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Cognitive DeclineFINGER-NLNCT05256199

Dutch Multidomain Lifestyle Intervention in Older Adults at Risk of Cognitive Decline

A study testing Multidomain lifestyle intervention in people with Cognitive Decline and Life Style, run by Alzheimercentrum Amsterdam at 5 sites in Netherlands.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

FINGER-NL is a multi-center, randomized, controlled, multidomain lifestyle intervention trial among 1,206 older adults at risk for cognitive decline with a duration of 24 months. Read more about this study

Who is it for?
Ages 60 to 79 yearsHealthy volunteers can take part
Conditions the study is for
Cognitive Decline, Life Style, Risk Reduction
What is being tested?
Multidomain lifestyle intervention
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,210 participants
Where
5 sitesNetherlands
Study dates
24 Feb 2022to 1 Aug 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 60 to 79 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • 60-79 years of age at pre-screening;
  • Adequate fluency in Dutch to understand the informed consent and complete questionnaires;
  • Providing informed consent to all study procedures;
  • Internet access at home;
  • Presence of ≥3 self-reported risk factors for cognitive decline (must contain at least 2 modifiable risk factors and 1 non-modifiable riskfactor).

Who cannot join

  • Diagnosis of dementia or mild cognitive impairment at baseline (self-reported);
  • Significant cognitive impairment assessed using the Modified Telephone Interview for Cognitive Status battery (TICSm score<23);
  • Conditions affecting safe and continuous engagement in the intervention (e.g. under treatment for current malignant diseases, major psychiatric disorders (e.g. major depression, psychosis, bipolar disorder), neurological disorders (e.g. Parkinson's disease, multiple sclerosis), symptomatic cardiovascular disease (e.g. stroke, angina pectoris, heart failure, myocardial infarction), re-vascularization within three months, severe loss of vision, hearing or communicative ability, severe mobility impairment, other conditions preventing co-operation) as judged by the local study nurse or consulted physician at the local study site;
  • Coincident participation in any other intervention trial at time of pre-screening.
  • Coincident participation of spouse in FINGER-NL trial.

Trial locations and contacts

5 sites in 1 country.

5 sites in 1 country

Netherlands5 sites
  • Alzheimer Center Amsterdam

    Amsterdam, 1671 EA

  • University Medical Center Groningen

    Groningen

  • Maastricht University

    Maastricht

  • Radboud University

    Nijmegen

  • Wageningen Unversity and Research

    Wageningen

Other trials in Netherlands

About this study

FINGER-NL is a multi-center, randomized, controlled, multidomain lifestyle intervention trial among 1,206 older adults at risk for cognitive decline with a duration of 24 months. Participants are randomized in a 1:1 ratio to a personalized multi-domain lifestyle intervention (high-intensity intervention group) versus online access to general lifestyle-related health information (low-intensity intervention group). After the intervention period, participants are invited for a 24 month extension of follow-up.

Being tested
Multidomain lifestyle intervention
Medical subject headings
Cognitive Dysfunction, Risk Reduction Behavior

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Multidomain lifestyle interventionBehavioural

    A multidomain lifestyle intervention, including (1) physical activity, (2) cognitive training, (3) cardiovascular risk factor management (Cardiovascular), (4) dietary counselling, (5) Souvenaid, (6) sleep counselling, (7) stress management, and (8) social activities.

Study groups in NCT05256199
Study groupRoleWhat they receive
high-intensity groupExperimentalThe high intensity group receives a personalized, supervised intervention consisting of group meetings and individual sessions.
Receives: Behavioral: Multidomain lifestyle intervention
low-intensity groupNo interventionThe low-intensity arm receives online access to general lifestyle-related health information.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. 2-year change from baseline in global cognitive composite score

    Global cognitive composite score derived from subtest scores from the Neuropsychological Test Battery (NTB) that includes 15-Word Verbal Learning Test delayed recall (discrete number; 0-15 (higher score means a better outcome)), Digit Symbol Substitution Test 90 seconds (discrete number; 0-90 (higher score means a better outcome)), WAIS digit span backwards (discrete number; 0-14 (higher score means a better outcome)), and semantic fluency (discrete number; 0-no maximum, higher score means a better outcome)).

    Measured: 2 years (measured at baseline, follow-up 1 and follow-up 2)

Secondary outcomes (36)
  1. 15-Word Verbal Learning Test delayed recall

    discrete number; score: 0-15 (higher score means a better outcome)

    Measured: 2 years (measured at baseline, follow-up 1 and follow-up 2)

  2. Digit Symbol Substitution Test 90 seconds

    discrete number; 0-90 (higher score means a better outcome)

    Measured: 2 years (measured at baseline, follow-up 1 and follow-up 2)

  3. Wechsler Adult Intelligence Scale (WAIS) digit span backwards

    discrete number; 0-14 (higher score means a better outcome)

    Measured: 2 years (measured at baseline, follow-up 1 and follow-up 2)

  4. Semantic fluency

    word count in one minute; minimum 0, no maximum, higher score means a better outcome.

    Measured: 2 years (measured at baseline, follow-up 1 and follow-up 2)

  5. Instrumental activities of daily living using the Amsterdam Instrumental Activity of Daily Living Questionnaire (A-IADL-Q)

    Total scores range approximately 20-70, higher scores indicate better IADL functioning

    Measured: 2 years (measured at baseline, follow-up 1 and follow-up 2)

  6. 5 level EuroQol-5D (EQ-5D-5L)

    Quality of life, score 0-100, higher scores indicate better quality of life

    Measured: 2 years (measured at baseline, follow-up 1 and follow-up 2)

  7. LIfestyle for BRAin health (LIBRA)

    Modifiable dementia risk using lifestyle for brain health; The score ranges from -5.9 (minimum score) to +12.7 (maximum score), with higher scores meaning a worse outcome (higher dementia risk)

    Measured: 2 years (measured at baseline, follow-up 1 and follow-up 2)

  8. grip strength test

    Scores between 0 to 90 kg can be measured on the Jamar Hand dynamometer, with higher scores indicating better grip strength

    Measured: 2 years (measured at baseline, follow-up 1 and follow-up 2)

  9. SQUASH questionnaire

    METs derived from the Ainsworth's compendium of physical activity will be used to classify physical activity intensity (<1.5METs- sedentary, 1.6-2.9 METs- light, 3.0-5.9METs- moderate, >6.0- vigorous physical activity).

    Measured: 2 years (measured at baseline, follow-up 1 and follow-up 2)

  10. LASA Sedentary Behavior Questionnaire

    Average hours and minutes of sedentary behavior a day, range from 0 to 24 hours. Higher scores (more hours) means a more sedentary behavior.

    Measured: 2 years (measured at baseline, follow-up 1 and follow-up 2)

  11. Pittsburgh Fatigability Scale

    Total physical and mental fatigability scores range from 0-50, with higher scores indicating higher fatigability.

    Measured: 2 years (measured at baseline, follow-up 1 and follow-up 2)

  12. SARC-F Sarcopenia Questionnaire

    sarcopenia, scores range from 0 to 10 (i.e. 0-2 points for each component; 0 = best to 10 = worst).

    Measured: 2 years (measured at baseline, follow-up 1 and follow-up 2)

  13. Five Facet Mindfulness Questionnaire - Short Form (FFMQ-SF)

    Total scale ranges from 24 - 120, higher scores indicate more mindfulness

    Measured: 2 years (measured at baseline, follow-up 1 and follow-up 2)

  14. Perceived Stress Scale

    Total score, scale 0 - 40, higher scores indicate more perceived stress

    Measured: 2 years (measured at baseline, follow-up 1 and follow-up 2)

  15. MetaMemory in Adulthood (MIA)

    Sum of Part 1 + Part 2A and B. Part 1: Strategy (scores 10 - 50, higher scores indicate more use of strategies), Part 2A: Subjective memory functioning, scores ranges from 23 - 115, with higher scores indicate better memory self-efficacy and 2B: Locus, scores ranges from 7 - 35, higher scores indicate better perceived personal control over remembering abilities.

    Measured: 2 years (measured at baseline, follow-up 1 and follow-up 2)

  16. Blood pressure

    scores range from approximately (for diastolic) 60-120 and (for systolic) 100-180 mmHg, with higher scores indicating higher blood pressure.

    Measured: 2 years (measured at baseline, follow-up 1 and follow-up 2)

  17. Cholesterol

    total (healthy level: 125 to 200mg/dL), HDL (healthy level = 40mg/dL or higher), LDL (healthy level = Less than 100mg/dL) + triglycerides (healthy level = less than 150-199 mg/dL)

    Measured: 2 years (measured at baseline, follow-up 1 and follow-up 2)

  18. Blood glucose

    HbA1C, scores range from approximately 30-100 mmol/mol, with higher scores indicate higher blood glucose levels.

    Measured: 2 years (measured at baseline, follow-up 1 and follow-up 2)

  19. Waist circumference

    measured in cm

    Measured: 2 years (measured at baseline, follow-up 1 and follow-up 2)

  20. Hip circumference

    measured in cm

    Measured: 2 years (measured at baseline, follow-up 1 and follow-up 2)

  21. Height

    measured in cm

    Measured: 2 years (measured at baseline, follow-up 1 and follow-up 2)

  22. Weight

    measured in kg

    Measured: 2 years (measured at baseline, follow-up 1 and follow-up 2)

  23. Hill-Bone Medication Adherence Scale

    scores range from 9-26, with lower scores indicating better medication adherence

    Measured: 2 years (measured at baseline, follow-up 1 and follow-up 2)

  24. MIND-adjusted Eetscore-FFQ

    Dutch Healthy Diet Index 2015 score (range 0-160 points, higher scores mean better outcome) and MIND score (range 0-15 points, higher scores mean better outcome), assessed by a short Food Frequency Questionnaire.

    Measured: 2 years (measured at baseline, follow-up 1 and follow-up 2)

  25. Nutritional intake

    Change in nutritional intake measured by an online 3-day food diary (assessed by Traqq application), qualitative assessment

    Measured: 2 years (measured at baseline, follow-up 1 and follow-up 2)

  26. Pittsburg Sleep Quality Index

    Total score ranging from 0 to 21 with the higher total score (referred to as global score) indicating worse sleep quality

    Measured: 2 years (measured at baseline, follow-up 1 and follow-up 2)

  27. Insomnia severity index

    The score ranges from 0 (minimum score) to 28 (maximum score), with lower scores indicating a better outcome

    Measured: 2 years (measured at baseline, follow-up 1 and follow-up 2)

  28. Lubben Social Network Scale

    The score ranges from 0 (minimum score) to 30 (maximum score), with higher scores meaning a better outcome (higher level of perceived social support)

    Measured: 2 years (measured at baseline, follow-up 1 and follow-up 2)

  29. De Jong Gierveldt Loneliness Scale

    The score ranges from 0 (minimum score) to 6 (maximum score), with higher scores representing a worse outcome (higher loneliness scores)

    Measured: 2 years (measured at baseline and follow-up 2)

  30. Aβ42/40 ratio

    amyloid-β (1-42)/(1-40) (pg/mL)

    Measured: 2 years (measured at baseline and follow-up 2)

  31. p-tau

    phosphorylated tau (pg/mL)

    Measured: 2 years (measured at baseline and follow-up 2)

  32. NfL

    neurofilament light chain (pg/mL)

    Measured: 2 years (measured at baseline and follow-up 2)

  33. GFAP

    glial fibrillary acidic protein (pg/mL)

    Measured: 2 years (measured at baseline and follow-up 2)

  34. BDNF

    brain-derived neurotrophic factor (pg/mL)

    Measured: 2 years (measured at baseline and follow-up 2)

  35. Actigraph (Groningen site only)

    physical activity, sedentary behavior and sleep-wake activity

    Measured: 2 year (measured for 1 week at baseline, follow-up 1 and follow-up 2)

  36. Physical Activity Record questionnaire (Groningen site only)

    physical activity, sedentary behavior and sleep-wake activity

    Measured: 2 year (measured for 1 week at baseline, follow-up 1 and follow-up 2)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted25 Feb 2022
  2. Study start24 Feb 2022
  3. Primary completion30 Jul 2025
  4. Study completion1 Aug 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
1,210 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05256199
Sponsor's protocol ID
2021.0220
Other IDs
NL77242.029.21
Acronym
FINGER-NL
Status last verified
May 2026
First submitted
11 Jan 2022
Last updated
2 Jun 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Deckers K, Zwan MD, Soons LM, Waterink L, Beers S, van Houdt S, Stiensma B, Kwant JZ, Wimmers SCPM, Heutz RAM, Claassen JAHR, Oosterman JM, de Heus RAA, van de Rest O, Vermeiren Y, Voshaar RCO, Smidt N, Broersen LM, Sikkes SAM, Aarts E; MOCIA consortium; FINGER-NL consortium; Kohler S, van der Flier WM. A multidomain lifestyle intervention to maintain optimal cognitive functioning in Dutch older adults-study design and baseline characteristics of the FINGER-NL randomized controlled trial. Alzheimers Res Ther. 2024 Jun 13;16(1):126. doi: 10.1186/s13195-024-01495-8.

    PubMed 38872204

Questions about this trial

What is this clinical trial studying?

A study testing Multidomain lifestyle intervention in people with Cognitive Decline and Life Style, run by Alzheimercentrum Amsterdam at 5 sites in Netherlands.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 2 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 sites in Netherlands. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

2-year change from baseline in global cognitive composite score (time frame: 2 years (measured at baseline, follow-up 1 and follow-up 2)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05256199, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Jun 2026.

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