The primary purpose of this pilot study is to determine whether African Americans with mild Alzheimer's disease (AD) can be enrolled and retained in a 6-month aerobic exercise-training study.
This study will examine the effects of aerobic exercise-training on neurocognitive function, and on cerebral glucose homeostasis. It is yet to be determined whether African Americans with mild AD can be recruited into such a study, nor has the relationship of fitness adaptation to neurocognitive function been systematically examined in this population. In addition to the goal of assessing the intervention effects, the study will evaluate the differential relationships of APOE to aerobic fitness-induced changes in neurocognition. The long-term goal is to explore the mechanism by which fitness adaptation exerts an effect on neurocognition, notably, low levels of high-density lipoprotein cholesterol (HDL-C), elevated inflammation (C-reactive protein (CRP) and interleukins (IL-1A)), deranged glucose homeostasis, hypertension and endothelia dysfunction are precursors of arteriolosclerosis, decreased cerebral perfusion and oxygen deprivation, all of which may increase AD risk. Because many of these putative AD risk factors are susceptible to lifestyle alterations, the study will also assess their roles in aerobic fitness-related improvements in cognitive function and reduction in AD risk.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
73
3 times per week for 6 months
3 times per week for 6 months
Howard University General Clinical Research Center (GCRC)
Washington D.C., District of Columbia, United States
Temple University Exercise Physiology Laboratory
Philadelphia, Pennsylvania, United States
AD Assessment Scale-Cognitive (ADAS-COG)
Time frame: baseline, 3 and 6 months
Mini-Mental State Exam (MMSE)
Time frame: baseline, 3 and 6 months
CDR (Clinical Dementia Rating) Scale
Time frame: baseline, 3 and 6 months
Logical Memory Test (Delayed Paragraph Recall)
Time frame: baseline and 6 months
Visuospatial and Visuographic: Clock Drawing Test
Time frame: baseline and 6 months
American National Adult Reading Test (ANART)
Time frame: baseline and 6 months
Neuropsychiatric Inventory Q (NPIQ)
Time frame: baseline and 6 months
Geriatric Depression Scale
Time frame: baseline and 6 months
Activities of Daily Living (ADCS-ADL)
Time frame: baseline and 6 months
PET imaging to measure cerebral glucose homeostasis/metabolism
Time frame: baseline and 6 months
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