of brain activation (fMRI) during cognitive tasks in a 3.0 tesla MRI system (e) a battery of psychosocial questionnaires (f) functional performance measures and (g) a mock street walking task.
Type d'étude
Interventionnel
Inscription (Réel)
247
Phase
- N'est pas applicable
Contacts et emplacements
Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.
Lieux d'étude
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Illinois
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Urbana, Illinois, États-Unis, 61801
- University of Illinois
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Critères de participation
Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.
Critère d'éligibilité
Âges éligibles pour étudier
60 ans à 79 ans (Adulte, Adulte plus âgé)
Accepte les volontaires sains
Oui
Sexes éligibles pour l'étude
Tout
La description
Inclusion Criteria:
- 60-79 years of age
- Low-active: zero to two days of physical activity (> 30 minutes per day) per week in previous six months.
- Personal physician's examination and/or consent to participate in testing and exercise intervention
- Successful completion of graded exercise test without evidence of cardiac abnormalities or responses which are likely to be exacerbated by exercise. This decision will be made by the attending cardiologist.
- Adequate responses to the Telephone Interview of Cognitive Status (TICS-M) questionnaire
- Corrected (near and far) acuity of 20/40 or better in both eyes and no diagnosis of color-blindedness
- Initial depression score on GDS-15 (Geriatric Depression Scale) below clinical level (> 10)
- No presence of implanted devices or metallic bodies above the waist
- No history of brain surgery that involved removal of brain tissue
- Right-handed
- No history of stroke or Transient ischemic attack(TIA)
- Intention to remain in the local area for the duration of the intervention or testing period
- English fluency
Exclusion Criteria:
- Below 60 years of age or above 80 years of age at beginning of intervention
- Self-reported regular physical activity of more than 2 times per week in last six months
- Non-consent of physician
- Evidence of abnormal cardiac responses or conditions during graded exercise testing
- Inadequate responses to the Telephone Interview of Cognitive Status (TICS-M) questionnaire (<20)
- Uncorrectable (near and far) acuity of greater than 20/40 in either eye and/or color-blindness
- Depression score on GDS-15 indicative of clinical depression (≤ 10)
- Presence of any implanted devices above the waist i.e. cardiac pacemaker or auto-defibrillators; neural pacemaker; aneurysm clips in the Central Nervous System(CNS); cochlear implant; metallic bodies in the eye or CNS; any form of wires or metal devices that may concentrate radiofrequency fields
- History of brain surgery that involved removal of brain tissue
- Left-handed
- History of Stroke or TIA
- Intent to move or be away from the area for an extended period of time (i.e. > 3 weeks) during the intervention or testing period
- Inability to communicate effectively in English
Plan d'étude
Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Traitement
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Seul
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
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Expérimental: Dance
Participants will be instructed in various forms of dances such as ballroom, swing, waltz, folk, and English country.
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Participants will be instructed and learn various forms of dance (i.e.
English country, folk, ballroom) and will be led by trained dance instructors and exercise specialists.
Participants will for one-hour sessions and meet three times per week for six months.
Autres noms:
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Comparateur actif: Strengthening, Stability, Stretching
Participants will be instructed in various forms of strength, stretching (flexibility) and stability (balance)exercises.
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Exercises focusing on strength, flexibility and balance will be performed at one-hour sessions held three times per week for six months.
Classes are led by trained exercise specialists.
Autres noms:
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Expérimental: Walking
Participants in this moderate aerobic conditioning exercise program will be instructed in a walking program that focuses on having them walk within their target heart rate.
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Participants in this moderate aerobic conditioning exercise program will be instructed in a walking program that focuses on having them walk within their target heart rate.
They will be provided with heart rate monitors and pedometers for accurate record keeping.
They will meet three times per week for one hour for six months.
Warm up and cool down stretches will be a part of each walking session and sessions will be monitored and led by trained exercise specialists.
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Expérimental: Walking + Nutritional Supplement
Participants in this moderate aerobic conditioning exercise program will be instructed in a walking program that focuses on having them walk within their target heart rate.
These participants will also be provided with a daily nutritionally balanced liquid, milk-based formula.
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Participants in this moderate aerobic conditioning exercise program will be instructed in a walking program that focuses on having them walk within their target heart rate.
They will be provided with heart rate monitors and pedometers for accurate record keeping.
They will meet three times per week for one hour for six months.
Warm up and cool down stretches will be a part of each walking session and sessions will be monitored and led by trained exercise specialists.
Participants in this moderate aerobic conditioning exercise program will be instructed in a walking program that focuses on having them walk within their target heart rate.
They will be provided with heart rate monitors and pedometers for accurate record keeping.
They will meet three times per week for one hour for six months.
Warm up and cool down stretches will be a part of each walking session and sessions will be monitored and led by trained exercise specialists.
These participants will also be provided with a daily nutritionally balanced liquid, milk-based supplement formula.
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Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
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Change from baseline to month six in brain structure and function
Délai: Baseline and six months
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Participants will undergo a neuropsychological battery of tasks assessing memory, attention and decision-making at baseline and month six.
They will also undergo an fMRI during which images of brain structure and function (completing tasks during image collection) will be compared from baseline to month six.
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Baseline and six months
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Change from baseline to month six in cardiorespiratory fitness
Délai: Baseline and six months
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We will conduct graded maximal exercise treadmill test measuring peak oxygen consumption at baseline and six months.
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Baseline and six months
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Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
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Change from baseline to month six: Quality of life
Délai: Baseline and six months
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We will assess multiple indicators of Quality of Life such as: depression; physical and mental health status; satisfaction with life; etc.
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Baseline and six months
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Change from baseline to month six: Self-efficacy
Délai: Baseline, three weeks and six months
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We will examine the extent to which self-efficacy (e.g.
barriers, adherence, function) changes as a function of participation in regular group physical activity training.
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Baseline, three weeks and six months
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Program adherence over six month intervention
Délai: Six months
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We will monitor attendance during the six-month intervention(program meets three days per week).
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Six months
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Change from baseline to month six: Physical function
Délai: Baseline and six months
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We will conduct functional fitness testing including tests of balance, strength, mobility and flexibility at baseline and six months.
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Baseline and six months
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Change from baseline to month six: Psychosocial Outcomes
Délai: Baseline and six months
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We will assess changes in psychosocial function (e.g.
self-esteem; social support; anxiety) by written questionnaires.
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Baseline and six months
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Collaborateurs et enquêteurs
C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.
Les enquêteurs
- Chercheur principal: Arthur F Kramer, PhD, University of Illinois at Chicago
Publications et liens utiles
La personne responsable de la saisie des informations sur l'étude fournit volontairement ces publications. Il peut s'agir de tout ce qui concerne l'étude.
Publications générales
- Mendez Colmenares A, Voss MW, Fanning J, Salerno EA, Gothe NP, Thomas ML, McAuley E, Kramer AF, Burzynska AZ. White matter plasticity in healthy older adults: The effects of aerobic exercise. Neuroimage. 2021 Oct 1;239:118305. doi: 10.1016/j.neuroimage.2021.118305. Epub 2021 Jun 24.
- Burzynska AZ, Voss MW, Fanning J, Salerno EA, Gothe NP, McAuley E, Kramer AF. Sensor-measured sedentariness and physical activity are differentially related to fluid and crystallized abilities in aging. Psychol Aging. 2020 Dec;35(8):1154-1169. doi: 10.1037/pag0000580. Epub 2020 Sep 24.
- Gothe NP, Ehlers DK, Salerno EA, Fanning J, Kramer AF, McAuley E. Physical Activity, Sleep and Quality of Life in Older Adults: Influence of Physical, Mental and Social Well-being. Behav Sleep Med. 2020 Nov-Dec;18(6):797-808. doi: 10.1080/15402002.2019.1690493. Epub 2019 Nov 12.
- Baniqued PL, Gallen CL, Voss MW, Burzynska AZ, Wong CN, Cooke GE, Duffy K, Fanning J, Ehlers DK, Salerno EA, Aguinaga S, McAuley E, Kramer AF, D'Esposito M. Brain Network Modularity Predicts Exercise-Related Executive Function Gains in Older Adults. Front Aging Neurosci. 2018 Jan 4;9:426. doi: 10.3389/fnagi.2017.00426. eCollection 2017.
- Awick EA, Ehlers DK, Aguinaga S, Daugherty AM, Kramer AF, McAuley E. Effects of a randomized exercise trial on physical activity, psychological distress and quality of life in older adults. Gen Hosp Psychiatry. 2017 Nov;49:44-50. doi: 10.1016/j.genhosppsych.2017.06.005. Epub 2017 Jun 15.
- Ehlers DK, Daugherty AM, Burzynska AZ, Fanning J, Awick EA, Chaddock-Heyman L, Kramer AF, McAuley E. Regional Brain Volumes Moderate, but Do Not Mediate, the Effects of Group-Based Exercise Training on Reductions in Loneliness in Older Adults. Front Aging Neurosci. 2017 Apr 25;9:110. doi: 10.3389/fnagi.2017.00110. eCollection 2017.
- Burzynska AZ, Jiao Y, Knecht AM, Fanning J, Awick EA, Chen T, Gothe N, Voss MW, McAuley E, Kramer AF. White Matter Integrity Declined Over 6-Months, but Dance Intervention Improved Integrity of the Fornix of Older Adults. Front Aging Neurosci. 2017 Mar 16;9:59. doi: 10.3389/fnagi.2017.00059. eCollection 2017.
- Ehlers DK, Banducci SE, Daugherty AM, Fanning J, Awick EA, Porter GC, Burzynska A, Shen S, Kramer AF, McAuley E. Effects of Gait Self-Efficacy and Lower-Extremity Physical Function on Dual-Task Performance in Older Adults. Biomed Res Int. 2017;2017:8570960. doi: 10.1155/2017/8570960. Epub 2017 Feb 1.
- Ehlers DK, Fanning J, Awick EA, Kramer AF, McAuley E. Contamination by an Active Control Condition in a Randomized Exercise Trial. PLoS One. 2016 Oct 10;11(10):e0164246. doi: 10.1371/journal.pone.0164246. eCollection 2016.
Liens utiles
Dates d'enregistrement des études
Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.
Dates principales de l'étude
Début de l'étude
1 août 2011
Achèvement primaire (Réel)
1 décembre 2014
Achèvement de l'étude (Réel)
1 décembre 2014
Dates d'inscription aux études
Première soumission
18 août 2011
Première soumission répondant aux critères de contrôle qualité
11 novembre 2011
Première publication (Estimation)
16 novembre 2011
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
23 février 2017
Dernière mise à jour soumise répondant aux critères de contrôle qualité
21 février 2017
Dernière vérification
1 février 2017
Plus d'information
Termes liés à cette étude
Autres numéros d'identification d'étude
- R37AG025667 (Subvention/contrat des NIH des États-Unis)
- 392 (Center for Nutrition, Learning and Memory UIUC)
Plan pour les données individuelles des participants (IPD)
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NON
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