Rhythmically Entrained Exercise in Community-Dwelling Older Adults (REECO)

University of North Carolina, Greensboro

Status: Completed

Conditions: Memory Disorders; Cognitive Impairment; Psychosocial Intervention; Caregiver Burden; Elderly; Affect; Fall; Exercise; Physical Exertion; Geriatric Assessment; Mild Cognitive Impairment; Walking; Music Therapy; Dementia; Neuropsychological Tests; Respite Care; Middle Aged; Cognitive Decline; Outcome Assessment, Health Care; Cognitive Dysfunction; Cognition; Memory Impairment; Mental Health; Balance; Alzheimer Disease; Cognitive Aging; Depression; Memory Deficit; Gait; Healthy Aging; Executive Function

Treatments: Behavioral: Group exercise program

Study type: Interventional

Funder types: Other

Identifiers

NCT05462977

FY22-106

Details and patient eligibility

About

Researchers at the University of North Carolina at Greensboro conduct a single-arm intervention trial to investigate the efficacy of a music-based group exercise program for community-dwelling older adults. Up to forty participants will be recruited to participate in a music-based light-to-moderate intensity group exercise program for 20 weeks (30 - 40 min/day, up to 6 days/week), which is designed for older adults with or without functional limitations to exercise with chairs for the improvement of aerobic capacity, upper and lower body strength, and balance control at a gradually increasing pace. During the exercise sessions, participants will be trained to move in time with music playlists in synchronous tempos. Primary outcomes are cognitive performance, mobility, and health-related quality of life measured before and after the intervention. Secondary outcomes are adherence to the exercise program as a potential mediator of the treatment.

Full description

Researchers at the University of North Carolina at Greensboro are conducting a single-arm intervention trial to investigate the efficacy of a music-based group exercise program for community-dwelling older adults. Up to forty participants will be recruited to participate in a music-based light-to-moderate intensity group exercise program for 20 weeks (30 - 40 min/day, up to 6 days/week), which is designed for older adults with or without functional limitations to exercise with chairs for the improvement of aerobic capacity, upper and lower body strength, and balance control at a gradually increasing pace. During the exercise sessions, participants will be trained to move in time with music playlists in synchronous tempos. Primary outcomes are cognitive performance, mobility, and health-related quality of life measured before and after the intervention. Secondary outcomes are adherence to the exercise program as a potential mediator of the treatment. The research team aims to determine whether (1) a music-based light-to-moderate intensity group exercise intervention beneficially impacts mobility, cognitive function, and health-related quality of life in community-dwelling older adults; (2) the treatment effect is mediated by adherence to physical activity; and (3) the treatment effect is moderated by cognitive impairment or functional limitations.

Enrollment: 18 patients

Sex: All

Ages: 55 to 99 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• 55 - 99 years old
• Capable of being ambulatory with or without an assistive device.
• No cardiac or pulmonary conditions or any neurological or musculoskeletal comorbidity or pain that would make light-intensity exercise dangerous, determined by the Physical Activity Readiness Questionnaire for Everyone or confirmed by their local medical practitioner if necessary.
• Having adequate hearing for a conversation (including with hearing aids)
• Capable of following the study procedures
• No severe anxiety or depression
• Mild to moderate cognitive impairment

Exclusion criteria

• Age younger than 55 or older than 99
• Severe anxiety or depression
• Severe cognitive impairment

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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18 participants in 1 patient group

Group exercise with beat-accented synchronous music stimulation

Experimental group

Description:

Participants will be asked to participate in a music-based group exercise program for 24 weeks (up to 6 days/week, 30 - 45 min/day), which is designed for older adults with functional limitations to safely exercise on a chair or in a supported standing posture for the improvement of aerobic capacity, upper and lower body strength, and balance control at a gradually increasing pace based on the tempo of the beat-accented synchronous music playlists.

Treatment:

Behavioral: Group exercise program