Dementia
Conditions
Brief summary
The purpose of this study is to determine if a home based physical activity training program for patients with Alzheimer's dementia has effects on clinical and neurobiological parameters.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* age \>55 years * German is the dominant language (necessary for neuropsychological testing) * minimum of 8 years formal school education * caregiver (e.g. spouse) living at home with participant * physical examination does not reveal contraindications to physical activity * stable dose of pharmacological dementia treatment according to German guidelines (DGPPN) with acetylcholinesterase inhibitor or memantin or combination for at least 6 months * no other medication that could influence cognitive functioning (e.g. benzodiazepines, sleep aids, neuroleptics)
Exclusion criteria
* history of neurological or psychiatric disease other than AD * history of substance abuse disorder * history of electroconvulsive therapy (ECT) during the last 6 months * structural brain deficits diagnosed in the MRI scan, also without clinical relevance (incidental finding) * pacemaker, artificial heart valve, insulin pump or other medical implants * average steps/day are above 10.000 steps/day
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| activities of daily living | change from baseline after 12 weeks | Alzheimer's Disease Cooperative Study/Activities of Daily Living (ADCS/ADL) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| behavioral symptoms of dementia | change from baseline after 12 weeks and 24 weeks | Neuropsychiatric Inventory (NPI) total score |
| cognition | change from baseline after 12 weeks and 24 weeks | Mini Mental Status Examination (MMSE) |
| executive function and language ability | change from baseline after 12 weeks and 24 weeks | semantic and phonemic word fluency |
| Reaction time, hand-eye quickness and attention | change from baseline after 12 weeks and 24 weeks | Ruler Drop Test |
| activities of daily living | change from baseline after 24 weeks | Alzheimer's Disease Cooperative Study/Activities of Daily Living (ADCS/ADL) |
| caregiver burden | change from baseline after 12 weeks and 24 weeks | Neuropsychiatric inventory (NPI) total burden score |
Other
| Measure | Time frame | Description |
|---|---|---|
| hippocampal cortical thickness | change from baseline after 12 weeks | subregional hippocampal cortical thickness based on MRI analyses |
Countries
Germany