A Randomized Trial of Recommendations for Exercise to Prevent Weight Regain
POWeR
2 other identifiers
interventional
287
1 country
1
Brief Summary
The investigators will conduct a randomized trial to evaluate the effectiveness of 3 levels of recommended exercise in initially overweight and obese sedentary men and women on the prevention of weight regain. Participants will complete a 3 mo. weight loss intervention of decreased energy intake (EI) and increased energy expenditure (100 minutes of physical activity per week). Participants achieving clinically significant weight loss (\> 5% of initial weight), will be randomly assigned to 12 mos. of exercise at levels of energy expenditure of exercise (EEEx) recommended by Health and Human Services (HHS), American College of Sports Medicine(ACSM), Institute of Medicine (IOM): 150, 225, or 300 minutes per week. Major outcome assessments will occur prior to weight loss (-3 mos.), at completion of weight loss (0 mos.), at the midpoint (6 mos.), and completion of weight maintenance (12 mos.).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Aug 2012
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
August 1, 2012
CompletedFirst Submitted
Initial submission to the registry
August 10, 2012
CompletedFirst Posted
Study publicly available on registry
August 14, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2018
CompletedApril 18, 2019
April 1, 2019
5.7 years
August 10, 2012
April 16, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Prevention of Weight Regain
To compare the effectiveness of 3 exercise recommendations on the prevention of weight regain over 12 mos. subsequent to clinically significant weight loss (\> 5%). We expect participants will regain weight in a dose-response manner, i.e. greatest, intermediate and least weight regain for the 150, 225, and 300 minute. groups, respectively.
12 Months
Gender Differences in Weight Regain
To evaluate gender differences in weight regain over 12 months in response to 3 exercise recommendations. Based on available preliminary data we expect men will regain less weight than women.
12 Months
Secondary Outcomes (1)
Compensatory Changes to three exercise levels
12 Months
Study Arms (3)
150 Minutes per Week
ACTIVE COMPARATORPerforms 150 minutes of physical activity per week.
225 Minutes per Week
ACTIVE COMPARATORPerforms 225 minutes of physical activity per week.
300 Minutes per Week
ACTIVE COMPARATORPerforms 300 minutes of physical activity per week.
Interventions
Performs 150 min/wk of planned moderate intensity aerobic exercise.
Performs 225 min/wk of planned moderate intensity aerobic exercise.
Performs 300 min/wk of planned moderate intensity aerobic exercise.
Eligibility Criteria
You may qualify if:
- Age 21 to 55 years.
- BMI of 25 to 45.0.
- Clearance for participation from their Primary Care Physician (PCP)
You may not qualify if:
- Participation in a research project involving weight loss or exercise in the previous 6 mos., as these proximal experiences may impact the results of this study.
- Participation in a regular exercise program (i.e., \> 500 kcal/wk. of planned activity as estimated by questionnaire)
- Not weight stable (+ or - 4.5 kg) for 3 mos. prior to intake.
- Unwilling to be randomized to 1 of 3 exercise groups subsequent to weight loss.
- Pregnant during the previous 6 mos., lactating, or planned pregnancy in the following 15 mos.
- Serious medical risk such as type 1 diabetes, cancer, recent cardiac event (i.e., heart attack, angioplasty, etc.). This is determined by the individual's physician via the clearance to participate in the investigation and the health history (Appendix) interpreted by the staff physician.
- Eating disorders as determined by the Eating Attitudes Test using a score of 20 or greater
- Current treatment for psychological problems, or taking psychotropic medications
- Medications known to significantly affect weight (gain or loss).
- Adherence to specialized diet regimens, i.e., multiple food allergies, vegetarian, macrobiotic, etc.
- Do not have access to grocery shopping and meal preparation (i.e. those in military, college with cafeteria plan, etc.).
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University of Kansas - Robinson Hall
Lawrence, Kansas, 66045, United States
Related Publications (3)
Kracht CL, Brown DMY, Gorczyca AM, Jakicic JM, Szabo-Reed A, Washburn R, Donnelly JE. Association Between Wake-Time Movement Behaviors and Weight Loss Maintenance. Obesity (Silver Spring). 2025 Nov 16:10.1002/oby.70082. doi: 10.1002/oby.70082. Online ahead of print.
PMID: 41243427DERIVEDSzabo-Reed AN, Martin LE, Savage CR, Washburn RA, Donnelly JE. Pre-post intervention exploring cognitive function and relationships with weight loss, intervention adherence and dropout. Health Psychol Behav Med. 2023 Jan 6;11(1):2162528. doi: 10.1080/21642850.2022.2162528. eCollection 2023.
PMID: 36632603DERIVEDSzabo AN, Washburn RA, Sullivan DK, Honas JJ, Mayo MS, Goetz J, Lee J, Donnelly JE. The Midwest Exercise Trial for the Prevention of Weight Regain: MET POWeR. Contemp Clin Trials. 2013 Nov;36(2):470-8. doi: 10.1016/j.cct.2013.08.011. Epub 2013 Sep 4.
PMID: 24012915DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Joseph Donnelly, EdD
University of Kansas
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
August 10, 2012
First Posted
August 14, 2012
Study Start
August 1, 2012
Primary Completion
April 1, 2018
Study Completion
December 31, 2018
Last Updated
April 18, 2019
Record last verified: 2019-04