Denne side blev automatisk oversat, og nøjagtigheden af ​​oversættelsen er ikke garanteret. Der henvises til engelsk version for en kildetekst.

Exercise and Weight Loss for Improving Mobility in Older Adults Who Are Obese (CLIP)

13. august 2018 opdateret af: Wake Forest University Health Sciences

Cooperative Lifestyle Intervention Program (CLIP)

To test the effects of exercise and weight loss on mobility disability of older overweight/obese men and women who have evidence of cardiovascular disease or the metabolic syndrome.

Studieoversigt

Detaljeret beskrivelse

BACKGROUND:

Older adults make up the fastest growing segment of our population. It is estimated that by the year 2030, elderly people will make up 22% of the United States population. A large portion of older adults suffers from one or more chronic conditions that could be improved by regular physical activity. Therefore, research in this age group is needed.

DESIGN NARRATIVE:

The Cooperative Lifestyle Intervention Program (CLIP) will test the effects of a physical activity intervention and a weight loss intervention on mobility disability of overweight or obese men and women who have evidence of cardiovascular disease or the metabolic syndrome. The public health relevance of the trial lies in the fact that the interventions will be delivered in conjunction with four Cooperative Extension Centers in counties surrounding Winston-Salem, North Carolina. CLIP will be designed as a three arm, randomized, controlled trial. The three 18-month treatments will include: (1) a basic health education-based control condition, (2) a group treatment program for physical activity, and (3) a lifestyle intervention designed to reduce sedentary behavior and promote weight loss. The primary aim will be to compare the effects of the three treatment arms on the change in performance on a 400-meter walk test over the course of 18 months. Secondary aims will include changes in cardiovascular risk factors, adiposity, cardiovascular fitness, physical activity, and health-related quality of life. Analyses will also be conducted to determine whether changes in the primary outcome are mediated by changes in constructs from social cognitive theory.

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

288

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

    • North Carolina
      • Greensboro, North Carolina, Forenede Stater, 27405
        • Guilford County, North Carolina Cooperative Extension Center
      • Lexington, North Carolina, Forenede Stater, 27292
        • Davidson County Coopertive Extension
      • Winston-Salem, North Carolina, Forenede Stater, 27105
        • Forsyth County Cooperative Extension Center

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

60 år til 79 år (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • Currently living in one of the counties surrounding Winston-Salem, NC
  • Sedentary (engages in fewer than 30 minutes of moderate structured physical activity for at least 10 minutes at a time each week)
  • Overweight or obese, as defined by a body mass index (BMI) greater than 25
  • Fasting glucose level less than 140
  • Documented evidence of an MI, PCTA, chronic stable angina, or cardiovascular surgery (coronary artery or valvular heart disease) within the 6 months prior to study entry or an ATP III diagnosis of the metabolic syndrome
  • Disability defined as self-reported difficulty with walking ¼ mile, climbing stairs, lifting and carrying groceries, or performing other household chores such as cleaning and yard work
  • Does not plan to move out of the county of residence for the duration of the study

Exclusion Criteria:

  • Diagnosis of bipolar depression or schizophrenia (defined as self-reported treatment for these conditions)
  • Currently receiving lithium or neuroleptics
  • Evidence of unstable angina, symptomatic congestive heart failure, or exercise-induced complex ventricular arrhythmias
  • Resting blood pressure greater than 160/100 mmHg
  • Diagnosis of any of the following: Parkinson's disease; chronic liver disease (cirrhosis, chronic hepatitis, etc.); systemic rheumatic condition (rheumatoid arthritis, psoriatic arthritis, Reiter's disease, systemic lupus erythematosus, etc.); end stage renal disease; or other systemic diseases or abnormal laboratory values which would preclude participants from safely participating in the protocol or impair their ability to complete the study
  • Actively being treated for cancer (other than non-melanotic skin cancer)
  • Significant visual or hearing impairment that cannot be corrected and results in the inability to use the telephone or hear normal conversation
  • Currently participating in or planning to participate in another medical intervention study
  • Current alcohol abuse disorder or consumes more than 21 alcoholic drinks per week
  • Unable to walk without assistance
  • Unable to speak or read English
  • Judged by the clinic staff to be unsuitable for the trial for any reason

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Forebyggelse
  • Tildeling: Randomiseret
  • Interventionel model: Faktoriel opgave
  • Maskning: Enkelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Aktiv komparator: Health education control
This is an education program for older adults entitles, successful aging.
Lectures on information relevant to successful aging
Andre navne:
  • Opmærksomhedskontrol
Eksperimentel: Exercise Only
Structured exercise 150 min/wk
Increase Physical Activity to 150 min/wk
Andre navne:
  • Fysisk aktivitet
Eksperimentel: Weight Loss
Behavioral weight loss; goal of 7%
Lose 7-10% of body weight and increase physical activity to 150 min/wk
Andre navne:
  • Diet modification

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Tidsramme
400 meter walk
Tidsramme: Measured at 18 months
Measured at 18 months

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Efterforskere

  • Ledende efterforsker: Walter Rejeski, Wake Forest University

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart

1. august 2005

Primær færdiggørelse (Faktiske)

1. april 2011

Studieafslutning (Faktiske)

1. april 2011

Datoer for studieregistrering

Først indsendt

6. juli 2005

Først indsendt, der opfyldte QC-kriterier

6. juli 2005

Først opslået (Skøn)

14. juli 2005

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

15. august 2018

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

13. august 2018

Sidst verificeret

1. august 2018

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • 197
  • R01HL076441 (U.S. NIH-bevilling/kontrakt)
  • R01HL076441-01 (U.S. NIH-bevilling/kontrakt)

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

INGEN

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

Studerer et amerikansk FDA-reguleret lægemiddelprodukt

Ingen

Studerer et amerikansk FDA-reguleret enhedsprodukt

Ingen

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

Kliniske forsøg med Hjertesygdomme

Kliniske forsøg med Health Education Control

3
Abonner