Cognition, Flavonoids, Exercise, Gut Microbiome

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age65-85
SponsorAppalachian State University

About this trial

This NIH project will examine the effects of routine flavonoid-rich blueberry intake (12-weeks), combined with or in the absence of regular moderate exercise, on cognitive function in a clinical population of older participants identified as experiencing age-related cognitive changes. This project's hypothesis is that the combination of flavonoid-rich diet and routine physical activity may potentiate cognitive benefits and reduce cognitive decline in an aging population, via mechanisms mediated by the gut microbiome.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Score on the Montreal Cognitive Assessment (MoCA test) of 24.1-25.2 that indicates mild cognitive decline. The MoCA test score ranges from 0 to 30, with higher scores from 26 to 30 considered normal.

Healthy, non-smoking male or female participants 65 to 85 years of age.

Capable of engaging in a supervised 12-week exercise training program (brisk walking or stretching).

Physically inactive (defined as less than 150 min/week moderate or less than 75 minutes vigorous aerobic and/or resistance exercise during the past 4 weeks).

Disqualifiers

Allergy to blueberries.

Diagnosis of Type I or Type 2 diabetes.

Chronic cardiovascular, metabolic, or renal condition that is uncontrolled (controlled defined as stable for 6 months or more).

History of signs or symptoms during rest or physical activity such as chest discomfort, unreasonable breathlessness, dizziness, fainting, or blackouts.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Blueberry

    Dietary supplement

    50 g/d blueberry powder supplement

  • Walking

    Behavioral

    Five 45-min walking sessions per week

  • Placebo

    Dietary supplement

    50 g/d placebo powder supplement

  • Stretching

    Behavioral

    Five 45-min stretching sessions per week

Treatment groups

240 Participants
are divided into 4 treatment groups
Group A: Blueberry + walkingExperimental treatment 2 interventions
Group B: Blueberry + stretchingExperimental treatment 2 interventions
Group C: Placebo + walkingActive comparator 2 interventions
Group D: Placebo + stretchingActive comparator 2 interventions

Trial outcomes

Primary outcomes

1

Cognition

Cognitive function using the Cambridge Neuropsychological Test Assessment Battery (CANTAB, Cambridge Cognition, Ltd).

Time frame
Change from pre-study to 6-weeks and 12-weeks

Secondary outcomes

1

Maximal aerobic capacity

VO2max from a graded treadmill test using a metabolic cart

Time frame
Change from pre-study to 6-weeks and 12-weeks
2

Gut microbiome

Alpha and beta diversity from gut microbiome taxa analysis using Whole Genome Shotgun (WGS) sequencing

Time frame
Change from pre-study to 6-weeks and 12-weeks
3

Urine blueberry metabolites

Urine gut-derived metabolites (n=24) from targeted LC-MS/MS analysis (concentrations) generated from blueberry ingestion

Time frame
Change from pre-study to 6-weeks and 12-weeks
4

Electrophysiological procedures (ERP) using the Geodesic Sensor Net

An electroencephalogram (EEG) test that measures cognition from electrical activity (amplitude in microvolts) in the brain in response to cognitive challenges including working memory

Time frame
Change from pre-study to 6-weeks and 12-weeks

Other outcomes

Sponsors and contacts

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