A methodology for an acute exercise clinical trial called dementia risk and dynamic response to exercise
Abstract Exercise likely has numerous benefits for brain and cognition. However, those benefits and their causes remain imprecisely defined. If the brain does benefit from exercise it does so primarily through cumulative brief, “acute” exposures over a lifetime. The Dementia Risk and Dynamic Respons...
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Nature Portfolio
2021
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oai:doaj.org-article:088de346d53049a4b24ab5be9b41efc62021-12-02T17:40:49ZA methodology for an acute exercise clinical trial called dementia risk and dynamic response to exercise10.1038/s41598-021-92177-02045-2322https://doaj.org/article/088de346d53049a4b24ab5be9b41efc62021-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-92177-0https://doaj.org/toc/2045-2322Abstract Exercise likely has numerous benefits for brain and cognition. However, those benefits and their causes remain imprecisely defined. If the brain does benefit from exercise it does so primarily through cumulative brief, “acute” exposures over a lifetime. The Dementia Risk and Dynamic Response to Exercise (DYNAMIC) clinical trial seeks to characterize the acute exercise response in cerebral perfusion, and circulating neurotrophic factors in older adults with and without the apolipoprotein e4 genotype (APOE4), the strongest genetic predictor of sporadic, late onset Alzheimer’s disease. DYNAMIC will enroll 60 older adults into a single moderate intensity bout of exercise intervention, measuring pre- and post-exercise cerebral blood flow (CBF) using arterial spin labeling, and neurotrophic factors. We expect that APOE4 carriers will have poor CBF regulation, i.e. slower return to baseline perfusion after exercise, and will demonstrate blunted neurotrophic response to exercise, with concentrations of neurotrophic factors positively correlating with CBF regulation. Preliminary findings on 7 older adults and 9 younger adults demonstrate that the experimental method can capture CBF and neurotrophic response over a time course. This methodology will provide important insight into acute exercise response and potential directions for clinical trial outcomes. ClinicalTrials.gov NCT04009629, Registered 05/07/2019.Dreu WhiteCasey S. JohnAshley KuceraBryce TruverRebecca J. LeppingPaul J. KueckPhil LeeLaura MartinSandra A. BillingerJeffrey M. BurnsJill K. MorrisEric D. VidoniNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-11 (2021) |
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Medicine R Science Q Dreu White Casey S. John Ashley Kucera Bryce Truver Rebecca J. Lepping Paul J. Kueck Phil Lee Laura Martin Sandra A. Billinger Jeffrey M. Burns Jill K. Morris Eric D. Vidoni A methodology for an acute exercise clinical trial called dementia risk and dynamic response to exercise |
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Abstract Exercise likely has numerous benefits for brain and cognition. However, those benefits and their causes remain imprecisely defined. If the brain does benefit from exercise it does so primarily through cumulative brief, “acute” exposures over a lifetime. The Dementia Risk and Dynamic Response to Exercise (DYNAMIC) clinical trial seeks to characterize the acute exercise response in cerebral perfusion, and circulating neurotrophic factors in older adults with and without the apolipoprotein e4 genotype (APOE4), the strongest genetic predictor of sporadic, late onset Alzheimer’s disease. DYNAMIC will enroll 60 older adults into a single moderate intensity bout of exercise intervention, measuring pre- and post-exercise cerebral blood flow (CBF) using arterial spin labeling, and neurotrophic factors. We expect that APOE4 carriers will have poor CBF regulation, i.e. slower return to baseline perfusion after exercise, and will demonstrate blunted neurotrophic response to exercise, with concentrations of neurotrophic factors positively correlating with CBF regulation. Preliminary findings on 7 older adults and 9 younger adults demonstrate that the experimental method can capture CBF and neurotrophic response over a time course. This methodology will provide important insight into acute exercise response and potential directions for clinical trial outcomes. ClinicalTrials.gov NCT04009629, Registered 05/07/2019. |
format |
article |
author |
Dreu White Casey S. John Ashley Kucera Bryce Truver Rebecca J. Lepping Paul J. Kueck Phil Lee Laura Martin Sandra A. Billinger Jeffrey M. Burns Jill K. Morris Eric D. Vidoni |
author_facet |
Dreu White Casey S. John Ashley Kucera Bryce Truver Rebecca J. Lepping Paul J. Kueck Phil Lee Laura Martin Sandra A. Billinger Jeffrey M. Burns Jill K. Morris Eric D. Vidoni |
author_sort |
Dreu White |
title |
A methodology for an acute exercise clinical trial called dementia risk and dynamic response to exercise |
title_short |
A methodology for an acute exercise clinical trial called dementia risk and dynamic response to exercise |
title_full |
A methodology for an acute exercise clinical trial called dementia risk and dynamic response to exercise |
title_fullStr |
A methodology for an acute exercise clinical trial called dementia risk and dynamic response to exercise |
title_full_unstemmed |
A methodology for an acute exercise clinical trial called dementia risk and dynamic response to exercise |
title_sort |
methodology for an acute exercise clinical trial called dementia risk and dynamic response to exercise |
publisher |
Nature Portfolio |
publishDate |
2021 |
url |
https://doaj.org/article/088de346d53049a4b24ab5be9b41efc6 |
work_keys_str_mv |
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