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Companion: Sensor-based Two-way Communication for Physical Activity in Older Adults

An Integrated Two-Way Communication and Near-Real-Time Sensing System to Detect and Modify Daily Inactivity Among Adults Over Age 60

Status
Completed
Phases
Early Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04827212
Enrollment
51
Registered
2021-04-01
Start date
2021-03-16
Completion date
2022-12-13
Last updated
2024-07-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Exercise, Physical Activity

Brief summary

This pilot study is a small sample (N=46) 16-week clinical trial with a follow-up after 24-weeks among sedentary adults \>60 y with a BMI \>25 kg/m2 to tests the impact of a hybrid artificial intelligence behavior change system (Companion) on physical activity. Participants will be randomized to a control and intervention group. All participants will engage in a proven supervised exercise program from week 1 to 16. Only the intervention group will receive Companion from week 1 to 16.

Detailed description

This is a single site randomized clinical trial to test if if Companion improves and sustains free-living physical activity and sedentary behaviors in adults \>60 y and improves health outcomes. Forty-six sedentary adults \>60 y with a BMI \>25 kg/m2 will be randomized to a control and intervention group. Both groups will undergo a 16-week supervised training program involving supervised training sessions 45-60 min, twice a week. The intervention group will additionally receive the two-way communication-based Companion meta intervention. Two-way communication during weeks 1 to 4, will focus on gathering information on the adult's motivations, preferences, habits, contexts, and usual behavior patterns to build typical individual behavior models. The model will be used to develop an adaptive physical active and sedentary behavior intervention prescription. Primary outcomes from Aim 1 and exploratory outcomes from Aim 2 will be measured at baseline and then after 16 and 24 weeks.

Interventions

BEHAVIORALCompanion

Companion integrates wearable sensing with the smartphone to develop a behavior-aware, virtual system that uses a human-in-the-loop approach to enable meaningful two-way communication. Companion builds rich models of typical behavior using sensors and context sensitive ecological momentary assessment to deliver intervention components and behavior change strategies using socially engaging, contextually salient, and tailored text-message conversations in near-real-time.

Sponsors

National Institute on Aging (NIA)
CollaboratorNIH
Northeastern University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Subject, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
60 Years to 90 Years
Healthy volunteers
Yes

Inclusion criteria

* Age 60 years and above- This intervention study focusses on this population demographic. * Participants have a body mass index greater than 25 kg/m2- This threshold for BMI is used to classify an adult as overweight or obese * No conditions preventing participation in physical activity lasting 10 to 30 min- Such conditions will limit prescription of physical activity/exercise components of the training program and that promoted using Companion. * Have a smart phone- The absence of a smart phone will limit the ability of remote communication with the study participant using Companion.

Exclusion criteria

* Engage in structured physical activity for more than 2 days/week lasting 30 min/session- Physically active participants will not be representative of typical adults \>60 y. Being active prior to study participation may mask the effects of the intervention. * Regularly use any assistive device for walking- Use of an assistive device would limit the ability to engage in prescribed physical activity. Future work can be tailored for sub-groups in the demographic being studied. * Likely to alter medications pertaining to cardiovascular or metabolic health- Altering medications during the study will influence change in selected outcome measures.

Design outcomes

Primary

MeasureTime frameDescription
Physical Activity Hours Per Day Measured Using a Body-worn Accelerometer at BaselineBaselineTotal time spent being active will be measured using a body worn motion sensor (accelerometer) during waking hours over a period of one week. Measures for each day (hours) will be averaged to obtain a representative estimate of daily habitual behavior.
Physical Activity Hours Per Day Measured Using a Body-worn Accelerometer After 4 Months4 monthsTotal time spent being active will be measured using a body worn motion sensor (accelerometer) during waking hours over a period of one week. Measures for each day (hours) will be averaged to obtain a representative estimate of daily habitual behavior.
Physical Activity Hours Per Day Measured Using a Body-worn Accelerometer After 6 Months6 monthsTotal time spent being active will be measured using a body worn motion sensor (accelerometer) during waking hours over a period of one week. Measures for each day (hours) will be averaged to obtain a representative estimate of daily habitual behavior.
Sedentary Behavior Hours Per Day Measured Using a Body-worn Accelerometer at BaselineBaselineTotal time spent sedentary will be measured using a body worn motion sensor (accelerometer) during waking hours over a period of one week. Measures for each day (hours) will be averaged to obtain a representative estimate of daily habitual behavior.
Sedentary Behavior Hours Per Day Measured Using a Body-worn Accelerometer After 4 Months4 monthsTotal time spent sedentary will be measured using a body worn motion sensor (accelerometer) during waking hours over a period of one week. Measures for each day (hours) will be averaged to obtain a representative estimate of daily habitual behavior.
Sedentary Behavior Hours Per Day Measured Using a Body-worn Accelerometer After 6 Months6 monthsTotal time spent sedentary will be measured using a body worn motion sensor (accelerometer) during waking hours over a period of one week. Measures for each day (hours) will be averaged to obtain a representative estimate of daily habitual behavior.

Other

MeasureTime frameDescription
Working Memory Measured Using the NIH Tool Box at BaselineBaselineThis is an exploratory outcome - Average age-adjusted national percentile of NIH Toolbox Picture Sequence Memory Test score measured at Baseline. Each participant's raw score on the NIH Toolbox Picture Sequence Memory Test is standardized against a nationally representative sample to get the participant's national percentile. Percentiles are then adjusted for age and averaged accross participants. Percentiles can range from 0 to 100, with a higher percentile indicating better performance.
Working Memory Measured Using the NIH Tool Box After 4 Months4 monthsThis is an exploratory outcome - Average age-adjusted national percentile of NIH Toolbox Picture Sequence Memory Test score measured at Baseline. Each participant's raw score on the NIH Toolbox Picture Sequence Memory Test is standardized against a nationally representative sample to get the participant's national percentile. Percentiles are then adjusted for age and averaged across participants. Percentiles can range from 0 to 100, with a higher percentile indicating better performance.
Working Memory Measured Using the NIH Tool Box After 6 Months6 monthsThis is an exploratory outcome - Average age-adjusted national percentile of NIH Toolbox Picture Sequence Memory Test score measured at Baseline. Each participant's raw score on the NIH Toolbox Picture Sequence Memory Test is standardized against a nationally representative sample to get the participant's national percentile. Percentiles are then adjusted for age and averaged across participants. Percentiles can range from 0 to 100, with a higher percentile indicating better performance.
Relative Processing Speed Measured Using the NIH Tool Box at BaselineBaselineAverage age-adjusted national percentile of NIH Toolbox Pattern Comparison Processing Speed Test score measured at Baseline. Each participant's raw score on the NIH Toolbox Pattern Comparison Processing Speed Test is standardized against a nationally representative sample to get the participant's national percentile. Percentiles are then adjusted for age and averaged across participants. Percentiles can range from 0 to 100, with a higher percentile indicating better performance.
Relative Processing Speed Measured Using the NIH Tool Box Measured After 4 Months4 monthsThis is an exploratory outcome - Average age-adjusted national percentile of NIH Toolbox Pattern Comparison Processing Speed Test score measured at Baseline. Each participant's raw score on the NIH Toolbox Pattern Comparison Processing Speed Test is standardized against a nationally representative sample to get the participant's national percentile. Percentiles are then adjusted for age and averaged accross participants. Percentiles can range from 0 to 100, with a higher percentile indicating better performance.
Relative Processing Speed Measured Using the NIH Tool Box Measured After 6 Months6 monthsThis is an exploratory outcome - Average age-adjusted national percentile of NIH Toolbox Pattern Comparison Processing Speed Test score measured at Baseline. Each participant's raw score on the NIH Toolbox Pattern Comparison Processing Speed Test is standardized against a nationally representative sample to get the participant's national percentile. Percentiles are then adjusted for age and averaged across participants. Percentiles can range from 0 to 100, with a higher percentile indicating better performance.
Percent Body Fat Measured Via Bioelectrical Impedance at BaselineBaselineThis is an exploratory outcome. The amount of fat in the body will be computed as a percentage
Blood Glucose Measured Using a Cardiocheck Fingerstick Blood Sample Measured After 4 Months4 monthsThis is an exploratory outcome.
Blood Glucose Measured Using a Cardiocheck Fingerstick Blood Sample Measured After 6 Months6 monthsThis is an exploratory outcome.
Total Cholesterol Measured Using a Cardiocheck Fingerstick Blood Sample Measured at BaselineBaselineThis is an exploratory outcome.
Total Cholesterol Measured Using a Cardiocheck Fingerstick Blood Sample Measured After 4 Months4 monthsThis is an exploratory outcome.
Total Cholesterol Measured Using a Cardiocheck Fingerstick Blood Sample Were Measured After 6 Months6 monthsThis is an exploratory outcome.
Blood Glucose Measured Using a Cardiocheck Fingerstick Blood Sample Measured at BaselineBaselineThis is an exploratory outcome.
Percent Body Fat Measured Via Bioelectrical Impedance After 4 Months4 monthsThis is an exploratory outcome. The amount of fat in the body will be computed as a percentage
Percent Body Fat Measured Via Bioelectrical Impedance After 6 Months6 monthsThis is an exploratory outcome. The amount of fat in the body will be computed as a percentage
Attention and Executive Function Measured Using the NIH Tool Box Measured at BaselineBaselineThis is an exploratory outcome - Average age-adjusted national percentile of NIH Toolbox Flanker Inhibitory Control and Attention Test score measured at Baseline. Each participant's raw score on the NIH Toolbox Flanker Inhibitory Control and Attention Test is standardized against a nationally representative sample to get the participant's national percentile. Percentiles are then adjusted for age and averaged across participants. Percentiles can range from 0 to 100, with a higher percentile indicating better performance.
Attention and Executive Function Measured Using the NIH Tool Box After 4 Months4 monthsThis is an exploratory outcome - Average age-adjusted national percentile of NIH Toolbox Flanker Inhibitory Control and Attention Test score measured at Baseline. Each participant's raw score on the NIH Toolbox Flanker Inhibitory Control and Attention Test is standardized against a nationally representative sample to get the participant's national percentile. Percentiles are then adjusted for age and averaged across participants. Percentiles can range from 0 to 100, with a higher percentile indicating better performance.
Attention and Executive Function Measured Using the NIH Tool Box6 monthsThis is an exploratory outcome - Average age-adjusted national percentile of NIH Toolbox Flanker Inhibitory Control and Attention Test score measured at Baseline. Each participant's raw score on the NIH Toolbox Flanker Inhibitory Control and Attention Test is standardized against a nationally representative sample to get the participant's national percentile. Percentiles are then adjusted for age and averaged across participants. Percentiles can range from 0 to 100, with a higher percentile indicating better performance.

Countries

United States

Participant flow

Pre-assignment details

5 participants were excluded from the study before assignment to groups. 3 chose to not continue participation and 2 were recommended to no continue participation by their personal physician. 46 participants were randomized to th control and treatment groups

Participants by arm

ArmCount
Control
Control group will engage in a 16-week supervised exercise program and then be followed-up after 24 weeks
23
Treatment
Treatment group will engage in a 16-week supervised exercise program and then be followed-up after 24 weeks. In addition, the Companion will be deployed in the treatment group only. Companion: Companion integrates wearable sensing with the smartphone to develop a behavior-aware, virtual system that uses a human-in-the-loop approach to enable meaningful two-way communication. Companion builds rich models of typical behavior using sensors and context sensitive ecological momentary assessment to deliver intervention components and behavior change strategies using socially engaging, contextually salient, and tailored text-message conversations in near-real-time.
23
Total46

Withdrawals & dropouts

PeriodReasonFG000FG001
16 to 24 WeeksLost to Follow-up34
Baseline to 16 WeeksLost to Follow-up22

Baseline characteristics

CharacteristicControlTreatmentTotal
Age, Continuous72.7 years
STANDARD_DEVIATION 6.1
68.9 years
STANDARD_DEVIATION 6.5
71 years
STANDARD_DEVIATION 6.5
BMI30.5 kg/^2
STANDARD_DEVIATION 3.8
30.4 kg/^2
STANDARD_DEVIATION 4.9
30.4 kg/^2
STANDARD_DEVIATION 4.3
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants4 Participants5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
22 Participants19 Participants41 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
2 Participants0 Participants2 Participants
Race (NIH/OMB)
Black or African American
4 Participants3 Participants7 Participants
Race (NIH/OMB)
More than one race
0 Participants1 Participants1 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
17 Participants19 Participants36 Participants
Sex: Female, Male
Female
13 Participants18 Participants31 Participants
Sex: Female, Male
Male
10 Participants5 Participants15 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 230 / 23
other
Total, other adverse events
0 / 230 / 23
serious
Total, serious adverse events
0 / 230 / 23

Outcome results

Primary

Physical Activity Hours Per Day Measured Using a Body-worn Accelerometer After 4 Months

Total time spent being active will be measured using a body worn motion sensor (accelerometer) during waking hours over a period of one week. Measures for each day (hours) will be averaged to obtain a representative estimate of daily habitual behavior.

Time frame: 4 months

Population: There were 2 participants lost to followup in both groups and 1 participant was missing accelerometer data in the control group. This results in a discrepancy with overall participant flow table which represents the number of participants with any available data.

ArmMeasureValue (MEAN)Dispersion
ControlPhysical Activity Hours Per Day Measured Using a Body-worn Accelerometer After 4 Months1.5 h/dayStandard Deviation 0.2
TreatmentPhysical Activity Hours Per Day Measured Using a Body-worn Accelerometer After 4 Months1.5 h/dayStandard Deviation 0.2
p-value: 0.78Mixed Models Analysis
Primary

Physical Activity Hours Per Day Measured Using a Body-worn Accelerometer After 6 Months

Total time spent being active will be measured using a body worn motion sensor (accelerometer) during waking hours over a period of one week. Measures for each day (hours) will be averaged to obtain a representative estimate of daily habitual behavior.

Time frame: 6 months

Population: 5 and 6 participants were lost to followup and additionally, accelerometer data were missing for 1 participant each in the control and treatment groups respectively. This results in a discrepancy with overall participant flow table which represents the number of participants with any available data.

ArmMeasureValue (MEAN)Dispersion
ControlPhysical Activity Hours Per Day Measured Using a Body-worn Accelerometer After 6 Months1.5 h/dayStandard Deviation 0.24
TreatmentPhysical Activity Hours Per Day Measured Using a Body-worn Accelerometer After 6 Months1.5 h/dayStandard Deviation 0.24
p-value: 0.56Mixed Models Analysis
Primary

Physical Activity Hours Per Day Measured Using a Body-worn Accelerometer at Baseline

Total time spent being active will be measured using a body worn motion sensor (accelerometer) during waking hours over a period of one week. Measures for each day (hours) will be averaged to obtain a representative estimate of daily habitual behavior.

Time frame: Baseline

Population: Accelerometer data were missing for 1 participant in the control group.This results in a discrepancy with overall participant flow table which represents the number of participants with any available data.

ArmMeasureValue (MEAN)Dispersion
ControlPhysical Activity Hours Per Day Measured Using a Body-worn Accelerometer at Baseline1.3 h/dayStandard Deviation 0.5
TreatmentPhysical Activity Hours Per Day Measured Using a Body-worn Accelerometer at Baseline1.6 h/dayStandard Deviation 0.5
p-value: 0.037Mixed Models Analysis
Primary

Sedentary Behavior Hours Per Day Measured Using a Body-worn Accelerometer After 4 Months

Total time spent sedentary will be measured using a body worn motion sensor (accelerometer) during waking hours over a period of one week. Measures for each day (hours) will be averaged to obtain a representative estimate of daily habitual behavior.

Time frame: 4 months

Population: There were 2 participants lost to followup in both groups and 1 participant was missing accelerometer data in the control group. This results in a discrepancy with overall participant flow table which represents the number of participants with any available data.

ArmMeasureValue (MEAN)Dispersion
ControlSedentary Behavior Hours Per Day Measured Using a Body-worn Accelerometer After 4 Months10.4 h/dayStandard Deviation 1.9
TreatmentSedentary Behavior Hours Per Day Measured Using a Body-worn Accelerometer After 4 Months9.6 h/dayStandard Deviation 1.9
p-value: 0.18Mixed Models Analysis
Primary

Sedentary Behavior Hours Per Day Measured Using a Body-worn Accelerometer After 6 Months

Total time spent sedentary will be measured using a body worn motion sensor (accelerometer) during waking hours over a period of one week. Measures for each day (hours) will be averaged to obtain a representative estimate of daily habitual behavior.

Time frame: 6 months

Population: 5 and 6 participants were lost to followup and additionally, accelerometer data were missing for 1 participant each in the control and treatment groups respectively. This results in a discrepancy with overall participant flow table which represents the number of participants with any available data.

ArmMeasureValue (MEAN)Dispersion
ControlSedentary Behavior Hours Per Day Measured Using a Body-worn Accelerometer After 6 Months10.3 h/dayStandard Deviation 1.8
TreatmentSedentary Behavior Hours Per Day Measured Using a Body-worn Accelerometer After 6 Months10.2 h/dayStandard Deviation 1.7
p-value: 0.86Mixed Models Analysis
Primary

Sedentary Behavior Hours Per Day Measured Using a Body-worn Accelerometer at Baseline

Total time spent sedentary will be measured using a body worn motion sensor (accelerometer) during waking hours over a period of one week. Measures for each day (hours) will be averaged to obtain a representative estimate of daily habitual behavior.

Time frame: Baseline

Population: Accelerometer data were missing for 1 participant in the control group.This results in a discrepancy with overall participant flow table which represents the number of participants with any available data.

ArmMeasureValue (MEAN)Dispersion
ControlSedentary Behavior Hours Per Day Measured Using a Body-worn Accelerometer at Baseline10.6 h/dayStandard Deviation 2
TreatmentSedentary Behavior Hours Per Day Measured Using a Body-worn Accelerometer at Baseline10.2 h/dayStandard Deviation 2
p-value: 0.4Mixed Models Analysis
Other Pre-specified

Attention and Executive Function Measured Using the NIH Tool Box

This is an exploratory outcome - Average age-adjusted national percentile of NIH Toolbox Flanker Inhibitory Control and Attention Test score measured at Baseline. Each participant's raw score on the NIH Toolbox Flanker Inhibitory Control and Attention Test is standardized against a nationally representative sample to get the participant's national percentile. Percentiles are then adjusted for age and averaged across participants. Percentiles can range from 0 to 100, with a higher percentile indicating better performance.

Time frame: 6 months

Population: 5 and 6 participants from the control and treatment group were lost to followup, respectively.

ArmMeasureValue (MEAN)Dispersion
ControlAttention and Executive Function Measured Using the NIH Tool Box50.3 average age-adjusted scoreStandard Deviation 23.2
TreatmentAttention and Executive Function Measured Using the NIH Tool Box55.3 average age-adjusted scoreStandard Deviation 23.8
p-value: 0.53Mixed Models Analysis
Other Pre-specified

Attention and Executive Function Measured Using the NIH Tool Box After 4 Months

This is an exploratory outcome - Average age-adjusted national percentile of NIH Toolbox Flanker Inhibitory Control and Attention Test score measured at Baseline. Each participant's raw score on the NIH Toolbox Flanker Inhibitory Control and Attention Test is standardized against a nationally representative sample to get the participant's national percentile. Percentiles are then adjusted for age and averaged across participants. Percentiles can range from 0 to 100, with a higher percentile indicating better performance.

Time frame: 4 months

Population: Two participants each were lost to follow-up in the control and treatment groups

ArmMeasureValue (MEAN)Dispersion
ControlAttention and Executive Function Measured Using the NIH Tool Box After 4 Months46.0 average age-adjusted percentileStandard Deviation 25.1
TreatmentAttention and Executive Function Measured Using the NIH Tool Box After 4 Months52.2 average age-adjusted percentileStandard Deviation 25.5
p-value: 0.43Mixed Models Analysis
Other Pre-specified

Attention and Executive Function Measured Using the NIH Tool Box Measured at Baseline

This is an exploratory outcome - Average age-adjusted national percentile of NIH Toolbox Flanker Inhibitory Control and Attention Test score measured at Baseline. Each participant's raw score on the NIH Toolbox Flanker Inhibitory Control and Attention Test is standardized against a nationally representative sample to get the participant's national percentile. Percentiles are then adjusted for age and averaged across participants. Percentiles can range from 0 to 100, with a higher percentile indicating better performance.

Time frame: Baseline

ArmMeasureValue (MEAN)Dispersion
ControlAttention and Executive Function Measured Using the NIH Tool Box Measured at Baseline36.2 average age-adjusted percentileStandard Deviation 25.3
TreatmentAttention and Executive Function Measured Using the NIH Tool Box Measured at Baseline42.4 average age-adjusted percentileStandard Deviation 25.3
p-value: 0.41Mixed Models Analysis
Other Pre-specified

Blood Glucose Measured Using a Cardiocheck Fingerstick Blood Sample Measured After 4 Months

This is an exploratory outcome.

Time frame: 4 months

Population: Two participants each from the control and treatment group were lost to followup.

ArmMeasureValue (MEAN)Dispersion
ControlBlood Glucose Measured Using a Cardiocheck Fingerstick Blood Sample Measured After 4 Months127.7 mg/dLStandard Deviation 29.4
TreatmentBlood Glucose Measured Using a Cardiocheck Fingerstick Blood Sample Measured After 4 Months115.9 mg/dLStandard Deviation 29.4
p-value: 0.2Mixed Models Analysis
Other Pre-specified

Blood Glucose Measured Using a Cardiocheck Fingerstick Blood Sample Measured After 6 Months

This is an exploratory outcome.

Time frame: 6 months

Population: 5 and 6 participants from the control and treatment group were lost to followup, respectively.

ArmMeasureValue (MEAN)Dispersion
ControlBlood Glucose Measured Using a Cardiocheck Fingerstick Blood Sample Measured After 6 Months124.7 mg/dLStandard Deviation 27.2
TreatmentBlood Glucose Measured Using a Cardiocheck Fingerstick Blood Sample Measured After 6 Months110.7 mg/dLStandard Deviation 27.8
p-value: 0.13Mixed Models Analysis
Other Pre-specified

Blood Glucose Measured Using a Cardiocheck Fingerstick Blood Sample Measured at Baseline

This is an exploratory outcome.

Time frame: Baseline

ArmMeasureValue (MEAN)Dispersion
ControlBlood Glucose Measured Using a Cardiocheck Fingerstick Blood Sample Measured at Baseline126.1 mg/dLStandard Deviation 30
TreatmentBlood Glucose Measured Using a Cardiocheck Fingerstick Blood Sample Measured at Baseline112.3 mg/dLStandard Deviation 30
p-value: 0.12Mixed Models Analysis
Other Pre-specified

Percent Body Fat Measured Via Bioelectrical Impedance After 4 Months

This is an exploratory outcome. The amount of fat in the body will be computed as a percentage

Time frame: 4 months

Population: Missing data from 2 participants who were lost to follow-up in each group

ArmMeasureValue (MEAN)Dispersion
ControlPercent Body Fat Measured Via Bioelectrical Impedance After 4 Months38.2 % body fatStandard Deviation 5.6
TreatmentPercent Body Fat Measured Via Bioelectrical Impedance After 4 Months40.5 % body fatStandard Deviation 5.6
p-value: 0.19Mixed Models Analysis
Other Pre-specified

Percent Body Fat Measured Via Bioelectrical Impedance After 6 Months

This is an exploratory outcome. The amount of fat in the body will be computed as a percentage

Time frame: 6 months

Population: 5 and 6 participants from the control and treatment group were lost to followup, respectively.

ArmMeasureValue (MEAN)Dispersion
ControlPercent Body Fat Measured Via Bioelectrical Impedance After 6 Months37.7 % body fatStandard Deviation 5.2
TreatmentPercent Body Fat Measured Via Bioelectrical Impedance After 6 Months40.5 % body fatStandard Deviation 5.1
p-value: 0.12Mixed Models Analysis
Other Pre-specified

Percent Body Fat Measured Via Bioelectrical Impedance at Baseline

This is an exploratory outcome. The amount of fat in the body will be computed as a percentage

Time frame: Baseline

ArmMeasureValue (MEAN)Dispersion
ControlPercent Body Fat Measured Via Bioelectrical Impedance at Baseline38.9 % body fatStandard Deviation 5.8
TreatmentPercent Body Fat Measured Via Bioelectrical Impedance at Baseline41.1 % body fatStandard Deviation 5.8
p-value: 0.21Mixed Models Analysis
Other Pre-specified

Relative Processing Speed Measured Using the NIH Tool Box at Baseline

Average age-adjusted national percentile of NIH Toolbox Pattern Comparison Processing Speed Test score measured at Baseline. Each participant's raw score on the NIH Toolbox Pattern Comparison Processing Speed Test is standardized against a nationally representative sample to get the participant's national percentile. Percentiles are then adjusted for age and averaged across participants. Percentiles can range from 0 to 100, with a higher percentile indicating better performance.

Time frame: Baseline

ArmMeasureValue (MEAN)Dispersion
ControlRelative Processing Speed Measured Using the NIH Tool Box at Baseline39.7 Average age-adjusted percentileStandard Deviation 38.2
TreatmentRelative Processing Speed Measured Using the NIH Tool Box at Baseline52.7 Average age-adjusted percentileStandard Deviation 38.2
p-value: 0.25Mixed Models Analysis
Other Pre-specified

Relative Processing Speed Measured Using the NIH Tool Box Measured After 4 Months

This is an exploratory outcome - Average age-adjusted national percentile of NIH Toolbox Pattern Comparison Processing Speed Test score measured at Baseline. Each participant's raw score on the NIH Toolbox Pattern Comparison Processing Speed Test is standardized against a nationally representative sample to get the participant's national percentile. Percentiles are then adjusted for age and averaged accross participants. Percentiles can range from 0 to 100, with a higher percentile indicating better performance.

Time frame: 4 months

Population: Two participants each from the control and treatment group were lost to followup.

ArmMeasureValue (MEAN)Dispersion
ControlRelative Processing Speed Measured Using the NIH Tool Box Measured After 4 Months43.5 Average age-adjusted percentileStandard Deviation 37.1
TreatmentRelative Processing Speed Measured Using the NIH Tool Box Measured After 4 Months52.0 Average age-adjusted percentileStandard Deviation 37.4
p-value: 0.46Mixed Models Analysis
Other Pre-specified

Relative Processing Speed Measured Using the NIH Tool Box Measured After 6 Months

This is an exploratory outcome - Average age-adjusted national percentile of NIH Toolbox Pattern Comparison Processing Speed Test score measured at Baseline. Each participant's raw score on the NIH Toolbox Pattern Comparison Processing Speed Test is standardized against a nationally representative sample to get the participant's national percentile. Percentiles are then adjusted for age and averaged across participants. Percentiles can range from 0 to 100, with a higher percentile indicating better performance.

Time frame: 6 months

ArmMeasureValue (MEAN)Dispersion
ControlRelative Processing Speed Measured Using the NIH Tool Box Measured After 6 Months49.0 Average age-adjusted percentileStandard Deviation 34.3
TreatmentRelative Processing Speed Measured Using the NIH Tool Box Measured After 6 Months58.6 Average age-adjusted percentileStandard Deviation 34.3
p-value: 0.41Mixed Models Analysis
Other Pre-specified

Total Cholesterol Measured Using a Cardiocheck Fingerstick Blood Sample Measured After 4 Months

This is an exploratory outcome.

Time frame: 4 months

Population: Two participants from the control and treatment group were lost to followup.

ArmMeasureValue (MEAN)Dispersion
ControlTotal Cholesterol Measured Using a Cardiocheck Fingerstick Blood Sample Measured After 4 Months161.0 mg/dLStandard Deviation 40.5
TreatmentTotal Cholesterol Measured Using a Cardiocheck Fingerstick Blood Sample Measured After 4 Months165.4 mg/dLStandard Deviation 38.6
p-value: 0.72Mixed Models Analysis
Other Pre-specified

Total Cholesterol Measured Using a Cardiocheck Fingerstick Blood Sample Measured at Baseline

This is an exploratory outcome.

Time frame: Baseline

ArmMeasureValue (MEAN)Dispersion
ControlTotal Cholesterol Measured Using a Cardiocheck Fingerstick Blood Sample Measured at Baseline156.0 mg/dLStandard Deviation 41.3
TreatmentTotal Cholesterol Measured Using a Cardiocheck Fingerstick Blood Sample Measured at Baseline156.8 mg/dLStandard Deviation 39.5
p-value: 0.94Mixed Models Analysis
Other Pre-specified

Total Cholesterol Measured Using a Cardiocheck Fingerstick Blood Sample Were Measured After 6 Months

This is an exploratory outcome.

Time frame: 6 months

Population: 5 and 6 participants from the control and treatment group were lost to followup, respectively.

ArmMeasureValue (MEAN)Dispersion
ControlTotal Cholesterol Measured Using a Cardiocheck Fingerstick Blood Sample Were Measured After 6 Months152.9 mg/dLStandard Deviation 37.5
TreatmentTotal Cholesterol Measured Using a Cardiocheck Fingerstick Blood Sample Were Measured After 6 Months165.2 mg/dLStandard Deviation 36.4
p-value: 0.33Mixed Models Analysis
Other Pre-specified

Working Memory Measured Using the NIH Tool Box After 4 Months

This is an exploratory outcome - Average age-adjusted national percentile of NIH Toolbox Picture Sequence Memory Test score measured at Baseline. Each participant's raw score on the NIH Toolbox Picture Sequence Memory Test is standardized against a nationally representative sample to get the participant's national percentile. Percentiles are then adjusted for age and averaged across participants. Percentiles can range from 0 to 100, with a higher percentile indicating better performance.

Time frame: 4 months

Population: Two participants each from the control and treatment group were lost to followup.

ArmMeasureValue (MEAN)Dispersion
ControlWorking Memory Measured Using the NIH Tool Box After 4 Months62.1 average age-adjusted-percentileStandard Deviation 28.2
TreatmentWorking Memory Measured Using the NIH Tool Box After 4 Months61.7 average age-adjusted-percentileStandard Deviation 28.6
p-value: 0.96Mixed Models Analysis
Other Pre-specified

Working Memory Measured Using the NIH Tool Box After 6 Months

This is an exploratory outcome - Average age-adjusted national percentile of NIH Toolbox Picture Sequence Memory Test score measured at Baseline. Each participant's raw score on the NIH Toolbox Picture Sequence Memory Test is standardized against a nationally representative sample to get the participant's national percentile. Percentiles are then adjusted for age and averaged across participants. Percentiles can range from 0 to 100, with a higher percentile indicating better performance.

Time frame: 6 months

Population: 5 and 6 participants from the control and treatment group were lost to followup, respectively.

ArmMeasureValue (MEAN)Dispersion
ControlWorking Memory Measured Using the NIH Tool Box After 6 Months62.2 average age-adjusted percentileStandard Deviation 26.1
TreatmentWorking Memory Measured Using the NIH Tool Box After 6 Months63.3 average age-adjusted percentileStandard Deviation 26.4
p-value: 0.91Mixed Models Analysis
Other Pre-specified

Working Memory Measured Using the NIH Tool Box at Baseline

This is an exploratory outcome - Average age-adjusted national percentile of NIH Toolbox Picture Sequence Memory Test score measured at Baseline. Each participant's raw score on the NIH Toolbox Picture Sequence Memory Test is standardized against a nationally representative sample to get the participant's national percentile. Percentiles are then adjusted for age and averaged accross participants. Percentiles can range from 0 to 100, with a higher percentile indicating better performance.

Time frame: Baseline

ArmMeasureValue (MEAN)Dispersion
ControlWorking Memory Measured Using the NIH Tool Box at Baseline59.2 average age-adjusted percentileStandard Deviation 28.8
TreatmentWorking Memory Measured Using the NIH Tool Box at Baseline59.0 average age-adjusted percentileStandard Deviation 29
p-value: 0.98Mixed Models Analysis

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026