Effects of a Weight Reduction and Lifestyle Program in Older Adults
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Pennsylvania
-
McKeesport, Pennsylvania, United States, 15132
- McKeesport Hospital - Kelly Building
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Age 65 and older
- BMI 28 to 39.9
- Sedentary lifestyle defined by formal exercise less than 3 times per week for a total of less than 90 minutes.
- Self report of ability to walk ¼ mile (2-3 blocks)
- Ability to complete the 400 meter walk without a cane or walker in less than 15 minutes
- Successful completion of the behavioral run-in phase which includes an activity log and a food diary
- Willingness to be randomized to either intervention group
- Willingness to attend meetings and physical activity sessions in McKeesport
Exclusion Criteria:
- Diabetes requiring insulin, history of diabetic coma, or diabetes out of control defined as fasting blood sugar greater than 300
- Severe hypertension, e.g. SBP> 180, DBP > 100
- Failure to provide informed consent
- Nursing home resident or resident in a facility where they have no control over food choices
- Significant cognitive impairment, defined as a known diagnosis of dementia or a 3MSE Cognitive Function score < 80
- Major psychiatric disorder
- Unable to communicate because of severe hearing loss or speech disorder
- Severe visual impairment
- Celiac sprue or other malabsorption syndromes
- Consume more than 5 alcoholic drinks per day, or more than 15 drinks per week
- Progressive, degenerative neurological disease
- Severe rheumatologic or orthopedic diseases
- Stroke, hip, or knee replacement, or spinal surgery within the past 4 months or planned in the next 4 months
- Receiving physical therapy for gait, balance, or lower extremity training
- Terminal illness with life expectancy of less than 12 months
- Currently being treated with chemotherapy or radiation for breast, cervical, colon, prostate, rectal, uterine, thyroid, or oral cancer. Participant with other types of cancers, with the exception of basal and squamous cancer are ineligible
- Severe pulmonary disease (i.e., lung disease requiring supplemental oxygen or oral steroid medication) or pulmonary embolism or deep vein thrombosis within the past 6 months
- Severe cardiac disease (i.e., congestive heart failure (NYHA Class III or IV); untreated aortic stenosis; a history of cardiac arrest, the use of a cardiac defibrillator or uncontrolled angina)
- Myocardial infarction, CABG, or valve replacement in the past 6 months
- Serious conduction disorder (3rd degree heart block), uncontrolled arrhythmia, or new Q waves or ST- segment depressions (> 3mm) on ECG
- Other significant co-morbid disease that the study medical officer deems severe enough to impair ability to participate in exercise based intervention
- Severe kidney disease that requires dialysis
- Develops chest pain or severe shortness of breath during 400 m walk test
- Member of household is already enrolled
- Participation in another intervention trial: participation in an observational study is permitted
- People who have lost more than 10 pounds in the past 4 months, or are on any drugs for the treatment of obesity
- Lives outside of the study site area or is planning to move in the next year
- Must be able to attend at least 6 of the first 8 weekly sessions.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Single Group Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Intervention
lifestyle weight reduction - low fat eating, low calorie and physical activity
|
lifestyle weight reduction - low fat eating, low calorie and physical activity
|
|
Active Comparator: Control
physical activity plus successful aging health education
|
physical activity plus successful aging health education
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
time to walk 400 m
Time Frame: at 6 mo intervals
|
at 6 mo intervals
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
weight loss
Time Frame: 6 month intervals
|
6 month intervals
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Anne B Newman, MD, MPH, University of Pittsburgh
Publications and helpful links
General Publications
- Farsijani S, Cauley JA, Santanasto AJ, Glynn NW, Boudreau RM, Newman AB. Transition to a More even Distribution of Daily Protein intake Is Associated with Enhanced Fat Loss during a Hypocaloric and Physical Activity Intervention in Obese Older Adults. J Nutr Health Aging. 2020;24(2):210-217. doi: 10.1007/s12603-020-1313-8.
- Santanasto AJ, Newman AB, Strotmeyer ES, Boudreau RM, Goodpaster BH, Glynn NW. Effects of Changes in Regional Body Composition on Physical Function in Older Adults: A Pilot Randomized Controlled Trial. J Nutr Health Aging. 2015 Nov;19(9):913-21. doi: 10.1007/s12603-015-0523-y.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- PRO07040024
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