Wailuku

This research aims to evaluate the effects of a hula-based program on improving vascular risk factors linked to Alzheimers disease and related dementias ADRD, as well as cognitive complaints and function in Native Hawaiian and other Pacific Islander adults aged 50 to 75 years. Participants must have at least one modifiable vascular risk factor such as hypertension, high blood sugar, obesity, or high cholesterol, along with either subjective cognitive impairment SCI or mild cognitive impairment MCI. The study uses a group-randomized design to understand how this cultural physical activity impacts health over 12 months. Participants are divided into two groups the intervention group receives the Ola Mau i ka Hula program immediately for 12 months, which includes an 8-month active hula lesson phase followed by a 4-month self-monitoring period. The hula program starts with twice-weekly 60-minute classes for 12 weeks, then shifts to monthly 60-minute lessons with weekly 90-minute meetings that combine hula practice and lifestyle education. The control group waits during this time and receives only educational materials and usual medical care, with the option to join the hula program after completing their 12-month assessment. Throughout the study, participants undergo assessments of vascular health markers like blood pressure, cholesterol, blood sugar, and body mass index at 3, 8, and 12 months, alongside cognitive tests and questionnaires to track changes in memory, thinking skills, physical function, and mental health. These measurements help researchers understand the impact of the hula intervention on both physical and cognitive health. The total participation lasts one year, including data collection and follow-up.