Effects of a Weight Reduction and Lifestyle Program in Older Adults

January 12, 2016 updated by: Anne B. Newman, University of Pittsburgh
This research study will assess the effects of two different programs on weight, body composition, mobility and improved health. Measures of health will include functional abilities, and physical performance. The 2 programs being tested will be provided the same physical activity program which will include aerobic activity and resistance (weight) training. The intervention study will last up to 1 year with follow-up at 6 months and yearly phone calls thereafter.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

36

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • United States
    • Pennsylvania
      • McKeesport, Pennsylvania, United States, 15132
        • McKeesport Hospital - Kelly Building

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

65 years to 100 years (Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

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

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Prevention
  • Allocation: Randomized
  • Interventional Model: Single Group Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Intervention
lifestyle weight reduction - low fat eating, low calorie and physical activity
Behavioral: Diet and physical activity
lifestyle weight reduction - low fat eating, low calorie and physical activity
Active Comparator: Control
physical activity plus successful aging health education
Other: Physical activity control
physical activity plus successful aging health education

What is the study measuring?

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

Outcome Measure
Time Frame
weight loss
Time Frame: 6 month intervals
6 month intervals

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

University of Pittsburgh

Investigators

  • Principal Investigator: Anne B Newman, MD, MPH, University of Pittsburgh

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

March 1, 2008

Primary Completion (Actual)

December 1, 2009

Study Registration Dates

First Submitted

July 9, 2008

First Submitted That Met QC Criteria

July 9, 2008

First Posted (Estimate)

July 14, 2008

Study Record Updates

Last Update Posted (Estimate)

January 13, 2016

Last Update Submitted That Met QC Criteria

January 12, 2016

Last Verified

January 1, 2016

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • PRO07040024

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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