Physical Activity and Health Outcomes
| Status: | Completed |
|---|---|
| Conditions: | Obesity Weight Loss |
| Therapuetic Areas: | Endocrinology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 4/21/2016 |
| Start Date: | April 2013 |
| End Date: | April 2015 |
Relationship Between Physical Activity and Health Outcomes in Overweight and Obese Medically Complex Adults, a Randomized Trial
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.
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.
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.
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.
Inclusion Criteria:
1. Patients will be over the age of 18
2. Have a BMI over 25.0 kg/m2.
3. Have a Minnesota Medical Tiering concerning medical complexity of 3-4.
Exclusion Criteria:
1. Patients will be excluded if they have clinically documented dementia.
2. Subjects will be community dwelling and patients living in skilled nursing facilities
will be excluded.
3. Subjects residing within a correctional institution will be excluded.
4. Subject is a female patient who is currently pregnant.
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