RecruitingNot ApplicableNCT06496425

Inspiring Seniors Towards Exercise Promotion to Protect Cognition

Sponsor

Emory University

Enrollment

80 participants

Start Date

May 15, 2024

Study Type

INTERVENTIONAL

Conditions

Physical Activity Alzheimer Disease

Summary

The goal of this clinical trial is to test the benefits of beat-accented music stimulation (BMS) for behavioral changes of physical activity (PA) in older adults with subjective memory complaints. Specific Aims are to determine (1) whether BMS beneficially influences PA behaviors and psychological responses to PA in older adults for 6 months, and (2) whether exercising with BMS differently influences physical and cognitive functioning as well as quality of life in older adults. To test the effects of BMS on PA, participants will be randomly assigned to an exercise intervention that either includes BMS or does not include BMS. Participants will attend a supervised group strength training (ST) (30 minutes per day) and aerobic exercise (AE) (30-50 minutes per day) session for 3 days per week for the first 2 months, 1 day per week for the next 2 months (while encouraging participants to independently perform both AE and ST on other days), and independently for the final 2 months (always with a goal of performing \>150minutes per week AE and 3 days per week of ST for 30 minutes per day).

Eligibility

Min Age: 65 Years

Plain Language Summary

Simplified for easier understanding

This study is testing an exercise program designed to protect memory and thinking skills in adults aged 65 and older, with the goal of understanding what makes seniors more likely to stay active. **You may be eligible if...** - You are at least 65 years old - You can walk for 6 minutes without pain or a walking aid (cane, walker, etc.) - You can read and speak English - You are healthy enough to do moderate exercise, with or without a doctor's clearance - You will be living in the community for the full 6 months of the study - You have reliable transportation and a safe space at home for exercise **You may NOT be eligible if...** - You need a walking aid or have pain that prevents 6 minutes of walking - You plan to move out of the community during the study - You cannot read or speak English Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

BEHAVIORALBeat-accentuated, personalized music stimulation (BMS)

Participants receive pre-recorded music playlists to use during exercise. During the strength training (ST), participants are asked to sync their concentric and eccentric muscle contractions to the beats of the music at a specific tempo. During aerobic exercise (AE), the tempo is adjusted to match individual walking cadence for participants to step in sync with the playlists.

BEHAVIORALStrength Training (ST)

Most exercises for the ST are chair- or wall-assisted to be safely performed by older adults on their own and adaptable across fitness levels by using different resistance bands. ST are taught at in-person and virtual sessions. Repetitions are increased by 1 repetition every 2 to 3 weeks up to 1 set of 12 repetitions. Participants start the program using no band or the lowest-resistance band. Band level is increased gradually, individually for each participant, to help reduce the risk of injury and prevent excessive fatigue.

BEHAVIORALAerobic exercise (AE)

At the beginning of the program, participants are asked to exercise 45 minutes per week spread over 3 sessions (15 minutes per session). Beginning at Week 4, a 5-minute increase in walking time per session occurs every 2 weeks until 30 minutes of walking is reached per session. Beginning at Week 10 the number of sessions per week increases until participants walk for 30 minutes 5 times per week, for a total of 150 minutes per week. Minutes per session and total minutes per week are guidelines. Participants may choose to increase or decrease daily or weekly exercise time based on their individual needs. Participants may choose to perform AE more than 150 minutes per week.