Aerobic exercise for improving brain health in older adults with depression

Aerobic Exercise for Optimizing Cognitive and Brain Health in Remitted Late-Life Depression

NA · University of Pittsburgh · NCT04670510

This study is testing whether regular aerobic exercise can boost brain health and thinking skills in older adults who have had depression but are feeling better now.

Quick facts

PhaseNA
Study typeInterventional
Enrollment50 (estimated)
Ages60 Years and up
SexAll
SponsorUniversity of Pittsburgh (other)
Locations1 site (Pittsburgh, Pennsylvania)
Trial IDNCT04670510 on ClinicalTrials.gov

What this trial studies

This study investigates the effects of aerobic exercise training on cognitive function and brain health in older adults who have experienced late-life depression but are currently in remission. The research aims to identify neural and cognitive benefits associated with regular aerobic exercise, which may help mitigate the risk of dementia in this vulnerable population. Participants will engage in both on-site and at-home aerobic exercise programs, along with social engagement activities, to assess the overall impact on their mental and cognitive health.

Who should consider this trial

Good fit: Ideal candidates are men and women aged 60 and older who have experienced a major depressive episode in late adulthood but are currently in remission.

Not a fit: Patients currently experiencing a major depressive episode or those with significant neurological conditions will not benefit from this study.

Why it matters

Potential benefit: If successful, this study could lead to improved cognitive health and reduced dementia risk for older adults recovering from depression.

How similar studies have performed: Other studies have shown positive outcomes with aerobic exercise in improving cognitive function in older adults, suggesting this approach may be effective.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Men and women 60+ years
2. Major Depressive Episode in older adulthood (since age 55)
3. Current level of depressive symptoms does not meet criteria for a Major Depressive Episode
4. Ambulatory without pain or the assistance of walking devices
5. Able to speak and read English
6. Exercise level of \<100 minutes per week on average
7. Medical clearance by primary care physician (PCP)
8. Living in community for duration of the study
9. Reliable means of transportation
10. No diagnosis of a neurological disease
11. Eligible to undergo MRI

Exclusion Criteria:

1. Current diagnosis of a Major Depressive Episode
2. Psychosis
3. Significant suicide risk (i.e., current, active suicidal ideation with a plan)
4. Electroconvulsive therapy within the past 12 months
5. Engaging in moderate-intensity exercise \>100 minutes per week on average
6. Current treatment for cancer - except non-melanoma skin
7. Neurological condition (MS, Parkinson's, Dementia, MCI) or brain injury (Stroke)
8. Substance Use disorder in the past 3-months
9. Current treatment for congestive heart failure, angina, uncontrolled arrhythmia, deep vein thromboses (DVT) or other cardiovascular event
10. Myocardial infarction, coronary artery bypass grafting, angioplasty or other cardiac condition in the past year including uncontrolled hypertension
11. Regular use of an assisted walking device
12. Presence of metal implants (pacemaker, stents) that would be MR ineligible
13. Claustrophobia
14. Color Blindness
15. Significant visual or hearing impairments that would preclude neuropsychological assessment or communication with study staff via a virtual format (videoteleconference)
16. Not fluent in English
17. Not medically cleared by PCP
18. Traveling consecutively for 3+ weeks during the study
19. MOCA (\<20 to exclude) and MADRS (\>9 to exclude)

Where this trial is running

Pittsburgh, Pennsylvania

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.

View on ClinicalTrials.gov →

Conditions: Depression in Old Age, Depression, Exercise, Late-Life, Cognitive Impairment, Brain Health

Last reviewed 2026-05-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.