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| Name | Class |
|---|---|
| National Health Research Institutes, Taiwan | OTHER |
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The effectiveness of conventional exercise, tai chi chuan and health education/usual physical activity over a 6-month intervention period in improving primary outcomes and secondary outcomes in older mild cognitive impairment adults will be compared. Third, whether changes in serum levels of the brain-derived neurotrophic factor (BDNF), insulin-like growth factor (IGF)-1, and vascular endothelial growth factor (VEGF) and expression of the apolipoprotein E (APOE) ε4 allele parallel changes in gait characteristics and cognitive functions after the intervention will be examined.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Conventional exercise | Experimental | This exercise will comprise stretching, muscle strengthening, and balance training at increasing difficulty levels, tailored and supervised by a physical therapist, and will take place at a subject's residence or in the neighborhood once a week for 6 months. Each session will last 60 min. |
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| Tai chi chuan | Experimental | The 8-form Yang-style tai chi chuan intervention will take place at a subject's residence or in the neighborhood once a week for 6 months, and each session will last 60 min. |
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| Health education/usual physical activity | No Intervention | After the baseline, the case manager will visit subjects in this group once for comparability with the other two intervention groups and instruct them to maintain their usual physical activity. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Exercise | Behavioral | Each session will last 60 min, consisting of 10 min of warm-up, 45 min of exercise, and a 5-min cool-down. |
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| Measure | Description | Time Frame |
|---|---|---|
| Gait characteristics | Performance on six gait characteristics (velocity, cadence, stride length, swing time, stride length variability, and swing time variability) will be measured with a 6-m electronic walkway of GAITRite. | 12 months |
| Global cognition | Global cognition will be assessed using the Mini-Mental State Examination (MMSE). The MMSE comprises 11 questions, and the score ranges 0~30, with lower scores indicating poorer global cognition. | 12 months |
| Serum levels of BDNF | Serum BDNF concentrations will be assessed. | 12 months |
| Serum levels of IGF-1 | Serum IGF-1 concentrations will be assessed. | 12 months |
| Serum levels of VEGF | Serum VEGF concentrations will be assessed. | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Tinetti balance | The Tinetti balance score ranges 0~26, with a higher score indicating a better balance ability. | 12 months |
| Mobility | The timed up and go test requires subjects to rise from a standard chair, walk a distance of 3 m, turn, walk back to the chair, and sit down. The time to complete the timed up and go will be recorded. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Mau-Roung Lin, Professor | Contact | 886-2-27361661 | 6572 | mrlin@tmu.edu.tw |
| Name | Affiliation | Role |
|---|---|---|
| Mau-Roung Lin, Professor | Taipei Medical University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Taipei Medical University | Recruiting | Taipei | 110 | Taiwan |
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| ID | Term |
|---|---|
| D060825 | Cognitive Dysfunction |
| D051346 | Mobility Limitation |
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D003072 | Cognition Disorders |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |
| D012816 | Signs and Symptoms |
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| ID | Term |
|---|---|
| D015444 | Exercise |
| ID | Term |
|---|---|
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
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A pragmatic, single-blinded, randomized controlled trial with three arms will be conducted to investigate the effectiveness of conventional exercise and tai chi chuan, compared to health education/usual physical activity.
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| 12 months |
| Muscle strength | Grip strength will be assessed via a handgrip dynamometer and measured in kilograms of isometric force. | 12 months |
| Falls | number of falls and multiple falls | 12 months |
| Depressive symptoms | Depressive symptoms will be assessed using the 15-item Geriatric Depression Scale (GDS). | 12 months |
| Fear of falling | Fear of falling will be assessed using the Falls Efficacy Scale (FES) test. | 12 months |
| D013568 |
| Pathological Conditions, Signs and Symptoms |
| D001519 | Behavior |