MIND Foods and Aerobic Training in Black Adults With HTN

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age35-75
SponsorIndiana University

About this trial

The goal of this randomized controlled trial is to determine the impact of Mediterranean-Dash Intervention for Neurodegenerative Delay (MIND) diet and aerobic training on cognition in Black adults with high systolic blood pressure.

Researchers will compare Food Delivery and Cooking PLUS Aerobic Training (FoRKS+) versus Enhanced Usual Care (EUC) to evaluate the effects on cognition.

Participants will complete cognitive and cardiovascular assessments, 24-hr blood pressure monitoring, standard blood pressure measurements, weight, fingerstick for HbA1c point-of-care testing, and questionnaires.

Participants may also choose to participate in an optional blood draw for DNA Repair Capacity testing as a modifiable risk factor for aging-associated diseases.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Fluent in English

Marion County resident

35-75 years

Self-identified non-Hispanic and Black/African-American/biracial including African-American

Disqualifiers

lives in nursing home

diagnosis of dementia or Alzheimer disease or mild cognitive impairment; Parkinson disease; brain tumor/infection/surgery (within the last 10 years with residual symptoms and/or functional loss/deficit, such as impaired learning, memory, or communication); cancer with short life expectancy, or current chemotherapy or radiation therapy; psychosis, schizophrenia, or bipolar disorder

ICD 10 code I11/hypertensive heart disease, ICD 10 code I12/hypertensive CKD, ICD 10 code I13/hypertensive heart disease and CKD, ICD 10 code I15, or ICD 10 code I16

current or past prescription of donepezil, memantine, rivastigmine, or galantamine

Trial design

Design model

Parallel

Treatments tested in this trial

  • Enhanced Usual Care (EUC)

    Behavioral

    Enhanced Usual Care (EUC) includes 5 weeks of hypertension classes.

  • Food Delivery and Cooking PLUS Aerobic Training (FoRKS+)

    Behavioral

    Food Delivery and Cooking PLUS Aerobic Training (FoRKS+) includes 5 weeks of hypertension classes followed by 11 weeks of home-delivered Mediterranean-style ingredient kits and virtual cooking classes, and an additional 12 weeks of aerobic exercise.

Treatment groups

128 Participants
are divided into 2 treatment groups
Group A: Enhanced Usual Care (EUC)Active comparator 1 intervention
Group B: Food Delivery and Cooking PLUS Aerobic Training (FoRKS+)Experimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Cognitive function composite score as measured by individually-administered tests of psychomotor speed, complex sequencing, semantic fluency, interference and list learning and delayed recall at Week 28.

The cognitive composite is derived from WAIS-IV Symbol Search \& Coding, Trail Making Test Part B, Animals-Vegetables-Clothing Naming, Stroop Color-Word, and RBANS Update List Learning and List Recall. The composite will be formed by standardizing each test raw score to the sample baseline mean and standard deviation and then taking an average of the resultant z-scores. These measures will be combined into a single, overall cognitive composite score.

Time frame
Week 28 post intervention start date
2

Cognitive function composite score as measured by individually-administered tests of psychomotor speed, complex sequencing, semantic fluency, interference and list learning and delayed recall at Week 52.

The cognitive composite is derived from WAIS-IV Symbol Search \& Coding, Trail Making Test Part B, Animals-Vegetables-Clothing Naming, Stroop Color-Word, and RBANS Update List Learning and List Recall. The composite will be formed by standardizing each test raw score to the sample baseline mean and standard deviation and then taking an average of the resultant z-scores. These measures will be combined into a single, overall cognitive composite score.

Time frame
Week 52 post intervention start date

Secondary outcomes

1

Average participant self-ratings of intervention acceptability.

Average of individual Likert self-ratings of the interventions (where 1 = very unenjoyable, 2 = not enjoyable, 3 = neutral, 4 = enjoyable, and 5 = very enjoyable) throughout the 28-week intervention.

Time frame
From date of randomization until the date of the final training session or the end of the 28-week intervention, whichever came first.
2

Participant adherence to treatment.

Number of training sessions attended divided by the the total number of sessions available.

Time frame
From date of randomization until the date of the final training session or the end of the 28-week intervention, whichever came first.
3

Participant adherence to outcome assessments.

Number of participants completing the outcome assessments divided by the total number randomized.

Time frame
End of follow-up at 52-weeks.
4

Number of participants with study-related adverse events (AE) by treatment arm.

Adverse event count for each study arm

Time frame
From enrollment through end of follow-up at 52-weeks.

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Indiana University

Lead sponsor

National Institutes of Health (NIH)

Collaborator

National Institute on Aging (NIA)

Collaborator