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The influence of multimodal physical activity on cognition and everyday life competence in patients with early Alzheimer's disease

Not Applicable
Conditions
G30
F00
Alzheimer disease
Dementia in Alzheimer disease
Registration Number
DRKS00000100
Lead Sponsor
niversitätsklinikum EssenUniversität Duisburg-Essen
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Pending
Sex
All
Target Recruitment
300
Inclusion Criteria

diagnosis of Alzheimer's dementia according to NINCDS-ADRDA respectively ICD 10
-Mini-Mental-State-Test (20 - 25) at screening
-Hachinski Ischemia Scale <=4 at screening
-CT or MRT, maximal 2 years old, compatible with Alzheimer's dementia
-Geriatric Depression Scale (GDS) <=4 (15-item scale)
-ambulant patients
-exercise ECG analysed by specialist in internal medicine
-caregiver (contact 3 times a week, overall 5 hours a week), who can report the patient's state of health
-informed consent form signed by patient and caregiver

Exclusion Criteria

-diagnosis of a possible, probable or certain vascular dementia NINDS-AIREN criteria
-missing approval ability, missing ability to take part in intervention programme or missing compliance
-intake of following drugs with change of dosage during the last 3 months before baseline: antidepressants, tranquilizer / sleeping pills, anti-psychotica or anti-epileptica
-excessive alcohol, drug or medicament abuse. Diagnosis of drug abuse or drug addiction (ICD-10) as a primary clinical diagnosis, which indicates the initiation or continuation of a medical treatment of this disorder
-clinically relevant neurologic or psychiatric diseases, such as severe depression, schizophrenia, epilepsy or Parkinson's disease
-participation in a pharmaceutical trail 2 months before baseline
-decompensated or poorly regulated diabetes
-decompensated or poorly regulated hypertonia
-cardiovascular event during the last 3 months e.g. cardiac catheterization, vascular surgery, acute coronary syndrome, myocardial infarction or unstable angina, clinical relevant cardiac dysrhythmia, cardiac surgery, angiography with stent implantation
-other clinically significant aberrances in clinical, neurologic, laboratory medicine examination, clinically relevant ECG changes, which could impair the patient's health related to the trail
-cardiologically relevant anaemia

Study & Design

Study Type
interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Primary endpoints are measured at T0 (after screening), T1 (month 6) and T2 (month 12)<br>-measurement of cognitive reduction with ADAS-Cog<br>-Activities of daily living are measured using the ADCS-AD
Secondary Outcome Measures
NameTimeMethod
Secondary endpoints are measured at T0 (after screening), T1 (month 6) and T2 (month 12)<br>-MWT-B (Mehrfachwahl-Wortschatztest)<br>-SKT (Syndrom-Kurz-Test)<br>-Clinical Dementia Rating (CDR) <br>-DEMQOL (Smith, et al., 2005)<br>-SF12 (Quality of life) <br>-HPS (Häusliche Pflegeskala)<br>-NPI (Neuropsychiatric Inventory)<br>-BDI (Beck Depression Inventory)<br>-PASE (physical activity) <br>-GPAQ (physical activity)<br>-measurement of physical activity by pedometer
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