Influence of Overground Walking on Biomarkers, Cognitive Function, and Quality of Life in Elderly With Mild Cognitive Impairment

Study Overview
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Brief Summary
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The purpose of this research is to investigate the impact of overground walking as a part of a rehabilitation program on the increase in Brain-derived neurotrophic factor (BDNF) levels, decrease in IL-6 levels, decrease in hs-CRP levels, improvement in cognitive function, and enhancement of quality of life (QOL) in older people with mild cognitive impairment. These findings are anticipated to contribute to the efforts to elevate BDNF levels, cognitive function, and QOL while reducing IL-6 and hsCRP levels in the elderly with mild cognitive impairment.

Detailed Description
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This research employs a quasi-experimental research design using a Pretest-Posttest Design approach. The Pretest-Posttest method is executed by assessing before and after the intervention within the same group. All research subjects receive the same treatment, which involves participating in an overground walking program on a flat surface. The selected research subjects are provided with an explanation of the research's objectives and benefits and the exercise and examination procedures, then sign the informed consent. Research subjects are instructed to walk on a flat surface for a distance of 15 meters, with a duration of 20 minutes, increasing by 5 minutes each week until the target heart rate is achieved during the exercise. After an 8-week post-intervention period, research subjects will undergo a follow-up examination.

Official Title
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The Effect of Overground Walking on the Increase of Brain-Derived Neurotrophic Factor Levels, IL-6, HS-CRP, Cognitive Function, and Quality of Life in the Elderly

Conditions
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Aging, Cognitive Impairment

Intervention / Treatment
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* Other: Overground Walking


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Mild cognitive impairment (MoCA INA Score 19-25 out of 30 Barthel Index Score 20 Geriatric Depression Scale Score ≤ 5 Timed Up and Go Test < 15 seconds) Capable of comprehending verbal and written instructions Capable of walking unassisted Exclusion Criteria: The presence of hearing impairment that could hinder the subject from receiving verbal instructions, The presence of uncorrected visual impairment Having musculoskeletal disorders Receiving other rehabilitation programs, Presence of diseases causing cognitive impairment Severe joint diseases such as osteoarthritis and rheumatoid arthritis that may worsen during exercise or could pose difficulties in carrying out the exercise program, Severe cardiovascular diseases as diagnosed by a Cardiologist

Ages Eligible for Study
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Minimum Age: 60 Years
Maximum Age: 85 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: Prevention
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Subjects<br> | Other: Overground Walking<br>* Walk on a flat surface for a distance of 15 meters, with a duration of 20 minutes, increasing by 5 minutes each week until the target heart rate is achieved during the exercise, for 8 weeks.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| BDNF | Brain-derived neurotrophic factor level | 8 weeks | 
| IL6 | Interleukin-6 level | 8 weeks | 
| hsCRP | hs-CRP level | 8 weeks | 
| MoCAINA | MONTREAL COGNITIVE ASSESSMENT INDONESIA | 8 weeks | 
| ADQOL | Alzheimer disease Quality of Life | 8 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Exercise, Rehabilitation