Trial Outcomes & Findings for Acute Exercise and the Cerebral Metabolic Response in Aging and Alzheimer's Disease (NCT NCT04299308)

NCT ID: NCT04299308

Last Updated: 2025-07-23

Results Overview

FDG PET measures reflecting cerebral metabolism standardized to the uptake value of the cerebellum and standardized uptake value ratios (SUVR) calculated from native-space region of interest (ROI).

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

60 participants

Primary outcome timeframe

Resting Vs acute exercise bout: ~1 month

Results posted on

2025-07-23

Participant Flow

Participant milestones

Participant milestones
Measure
Moderate Intensity Aerobic Exercise
45-55% of heart rat reserve (HHR) Low range = ((Max HR from Visit 1) - Resting HR ) \* 0.45 + Resting HR High range = ((Max HR from Visit 1) - Resting HR) \* 0.55 + Resting HR Aerobic Exercise: Participants will exercise for 15 minutes based on heart rate range. The study team will employ a stationary bike to maintain control over workload
High Intensity Aerobic Exercise
65-75% of heart rat reserve (HHR) Low range = ((Max HR from Visit 1) - Resting HR ) \* 0.65 + Resting HR High range = ((Max HR from Visit 1) - Resting HR) \* 0.75 + Resting HR Aerobic Exercise: Participants will exercise for 15 minutes based on heart rate range. The study team will employ a stationary bike to maintain control over workload
Overall Study
STARTED
29
31
Overall Study
COMPLETED
27
31
Overall Study
NOT COMPLETED
2
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Moderate Intensity Aerobic Exercise
45-55% of heart rat reserve (HHR) Low range = ((Max HR from Visit 1) - Resting HR ) \* 0.45 + Resting HR High range = ((Max HR from Visit 1) - Resting HR) \* 0.55 + Resting HR Aerobic Exercise: Participants will exercise for 15 minutes based on heart rate range. The study team will employ a stationary bike to maintain control over workload
High Intensity Aerobic Exercise
65-75% of heart rat reserve (HHR) Low range = ((Max HR from Visit 1) - Resting HR ) \* 0.65 + Resting HR High range = ((Max HR from Visit 1) - Resting HR) \* 0.75 + Resting HR Aerobic Exercise: Participants will exercise for 15 minutes based on heart rate range. The study team will employ a stationary bike to maintain control over workload
Overall Study
Withdrawal by Subject
1
0
Overall Study
issue with PET image (1)
1
0

Baseline Characteristics

Acute Exercise and the Cerebral Metabolic Response in Aging and Alzheimer's Disease

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Moderate Intensity Aerobic Exercise
n=29 Participants
45-55% of heart rat reserve (HHR) Low range = ((Max HR from Visit 1) - Resting HR ) \* 0.45 + Resting HR High range = ((Max HR from Visit 1) - Resting HR) \* 0.55 + Resting HR Aerobic Exercise: Participants will exercise for 15 minutes based on heart rate range. The study team will employ a stationary bike to maintain control over workload
High Intensity Aerobic Exercise
n=31 Participants
65-75% of heart rat reserve (HHR) Low range = ((Max HR from Visit 1) - Resting HR ) \* 0.65 + Resting HR High range = ((Max HR from Visit 1) - Resting HR) \* 0.75 + Resting HR Aerobic Exercise: Participants will exercise for 15 minutes based on heart rate range. The study team will employ a stationary bike to maintain control over workload
Total
n=60 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Age, Categorical
Between 18 and 65 years
4 Participants
n=99 Participants
4 Participants
n=107 Participants
8 Participants
n=206 Participants
Age, Categorical
>=65 years
25 Participants
n=99 Participants
27 Participants
n=107 Participants
52 Participants
n=206 Participants
Age, Continuous
72.2 years
STANDARD_DEVIATION 7.3 • n=99 Participants
74.2 years
STANDARD_DEVIATION 8.1 • n=107 Participants
73.2 years
STANDARD_DEVIATION 7.7 • n=206 Participants
Sex: Female, Male
Female
13 Participants
n=99 Participants
16 Participants
n=107 Participants
29 Participants
n=206 Participants
Sex: Female, Male
Male
16 Participants
n=99 Participants
15 Participants
n=107 Participants
31 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
4 Participants
n=99 Participants
2 Participants
n=107 Participants
6 Participants
n=206 Participants
Race (NIH/OMB)
White
24 Participants
n=99 Participants
29 Participants
n=107 Participants
53 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Region of Enrollment
United States
29 participants
n=99 Participants
31 participants
n=107 Participants
60 participants
n=206 Participants

PRIMARY outcome

Timeframe: Resting Vs acute exercise bout: ~1 month

FDG PET measures reflecting cerebral metabolism standardized to the uptake value of the cerebellum and standardized uptake value ratios (SUVR) calculated from native-space region of interest (ROI).

Outcome measures

Outcome measures
Measure
Moderate Intensity Aerobic Exercise
n=27 Participants
45-55% of heart rat reserve (HHR) Low range = ((Max HR from Visit 1) - Resting HR ) \* 0.45 + Resting HR High range = ((Max HR from Visit 1) - Resting HR) \* 0.55 + Resting HR Aerobic Exercise: Participants will exercise for 15 minutes based on heart rate range. The study team will employ a stationary bike to maintain control over workload
High Intensity Aerobic Exercise
n=31 Participants
65-75% of heart rat reserve (HHR) Low range = ((Max HR from Visit 1) - Resting HR ) \* 0.65 + Resting HR High range = ((Max HR from Visit 1) - Resting HR) \* 0.75 + Resting HR Aerobic Exercise: Participants will exercise for 15 minutes based on heart rate range. The study team will employ a stationary bike to maintain control over workload
Fluorodeoxyglucose (FDG) Positron Emission Tomography (PET) Metabolism (Standard Uptake Value Ratio)
-0.0514 SUVR
Standard Deviation 0.03
-0.0667 SUVR
Standard Deviation 0.03

SECONDARY outcome

Timeframe: Resting Vs acute exercise bout: ~1 month

Population: Individuals who completed both visits with blood draws available

Change in lactate AUC between the resting and exercise condition

Outcome measures

Outcome measures
Measure
Moderate Intensity Aerobic Exercise
n=28 Participants
45-55% of heart rat reserve (HHR) Low range = ((Max HR from Visit 1) - Resting HR ) \* 0.45 + Resting HR High range = ((Max HR from Visit 1) - Resting HR) \* 0.55 + Resting HR Aerobic Exercise: Participants will exercise for 15 minutes based on heart rate range. The study team will employ a stationary bike to maintain control over workload
High Intensity Aerobic Exercise
n=31 Participants
65-75% of heart rat reserve (HHR) Low range = ((Max HR from Visit 1) - Resting HR ) \* 0.65 + Resting HR High range = ((Max HR from Visit 1) - Resting HR) \* 0.75 + Resting HR Aerobic Exercise: Participants will exercise for 15 minutes based on heart rate range. The study team will employ a stationary bike to maintain control over workload
Lactate Area Under the Curve
40.3 AUC change (mmol/L*min)
Standard Deviation 27.5
97.0 AUC change (mmol/L*min)
Standard Deviation 50.8

SECONDARY outcome

Timeframe: Resting Vs acute exercise bout: ~1 month

Pre/post change in circulating Brain Derived Neurotrophic Factor between the resting and exercise conditions

Outcome measures

Outcome measures
Measure
Moderate Intensity Aerobic Exercise
n=28 Participants
45-55% of heart rat reserve (HHR) Low range = ((Max HR from Visit 1) - Resting HR ) \* 0.45 + Resting HR High range = ((Max HR from Visit 1) - Resting HR) \* 0.55 + Resting HR Aerobic Exercise: Participants will exercise for 15 minutes based on heart rate range. The study team will employ a stationary bike to maintain control over workload
High Intensity Aerobic Exercise
n=31 Participants
65-75% of heart rat reserve (HHR) Low range = ((Max HR from Visit 1) - Resting HR ) \* 0.65 + Resting HR High range = ((Max HR from Visit 1) - Resting HR) \* 0.75 + Resting HR Aerobic Exercise: Participants will exercise for 15 minutes based on heart rate range. The study team will employ a stationary bike to maintain control over workload
Brain-derived Neurotrophic Factor (BDNF) Change
610.2 pg/mL
Standard Deviation 1071.9
353.3 pg/mL
Standard Deviation 239.8

Adverse Events

Moderate Intensity Aerobic Exercise

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

High Intensity Aerobic Exercise

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Moderate Intensity Aerobic Exercise
n=29 participants at risk
45-55% of heart rat reserve (HHR) Low range = ((Max HR from Visit 1) - Resting HR ) \* 0.45 + Resting HR High range = ((Max HR from Visit 1) - Resting HR) \* 0.55 + Resting HR Aerobic Exercise: Participants will exercise for 15 minutes based on heart rate range. The study team will employ a stationary bike to maintain control over workload
High Intensity Aerobic Exercise
n=31 participants at risk
65-75% of heart rat reserve (HHR) Low range = ((Max HR from Visit 1) - Resting HR ) \* 0.65 + Resting HR High range = ((Max HR from Visit 1) - Resting HR) \* 0.75 + Resting HR Aerobic Exercise: Participants will exercise for 15 minutes based on heart rate range. The study team will employ a stationary bike to maintain control over workload
Cardiac disorders
Abnormal ECG
0.00%
0/29 • 1 month
3.2%
1/31 • Number of events 1 • 1 month
Gastrointestinal disorders
Nausea
3.4%
1/29 • Number of events 1 • 1 month
3.2%
1/31 • Number of events 1 • 1 month
Infections and infestations
Covid diagnosis
3.4%
1/29 • Number of events 1 • 1 month
0.00%
0/31 • 1 month

Additional Information

Dr. Jill Morris

University of Kansas Medical Center

Phone: 9139457675

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place