Examining the efficacy of a cardio-dance intervention on brain health and the moderating role of ABCA7 in older African Americans: a protocol for a randomized controlled trial

IntroductionAfrican Americans are two to three times more likely to be diagnosed with Alzheimer’s disease (AD) compared to White Americans. Exercise is a lifestyle behavior associated with neuroprotection and decreased AD risk, although most African Americans, especially older adults, perform less t...

Full description

Bibliographic Details
Main Authors: Mark A. Gluck, Joshua L. Gills, Bernadette A. Fausto, Steven K. Malin, Paul R. Duberstein, Kirk I. Erickson, Liangyuan Hu
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-11-01
Series:Frontiers in Aging Neuroscience
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnagi.2023.1266423/full
_version_ 1797490949122686976
author Mark A. Gluck
Joshua L. Gills
Bernadette A. Fausto
Steven K. Malin
Paul R. Duberstein
Kirk I. Erickson
Liangyuan Hu
author_facet Mark A. Gluck
Joshua L. Gills
Bernadette A. Fausto
Steven K. Malin
Paul R. Duberstein
Kirk I. Erickson
Liangyuan Hu
author_sort Mark A. Gluck
collection DOAJ
description IntroductionAfrican Americans are two to three times more likely to be diagnosed with Alzheimer’s disease (AD) compared to White Americans. Exercise is a lifestyle behavior associated with neuroprotection and decreased AD risk, although most African Americans, especially older adults, perform less than the recommended 150 min/week of moderate-to-vigorous intensity exercise. This article describes the protocol for a Phase III randomized controlled trial that will examine the effects of cardio-dance aerobic exercise on novel AD cognitive and neural markers of hippocampal-dependent function (Aims #1 and #2) and whether exercise-induced neuroprotective benefits may be modulated by an AD genetic risk factor, ABCA7 rs3764650 (Aim #3). We will also explore the effects of exercise on blood-based biomarkers for AD.Methods and analysisThis 6-month trial will include 280 African Americans (≥ 60 years), who will be randomly assigned to 3 days/week of either: (1) a moderate-to-vigorous cardio-dance fitness condition or (2) a low-intensity strength, flexibility, and balance condition for 60 min/session. Participants will complete health and behavioral surveys, neuropsychological testing, saliva and venipuncture, aerobic fitness, anthropometrics and resting-state structural and functional neuroimaging at study entry and 6 months.DiscussionResults from this investigation will inform future exercise trials and the development of prescribed interventions that aim to reduce the risk of AD in African Americans.
first_indexed 2024-03-10T00:40:22Z
format Article
id doaj.art-79b4f99278f0416ab202a8f1e7b59e8f
institution Directory Open Access Journal
issn 1663-4365
language English
last_indexed 2024-03-10T00:40:22Z
publishDate 2023-11-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Aging Neuroscience
spelling doaj.art-79b4f99278f0416ab202a8f1e7b59e8f2023-11-23T15:09:21ZengFrontiers Media S.A.Frontiers in Aging Neuroscience1663-43652023-11-011510.3389/fnagi.2023.12664231266423Examining the efficacy of a cardio-dance intervention on brain health and the moderating role of ABCA7 in older African Americans: a protocol for a randomized controlled trialMark A. Gluck0Joshua L. Gills1Bernadette A. Fausto2Steven K. Malin3Paul R. Duberstein4Kirk I. Erickson5Liangyuan Hu6Center for Molecular and Behavioral Neuroscience, Rutgers University-Newark, Newark, NJ, United StatesCenter for Molecular and Behavioral Neuroscience, Rutgers University-Newark, Newark, NJ, United StatesCenter for Molecular and Behavioral Neuroscience, Rutgers University-Newark, Newark, NJ, United StatesDepartment of Kinesiology and Health, Rutgers University, New Brunswick, NJ, United StatesDepartment of Health Behavior, Society and Policy, Rutgers School of Public Health, Piscataway, NJ, United StatesAdventHealth Research Institute, Orlando, FL, United StatesDepartment of Biostatistics and Epidemiology, School of Public Health, Rutgers School of Public Health, Piscataway, NJ, United StatesIntroductionAfrican Americans are two to three times more likely to be diagnosed with Alzheimer’s disease (AD) compared to White Americans. Exercise is a lifestyle behavior associated with neuroprotection and decreased AD risk, although most African Americans, especially older adults, perform less than the recommended 150 min/week of moderate-to-vigorous intensity exercise. This article describes the protocol for a Phase III randomized controlled trial that will examine the effects of cardio-dance aerobic exercise on novel AD cognitive and neural markers of hippocampal-dependent function (Aims #1 and #2) and whether exercise-induced neuroprotective benefits may be modulated by an AD genetic risk factor, ABCA7 rs3764650 (Aim #3). We will also explore the effects of exercise on blood-based biomarkers for AD.Methods and analysisThis 6-month trial will include 280 African Americans (≥ 60 years), who will be randomly assigned to 3 days/week of either: (1) a moderate-to-vigorous cardio-dance fitness condition or (2) a low-intensity strength, flexibility, and balance condition for 60 min/session. Participants will complete health and behavioral surveys, neuropsychological testing, saliva and venipuncture, aerobic fitness, anthropometrics and resting-state structural and functional neuroimaging at study entry and 6 months.DiscussionResults from this investigation will inform future exercise trials and the development of prescribed interventions that aim to reduce the risk of AD in African Americans.https://www.frontiersin.org/articles/10.3389/fnagi.2023.1266423/fullolder adultscognitionexercise interventionolder African Americanclinical trial
spellingShingle Mark A. Gluck
Joshua L. Gills
Bernadette A. Fausto
Steven K. Malin
Paul R. Duberstein
Kirk I. Erickson
Liangyuan Hu
Examining the efficacy of a cardio-dance intervention on brain health and the moderating role of ABCA7 in older African Americans: a protocol for a randomized controlled trial
Frontiers in Aging Neuroscience
older adults
cognition
exercise intervention
older African American
clinical trial
title Examining the efficacy of a cardio-dance intervention on brain health and the moderating role of ABCA7 in older African Americans: a protocol for a randomized controlled trial
title_full Examining the efficacy of a cardio-dance intervention on brain health and the moderating role of ABCA7 in older African Americans: a protocol for a randomized controlled trial
title_fullStr Examining the efficacy of a cardio-dance intervention on brain health and the moderating role of ABCA7 in older African Americans: a protocol for a randomized controlled trial
title_full_unstemmed Examining the efficacy of a cardio-dance intervention on brain health and the moderating role of ABCA7 in older African Americans: a protocol for a randomized controlled trial
title_short Examining the efficacy of a cardio-dance intervention on brain health and the moderating role of ABCA7 in older African Americans: a protocol for a randomized controlled trial
title_sort examining the efficacy of a cardio dance intervention on brain health and the moderating role of abca7 in older african americans a protocol for a randomized controlled trial
topic older adults
cognition
exercise intervention
older African American
clinical trial
url https://www.frontiersin.org/articles/10.3389/fnagi.2023.1266423/full
work_keys_str_mv AT markagluck examiningtheefficacyofacardiodanceinterventiononbrainhealthandthemoderatingroleofabca7inolderafricanamericansaprotocolforarandomizedcontrolledtrial
AT joshualgills examiningtheefficacyofacardiodanceinterventiononbrainhealthandthemoderatingroleofabca7inolderafricanamericansaprotocolforarandomizedcontrolledtrial
AT bernadetteafausto examiningtheefficacyofacardiodanceinterventiononbrainhealthandthemoderatingroleofabca7inolderafricanamericansaprotocolforarandomizedcontrolledtrial
AT stevenkmalin examiningtheefficacyofacardiodanceinterventiononbrainhealthandthemoderatingroleofabca7inolderafricanamericansaprotocolforarandomizedcontrolledtrial
AT paulrduberstein examiningtheefficacyofacardiodanceinterventiononbrainhealthandthemoderatingroleofabca7inolderafricanamericansaprotocolforarandomizedcontrolledtrial
AT kirkierickson examiningtheefficacyofacardiodanceinterventiononbrainhealthandthemoderatingroleofabca7inolderafricanamericansaprotocolforarandomizedcontrolledtrial
AT liangyuanhu examiningtheefficacyofacardiodanceinterventiononbrainhealthandthemoderatingroleofabca7inolderafricanamericansaprotocolforarandomizedcontrolledtrial