Aging, Health Behavior
Conditions
Keywords
exercise program, lifestyle changes, fitness program, lifestyle intervention
Brief summary
The purpose of this study is to test the efficacy of delivering an exercise and healthy lifestyle program, Smart Aging, to older adults.
Detailed description
The Smart Aging Program is designed to be scalable, implementable, and sustainable in the real world. This program joins patients and their clinicians with community-based fitness centers. The Smart Aging Program looks to use already existing resources to deliver an innovative program to increase physical activity in older adults. The program begins at the patient-physician level. The program is conducted in community-based fitness centers, the participant's home (home exercise, monitoring) and also sends physical activity data back to the clinician using mobile technology. The Smart Aging Program consists of a personalized and structured exercise program combined with lifestyle education and mobile-health monitoring. The exercise program includes a 12-week initiation phase, followed by a 40-week maintenance phase.
Interventions
BEHAVIORALSmart Aging Program
Comprehensive lifestyle and fitness program designed to improve the health of older adults. The Smart Aging Program represents a package consisting of a dedicated health coach, mobile monitoring, specialized curriculum, and exercise opportunities.
BEHAVIORALEducational Materials
Current standard of care. Includes education materials covering benefits of a healthy lifestyle.
Sponsors
University of Kansas Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Clinician referred * Ambulatory: walk unassisted and successfully complete the 6 minute walk test without rest * Sufficiently fluent in English to participate in study procedures * Sedentary or underactive by the Telephone Assessment of Physical Activity61
Exclusion criteria
* Clinically-significant systemic or psychiatric illness that may affect safety or completion * Diagnosis of dementia; use of dementia medications (cholinesterase inhibitors, memantine) * Myocardial infarction or unstable coronary artery disease (e.g., angina, arrhythmia) in last 6 months. * Cerebrovascular event (stroke or transient ischemic attack) in the last 6 months * Cancer diagnosis in the last 2 years (except non-metastatic basal or squamous cell carcinoma or cancer in remission in the absence of treatment for at least 2 years) * Significant pain or musculoskeletal disorder limiting the ability to participate safely * Another member of the household enrolled in the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Cardiorespiratory Fitness | Change from Baseline to 12 Weeks | Measured by peak oxygen consumption (VO2 peak) during treadmill testing. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes in Insulin Resistance | 52 Weeks | Measured using Homeostasis Model Assessment 2. |
| Change in Fat Mass | 52 Weeks | Measured using a dual energy x-ray absorptiometry (DEXA) scan. |
| Change in Lean Mass | 52 Weeks | Measured using a dual energy x-ray absorptiometry (DEXA) scan. |
| Change in Cholesterol | 52 Weeks | Changes in total cholesterol, LDL, and HDL will be measured. |
Countries
United States
Outcome results
None listed