The Lifestyle Exercise and Diet Trial (LEAD) 2.0

Conditions de participation

• Sexe:

  ALL

• Âges admissibles:

  65 to 80

Critères de participation

Inclusion Criteria:

1. 65-80 years old
2. Meet criteria for executive SCD

1. Answer Yes to both following questions:

* Do you feel like your memory or thinking is becoming worse?
* Does this worry you?
2. ≥1SD above age and sex-based means on any of the sub scales of the Comprehensive Executive Function Inventory (CEFI) - Adult Version, indicative of concerns about executive function.
3. No objective cognitive impairment as indicated by:

* A global Clinical Dementia Rating (CDR) of ≤ 0.5
* A Blind Montreal Cognitive Assessment (MoCA) total score of \>17
3. Able to communicate in English
4. Residents of Quebec, Ontario, Manitoba, and Saskatchewan to facilitate concurrent intervention delivery
5. Low physical activity levels (\<75min/week of moderate/vigorous physical activity on the Get Active Questionnaire)
6. Screened safe to participate in moderate exercise using the Get Active Questionnaire or physician approval to engage in moderate intensity exercise without in-person supervision
7. Poor diet quality (below Canadian older adults' median intake of fruits, vegetables, nuts and fish, reported using our Diet Screening Questionnaire)
8. Able to participate remotely (i.e., availability of, or ability/willingness to adopt, a computer or tablet alongside high speed internet/data networks)

Exclusion Criteria:

* Dementia, stroke, or other chronic brain disease
* Chemotherapy or radiation to the head/neck in the past year
* Sensory impairments that would impede participation in the intervention or assessments
* Major psychiatric disorder
* Ongoing alcohol or drug abuse that in the opinion of the investigator may interfere with the subject's ability to comply with the study procedures.
* Contraindications for exercise as determined by the American College of Sports Medicine criteria