ClinicalTrials.gg
CompletedNCT02913053NeuroExerciseUpdated Nov 14, 2019

The Effects of an Extensive Exercise Program on the Progression of Mild Cognitive Impairment

An interventional study of Aerobic exercise and Non-aerobic exercise in Mild Cognitive Impairment, sponsored by Radboud University Medical Center. Completed at 3 sites in 3 countries. Open to participants aged 50 Years and older. Per ClinicalTrials.gov, last updated 2019-11-14.

Sponsored by Radboud University Medical Center · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
183
Allocation
Randomized
Ages
50 Years and older
Sex
All
01

Study summary

Exercise interventions to prevent dementia and delay cognitive decline have gained considerable attention in recent years. Human and animal studies have demonstrated that regular physical activity targets brain function by increasing cognitive reserve. Although initial studies indicate enhanced cognitive performance in patients with mild cognitive impairment (MCI) following an exercise intervention, little is known about the effect of an extensive, controlled and regular exercise regimen on the neuropathology of patients with MCI.

The aim of this study is to compare a 12- month aerobic exercise programme versus a stretching and toning (non-aerobic) programme versus a control group on the progression of cognitive decline in MCI.

It is hypothesized that MCI-related decreases in cognitive and psychomotor functioning will show less progression or even be improved after a one-year aerobic exercise intervention compared to a group of patients undergoing stretching and toning exercise as well as to a control group provided with no intervention.

Read the detailed description

This randomised controlled clinical intervention study will take place across three European sites; the German Sport University Cologne, Germany, University of Nijmegen, The Netherlands and Trinity College Dublin, Ireland. Seventy-five previously sedentary patients with a clinical diagnosis of MCI will be recruited at each site. Participants will be randomised to one of three intervention arms. One group will receive a standardised one-year extensive aerobic exercise intervention (3 units of 45min / week). The second group will complete stretching and toning (non-aerobic) exercise (3 units of 45min / week) and the third group will receive usual care. Change in all outcomes will be measured at baseline (T0), after six months (T1) and after 12 months (T2).

02

Conditions studied

  • Mild Cognitive Impairment
03

In context

Cognitive Dysfunction

3,930 studies on the registry are indexed under Cognitive Dysfunction; 1,114 are open to participants now.

This study's enrollment of 183 is above the median of 64 across 2,855 interventional studies indexed under Cognitive Dysfunction.

Browse Cognitive Dysfunction studies →

Lead sponsor

Radboud University Medical Center is the lead sponsor of 984 studies on the registry; 135 are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
50 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Diagnosis of mild cognitive impairment (MCI) due to Alzheimer's disease (AD) according to the Albert et al (2011) criteria
  • Montreal Cognitive Assessment (MoCA) (Nasreddine et al. 2005) score 18-26
  • Stable medical condition for more than 6 months
  • Stable medications for more than 3 months
  • Adequate visual and auditory acuity to complete neuropsychological testin
  • Electrocardiogram without significant abnormalities that might interfere with the study
  • Physical ability sufficient to allow performance of endurance exercise training
  • Capacity to provide written and dated informed consent form
  • Medical clearance to undergo a symptom-limited cardiopulmonary exercise test and extensive aerobic exercise training
  • Participants recruited from the community via newspaper articles and community advertisement will complete additional testing to determine MCI status. Participants must score ≤1.5 standard deviation (SD) of cut-off scores on episodic memory test

Exclusion criteria

Exclusion Criteria:

  • Diagnosis of AD or other type of dementia
  • History of familial early-onset dementia
  • Enrollment onto any investigational drug study
  • History in the past 2 years of epileptic seizures (Participants with epilepsy who have been stable off medication and seizure free for 2 years may be included)
  • Any major psychiatric disorder (a clinical diagnosis of major depressive disorder, bipolar or schizophrenia)
  • Past history or MRI evidence of brain damage, including significant trauma, stroke, hydrocephalus, mental retardation, or serious neurological disorder
  • Carotid stent or severe stenosis
  • History of myocardial infarction within previous year congestive heart failure (New York Heart Association Class II, III or IV)
  • Uncontrolled hypertension or hypotension (systolic blood pressure >200 mm Hg and/or diastolic blood pressure >110 mm Hg at rest)
  • Unstable cardiac, renal, lung, liver, or other severe chronic disease
  • Type 2 diabetes mellitus with hypoglycemia in the last 3 months
  • Significant history of alcoholism or drug abuse within last 10 years
  • Significant obesity limiting active participation in the exercise program
  • Engagement in moderate-intensity aerobic exercise training for more than 30 minutes, 3 times per week, during past 2 years
  • History of vitamin B12 deficiency or hypothyroidism (stable treatment for at least 3 months is allowed)
  • Serious or non-healing wound, ulcer, or bone fracture
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
183 participants (actual)

Study arms

  • Active comparator
    Aerobic exercise

    Behavioral: Aerobic exercise

  • Active comparator
    Stretching and Toning

    Behavioral: Non-aerobic exercise

  • No intervention
    Usual care: Control Group

Interventions

  • BehavioralAerobic exercise

    Patients with mild cognitive impairment will undergo a one-year aerobic exercise program of 3 units of 45 min / week

  • BehavioralNon-aerobic exercise

    Patients with mild cognitive impairment will undergo a one-year stretching and toning (non-aerobic) exercise program of 3 units of 45 min / week

06

What researchers measure

Primary outcomes

  1. Cognitive performance

    Cognitive performance will be assessed by an extensive neuropsychological test battery

    Time frame: One year

Secondary outcomes

  1. Global cognitive function

    MoCA (Montreal Cognitive Assessment)

    Time frame: One year

  2. Cardiovascular fitness

    (sub)maximal ergometer exercise test

    Time frame: One year

  3. Physical activity

    Activity monitoring with accelerometers

    Time frame: One year

  4. Health related Quality of Life

    Health Related Quality of Life for People with Dementia (DemQOL)

    Time frame: One year

  5. Depressive symptoms

    Center for Epidemiologic Studies Depression (CES-D)

    Time frame: One year

  6. Neuroticism-Extraversion-Openness-Five Factor Inventory (NEO-FFI)

    Personality traits assessment

    Time frame: One year

  7. Timed up and Go (TUG)

    Frailty measurement

    Time frame: One year

  8. Hand grip strength

    Frailty measurement

    Time frame: One year

  9. 30 second chair stand

    Frailty measurement

    Time frame: One year

  10. Epigenetics

    Genotyping of the Apolipoprotein E (APOE) 4 allele in venous blood.

    Time frame: One year

  11. Brain imaging

    Magnetic Resonance Imaging (MRI) scan: brain structure

    Time frame: 6 months

07

Study locations

3 sites
  • German Sport University
    Cologne, Germany
  • Trinity College Dublin
    Dublin, Ireland
  • Radboud University Medical Center
    Nijmegen, Netherlands
08

References and documents

Publications

  • Stuckenschneider T, Sanders ML, Devenney KE, Aaronson JA, Abeln V, Claassen JAHR, Guinan E, Lawlor B, Meeusen R, Montag C, Olde Rikkert MGM, Polidori MC, Reuter M, Schulz RJ, Vogt T, Weber B, Kessels RPC, Schneider S. NeuroExercise: The Effect of a 12-Month Exercise Intervention on Cognition in Mild Cognitive Impairment-A Multicenter Randomized Controlled Trial. Front Aging Neurosci. 2021 Jan 14;12:621947. doi: 10.3389/fnagi.2020.621947. eCollection 2020. PubMed 33519425 ↗
  • Devenney KE, Sanders ML, Lawlor B, Olde Rikkert MGM, Schneider S; NeuroExercise Study Group. The effects of an extensive exercise programme on the progression of Mild Cognitive Impairment (MCI): study protocol for a randomised controlled trial. BMC Geriatr. 2017 Mar 22;17(1):75. doi: 10.1186/s12877-017-0457-9. PubMed 28330458 ↗

Individual participant data

Plan to share: Undecided

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 14, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02913053
Collaborators
German Sport University, Cologne, University of Dublin, Trinity College, University of Bonn, University Hospital, Bonn
Responsible party
Sponsor
First posted
Sep 23, 2016
Start date
Jun 2015
Primary completion
Nov 2018
Completion
Dec 2018
Last update
Nov 14, 2019

Study contacts

Stefan Schneider, Prof
principal investigator · German Sport University, Germany
Brian Lawlor, Prof
principal investigator · Trinity College Dublin, Ireland
Marcel Olde Rikkert, Prof
principal investigator · Radboud University, Netherlands

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2019. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion