Natives Engaged in Alzheimers Research - 'Ike Kupuna

Inclusion Criteria:

1. self-reported Native Hawaiian or other Pacific Islander ancestry;

2. ages 50+ but not older than 75 (optimal age range for preventing future dementia inpeople with cognitive impairment, above 75 is not likely to benefit from this studygiven their advance age);

3. has subjective cognitive impairment (SCI) or mild cognitive impairment (MCI);

4. have a diagnosis of hypertension, diabetes, dyslipidemia, or obesity (body-mass-index ≥ 30 kg/m2);

5. physically able and willing to engage in moderate physical activity necessary forHula; and

6. physician's approval to participate in moderate physical activity

Exclusion Criteria:

1. currently pregnant;

2. already actively practicing Hula at least once per week; or

3. clinical diagnosis of ADRD (mild to severe); or

4. current diagnosed major depressive disorder at moderate or greater stage, ormoderate or greater depression on the Center for Epidemiological Studies DepressionScale (CES-D).