Wailuku

Researchers are evaluating a hula-based intervention to improve vascular risk factors linked to Alzheimer's 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. This pragmatic group-randomized trial focuses on participants who have mild cognitive impairment (MCI) or subjective cognitive impairment (SCI) and at least one of four modifiable vascular risk factors: hypertension, hyperglycemia, obesity, or dyslipidemia. Secondary outcomes include cognitive performance, physical function, and mental health. The intervention, called Ola Mau i ka Hula, involves a culturally-based physical activity program with an initial 3-month period of twice-weekly 60-minute hula lessons, including 15 minutes of ADRD education and orientation. These lessons are conducted in small groups to encourage social support. Following this, the program continues for 5 months with monthly 60-minute hula classes led by a kumu hula and weekly 90-minute meetings with a community-peer educator. These meetings include 60 minutes of hula practice and 30 minutes of a lifestyle curriculum and culturally-based cognitive exercises. Participants will be assessed over 12 months for changes in vascular risk factors such as blood pressure, hemoglobin A1c, cholesterol, and body mass index, as well as cognitive function using various cognitive tests and rating scales at 3, 8, and 12 months. The study involves regular monitoring of vascular and cognitive outcomes to evaluate the impact of the intervention over time.