Multimodel Exercise and Weight Loss in Older Obese Veterans With Dysmobility (RISE)
Obesity, Dysmobility
About this trial
This is an interventional treatment trial for Obesity focused on measuring exercise training, assistive device, weight loss, function, mobility
Eligibility Criteria
Inclusion Criteria:
- Age >= 60
- BMI >= 30 kg/m2
- Dysmobility as define by 1 or more of the following: Use of or prescribed an assistive walking device, measured gait speed < 1.0 m/s, Four Square Step Test >/= 12 secs OR inability to complete the Four Square Step Test, and/or self-reported difficulty walking 1 km.
- Community dwelling
Exclusion Criteria:
- Unable to walk >0.2 mph on a treadmill for 2 minutes
- Poorly controlled hypertension >180 systolic or >100 diastolic
- Episodes of acute coronary syndrome, coronary revascularization, or major cardiac/vascular procedures within the prior 6 months
- NYHA Class 3 or 4 heart failure
- Symptomatic angina at rest or during exercise
- Syncope within the past 12 months without known cause or resolution
- Chronic lung disease required oxygen dependency
- Severe spinal stenosis limiting ambulation
- Known dementia
- Mini Mental State Exam score <24
- Transtibial or above the knee amputation
- Currently enrolled and active in Gerofit or MOVE
- Poorly controlled diabetes as defined by HbA1C >10% or frequent hypoglycemic episodes
- Currently undergoing chemotherapy and/or radiation therapy for cancer treatment
Sites / Locations
- Baltimore VA Medical Center VA Maryland Health Care System, Baltimore, MD
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Multi Modal Balance Training & Weight Loss
Multi Modal Balance Training Only
Supervised exercise 3 times per week for about 1 hour. The classes will consist of a group balance class (about 30 minutes), a supervised obstacle course (about 10 minutes), and lower body and core body strength exercises (about 20 minutes). Weekly nutrition sessions for individual dietary recommendations designed to produce about a 10% weight loss over the first six months of the study.
Supervised exercise 3 times per week for about 1 hour. The classes will consist of a group balance class (about 30 minutes), a supervised obstacle course (about 10 minutes), and lower body and core body strength exercises (about 20 minutes).