Due to the increasing incidence of dementia and the lack of causal treatment, non-pharmacological interventions represent an attractive and effective therapeutic strategy of neurodegenerative diseases, such as Alzheimer's disease. The aim of the study is to assess the impact of a supervised 9-month intervention with aerobic-strength training and nutritional counseling compared to cognitive training and stretching on the brain, cognitive and motor functions, metabolism, physical fitnes and plasma markers of neurodegenertion in older adults at increased risk of developing Alzheimer's disease.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
SINGLE
Enrollment
40
The intervention consists of a structured program that includes aerobic-strength training (1h training, 3 times per week) conducted by professional trainers combined with nutritional counseling.
The intervention consists of a structured program that includes cognitive training combined with stretching training (90mins training, 2x per week).
Biomedical Research Center Slovak Academy of Sciences
Bratislava, Bratislava Region, Slovakia
RECRUITINGImpact on Cognitive Functions
Overall composite score of neuropsychological testing batery (higher score better outcome)
Time frame: Measurements at the baseline and after 9-month intervention.
Effect of Interventions on Neurodegeneration Markers
Concentration of plasma neurodegeneration marker pTau 217 (in a subpopulation of patients).
Time frame: Measurements at the baseline and after 9-month intervention
Computerized Cognitive Tests
Computerised cognitive testing CogState (learning/working memory score, higher score - better outcome)
Time frame: Measurements at the baseline and after 9-month intervention.
Well-being
The World Health Organization Quality of Life questionaire (WHOQOL-BREF), 31 items, highre score better QoL.
Time frame: Measurements at the baseline and after 9-month intervention.
Glucose metabolism
oral glucose tolerance test will be perfromed to detect level of glucose intolerance (impaired glucose tolerance)
Time frame: Measurements at the baseline and after 9-month intervention.
MRI of the Brain
Imaging studies to assess structural adaptation of the brain (hippocampal volume).
Time frame: Measurements at the baseline and after 9-month intervention.
Adherence
Evaluation of participant adherence to the intervention protocol.
Time frame: Adherence will be recorded during the 9-month intervention period.
Olfactory Function
Olfactory function screening test (The Sniffin' Sticks test kit).
Time frame: Measurements at baseline and after 9-month intervention.
Microbiome Composition
Determination of feacal microbiome composition (16S sequencing).
Time frame: Measurements at baseline and after 9-month intervention.
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