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Mindfulness, Education, and Exercise for age-related cognitive decline: Study protocol, pilot study results, and description of the baseline sample.

Julie Loebach Wetherell, Hayley S Ripperger, Michelle Voegtle, Beau M Ances, David A Balota, Emily S Bower, Colin A Depp, Lisa T Eyler, Erin R Foster, Denise Head, Tamara Hershey, Steven Hickman, Noralinda Kamantigue, Samuel Klein, J Philip Miller, Michael D Yingling, Jeanne F Nichols, Ginger E. Nicol, Bruce W Patterson, Thomas L Rodebaugh, Joshua S Shimony, Abraham Z. Snyder, Mary Stephens, Susan Tate, Mary L Uhrich, David Wing, Gregory F Wu, Eric J Lenze

Clinical Trials October 2020 DOI: 10.1177/1740774520931864 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Randomized controlled trial (design paper with preliminary pilot data) Pilot study Peer reviewed
Sample size 585
Population Older adults
Interventions Mindfulness-Based Stress Reduction moderate-to-vigorous intensity exercise health education
Duration 18-month randomized controlled trial
Topics Meditation
Keywords Aerobic exercise Aging Elderly Intervention study
Key findings The paper describes the design of an 18-month randomized controlled trial comparing mindfulness training plus moderate-to-vigorous exercise, exercise alone, and a health education control group for cognitive function in older adults, with 585 randomized participants. Preliminary pilot data came from 29 non-randomized participants who received both interventions. The authors state that no pharmacological treatments to halt or reverse cognitive decline are currently available and that rigorously designed trials are needed.

Abstract

Age-related cognitive decline is a pervasive problem in our aging population. To date, no pharmacological treatments to halt or reverse cognitive decline are available. Behavioral interventions, such as physical exercise and Mindfulness-Based Stress Reduction, may reduce or reverse cognitive decline, but rigorously designed randomized controlled trials are needed to test the efficacy of such interventions. Here, we describe the design of the Mindfulness, Education, and Exercise study, an 18-month randomized controlled trial that will assess the effect of two interventions-mindfulness training plus moderate-to-vigorous intensity exercise or moderate-to-vigorous intensity exercise alone-compared with a health education control group on cognitive function in older adults. An extensive battery of biobehavioral assessments will be used to understand the mechanisms of cognitive remediation, by using structural and resting state functional magnetic resonance imaging, insulin sensitivity, inflammation, and metabolic and behavioral assessments. We provide the results from a preliminary study (n = 29) of non-randomized pilot participants who received both the exercise and Mindfulness-Based Stress Reduction interventions. We also provide details on the recruitment and baseline characteristics of the randomized controlled trial sample (n = 585). When complete, the Mindfulness, Education, and Exercise study will inform the research community on the efficacy of these widely available interventions improve cognitive functioning in older adults.

Comparable studies

Other randomized controlled trials on meditation, most cited first.

Study Year Design Participants
Alterations in Brain and Immune Function Produced by Mindfulness Meditation Healthy employees in a work environment 2003 Randomized controlled trial n = 41
Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Recovered recurrently depressed patients 2000 Randomized controlled trial n = 145
Open hearts build lives: Positive emotions, induced through loving-kindness meditation, build consequential personal resources. Working adults 2008 Randomized controlled trial n = 139
Short-term meditation training improves attention and self-regulation Undergraduate Chinese students 2007 Randomized controlled trial n = 40
Mindfulness-Based Cognitive Therapy for Depression: Replication and Exploration of Differential Relapse Prevention Effects. Recovered recurrently depressed patients 2004 Randomized controlled trial n = 73

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