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Effects of physical activity on brain function and network connectivity in MCI

体力活动对 MCI 患者大脑功能和网络连接的影响

基本信息

批准号：
10166285
负责人：
ARTHUR W TOGA
金额：
$ 41.13万
依托单位：
UNIVERSITY OF SOUTHERN CALIFORNIA
依托单位国家：
美国
项目类别：
财政年份：
2015
资助国家：
美国
起止时间：
2015-09-15 至 2023-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10166285
关键词：
Activities of Daily Living Aerobic Aerobic Exercise Affect Age-Years Alzheimer&apos s Disease Alzheimer&apos s disease pathology Alzheimer&apos s disease risk Alzheimer’s disease biomarker Amyloid Biological Markers Blood Brain Brain-Derived Neurotrophic Factor Clinical Clinical Trials Clinical dementia rating scale Cognition Cognitive Disease Disease Progression Early Intervention Early treatment Elderly Exercise Functional Magnetic Resonance Imaging Functional disorder Goals Health education Hippocampus (Brain)Home environment Hyperactive behavior Impaired cognition Impairment Individual Insulin-Like Growth Factor I Intervention Investments MRI Scans Maintenance Maps Measurement Measures Memory Methodology Methods Modernization Onset of illness Outcome Outcome Measure Oxygen Consumption Participant Patients Pharmacology Physical activity Positron-Emission Tomography Prefrontal Cortex Process Randomized Randomized Controlled Trials Recommendation Rest Risk Scanning Serum Signal Transduction Somatostatin Stretching Structure Surgeon Testing United States National Institutes of Health Vulnerable Populations Walking active control amnestic mild cognitive impairment arm base brain dysfunction brain health brain volume cerebral atrophy cognitive function cognitive performance cognitive testing donepezil effective therapy executive function exercise intensity exercise intervention functional MRI scan gamma-Aminobutyric Acid improved improved functioning in vivo insight interdisciplinary approach lifestyle factors mild cognitive impairment neurobiological mechanism neuroimaging novel strategies pedometer post intervention pre-clinical primary outcome public health intervention randomized controlled design recruit relating to nervous system remediation secondary outcome sedentary treadmill

项目摘要

Project Summary This is the revised application NIH R01-AG046928-01, titled “Effects of physical activity on brain function and network connectivity in MCI.” The overall goal of this project is to assess the effect of physical activity on remediating early impairments in brain function in sedentary older adults at risk for Alzheimer's disease (AD). AD is the most common cause of cognitive impairment in older adults. The need for effective treatments has become imperative, as 36 million people worldwide are affected and counting. The results from several large pharmacological trials have been sobering with a lack of significant clinical outcomes, prompting a paradigm shift to initiate treatment earlier in the disease process and explore non-pharmacological interventions. Physical activity has recently emerged as a promising intervention for delaying disease onset and slowing cognitive decline in AD. However, the effect of physical activity on neurobiological mechanisms of action, such as brain activity and network function in at risk older adults with mild cognitive impairment (MCI), a preclinical stage of AD, remains largely unexplored. Thus, there is a need for well designed randomized controlled trials (RCT) examining functional brain health outcomes of physical activity intervention in this vulnerable population. The objective of this proposal is to evaluate physical activity as an intervention for improving functional brain health by remediating hippocampal dysfunction and enhancing functional network connectivity in MCI. Using a unique interdisciplinary approach of modern neuroscientific methodology in an RCT, a comprehensive set of outcomes will be evaluated. This project will recruit 90 sedentary participants between 50-85 years of age with amnestic MCI. Consistent with the current Surgeon General's recommendation on moderate-intensity exercise, participants will be randomly assigned to one of three home-based groups for a 6-month intervention period: 1) aerobic walking for 150 mins/week, 2) stretching active-control for 150 mins/week, and 3) health education non-active control, with 30 participants in each group. We will examine the effects of physical activity on the primary neuroimaging outcomes of regional BOLD activity in the hippocampal, functional connectivity between the prefrontal cortex and hippocampus, and intrinsic connectivity of the default mode and executive networks. Additionally, we will examine secondary outcomes of brain volume, cognition, function, and serum biomarkers associated with physical activity. The effect of regional AD pathology on change in the outcome measures will be examined using amyloid PET.

项目总结