Evidence mapPaperPMID 42249253Full record

ArticleGeroScience2026

Combating Alzheimer's through sleep and exercise (CASE): A study protocol.

Debbie Chung, Brittany A Larsen, Laurent G Garchitorena Gomez, Alberto R Ramos, Neva J Kirk-Sanchez, Girardin Jean-Louis, Azizi A Seixas

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in GeroScience, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04855630 (Combating Alzheimer's Through Sleep and Exercise), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04855630 narecruitingnot on this map

Combating Alzheimer's Through Sleep and Exercise (CASE)

TypeinterventionalSponsorUniversity of MiamiRan2023 to 2028Enrolled30ConditionsAlzheimer Disease, DementiaArmsDREEM 2 Headband, Exercise Routine
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Debbie Chung *Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, 1120 NW 14th St., Miami, FL, 33136, USA.
Brittany A Larsen *Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, 1120 NW 14th St., Miami, FL, 33136, USA.
Laurent G Garchitorena GomezDepartment of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, 1120 NW 14th St., Miami, FL, 33136, USA.
Alberto R RamosDepartment of Neurology, University of Miami Miller School of Medicine, 1150 NW 14th Street, Miami, FL, 33136, USA.
Neva J Kirk-SanchezDepartment of Physical Therapy, University of Miami Miller School of Medicine, 5915 Ponce de Leon Blvd., 5th Floor, Coral Gables, FL, 33146, USA.
Girardin Jean-LouisDepartment of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, 1120 NW 14th St., Miami, FL, 33136, USA.
Azizi A Seixas *Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, 1120 NW 14th St., Miami, FL, 33136, USA. azizi.seixas@med.miami.edu.ORCID http://orcid.org/0000-0003-0843-2679

Funding

Personalized OSA treatment and effects on AD biomarkers and cognition among blacksR01AG075007 · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · 2025 to 2025
$739k
NHLBI Division of Intramural Research R01HL142066NHLBI Division of Intramural Research R01HL152453NHLBI Division of Intramural Research R25HL105444NIA NIH HHS R01AG067523NIA NIH HHS R01AG075007
6 · The paper itself

Abstract

Dementia affects over 55 million people worldwide, with Alzheimer's disease (AD) comprising most cases. Because curative therapies remain unavailable, there is an urgent need for prevention strategies that target modifiable risk factors. Behavioral interventions-particularly sleep improvement and physical activity-can independently benefit cognition, brain function, and cardiometabolic health, yet their combined (potentially synergistic) effects and scalable delivery models remain underexplored. This exploratory, hypothesis-generating, three-arm randomized controlled trial will evaluate: (1) whether improvements in sleep metrics are associated with improvements in cognitive performance and biomarker panels reflecting brain and cardiometabolic health; (2) the effects of structured, moderate-intensity aerobic and anaerobic exercise on cognitive performance and biomarker panels; (3) the combined effects of sleep and exercise interventions on cognitive performance and biomarker panels, including potential synergy; and (4) the role of light exposure as a modulator of sleep parameters. Over 8 weeks at a single site, 60 community-dwelling adults, aged 55-80 years, with and without mild cognitive impairment, will be randomized to exercise-only, sleep-only, or combined sleep-plus-exercise interventions. Programs will be delivered in-person and/or using Elemind Neuromodulation headbands, Fitbit trackers, and Lys light sensors. Cognitive function will be assessed with the Digital Neuro-Signature Platform, and plasma biomarkers will index cardiometabolic health and AD-related neuropathology. Findings will inform larger, multi-site trials targeting modifiable AD risk factors using scalable, digital, and decentralized intervention platforms. ClinicalTrials.gov NCT04855630; https://clinicaltrials.gov/study/NCT04855630 . Registration date 04/19/2021.

Indexed as

Alzheimer’s diseaseCognitionExerciseHome-based digital healthMild cognitive impairmentSleep

Identifiers

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.