NCT01547182

Brief Summary

The aim is to study the effects of weight loss and weight loss combined with different types of physical activity on changes in physical functioning of older adults who are at-risk for cardiovascular disease.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
249

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Mar 2012

Longer than P75 for not_applicable

Geographic Reach
1 country

3 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

March 1, 2012

Completed
Same day until next milestone

Study Start

First participant enrolled

March 1, 2012

Completed
6 days until next milestone

First Posted

Study publicly available on registry

March 7, 2012

Completed
4.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2016

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 1, 2016

Completed
Last Updated

August 15, 2018

Status Verified

August 1, 2018

Enrollment Period

4.6 years

First QC Date

March 1, 2012

Last Update Submit

August 13, 2018

Conditions

Outcome Measures

Primary Outcomes (1)

  • 400-M walk test and Lower Leg Strength

    18 months

Secondary Outcomes (1)

  • CT Scan

    November 2013-March 2017

Study Arms (3)

Weight Loss

ACTIVE COMPARATOR

Caloric restriction

Behavioral: Caloric restriction

Weight Loss and Aerobic Training

EXPERIMENTAL

Caloric restriction and walking

Behavioral: Caloric restrictionBehavioral: Aerobic Training

Weight Loss and Resistance Training

EXPERIMENTAL

Caloric restriction and lifting weights

Behavioral: Caloric restrictionBehavioral: Resistance Training

Interventions

Caloric restriction

Weight LossWeight Loss and Aerobic TrainingWeight Loss and Resistance Training

Walking

Weight Loss and Aerobic Training

Lifting weights

Weight Loss and Resistance Training

Eligibility Criteria

Age60 Years - 79 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Residence: community-dwelling men and women from the counties of interest (SR)
  • Age: between 60-79 yrs (SR)
  • Activity Status: sedentary (less than 60 minutes of moderate intensity structured physical activity each week and occurs in no less than 10 minute blocks; SR)
  • Adiposity: obese as defined by a BMI ≥ 30 (OAC)
  • Medical Criteria: documented evidence of an MI, PCTI, chronic stable angina, cardiovascular surgery (coronary artery or valvular heart disease) or an ATP III diagnosis of the metabolic syndrome (PCP)
  • Mobility Disability: 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 (SR)
  • Stability of Residence: does not plan to move out of the county of residence for the duration of the study (SR)
  • Agreeableness: willing and able to participate in all aspects of the trial (SR)
  • Consents: willing to give an informed consent and sign a HIPAA authorization form (SR)

You may not qualify if:

  • Severe Symptomatic Heart Disease: evidence of unstable angina, symptomatic congestive heart failure, or exercise induced complex ventricular arrhythmias (PCP)
  • MI or cardiovascular procedure within the last 3-months (PCP)
  • Blood Pressure: a resting blood pressure \> 160/100 mmHg (OAC)
  • Severe Systemic Disease: diagnosis of 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 (PCP)
  • Cancer: active treatment for cancer other than non-melanotic skin cancer (PCP)
  • Hearing or Sight Impairments: significant visual or hearing impairment that cannot be corrected and results in the inability to use the telephone or hear normal conversation (SR, OAC)
  • Psychiatric Illness: bipolar depression or schizophrenia (defined as self-reported treatment for these conditions), currently receiving lithium or neuroleptics (PCP)
  • Cognitive Impairment: dementia, delirium or impaired cognitive function as defined by a score on the Folstein Mini-Mental Status Exam \< 21 (OAC)
  • Participation in Other Trials: currently participating in or planning to participate in another medical intervention study (SR)
  • Alcohol Intake: consuming more than 21 alcoholic drinks per week or alcoholism (SR)
  • Functional Limitations: unable to walk unassisted (SR, OAC)
  • English Literacy: unable to speak or read English
  • Clinical Center Staff Evaluation: judged to be unsuitable for the trial for any reason by the clinic staff. A participant can be excluded prior to randomization because of some unspecified health problem that has been identified that would put the patient at risk for adherence or retention. These cases are discussed with a recruitment team consisting of the person who has raised the concern, an MD, and the study PIs.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (3)

Kernersville YMCA.

Kernersville, North Carolina, 27284, United States

Location

William G. White YMCA

Winston-Salem, North Carolina, 27101, United States

Location

Fulton YMCA

Winston-Salem, North Carolina, 27105, United States

Location

Related Publications (5)

  • Rejeski JJ, Fanning J, Nicklas BJ, Rejeski WJ. Six-month changes in ghrelin and glucagon-like peptide-1 with weight loss are unrelated to long-term weight regain in obese older adults. Int J Obes (Lond). 2021 Apr;45(4):888-894. doi: 10.1038/s41366-021-00754-0. Epub 2021 Feb 1.

  • Rejeski WJ, Marsh AP, Fanning J, Ambrosius WT, Walkup MP, Nicklas BJ. Dietary Weight Loss, Exercise, and Inflammation in Older Adults with Overweight or Obesity and Cardiometabolic Disease. Obesity (Silver Spring). 2019 Nov;27(11):1805-1811. doi: 10.1002/oby.22600.

  • Kammire DE, Walkup MP, Ambrosius WT, Lenchik L, Shapses SA, Nicklas BJ, Houston DK, Marsh AP, Rejeski WJ, Beavers KM. Effect of Weight Change Following Intentional Weight Loss on Bone Health in Older Adults with Obesity. Obesity (Silver Spring). 2019 Nov;27(11):1839-1845. doi: 10.1002/oby.22604. Epub 2019 Sep 4.

  • Beavers KM, Ambrosius WT, Rejeski WJ, Burdette JH, Walkup MP, Sheedy JL, Nesbit BA, Gaukstern JE, Nicklas BJ, Marsh AP. Effect of Exercise Type During Intentional Weight Loss on Body Composition in Older Adults with Obesity. Obesity (Silver Spring). 2017 Nov;25(11):1823-1829. doi: 10.1002/oby.21977.

  • Marsh AP, Janssen JA, Ambrosius WT, Burdette JH, Gaukstern JE, Morgan AR, Nesbit BA, Paolini JB, Sheedy JL, Rejeski WJ. The Cooperative Lifestyle Intervention Program-II (CLIP-II): design and methods. Contemp Clin Trials. 2013 Nov;36(2):382-93. doi: 10.1016/j.cct.2013.08.006. Epub 2013 Aug 23.

MeSH Terms

Conditions

Cardiovascular DiseasesObesity

Interventions

Caloric RestrictionResistance Training

Condition Hierarchy (Ancestors)

OverweightOvernutritionNutrition DisordersNutritional and Metabolic DiseasesBody WeightSigns and SymptomsPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Diet TherapyNutrition TherapyTherapeuticsEnergy IntakeDietNutritional Physiological PhenomenaDiet, Food, and NutritionPhysiological PhenomenaExercise TherapyRehabilitationAftercareContinuity of Patient CarePatient CarePhysical Therapy ModalitiesPhysical Conditioning, HumanExerciseMotor ActivityMovementMusculoskeletal Physiological PhenomenaMusculoskeletal and Neural Physiological Phenomena

Study Officials

  • W. Jack Rejeski, PhD

    Wake Forest University

    PRINCIPAL INVESTIGATOR
  • Anthony Marsh, PhD

    Wake Forest University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 1, 2012

First Posted

March 7, 2012

Study Start

March 1, 2012

Primary Completion

October 1, 2016

Study Completion

October 1, 2016

Last Updated

August 15, 2018

Record last verified: 2018-08

Data Sharing

IPD Sharing
Will not share

Locations