At a glance
ClinicalIndex Comparison Record- ✓Age 60 years or older
- ✓Body Mass Index (BMI) of 30 kg/m² or higher
- ✓Dysmobility defined by: use of assistive walking device, gait speed <1.0 m/s, Four Square Step Test ≥12 seconds or inability to complete it, or self-reported difficulty walking 1 km
- ✓Community dwelling
- ✕Unable to walk >0.2 mph on a treadmill for 2 minutes
- ✕Poorly controlled hypertension with systolic >180 mmHg or diastolic >100 mmHg
- ✕Acute coronary syndrome, coronary revascularization, or major cardiac/vascular procedures within the prior 6 months
- ✕New York Heart Association (NYHA) Class 3 or 4 heart failure
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
Multimodel Exercise and Weight Loss in Older Obese Veterans With Dysmobility
In Brief
A clinical study evaluating Multi Modal Balance Training (MMBI) and Weight Loss (WL) for Obesity and Dysmobility. Completed, enrolled 20 participants across 1 site.
Detailed Summary
Obesity is a major risk factor for mobility problems in older adults and many older adults use a walking aid to help with their mobility. The use of a walking aid changes normal walking patterns and makes walking harder, leading people to have more functional problems. The purpose of this study is to test the effects of 12 months of a multi-modal balance intervention (MMBI) with supervised weight loss compared to MMBI only on fitness, functional performance, balance, and economy of gait. Participants will be one of 120 participants in the VA Maryland Health Care System (VAMHCS). Participation in this study is voluntary. The research will be conducted at the VAMHCS. The entire study will take approximately 4 years to complete. Subjects' participation in the study will last 24 months.
Study Details
Timeline
Interventions
Group balance class, obstacle course, strengthening exercises
Nutritional counseling to achieve 500 kcal standard hypocaloric diet