Reducing African American's Alzheimer's Risk Through Exercise-Mild Cognitive Impairment (RAATE-MCI)

Inclusion Criteria:

1. are African American (self-identify)

2. are 60 and older

3. are physically capable of exercise

4. are willing to accept randomization

5. are willing to attend group sessions

6. plan to live in the study area over the next 13 months and capable of traveling todesignated study facility for clinic visits and intervention sessions for the nextyear

7. are free of conditions (e.g. uncontrolled asthma, severe sickle cell disease, etc.)that would make regular exercise unsafe as deemed by the medical investigator

8. have not engaged in regular physical activity

9. have a Short Physical Performance Battery ≥4

10. physically capable of exercise

11. are unable to utilize devices and/or applications as required for studyparticipation

12. willing to attend group sessions

13. willing to allow researchers to use data for research purposes after studyparticipation is completed

14. meet criteria for MCI as defined by the NIA-AA research framework a. cognitiveperformance below normal range (score < 1.5 SDs below the mean on NIH Toolbox scoresfor their age and sex on at least one of the subtests)

Exclusion Criteria:

1. have cognitive impairment that would interfere with participating in a groupdiscussion a. cognitive performance in the demented range (score < 3 SDs below the mean on NIHToolbox scores for their age and sex on at least one of the subtests)

2. meet criteria for dementia

3. are unwilling to give written informed consent or accept randomization in eitherstudy group

4. are too active (as defined by ≥10 min bouts of MVPA as measured by Actigraph) if:

5. Sum of MVPA bouts for the 7 day wear period ≥40 mins

6. Or ≤40 mins of MVPA 10min bouts AND ≥3 days of bouts

7. have uncontrolled hypertension (systolic blood pressure > 150 mmHg and/or diastolicblood pressure > 90 mmHg).

8. have had a myocardial infarction, major heart surgery (i.e., valve replacement orbypass surgery), stroke, deep vein thrombosis, pulmonary embolus, hip fracture, hipor knee replacement, or spinal surgery in the past 6 months

9. are undergoing cardiopulmonary rehabilitation

10. have uncontrolled diabetes that in the judgment of the MI may interfere with studyparticipation

11. have clinically diagnosed osteoporosis that in the judgment of the MI may interferewith study participation

12. are currently enrolled in another randomized trial involving lifestyle orpharmaceutical interventions

13. have another member of the household that is a participant in RAATE or RAATE MCI

14. refuse to participate in the study without disclosure of their amyloid PET scanresults

15. refuse to allow anonymized versions of their study data for research after thisstudy is completed.

16. have other medical, psychiatric, or behavioral factors that in the judgment of thePrincipal or Medical Investigator may interfere with study participation or theability to follow the intervention protocol