Cognitive Deterioration, Disorder of Aging
Conditions
Keywords
cerebral blood volume, aging, exercise
Brief summary
The purpose of this study is to test the hypothesis that aerobic exercise leads increased cerebral blood volume in the dentate gyrus of the hippocampus in a sample of young and older adults.
Detailed description
In the US, increased length of life and reduced morbidity and mortality have resulted in a growing number of older adults, the demographic time bomb often referred to in discussions of public policy. According to the Census Bureau, the population aged 65 and over will double in size within the next 25 years. Moreover, these older adults will live healthier lives than their predecessors. While this increased length of a healthy life is an undeniable societal benefit, it brings with it a major societal problem: an epidemic of aging-related cognitive decline. The need to develop interventions to address this growing problem is urgent. Aging-related cognitive dysfunction is not diffuse; rather it targets selected brain areas, in particular the frontal lobes and the hippocampal formation. The separate but interconnected subregions of the hippocampus are differentially vulnerable to pathogenic mechanisms, including the normal aging process. A range of in vivo and post-mortem studies have converged on the dentate gyrus (DG) as the hippocampal subregion differentially targeted by the aging process. As with pathogenic processes, any intervention that improves brain function does so with regional selectivity. One such intervention is physical exercise, which has been shown to improve both frontal lobe and hippocampal function. Using a high-resolution variant of functional magnetic resonance imaging (fMRI), the investigators have demonstrated that aerobic training selectively benefitted DG function both humans and mice. In addition, improvement in DG function was associated with improved performance on a word list learning task but not in tasks conventionally thought to be frontal lobe dependent. The human part of the study had significant shortcomings, however: it was small (N = 11), lacked a control group, enrolled only young subjects (age 20-45 years), and employed only a limited neuropsychological testing battery. The overall goal of this proposal is to use the high-resolution variant of fMRI to test the hypothesis that aerobic training will induce improvements in DG function in a sample of younger (age 20-35) and older (50-65) adults, assigned randomly to an active training condition or wait list control group. The investigators will use more comprehensive neuropsychological testing to examine the relationship between changes in DG function and selected cognitive capacities. Taken together with the observation that normal aging differentially targets the DG, this research program will establish that physical exercise is an effective approach for ameliorating the insidious cognitive slide that occurs in aging. Thus, the potential significance of this application is substantial.
Interventions
BEHAVIORALaerobic training
12 weeks of aerobic training, 4X/week
BEHAVIORALWait list
wait list control condition
Sponsors
New York State Psychiatric Institute
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
BASIC_SCIENCE
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
20 Years to 75 Years
Healthy volunteers
Yes
Inclusion criteria
1. Age 20-75 years 2. English-speaking 3. Ambulatory 4. Average fitness as determined by ACSM's Guidelines for Exercise Testing and Prescription (for men, VO2max \< 43 for age 20-39 years, \< 38 for age 40-49 years, \< 35 for age 50-59, \< 31 for age 60-75; for women, \< 36 for age \< 30 years, \< 34 for age 30-39 years, \< 32 for age 40-49 years, \<25 for age 50-59 years, \< 24 for age 60-75 years 5. BMI \<35
Exclusion criteria
1. Ischemic changes or abnormal resting cardiogram, abnormal blood pressure responses, or an significant ectopy during aerobic capacity testing 2. Cardiovascular disease 3. BMI \> 35 4. Uncontrolled high blood pressure (systolic blood pressure ≥ 140 mmHg; or diastolic blood pressure ≥ 90mmHg on two measures) 5. Any condition for which aerobic training is counter-indicated, including persons with evidence or history of medical or orthopedic conditions which might make participation problematic. 6. Current or recent (evidence of disease x 5 years) non-skin neoplastic disease or melanoma. Prostatic carcinoma will not be grounds for exclusion. 7. Active hepatic disease (not a history of hepatitis) or primary renal disease requiring dialysis, primary untreated endocrine diseases, e.g., Cushing's disease or primary hypothalamic failure or insulin dependent diabetes (Type I or II). Welltreated hypothyroidism will not be excluded. 8. History of chemotherapy 9. HIV infection 10. Pregnant or lactating (participation allowed 3 months after ceasing lactation). 11. Medications that alter inflammation or autonomic nervous system activity 12. Any history of psychosis or ECT 13. Current or recent (past one year) Major Depressive Disorder, Bipolar Disorder 14. Current or recent (within past 12 months) alcohol or substance abuse or dependence. Recent use (past month) of recreational drugs. 15. Dementia Rating Scale (DRS) score less than 135. Medical History Interview 16. Neurological Disorders Dementia Rating Scale 17. Stroke Telephone screen 18. Alzheimer's Disease Telephone screen 19. Smoking Telephone screen 20. Prior participation in another Dr. Sloan Exercise Study 21. MRI
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| dentate gyrus cerebral blood volume | change from before (pre) to after (post) 12 weeks of training |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| cerebral blood flow | change from before (pre) to after (post) 12 weeks of training | arterial spin labeling fMRI |
| cognitive function | change from before (pre) to after (post) 12 weeks of training | measures of memory, executive function, attention/processing speed, language, and general intelligence |
| aerobic capacity | change from before (pre) to after (post) 12 weeks of training | — |
Countries
United States
Outcome results
None listed