Skip to content

Exercise and Mortality in Middle-Aged and Older Adults

Exercise and Mortality in Middle-Aged and Older Adults: A Target Trial Emulation

Status
Not yet recruiting
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT07224659
Enrollment
19000
Registered
2025-11-05
Start date
2026-10-01
Completion date
2026-12-01
Last updated
2026-08-19

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

Conditions

Overall Survival (All-cause Mortality)

Brief summary

This protocol is a retrospective study using the observational data of the the Prostate, Lung, Colorectal, and Ovarian (PLCO) screening trial with over 150,000 participants aged 55-74 years to conduct a target trial emulation to examine the association between self-reported exercise and all cause and cause-specific mortality in apparently healthy, middle-aged and older adults. The PLCO includes assessments of participants' exercise level at two timepoints: at randomization into the PLCO trial (Q0) and 5-7 years after randomization into the PLCO (Q1).

Interventions

BEHAVIORALControl

0 or less than 1 day per week, with each session, on average \< 15 minutes.

BEHAVIORALExercise

\>/= 2 days per week of moderate or vigorous intensity, with each session, on average, \>/=20 minutes in duration.

Sponsors

City of Hope Medical Center
Lead SponsorOTHER

Study design

Observational model
COHORT
Time perspective
RETROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
55 Years to 74 Years
Healthy volunteers
No

Inclusion criteria

* Adults enrolled into the PLCO screening trial. * Among participants reporting low exercise at Q0 (i.e., 0 or less than 1 day/week, with each session \<15 minutes in duration), completion of an exercise survey at Q1 as part of PLCO standard trial procedures no later than 5 years after reporting non-exercising status \[i.e., no exercise) at Q0. * No evidence of any of the following absolute contraindications to exercise: uncontrolled hypertension, symptomatic valvular disease; hypertrophic cardiomyopathy; unstable angina pectoris; primary pulmonary hypertension; heart failure; severe arrhythmia; diagnosed dementia; any form of cancer other than non-melanoma, and severe infectious disease.

Design outcomes

Primary

MeasureTime frameDescription
Overall survival (all-cause mortality)up to 19 yearsAll-cause mortality (death from any cause) occurring within the follow-up period in the PLCO screening trial.
Cause-specific mortalityup to 19 yearsCause-specific mortality (cancer mortality, mortality from other causes) occurring within the total follow-up period in the PLCO screening trial.

Secondary

MeasureTime frameDescription
Cancer incidenceup to 19 yearsCancer incidence occurring within the total follow-up period in the PLCO screening trial.

Countries

United States

Contacts

CONTACTLee W Jones, PhD
leejones@coh.org626-218-3844
CONTACTLennie Wong, PhD
lenniewong@coh.org626-218-3844

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Aug 20, 2026