Mild Cognitive Impairment Clinical Trial
Official title:
A Randomized Controlled Trial of Mind-body Exercise: Effects of a 6-month Tai Chi Exercise on Cognition and Serum Biomarkers of Individuals With Mild Cognitive Impairment (MCI)
Most research on Tai Chi has been done in the area of balance and falls. Studies examining the effects of Tai Chi exercise on cognitive function are sparse especially in the population of MCI. Therefore, the aims of the present study are: 1) to examine the effects of Tai Chi exercise on cognitive function of elderly with MCI, and 2) to investigate the effects of 6-month Tai Chi exercise on serum biomarkers in individuals with MCI.
Mild Cognitive Impairment (MCI) is a transitional stage before converting from normal aging
to dementia. Older adults with MCI are 10 times more likely to develop dementia than
cognitively intact older adults. Thus, strategies that could deter the conversion from MCI
to dementia will have significant impact on public health.
There is growing interest in non-pharmacological approaches that could potentially slow down
cognitive decline in late life. One such approach is the use of exercise to improve
cognitive function. There is substantial evidence that exercise has benefits for cognitive
function in elderly persons. Evidence on the benefits of exercise for cognition (either
cognitive improvement or reduced cognitive decline) has been demonstrated through
epidemiological studies, meta-analytical studies, and randomized controlled trials.
Although exercise training holds promise for delaying the onset and slowing down the
progression of cognitive impairment among elderly persons, most studies utilized
aerobic-base exercise with relatively high intensity. High intensity aerobic exercise may
not be practical for older people because they are likely to have physical limitations
and/or co-morbid diseases.Thus, the effects of other forms of exercise particularly those
that are less intense and well suited to elderly conditions should be examined. The
moderating factors linking exercise training and cognitive improvement is yet to be further
investigated.
Tai Chi, a form of mind-body exercise, is a popular exercise among elderly. Although Tai Chi
is considered as an aerobic exercise, the focus of this exercise in elders is not on
cardiovascular fitness. It is characterized by slow, gentle motion and emphasized the
conscious control of body movements. Several cognitive components including attention and
mindfulness engage with physical movements during Tai Chi exercise. Thus, it is expected
that Tai Chi exercise would have great benefit on cognition. Most research on Tai Chi has
been done in the area of balance and falls. Studies examining the effects of Tai Chi
exercise on cognitive function are sparse especially in the population of mild cognitive
impairment.
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Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment
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