Effect of Aerobic Exercise on Pathophysiology of PreClinical Alzheimer's Disease
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Alzheimer's Disease
- Sponsor
- University of Kansas Medical Center
- Enrollment
- 117
- Locations
- 1
- Primary Endpoint
- Amyloid Burden
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
The purpose of this study is to learn about the possible benefits of aerobic exercise in controlling or reducing the amount of amyloid present in the brain, reducing changes in brain structure that may lead to Alzheimer's Disease (AD), and increasing cognitive ability in individuals that have amyloid deposits and are at risk to develop AD.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Clinical Dementia Rating 0 (nondemented)
- •Age 65 or older
- •Florbetapir PET evidence of cerebral amyloidosis
- •Sedentary or underactive by the Telephone Assessment of Physical Activity
- •Stable doses of medications for 30 days.
- •Clinician judgment regarding subject's health status and likelihood to successfully complete the 1-year exercise intervention
Exclusion Criteria
- •Clinically significant major psychiatric disorder (e.g., Major Depressive Disorder) according to standard criteria or significant psychiatric symptoms that could impair the completion of the study
- •Clinically-significant systemic illness that may affect safety or completion of the study
- •History of clinically-evident stroke
- •Clinically-significant infection within the last 30 days
- •Active cardiac condition (e.g. angina, myocardial infarction, atrial fibrillation) or pulmonary condition in the past 2 years that, in the investigator's opinion, could pose a safety risk to the participant-unless cleared for exercise by the participant's primary care physician or cardiologist.
- •Uncontrolled hypertension within the last 6 months
- •History of cancer in the last 5 years (except non-metastatic basal or squamous cell carcinoma)
- •History of drug or alcohol abuse as defined by DSM-IV criteria within the last 2 years
- •Insulin-dependent diabetes mellitus
- •Significant pain or musculoskeletal disorder prohibiting participation in an exercise program
Outcomes
Primary Outcomes
Amyloid Burden
Time Frame: Baseline to 52 weeks
Amyloid burden measure is mean Florbetapir cortical-to-cerebellar uptake ratio averaged across 6 regions of interest (frontal, temporal, parietal, anterior cingulate, posterior cingulate, and precuneus). Higher numbers mean more amyloid accumulation. There is no defined maximum value. Zero is the theoretical minimum value.
Secondary Outcomes
- Executive Function(Baseline to Week 52)
- Whole Brain Volume(Baseline to 52 weeks)