Brain Outcomes With Lifestyle Change in Down Syndrome
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Diet, Health Education.
- Who it may be relevant to
- Registry conditions: Down Syndrome, Alzheimer Disease, Obesity. Basic parameters: 18 years — 64 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Official title
The Impact of Weight Loss on Alzheimer's Disease Risk in Adults With Down Syndrome
Overview
The goal of this study is to determine if weight loss or changes in dietary intake can help prevent of delay adults with Down syndrome from developing Alzheimer's Disease Adults with Down syndrome without dementia will be randomized to either a weight loss group or a general health education control group. The weight loss group will be asked to follow a reduced energy diet, attend monthly education sessions delivered remotely and self-monitor diet and body weight using commercially available web-based applications. The control group will be asked to attend remotely delivered monthly education sessions on general health education topics. All participants will come to the University of Kansas Medical Center, 3 times across 12 months for a blood draw, cognitive testing, a MRI, assessment of height and weight, and assessment of diet intake.
Interventions
- Behavioral Diet
A reduced calorie diet which uses frozen meals purchased at the store and focuses on increasing fruits and vegetables associated with brain health. - Behavioral Health Education
Monthly health education sessions delivered remotely.
Primary outcome measures
- Plasma Amyloid beta 42:40 ratio [Time frame: Baseline, 6, 12 months]
- Neurofilament light [Time frame: Baseline, 6, 12 months]
- Weight [Time frame: Baseline, 6, 12 months]
Secondary outcome measures (9)
- Dietary Intake [Time frame: Baseline, 6, 12 months]
- Skin carotenoid content [Time frame: Baseline, 6, 12 months]
- Plasma Phosphorylated Tau [Time frame: Baseline, 6, 12 months]
- Glial Fibrillary Acidic Protein [Time frame: Baseline, 6, 12 months]
- Brian Volume [Time frame: Baseline, 12 months]
- Brain antioxidants [Time frame: Baseline, 12 months]
- The modified Cued Recall Test [Time frame: Baseline, 6, 12 months]
- The Modified Cats and Dogs Task [Time frame: Baseline, 6, 12 months]
- Down Syndrome Mental Status Examination [Time frame: Baseline, 6, 12 months]
Eligibility criteria
Inclusion criteria
- Diagnosis of Down syndrome
- BMI of 25 to 50 kg/m2
- Ability to communicate through spoken language.
- Ability to come to the University of Kansas Medical Center 3 times across 1 year for outcomes testing
- Living at home with a parent/guardian, or in a supported living environment with a caregiver who assists with food shopping, meal planning, and meal preparation and agrees to serve as a study partner including providing transportation to our facilities for study assessments.
Exclusion criteria
- Diagnosis of dementia
- Insulin dependent diabetes
- Participation in a weight management program involving diet or physical activity in the past 6 mos.
- Dairy allergy
- Serious medical risk (e.g., cancer, recent heart attack, stroke, pregnancy, angioplasty)
- Unwilling to be randomized
- Contraindications for MRI, including metal implants or devices incompatible with MRI such as pacemakers, claustrophobia, and inability to lay in a supine position
- Use of GLP-1 medications
- Use of anti-amyloid medications
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Double blind
- Primary purpose
- Prevention
Study locations
United States · 1 center
- University of Kansas Medical Center — Kansas City
Publications
- Ptomey LT, Donnelly JE, Burns J, Morris J, Hartley S, Martin LE, Choi IY, Lee P, Li Y, Hunt S, Sherman JR, Danon JC, Brucks MG, Koon L, Spaeth K, Sullivan DK. Brain outcomes with lifestyle change in adults with Down syndrome: Rationale and design for a 12-month randomized trial. Alzheimers Dement. 2025 Apr;21(4):e70219. doi: 10.1002/alz.70219. PMID 40329624
Identifiers
NCT: NCT05985486 · Study 150542