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Cognitive AgingPASOCANCT05455229

Elucidating How Physical Activity and Sleep Relate to Optimal Cognitive Ageing

An observational study of Cognitive Aging, run by KU Leuven at 1 site in Belgium.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Increased longevity is one of the greatest success stories in public health. However, ageing is accompanied by cognitive decline which affects people's daily functioning and, if it develops to dementia, their ability to live independently. By 2050, the number of people who develop dementia will triple to 152 million. Read more about this study

Who is it for?
Ages 55 years and olderHealthy volunteers can take part
Conditions the study is for
Cognitive Aging
How many people
260 participants
Where
1 siteBelgium
Study dates
22 Jul 2021to 31 Mar 2024
Phase
Observational
Are there results?
None posted in the registry

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 55 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: Community dwelling, healthy adults aged 55 and above living in Belgium.

Who may be able to join

  • Community dwelling, healthy adults aged 55 and above

Who cannot join

  • has a neurodegenerative disease such as Parkinson's, Alzheimer's, MS…; or
  • has a psychiatric illness such as bipolar disorder, OCD…; or
  • has had a serious brain injury in the past year or before that is still affecting them; or
  • has had a brain haemorrhage; or
  • is currently experiencing a depressive episode; or
  • has a history of addiction or excessive alcohol abuse; or
Show all 11Show fewer
  • uses a sleeping device (for sleep apnoea); or
  • has chronic insomnia (diagnosed insomnia); or
  • is severely limited in performing daily activities (up and down stairs, walk ...)
  • has a first-degree dementia within the family
  • scores a 23 or lower on the Montreal Cognitive Assessment

Trial locations and contacts

1 site in 1 country.

Belgium1 site
  • KU Leuven

    Leuven, Vlaams-Brabant, 3000

Other trials in Belgium

About this study

Official title: Elucidating How Physical Activity and Sleep Relate to Optimal Cognitive Ageing: the PASOCA- Study

Increased longevity is one of the greatest success stories in public health. However, ageing is accompanied by cognitive decline which affects people's daily functioning and, if it develops to dementia, their ability to live independently. By 2050, the number of people who develop dementia will triple to 152 million. The aim of this project is to precisely examine how physical activity (PA) and sleep, both modifiable lifestyle factors, are related to cognitive function and which role they can play in optimal cognitive ageing. To do so, a longitudinal study will be conducted, with objective measures of PA, sleep and cognition in midlife and older adults. This project will meet the current need for longitudinal studies with objective PA and sleep data, as well as provide, for the first time, in-depth information on associations of type of PA (aerobic vs muscle strengthening), characteristics of sleep (quality vs quantity) with specific cognitive domains (executive function and memory). Furthermore, although PA and sleep are related, the behavioural dynamics of combinations of PA and sleep on cognition has never been studied before. To fill this gap, these relationships will be examined with an innovative statistical approach, looking at data across a 24-hour period. The resulting deeper understanding of the precise relationship between PA, sleep and cognitive function will contribute to the development of preventive interventions for maintaining cognitive health at older age.

Conditions
Cognitive Aging
Keywords
Physical activity, Sedentary behaviour, Sleep, Cognition, Ageing, Longitudinal, Observational, Accelerometry
Medical subject headings
Motor Activity

What is being measured

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

  1. Cognitive function (baseline) - objective: executive function and memory will be tested with Cambridge Neuropsychological Test Automated Battery (CANTAB)

    Executive functions and memory will be the main outcome measure for cognitive function. Executive control (planning, shifting, inhibiting, attention) and memory (visuospatial, episodic, verbal) functions will be measured objectively using an iPad with the validated CANTAB software (cambridgecognition.com). Specific tasks in the test battery:

    • Practice: MOT (Motor Screening Task)
    • Memory: PAL (Paired Associates Learning), DMS (Delayed Matching to Sample), VRM (Verbal Recognition Memory)
    • Executive control: MTT Multitasking Test, OTS (One Touch Stockings of Cambridge), SWM (Spatial Working Memory)

    Measured: baseline

  2. Change in cognitive function (follow up 1) - objective: executive function and memory will be tested with Cambridge Neuropsychological Test Automated Battery (CANTAB)

    Executive functions and memory will be the main outcome measure for cognitive function. Executive control (planning, shifting, inhibiting, attention) and memory (visuospatial, episodic, verbal) functions will be measured objectively using an iPad with the validated CANTAB software (cambridgecognition.com). Specific tasks in the test battery:

    • Practice: MOT (Motor Screening Task)
    • Memory: PAL (Paired Associates Learning), DMS (Delayed Matching to Sample), VRM (Verbal Recognition Memory)
    • Executive control: MTT Multitasking Test, OTS (One Touch Stockings of Cambridge), SWM (Spatial Working Memory)

    Measured: 1 year after baseline

  3. Change in cognitive function (follow up 2) - objective: executive function and memory will be tested with Cambridge Neuropsychological Test Automated Battery (CANTAB)

    Executive functions and memory will be the main outcome measure for cognitive function. Executive control (planning, shifting, inhibiting, attention) and memory (visuospatial, episodic, verbal) functions will be measured objectively using an iPad with the validated CANTAB software (cambridgecognition.com). Specific tasks in the test battery:

    • Practice: MOT (Motor Screening Task)
    • Memory: PAL (Paired Associates Learning), DMS (Delayed Matching to Sample), VRM (Verbal Recognition Memory)
    • Executive control: MTT Multitasking Test, OTS (One Touch Stockings of Cambridge), SWM (Spatial Working Memory)

    Measured: 1 year after follow up 1; 2 years after baseline

  4. Cognitive function (baseline) - subjective: Cognitive Failure Questionnaire

    25-items will be used to measure subjective cognitive decline by assessing self-reported frequency of failures in several cognitive domains.

    Measured: baseline

  5. Change in cognitive function (follow up 1) - subjective: Cognitive Failure Questionnaire

    25-items will be used to measure subjective cognitive decline by assessing self-reported frequency of failures in several cognitive domains.

    Measured: 1 year after baseline

  6. Change in cognitive function (follow up 2) - subjective: Cognitive Failure Questionnaire

    25-items will be used to measure subjective cognitive decline by assessing self-reported frequency of failures in several cognitive domains.

    Measured: 1 year after follow up 1; 2 years after baseline

  7. Sleep (baseline) - objective: accelerometery - characteristic 1: total sleep time

    Specifically ActiGraph's wGT3X-BT Activity Monitor (ActiGraph, Pensacola, FL). Placement at the wrist results in the increased wear time and accuracy of sleep measurement. Total sleep time is measured in minutes.

    Measured: baseline

  8. Sleep (baseline) - objective: accelerometery - characteristic 2: wake after sleep onset

    Specifically ActiGraph's wGT3X-BT Activity Monitor (ActiGraph, Pensacola, FL). Placement at the wrist results in the increased wear time and accuracy of sleep measurement. Wake after sleep onset is measured in minutes.

    Measured: baseline

  9. Sleep (baseline) - objective: accelerometery - characteristic 3: sleep efficiency

    Specifically ActiGraph's wGT3X-BT Activity Monitor (ActiGraph, Pensacola, FL). Placement at the wrist results in the increased wear time and accuracy of sleep measurement. Sleep efficiency is displayed in percentage.

    Measured: baseline

  10. Sleep (baseline) - objective: accelerometery - characteristic 4: sleep latency

    Specifically ActiGraph's wGT3X-BT Activity Monitor (ActiGraph, Pensacola, FL). Placement at the wrist results in the increased wear time and accuracy of sleep measurement. Sleep latency is measured in minutes.

    Measured: baseline

  11. Change in sleep (follow up 1) - objective: accelerometery - characteristic 1: total sleep time

    Specifically ActiGraph's wGT3X-BT Activity Monitor (ActiGraph, Pensacola, FL). Placement at the wrist results in the increased wear time and accuracy of sleep measurement. Total sleep time is measured in minutes.

    Measured: 1 year after baseline

  12. Change in sleep (follow up 1) - objective: accelerometery - characteristic 2: wake after sleep onset

    Specifically ActiGraph's wGT3X-BT Activity Monitor (ActiGraph, Pensacola, FL). Placement at the wrist results in the increased wear time and accuracy of sleep measurement. Wake after sleep onset is measured in minutes.

    Measured: 1 year after baseline

  13. Change in sleep (follow up 1) - objective: accelerometery - characteristic 3: sleep efficiency

    Specifically ActiGraph's wGT3X-BT Activity Monitor (ActiGraph, Pensacola, FL). Placement at the wrist results in the increased wear time and accuracy of sleep measurement. Sleep efficiency is displayed in percentage.

    Measured: 1 year after baseline

  14. Change in sleep (follow up 1) - objective: accelerometery - characteristic 4: sleep latency

    Specifically ActiGraph's wGT3X-BT Activity Monitor (ActiGraph, Pensacola, FL). Placement at the wrist results in the increased wear time and accuracy of sleep measurement. Sleep latency is measured in minutes.

    Measured: 1 year after baseline

  15. Change in sleep (follow up 2) - objective: accelerometery - characteristic 1: total sleep time

    Specifically ActiGraph's wGT3X-BT Activity Monitor (ActiGraph, Pensacola, FL). Placement at the wrist results in the increased wear time and accuracy of sleep measurement. Total sleep time is measured in minutes.

    Measured: 1 year after follow up 1; 2 years after baseline

  16. Change in sleep (follow up 2) - objective: accelerometery - characteristic 2: wake after

    Specifically ActiGraph's wGT3X-BT Activity Monitor (ActiGraph, Pensacola, FL). Placement at the wrist results in the increased wear time and accuracy of sleep measurement. Wake after sleep onset is measured in minutes.

    Measured: 1 year after follow up 1; 2 years after baseline

  17. Change in sleep (follow up 2) - objective: accelerometery - characteristic 3: sleep efficiency

    Specifically ActiGraph's wGT3X-BT Activity Monitor (ActiGraph, Pensacola, FL). Placement at the wrist results in the increased wear time and accuracy of sleep measurement. Sleep efficiency is displayed in percentage.

    Measured: 1 year after follow up 1; 2 years after baseline

  18. Change in sleep (follow up 2) - objective: accelerometery - characteristic 4: sleep latency

    Specifically ActiGraph's wGT3X-BT Activity Monitor (ActiGraph, Pensacola, FL). Placement at the wrist results in the increased wear time and accuracy of sleep measurement. Sleep latency is measured in minutes.

    Measured: 1 year after follow up 1; 2 years after baseline

  19. Sleep (baseline) - subjective: Pittsburgh Sleep Quality Index (PSQI)

    The PSQI is a reliable and validated self-report questionnaire that examines the quality of sleep in the past month. It contains of 19 self-rated questions and 5 questions rated by the bed partner or roommate (if available), covering seven sleep areas: subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, use of sleeping medication, and daytime dysfunction.

    Measured: Baseline

  20. Change in sleep (follow up 1) - subjective: Pittsburgh Sleep Quality Index (PSQI)

    The PSQI is a reliable and validated self-report questionnaire that examines the quality of sleep in the past month. It contains of 19 self-rated questions and 5 questions rated by the bed partner or roommate (if available), covering seven sleep areas: subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, use of sleeping medication, and daytime dysfunction.

    Measured: 1 year after baseline

  21. Change in sleep (follow up 2) - subjective: Pittsburgh Sleep Quality Index (PSQI)

    The PSQI is a reliable and validated self-report questionnaire that examines the quality of sleep in the past month. It contains of 19 self-rated questions and 5 questions rated by the bed partner or roommate (if available), covering seven sleep areas: subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, use of sleeping medication, and daytime dysfunction.

    Measured: 1 year after follow up 1; 2 years after baseline

  22. Physical activity & Sedentary behaviour (baseline) - objective: accelerometery 1

    ActiGraph's wGT3X-BT Activity Monitor (ActiGraph, Pensacola, FL) will be used. It measures time spent in different intensities of physical activity as well as sedentary behaviour and sleep. Participants will be asked to wear the accelerometer continuously during seven consecutive days, day and night, at their non-dominant wrist. In addition to wearing the accelerometer, participants will be asked to fill in a daily succinct diary with: (1) bed times, nap times; (2) non-wear times during the day; and (3) specification of most seated activity. These data will be used to complete and to explain gaps in the data set later on in the software programme. The following PA outcomes will be extracted from the ActiGraph data: average time spent per day in sedentary behaviour, light PA and moderate to vigorous PA.

    Measured: baseline

  23. Physical activity & Sedentary behaviour (baseline) - objective: accelerometery 2

    A second accelerometer will be placed on the right thigh, namely the activPAL (PAL Technologies Ltd, Glasgow, UK). This device measures postures due to its static acceleration and inclination features. It can quantify postural allocation - which is not possible with the ActiGraph - and is completely waterproof. The following additional PA outcomes will be extracted: time spent sitting/lying, standing, and walking.

    Measured: baseline

  24. Change in Physical activity & Sedentary behaviour (follow up 1) - objective: accelerometery 1

    ActiGraph's wGT3X-BT Activity Monitor (ActiGraph, Pensacola, FL) will be used. It measures time spent in different intensities of physical activity as well as sedentary behaviour and sleep. Participants will be asked to wear the accelerometer continuously during seven consecutive days, day and night, at their non-dominant wrist. In addition to wearing the accelerometer, participants will be asked to fill in a daily succinct diary with: (1) bed times, nap times; (2) non-wear times during the day; and (3) specification of most seated activity. These data will be used to complete and to explain gaps in the data set later on in the software programme. The following PA outcomes will be extracted from the ActiGraph data: average time spent per day in sedentary behaviour, light PA and moderate to vigorous PA.

    Measured: 1 year after baseline

  25. Change in Physical activity & Sedentary behaviour (follow up 1) - objective: accelerometery 2

    A second accelerometer will be placed on the right thigh, namely the activPAL (PAL Technologies Ltd, Glasgow, UK). This device measures postures due to its static acceleration and inclination features. It can quantify postural allocation - which is not possible with the ActiGraph - and is completely waterproof. The following additional PA outcomes will be extracted: time spent sitting/lying, standing, and walking.

    Measured: 1 year after baseline

  26. Change in Physical activity & Sedentary behaviour (follow up 2) - objective: accelerometery 1

    ActiGraph's wGT3X-BT Activity Monitor (ActiGraph, Pensacola, FL) will be used. It measures time spent in different intensities of physical activity as well as sedentary behaviour and sleep. Participants will be asked to wear the accelerometer continuously during seven consecutive days, day and night, at their non-dominant wrist. In addition to wearing the accelerometer, participants will be asked to fill in a daily succinct diary with: (1) bed times, nap times; (2) non-wear times during the day; and (3) specification of most seated activity. These data will be used to complete and to explain gaps in the data set later on in the software programme. The following PA outcomes will be extracted from the ActiGraph data: average time spent per day in sedentary behaviour, light PA and moderate to vigorous PA.

    Measured: 1 year after follow up 1; 2 years after baseline

  27. Change in Physical activity & Sedentary behaviour (follow up 2) - objective: accelerometery 2

    A second accelerometer will be placed on the right thigh, namely the activPAL (PAL Technologies Ltd, Glasgow, UK). This device measures postures due to its static acceleration and inclination features. It can quantify postural allocation - which is not possible with the ActiGraph - and is completely waterproof. The following additional PA outcomes will be extracted: time spent sitting/lying, standing, and walking.

    Measured: 1 year after follow up 1; 2 years after baseline

  28. Physical activity & Sedentary behaviour (baseline) - subjective: International Physical Activity Questionnaire - Short Form (IPAQSF)

    The IPAQ-SF is a 7-question measure that assesses frequency and duration of vigorous PA, moderate PA, walking during the past 7 days, as well as time spent sitting.

    Measured: baseline

  29. Change in Physical activity & Sedentary behaviour (follow up 1) - subjective: International Physical Activity Questionnaire - Short Form (IPAQSF)

    The IPAQ-SF is a 7-question measure that assesses frequency and duration of vigorous PA, moderate PA, walking during the past 7 days, as well as time spent sitting.

    Measured: 1 year after baseline

  30. Change in Physical activity & Sedentary behaviour (follow up 2) - subjective: International Physical Activity Questionnaire - Short Form (IPAQSF)

    The IPAQ-SF is a 7-question measure that assesses frequency and duration of vigorous PA, moderate PA, walking during the past 7 days, as well as time spent sitting.

    Measured: 1 year after follow up 1; 2 years after baseline

  31. Physical activity (baseline) - subjective: muscle strengthening activity questionnaire

    Translated version of Muscle-strengthening exercise: Assessing participation and influences - J. Shakespear-Druery, dr. J. Bennie, dr. Katrien De Cocker \& prof. S. Biddle to assess frequency, intensity and duration.

    Measured: baseline

  32. Change in Physical activity (follow up 1) - subjective: muscle strengthening activity questionnaire

    Translated version of Muscle-strengthening exercise: Assessing participation and influences - J. Shakespear-Druery, dr. J. Bennie, dr. Katrien De Cocker \& prof. S. Biddle to assess frequency, intensity and duration.

    Measured: 1 year after baseline

  33. Change in Physical activity (follow up 2) - subjective: muscle strengthening activity questionnaire

    Translated version of Muscle-strengthening exercise: Assessing participation and influences - J. Shakespear-Druery, dr. J. Bennie, dr. Katrien De Cocker \& prof. S. Biddle to assess frequency, intensity and duration.

    Measured: 1 year after follow up 1; 2 years after baseline

Secondary outcomes (18)
  1. Wellbeing (baseline) - Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS)

    The 14-item scale WEMWBS has 5 response categories, summed to provide a single score

    Measured: baseline

  2. Wellbeing (follow up 1) - Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS)

    The 14-item scale WEMWBS has 5 response categories, summed to provide a single score

    Measured: 1 year after baseline

  3. Wellbeing (follow up 2) - Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS)

    The 14-item scale WEMWBS has 5 response categories, summed to provide a single score

    Measured: 1 year after follow up 1; 2 years after baseline

  4. Global health (baseline) - PROMIS Global health

    10-item questionnaire on health

    Measured: baseline

  5. Global health (baseline) - PROMIS Global health

    10-item questionnaire on health

    Measured: 1 year after baseline

  6. Global health (follow up 2) - PROMIS Global health

    10-item questionnaire on health

    Measured: 1 year after follow up 1; 2 years after baseline

  7. Depression (baseline) - The Geriatric Depression Scale (GDS-15)

    15-item questionnaire on depressive symptoms

    Measured: baseline

  8. Depression (follow up 1) - The Geriatric Depression Scale (GDS-15)

    15-item questionnaire on depressive symptoms

    Measured: 1 year after baseline

  9. Depression (follow up 2) - The Geriatric Depression Scale (GDS-15)

    15-item questionnaire on depressive symptoms

    Measured: 1 year after follow up 1; 2 years after baseline

  10. Loneliness (baseline) - de Jong Gierveld loneliness scale (DJG loneliness)

    The 11-item de Jong Gierveld loneliness scale is a multi-dimensional measure of loneliness and contains five positively worded and six negatively worded items. The items fall into four subscales; feelings of severe loneliness, feelings connected with specific problem situations, missing companionship, feelings of belongingness.

    Measured: baseline

  11. Loneliness (follow up 1) - de Jong Gierveld loneliness scale (DJG loneliness)

    The 11-item de Jong Gierveld loneliness scale is a multi-dimensional measure of loneliness and contains five positively worded and six negatively worded items. The items fall into four subscales; feelings of severe loneliness, feelings connected with specific problem situations, missing companionship, feelings of belongingness.

    Measured: 1 year after baseline

  12. Loneliness (follow up 2) - de Jong Gierveld loneliness scale (DJG loneliness)

    The 11-item de Jong Gierveld loneliness scale is a multi-dimensional measure of loneliness and contains five positively worded and six negatively worded items. The items fall into four subscales; feelings of severe loneliness, feelings connected with specific problem situations, missing companionship, feelings of belongingness.

    Measured: 1 year after follow up 1; 2 years after baseline

  13. Social network (baseline) - Lubben Social Network Scale (LSN-6)

    LSNS-6 provides quantitative information on their family and friendship ties, and identifies persons at increased risk for social isolation

    Measured: baseline

  14. Social network (follow up 1) - Lubben Social Network Scale (LSN-6)

    LSNS-6 provides quantitative information on their family and friendship ties, and identifies persons at increased risk for social isolation

    Measured: 1 year after baseline

  15. Social network (follow up 2) - Lubben Social Network Scale (LSN-6)

    LSNS-6 provides quantitative information on their family and friendship ties, and identifies persons at increased risk for social isolation

    Measured: 1 year after follow up 1; 2 years after baseline

  16. Expectations Regarding Aging (baseline) - 12-Item Expectations Regarding Aging survey

    12-Item Expectations Regarding Aging

    Measured: baseline

  17. Expectations Regarding Aging (follow-up 1) - 12-Item Expectations Regarding Aging survey

    12-Item Expectations Regarding Aging

    Measured: 1 year after baseline

  18. Expectations Regarding Aging (follow-up 2) - 12-Item Expectations Regarding Aging survey

    12-Item Expectations Regarding Aging

    Measured: 1 year after follow up 1; 2 years after baseline

Timeline

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

  1. First posted13 Jul 2022
  2. Study start22 Jul 2021
  3. Primary completion31 Mar 2024
  4. Study completion31 Mar 2024

Resources

More details

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

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
260 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05455229
Sponsor's protocol ID
PASOCA_2021
Acronym
PASOCA
Status last verified
Feb 2025
First submitted
8 Nov 2021
Last updated
13 Feb 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: All anonymised textual and numerical data will be available after the end of the project in an Open Access repository or upon request by mail.

Questions about this trial

What is this clinical trial studying?

An observational study of Cognitive Aging, run by KU Leuven at 1 site in Belgium.

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 1 inclusion and 11 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: finished, as of the sponsor's last update on 13 Feb 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Belgium. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Cognitive function (baseline) - objective: executive function and memory will be tested with Cambridge Neuropsychological Test Automated Battery (CANTAB) (time frame: baseline). The study lists 33 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 13 Feb 2025.

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