Relationship Between Physical Activity and Health Outcomes in Overweight and Obese Medically Complex Adults, a Randomized Trial
Overview
- Phase
- Phase 2
- Intervention
- Not specified
- Conditions
- Overweight
- Sponsor
- Mayo Clinic
- Enrollment
- 130
- Locations
- 1
- Primary Endpoint
- Gait, Grip and Walking
- Status
- Completed
- Last Updated
- 10 years ago
Overview
Brief Summary
Obesity is common in adults with complex medical problems with ensuing complications afterwards. Obese patients suffer higher mortality and impaired functional status often as a result of their obesity. One primary goal to reduce both obesity and improve functional status is exercise. The investigators hypothesize that a simple exercise intervention with limited behavioral goal-setting will reduce weight and increase functional status compared to usual care. As a secondary measure, the investigators hypothesize that using this intervention will reduce hospital admissions and ER visits.
Detailed Description
We are enrolling up to 150 subjects where half will receive a pedometer and behavioral goal-setting at enrollment and half will receive a pedometer and goal-setting 2 months later. It is a 4 month study. Our aims are as follows: Primary Aim: Determine the relationship between gait speed, grip strength and walking steps in patients randomized to a self-exercise program compared to usual care in complex medical patients. Second Primary aim: To determine the effect of a self-exercise program compared to usual care on weight loss in complex medical patients. Secondary Aim: Determine the relationship between the number of hospitalizations in patients randomized to a self-exercise program compared to usual care in complex medical patients.
Investigators
Paul Takahashi,
Principal Investigator
Mayo Clinic
Eligibility Criteria
Inclusion Criteria
- •Patients will be over the age of 18
- •Have a BMI over 25.0 kg/m
- •Have a Minnesota Medical Tiering concerning medical complexity of 3-4.
Exclusion Criteria
- •Patients will be excluded if they have clinically documented dementia.
- •Subjects will be community dwelling and patients living in skilled nursing facilities will be excluded.
- •Subjects residing within a correctional institution will be excluded.
- •Subject is a female patient who is currently pregnant.
Outcomes
Primary Outcomes
Gait, Grip and Walking
Time Frame: 4 months
Determine the relationship between gait speed, grip strength and walking steps in patients randomized to a self-exercise program compared to usual care in complex medical patients.
weight loss
Time Frame: 4 months
To determine the effect of a self-exercise program compared to usual care on weight loss in complex medical patients.
Secondary Outcomes
- number of hospitalizations(4 months)