Actively Recruiting

Phase Not Applicable
Age: 50Years - 80Years
All Genders
ID07009223

Lifestyle Interventions to Prevent Cognitive Deficits in Subjects With Depressive Symptoms: From Mechanisms to Clinical Practice

Led by IRCCS Centro San Giovanni di Dio Fatebenefratelli · Updated on 2026-02-11

120

Participants Needed

1

Research Sites

82 weeks

Total Duration

On this page

Sponsors

I

IRCCS Centro San Giovanni di Dio Fatebenefratelli

Lead Sponsor

A

Amsterdam University Medical Centers (UMC), Location Academic Medical Center (AMC)

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are studying whether lifestyle changes can help prevent cognitive decline and reduce depressive symptoms in people aged 50 to 80 who have depressive symptoms or major depression but no signs of cognitive decline. The study aims to find out if regular physical activity improves mood and memory, if cognitive training prevents mental difficulties, and if diet and lifestyle changes affect gut bacteria and inflammation. Participants will be randomly assigned to one of three groups: one group will receive online education about the Mediterranean diet, another group will receive the diet education plus personalized exercise sessions 2 to 3 times per week for 12 weeks, and a third group will receive the diet education plus weekly cognitive training in small groups for 12 weeks. All groups will be followed for 12 weeks of treatment. During the study, participants will provide blood and fecal samples and complete cognitive tests and clinical questionnaires at the start, after 12 weeks of treatment, and again after a 3-month follow-up (week 24). Researchers will measure depression scales, cognitive performance tests, quality of life, immune-related factors, and gut microbiome composition throughout the study to assess changes over time.

CONDITIONS

Brief Title

Lifestyle Interventions to Prevent Cognitive Deficits in Subjects With Depressive Symptoms: From Mechanisms to Clinical Practice

Who Can Participate

Age: 50Years - 80Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Aged between 50 and 80 years
  • Diagnosis of major depressive disorder according to DSM-5 or depressive symptoms indicated by PHQ-9 or GDS-15 scores of 5 or higher
  • Ability to provide written informed consent
Not Eligible

You will not qualify if you...

  • Active gastrointestinal disorders
  • Autoimmune disorders
  • Chronic inflammatory disorders
  • Diagnosis of dementia, cognitive impairment, or mild functional impairment
  • Use of antibiotics or anti-inflammatory drugs in the 8 weeks before screening

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - 12 weeks

Participants receive educational sessions about the Mediterranean diet. Depending on their group, they may also participate in physical activity sessions or weekly cognitive training sessions.

4 to 5 online educational sessions; 2 to 3 weekly exercise sessions for those in the physical activity group; 1 weekly cognitive training session for those in the cognitive training group

Follow-up

Duration - 12 weeks

Participants are monitored for changes in cognitive and depressive symptoms after completing the treatment.

1 visit at 3 months post-treatment

Trial Site Locations

Total: 1 location

1

IRCCS Centro San Giovanni di Dio Fatebenefratelli

Brescia, Italy, 25125

Actively Recruiting

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Research Team

E

Elisa Mombelli

M

Moira Marizzoni, PhD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

DOUBLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

PREVENTION

Number of Arms

3

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