Reducing African American's Alzheimer's Risk Through Exercise-Mild Cognitive Impairment (RAATE-MCI)

This study is testing whether an exercise program reduces the risk of Alzheimer's disease in African American adults who are showing early signs of memory and thinking problems (called mild cognitive impairment, or MCI). African Americans are disproportionately affected by Alzheimer's, and exercise may help protect the brain. **You may be eligible if...** - You self-identify as African American - You are 60 or older - You show signs of mild cognitive impairment (memory or thinking slightly below normal for your age and sex) - You have not been regularly exercising - You are physically capable of exercising - You plan to stay in the study area for the next 13 months - You are willing to attend group sessions **You may NOT be eligible if...** - You have significant cognitive impairment consistent with dementia - You are already very active (meeting or exceeding recommended physical activity levels) - You have uncontrolled high blood pressure (above 150/90 mmHg) - You have had a heart attack, major surgery, stroke, or fracture in the past 6 months - You have another household member already in this study - You refuse to allow your anonymized data to be used for research - You have another medical or psychiatric condition that could interfere with safe participation Talk to your doctor to see if this trial is right for you.