Brain Vascular and Neural Function Linked to Balance Across the Adult Lifespan

Study Overview
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Brief Summary
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This is a single-arm, two-visit, non-randomized, cross sectional study identified as an intervention due to the use of a single bout of aerobic exercise to assess cerebrovascular function under the NIH rules. This study is not masked and its primary purpose is to develop a basic science understanding of the relationship between cerebrovascular health and balance control with aging. This study will involve 102 individuals classified as younger adults, middle-aged adults, and older adults who are neurotypical and cognitively normal. The primary outcome from a clinical trials perspective will be cerebrovascular response to a bout of aerobic exercise (i.e. change in cerebral blood flow with the performance of aerobic exercise on a recumbent stepper exercise machine). Non-interventional outcomes will be EEG measures of cortical activity and biomechanical kinetic and kinematic data recorded during standing balance reactions, as well as biological blood samples for genomic analysis.

Official Title
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Brain Vascular and Neural Function Linked to Balance Across the Adult Lifespan

Conditions
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Neurotypical, Cognitively Normal

Intervention / Treatment
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* Behavioral: aerobic exercise


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age within the following 3 group age ranges, 21-30yo; middle-aged: 40-55yo; older: 65-95yo adults the absence of major orthopedic disability cognitively normal (MoCA score ≥ 26/30 in older adult group) vision that is 20/40 or better with or without corrective lenses, (5) the ability to consent and communicate with researchers English speaking ability to stand for 3 minutes and walk 10 meters with or without an assistive device and without the assistance of another person. Exclusion Criteria: insulin-dependent diabetes peripheral neuropathy myocardial infarction or symptoms of coronary artery disease within 2 years congestive heart failure or class IV heart failure any significant sensory impairment affecting balance or cognition; visual, vestibular, or auditory impairments.

Ages Eligible for Study
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Minimum Age: 21 Years
Maximum Age: 95 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Basic Science
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Experimental group<br>Healthy participants in 3 age groups | Behavioral: aerobic exercise<br>* use of single bout of aerobic exercise<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| cerebral blood flow velocity assessed using transcranial Doppler ultrasound | Includes recordings from transcranial Doppler ultrasound of cerebral blood flow (CBF) velocity performed at the first session during rest, sit-to-stand, transfer, and single bout of aerobic exercise. | 1 week | 
| Kinetic center of pressure rate of rise post-balance perturbation, assessed biomechanically. | Recordings from 64-channels of EEG electrodes, kinetic, and kinematic biomechanical data during standing balance reactions will be collected. | 1 week | 
| Prefrontal-M1 coherence an S1-M1 coherence post-balance perturbation, assessed using EEG | Recordings from 64-channels of EEG electrodes, kinetic, and kinematic biomechanical data during standing balance reactions will be collected. | 1 week |