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Empowered with Movement to Prevent Obesity & Weight Regain (EMPOWER): Design and methods
J Fanning1, M T Opina2, I Leng3
1Department of Health and Exercise Science, Wake Forest University, Winston-Salem 27109, NC, USA; Department of Internal Medicine-Geriatrics, Wake Forest School of Medicine, Winston-Salem 27157, NC, USA.
Contemporary Clinical Trials
|July 21, 2018
Summary
This study investigates if reducing sedentary time improves weight loss in older adults. The novel SitLess intervention, combined with diet and exercise, aims for better long-term weight management compared to traditional methods.
Area of Science:
- Gerontology
- Public Health
- Behavioral Medicine
Background:
- Promoting sustained weight loss in older adults presents a significant public health challenge.
- Traditional lifestyle interventions often lead to short-term weight loss followed by regain, particularly fat mass regain in older adults.
- Minimizing daily sedentary behavior may offer a more effective approach to weight loss and maintenance.
Purpose of the Study:
- To compare the effectiveness of a novel daily movement intervention (SitLess) against structured exercise when added to a weight loss program for older adults.
- To determine if combining SitLess with structured exercise and weight loss yields superior 18-month body weight reduction compared to other interventions.
- To evaluate the impact of different intervention strategies on weight loss and maintenance in an older adult population.
Main Methods:
- A three-arm randomized controlled trial involving 180 older adults.
- Interventions include: weight loss (WL) + structured exercise (EX); WL + SitLess; and WL + EX + SitLess.
- Each intervention spans a 6-month intensive phase, a 3-month transition, and a 9-month maintenance phase.
Main Results:
- This section will report the primary outcome: the difference in 18-month body weight reduction across the three intervention arms.
- Secondary outcomes will include comparisons of weight regain patterns (fat vs. lean mass) and physical function.
- Analysis will focus on determining the superior intervention for achieving lasting weight loss in older adults.
Conclusions:
- The study will elucidate whether incorporating a day-long movement intervention (SitLess) enhances traditional weight loss and exercise programs for older adults.
- Findings will inform public health strategies for effective and sustainable weight management in aging populations.
- This research aims to provide evidence for optimizing lifestyle interventions to combat obesity and improve healthspan in seniors.
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