Randomized Combined Lifestyle Intervention for the Treatment of Early‐Onset Alzheimer’s Disease: Design and Preliminary Feasibility Outcomes

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Publicado en:Alzheimer's & Dementia vol. 21 (Dec 1, 2025)
Autor principal: Hammers, Dustin B.
Otros Autores: Musema, Jane, Kirby, Kala, Trullinger, Amy, Pottenger, Amy, Unverzagt, Frederick W., Apostolova, Liana G.
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John Wiley & Sons, Inc.
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Acceso en línea:Citation/Abstract
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022 |a 1552-5260 
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024 7 |a 10.1002/alz70861_108864  |2 doi 
035 |a 3286014422 
045 0 |b d20251201 
100 1 |a Hammers, Dustin B.  |u Indiana University School of Medicine, Indianapolis, IN, USA 
245 1 |a Randomized Combined Lifestyle Intervention for the Treatment of Early‐Onset Alzheimer’s Disease: Design and Preliminary Feasibility Outcomes 
260 |b John Wiley & Sons, Inc.  |c Dec 1, 2025 
513 |a Journal Article 
520 3 |a Background Despite documented benefit in cognitively normal populations, combined cognitive training and physical exercise interventions have had limited consideration in Alzheimer’s disease cohorts. This is particularly true in Early‐Onset Alzheimer’s Disease (EOAD) samples, as the rareness of the condition has to date limited the examination of either pharmacologic or behavioral interventions. The Lifestyle Interventions for the Treatment of Early‐Onset Alzheimer’s Disease Study (LITES) seeks to generate preliminary data regarding feasibility and efficacy of a combined cognitive training and Tai Chi exercise lifestyle intervention in participants with EOAD. Method LITES is an NIA‐funded phase IIb blinded randomized clinical trial recruiting participants with amyloid‐positive EOAD through an ongoing multi‐center study. Following remote baseline evaluation of cognition, functioning, and mood, participants are randomized into (1) Computerized Cognitive Training (using BrainHQ) + Tai Chi Exercise Training or (2) Active Control (online brain games + stretching). Both arms are asked to complete 14 weeks of intervention (40 hours of cognitive and 14 hours of exercise training). Feasibility and efficacy outcome measures were repeated post‐intervention and 6‐months later. See Figure 1. Result LITES has currently enrolled 27 participants across 8 sites, who have been predominantly non‐Hispanic White (92.6%), highly educated (all ≥14 years), and over the age of 60 (63.0%). See Table 1. Gender representation has been equal. Nine participants withdrew from the study, with area deprivation index score displaying a medium effect on withdrawal status (d=0.44). Twelve participants have currently completed their assigned intervention program. Of those completers, mean cognitive and exercise training times were 35.6 and 13.0 hours, respectively. Full doses of training were obtained for one‐half of participant for cognitive training, and for two‐thirds of participants for exercise training. All completers found their assigned training program enjoyable and safe to practice, and 83.3% reported their cognitive program moderately‐to‐extremely helpful in improving brain health. Barriers to satisfaction were also identified. Conclusion LITES’s current enrollment showcases that EOAD participants found this combined cognitive and exercise intervention feasible and enjoyable. Future results will inform efficacy of this combined lifestyle intervention on short‐term cognition and functioning within EOAD. 
653 |a Intervention 
653 |a Alzheimer's disease 
653 |a Training 
653 |a Deprivation 
653 |a Brain 
653 |a Cognition 
653 |a Clinical trials 
653 |a Politics 
653 |a Clinical research 
653 |a Age of onset 
653 |a Multicenter studies 
653 |a Efficacy 
653 |a Lifestyles 
653 |a Cognition & reasoning 
653 |a Cognitive skills training 
653 |a Feasibility 
653 |a Emotions 
653 |a Recruitment 
653 |a Disease 
653 |a Mental health 
653 |a Enrollments 
653 |a Medical treatment 
653 |a Satisfaction 
653 |a Computerization 
653 |a Tai chi 
653 |a Fitness training programs 
653 |a Exercise 
653 |a Dosage 
700 1 |a Musema, Jane  |u Department of Neurology, Indiana School of Medicine, Indianapolis, IN, USA 
700 1 |a Kirby, Kala  |u Indiana University School of Medicine, Indianapolis, IN, USA 
700 1 |a Trullinger, Amy  |u Indiana University, Indianapolis, IN, USA 
700 1 |a Pottenger, Amy  |u Indiana University, Indianapolis, IN, USA 
700 1 |a Unverzagt, Frederick W.  |u Indiana Alzheimer's Disease Research Center, Indianapolis, IN, USA 
700 1 |a Apostolova, Liana G.  |u Department of Medical and Molecular Genetics, Indiana University School of Medicine, Indianapolis, IN, USA 
773 0 |t Alzheimer's & Dementia  |g vol. 21 (Dec 1, 2025) 
786 0 |d ProQuest  |t Consumer Health Database 
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