Step up against dementia: fitbit app aims to boost walking in middle age
NCT ID NCT05826379
First seen Jun 27, 2026 · Last updated Aug 13, 2026 · Updated 2 times
Summary
This study tests whether a smartphone app that sets daily step goals can help middle-aged adults (30-70 years old) who are overweight walk more. Participants use a Fitbit and receive adaptive goals to increase light physical activity. The goal is to see if this simple approach can improve adherence to walking, which may help prevent Alzheimer's disease and related dementias later in life.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Adaptive daily goal setting via Fitbit app
- What this could lead to
- If successful, this approach could offer a simple, low-cost way to increase physical activity and potentially reduce the risk of Alzheimer's and related dementias in at-risk adults.
- What could go wrong
- This is an early-stage behavioral study, not a treatment trial. It focuses on adherence to walking, not directly on preventing dementia, so any impact on cognitive health is uncertain and may take years to confirm.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 200 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2024
- Expected to finish
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Mar 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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30 to 70 years
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria\*: * Between 30 and 70 years of age * BMI ≥ 25 Exclusion Criteria\*: * Clinical diagnosis of ADRD or other neurodegenerative disease * Health condition contraindicated for increased physical activity * Medical conditions or medications that would prohibit participation in an exercise test (e.g., decompensated heart failure, severe aortic stenosis, uncontrolled arrhythmia, and acute coronary syndromes) * Limitations in use of a smart phone (e.g., issues with manual dexterity or visual impairment) * Inability to walk unassisted * BMI \> 50 * Plan to have surgery or other procedure over the next 12 months that could affect mobility or light intensity physical activity maintenance * Concurrent participation in a weight loss, physical activity, or cognitive training trial * Failure to comply with Run-in Period activity monitoring (\<70% valid wear days for the Fitbit and activPal) * Anyone who will not discontinue the use of their own personal smartwatch during the training period. * Anyone who scores below 19 on the MoCA-B would not be randomized after the Run-in Calibration Period. Note: The eligibility criteria are deliberately incomplete to preserve the scientific integrity of the study. These details will be added after study closure.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Milton S. Hershey Medical Center
Hershey, Pennsylvania, 17033, United States
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