ClinicalTrials.gg
CompletedNCT03430115HOPEUpdated Oct 15, 2021

Health Outcomes After Participating in Exercise (HOPE)

An observational study in Weight Loss, Obesity and Aging, sponsored by Wake Forest University Health Sciences. Completed at 1 site in United States. Open to participants aged 60 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-10-15.

Primary conditionObesityRegistry: Weight LossReclassifiedWhy we changed it
Registry
Weight Loss — the first condition term the registry derived for this study.
ClinicalTrials.gg
Obesity
Why
  1. Weight Loss is a broad heading, used only when no more specific condition is named.
  2. The study's listed conditions name Obesity.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Wake Forest University Health Sciences · Observational

Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
588
Ages
60 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 45 studies in Obesity by Wake Forest University Health Sciences — 3 open to participants now, 4 under way, 1 of them phase 3. Obesity · Wake Forest University Health Sciences.

Started
2018
with 3 others
Observational
6 of 45
none open now
Registered
34th of 45
by date

Among the 45 studies in Obesity by Wake Forest University Health Sciences, this one is one of 4 that started in 2018, is one of 6 observational ones, and was the 34th registered.

Obesity

11,522 studies on the registry are indexed under Obesity; 2,033 are open to participants now.

Browse Obesity studies →

Open to participants now

3 of the 45 studies in Obesity by Wake Forest University Health Sciences are open now, in 1 country. Recruiting first, the newest first:

By country, each count listing its studies:

All 3 open studies →

Where they have run

Who these studies take

Of the 1,336 Obesity studies recruiting now, 377 (28%) set no upper age limit and 856 (64%) stop at 75 or younger; 168 take children under 18; 491 take healthy volunteers.

This study: 60 Years and older · all sexes · healthy volunteers too.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 45 studies in Obesity by Wake Forest University Health Sciences, or all of them as a file.
02

Study summary

Aging is associated with significant declines in muscle mass, strength, and physical performance, all of which lead to disability, loss of independence, and adverse clinical outcomes. Obesity exacerbates these age-related declines in function and is associated with poorer clinical outcomes and quality of life. Weight loss can also worsen age-related loss of muscle mass and decrease bone mineral density. The overall goals of this study are to determine if the short-term functional benefits of intentional weight loss are sustained long-term, and to examine the long-term benefits and risks of weight loss.

Read the detailed description

Obesity exacerbates age-related declines in function and is associated with poorer clinical outcomes and quality of life. Although clinical trials conducted study teams show that diet-induced weight loss interventions in obese older adults, when combined with exercise, improve body composition and physical and metabolic function in the short-term, the overall safety and long-term benefits of intentional weight loss in older adults remain controversial. Weight loss can also worsen age-related loss of muscle mass and decrease bone mineral density. Because of these concerns, health care providers are reluctant to recommend weight loss in obese older adults. The goal is to determine whether weight loss-induced improvements in body composition and physical and metabolic function observed in short-term clinical trials persist over time is critical to inform geriatric obesity treatment.

03

Conditions studied

  • Weight Loss
  • Obesity
  • Aging

Browse trials for

Keywords

  • Obese
  • Exercise
04

In context

Obesity Reclassified

11,522 studies on the registry are indexed under Obesity; 2,033 are open to participants now.

This study's enrollment of 588 is above the median of 114 across 2,154 observational studies indexed under Obesity.

Browse Obesity studies →

Lead sponsor

Wake Forest University Health Sciences is the lead sponsor of 1,351 studies on the registry; 201 are open to participants now.

Of its 332 completed or terminated interventional studies of FDA-regulated products, 251 (76%) have results posted.

Compared within Obesity, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Weight Loss. The counts are of registry records indexed under each term, refreshed daily. How we classify →

05

Who can participate

Ages eligible
60 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

All participants aged 60 and older at randomization who were randomized to a weight loss intervention that was combined with an exercise intervention (WL+EX, n=392), to an exercise intervention alone (EX alone, n=340), to a weight loss intervention alone (n=128), or to a control group (n=106) from five weight loss and exercise randomized controlled trials.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • All former participants from the five intervention trials who respond to our recruitment strategies will be scheduled for clinic/home visits or a phone interview.

Exclusion criteria

Exclusion Criteria:

  • None - all former participants from the five intervention trials are eligible
06

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
588 participants (actual)
Patient registry
No
Biospecimen retention
Samples without dna

Groups and cohorts

  • Weight loss plus exercise (WL+EX)

    This group was randomized and previously assigned to weight loss plus exercise.

  • Exercise alone (EX)

    This group was randomized and previously assigned to exercise alone.

  • Weight loss alone (WL)

    This group was randomized and previously assigned to weight loss alone.

  • Control

    This group was randomized and previously assigned to control.

07

What researchers measure

Primary outcomes

  1. 400 meter walk time

    Participants are instructed to complete the 400 m distance (on a flat indoor surface) as quickly as possible at a maintainable pace and the time to complete the walk is recorded in seconds.

    Time frame: Baseline

Secondary outcomes

  1. Short Physical Performance Battery score

    The Short Physical Performance Battery (SPPB) is a widely used assessment of lower extremity physical function that consists of 3 standing balance tasks held for 10 seconds each (side-by-side, tandem and semi-tandem), two 4-m walk tests to assess usual gait speed, and 5 repeated chair stands. Each of the three performance measures is assigned a score ranging from 0 (inability to do the test) to 4 (the highest level of performance) and summed to create an SPPB summary score ranging from 0 (worst) to 12 (best).

    Time frame: Baseline

  2. Knee extension strength

    Maximal isokinetic knee extension strength. Maximal isokinetic knee extension strength will be measured using an isokinetic dynamometer (Biodex) at 60°/sec with the participant sitting and the hips and knee flexed at 90°. The maximum knee extensor strength of the 4 repetitions from trial 2 for the dominant leg will be will be used in analyses unless unable to test the dominant leg (i.e., knee replacement) in which case the non-dominant leg will be used.

    Time frame: Baseline

  3. Total body lean mass

    Whole body lean mass will be measured by dual-energy X-ray absorptiometry (DXA).

    Time frame: Baseline

  4. Appendicular lean mass

    Appendicular lean mass will be measured by DXA.

    Time frame: Baseline

  5. Total body fat mass

    Whole body fat mass will be measured by DXA.

    Time frame: Baseline

  6. Total hip BMD

    Bone mineral density (BMD) of the total hip will be measured by DXA.

    Time frame: Baseline

  7. Femoral neck BMD

    Bone mineral density (BMD) of the femoral neck will be measured by DXA.

    Time frame: Baseline

  8. Lumbar spine BMD

    Bone mineral density (BMD) of the lumbar spine (L1-L4) will be measured by DXA.

    Time frame: Baseline

  9. Subcutaneous abdominal fat

    Subcutaneous abdominal fat will be measured by computed tomography (CT).

    Time frame: Baseline

  10. Visceral abdominal fat

    Visceral abdominal fat will be measured by CT.

    Time frame: Baseline

  11. Thigh inter-muscular adipose tissue

    Thigh inter-muscular adipose tissue will be measured by CT.

    Time frame: Baseline

  12. Glucose

    Assessed via a standard clinical assay after fasting for at least 8 hours.

    Time frame: Baseline

  13. Insulin

    Assessed via a standard clinical assay after fasting for at least 8 hours.

    Time frame: Baseline

  14. Total cholesterol

    Assessed via a standard clinical lipid panel after fasting for at least 8 hours

    Time frame: Baseline

  15. HDL cholesterol

    Assessed via a standard clinical lipid panel after fasting for at least 8 hours

    Time frame: Baseline

  16. LDL cholesterol

    Assessed via a standard clinical lipid panel after fasting for at least 8 hours

    Time frame: Baseline

  17. Triglycerides

    Assessed via a standard clinical lipid panel after fasting for at least 8 hours

    Time frame: Baseline

  18. Systolic blood pressure

    Blood pressure will be measured in the right arm using an automated sphygmomanometer with the participant in a seated position after having rested quietly for 10-15 minutes. Participants will sit with feet flat on the floor and legs uncrossed and will be asked not to talk during the rest period or during the measurement. Systolic blood pressure will be defined as the average of three repeated measures.

    Time frame: Baseline

  19. Diastolic blood pressure

    Blood pressure will be measured in the right arm using an automated sphygmomanometer with the participant in a seated position after having rested quietly for 10-15 minutes. Participants will sit with feet flat on the floor and legs uncrossed and will be asked not to talk during the rest period or during the measurement. Diastolic blood pressure will be defined as the average of three repeated measures.

    Time frame: Baseline

  20. C-reactive protein

    C-reactive protein (CRP) will be determined using an automated immunoanalyzer.

    Time frame: Baseline

  21. Interleukin-6

    Interleukin-6 (IL-6) will be assayed with high-sensitivity Quantikine®.

    Time frame: Baseline

  22. Soluble tumor necrosis factor receptor 1

    Soluble tumor necrosis factor receptor 1 (sTNFR1) will be assayed with high-sensitivity Quantikine®.

    Time frame: Baseline

08

Study locations

1 site
  • Wake Forest Baptist Medical Center
    Winston-Salem, North Carolina 27157, United States
09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Feb 2018 to primary completion in Jul 2021, 41 months.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 4, 2018
First posted
Feb 12, 2018
StartActual
Feb 20, 2018
Primary completionActual
Jul 27, 2021
CompletionActual
Jul 27, 2021
Last update
Oct 15, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Oct 15, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03430115
Responsible party
Sponsor
First posted
Feb 12, 2018
Start date
Feb 20, 2018
Primary completion
Jul 27, 2021
Completion
Jul 27, 2021
Last update
Oct 15, 2021

Study contacts

Denise Houston, PhD
principal investigator · Wake Forest University Health Sciences

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Oct 2021. You cannot join it, but the record below documents what was studied.

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