ClinicalTrials.gg
RecruitingNCT07695675CD-WALKUpdated Jul 20, 2026

Community Dining, Walking, and Glucose in Older Adults

An interventional study of Subsidized Community Dining and Home Eating in Prediabetes, sponsored by Yang Zhang. Recruiting at 1 site in China. Open to participants aged 60 Years to 79 Years. Per ClinicalTrials.gov, last updated 2026-07-20.

Sponsored by Yang Zhang · Not applicable, Interventional, and Health services research

Phase
Not applicable
Study type
Interventional
Enrollment
15
Allocation
Randomized
Ages
60 Years to 79 Years
Sex
All
01

Where this study stands

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

Among 51 studies in Prediabetic State with a site in China — 24 open to participants now, 25 under way, 1 of them phase 3. Prediabetic State · China.

Planned enrollment
42nd of 44
15 · median 160
Started
2026
with 8 others
No phase
29 of 51
13 open now
Primary completion
2026-12
later than 8 of 24 live
Registered
48th of 51
by date

Among the 51 studies in Prediabetic State with a site in China, this one is the 42nd largest by planned enrollment of the 44 interventional ones, is one of 9 that started in 2026, is one of 29 with no phase, reaches primary completion later than 8 of the 24 other live ones, and was the 48th registered.

By phase

51 studies; the count open now beside each. This study's row is marked.

No phasethis study29 · 13 open
Phase 48 · 3 open
Observational7 · 5 open
Phase 24 · 2 open
Phase 32 · 1 open
Phase 2/31 · 0 open

By the year they started

First in 2008; this study’s year is marked. 9 started in 2026.

Size and results

Median enrollment 160 across the 44 interventional studies, 2,800 across the 7 observational. Of the 15 that completed or were terminated, 1 (7%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 51 studies in Prediabetic State with a site in China, or all of them as a file.
02

Study summary

This study will examine whether eating lunch and dinner at a subsidized community dining site affects postmeal walking and blood glucose patterns in older adults. Participants will be community-dwelling adults aged 60 to 79 years who are eligible for a local elderly meal subsidy and have prediabetes or elevated blood glucose risk.

Each participant will complete two 6-day meal conditions in random order. In one condition, participants will eat lunch and dinner at home. In the other condition, participants will eat lunch and dinner at a subsidized community dining site. Participants will wear a continuous glucose monitor and an activity tracker so the study team can measure postmeal glucose levels, daily glucose patterns, and steps after meals.

The study will compare community dining with home eating to determine whether community dining increases postmeal walking, improves postmeal glucose responses, and affects loneliness and meal experience.

Read the detailed description

Subsidized community dining programs are designed to improve access to affordable meals for older adults, but they may also influence daily movement, social interaction, and metabolic health. Eating at a community dining site may encourage older adults to leave home, walk before or after meals, and interact with others in a shared meal environment.

This study will evaluate subsidized community dining as a real-world meal setting rather than as a prescribed exercise or dietary treatment. Participants will complete both study conditions: home eating and community dining. During the community dining condition, participants will eat lunch and dinner at a subsidized community dining site. During the home-eating condition, participants will eat lunch and dinner at home using meals designed to approximate the energy and macronutrient composition of the community dining meals.

The study will use continuous glucose monitoring and wearable activity tracking to measure postmeal glucose responses, daily glucose profiles, and postmeal steps under free-living conditions. No walking target will be prescribed. After each lunch and dinner, participants will be free to walk, sit, rest, remain at the dining site, or return home according to their usual preference.

The study will also assess loneliness and meal-condition experience to explore whether the dining setting affects social and experiential aspects of eating. Findings may help determine whether subsidized community dining can function not only as food assistance, but also as community-based infrastructure that supports healthy aging.

03

Conditions studied

  • Prediabetes

Keywords

  • Older Adults
  • Postprandial Glucose
  • Continuous Glucose Monitoring
  • Physical Activity
04

Who can participate

Ages eligible
60 Years to 79 Years
Sexes eligible
All
Accepts healthy volunteers
No

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

  • Community-dwelling adults aged 60 to 79 years
  • Eligible for the local elderly meal subsidy
  • Prediabetes or elevated glycemic risk, defined as 5.7% to 6.4% or fasting plasma glucose 100 to 125 mg/dL
  • Able to consume meals orally
  • Able to walk independently without a walking aid
  • Able to attend the community dining site safely
  • Able and willing to wear a continuous glucose monitor and activity tracker
  • Able and willing to follow the home-meal plan and study procedures
  • Able to provide written

Exclusion criteria

Exclusion Criteria:

  • ≥6.5% or fasting plasma glucose ≥126 mg/dL
  • Diagnosed diabetes
  • Use of insulin or glucose-lowering medication
  • Severe cognitive impairment
  • Acute illness or recent hospitalization
  • Severe gastrointestinal disease affecting usual food intake or gastric emptying
  • Severe renal, hepatic, cardiovascular, or neurologic disease that would make participation unsafe
  • Skin conditions preventing continuous glucose monitor use
  • Food allergy or dietary restrictions incompatible with the standardized meal plan
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
15 participants (estimated)

Study arms

  • Experimental
    Home Eating Followed by Community Dining

    Participants will complete 6 days of eating lunch and dinner at home, followed by 6 days of eating lunch and dinner at a subsidized community dining site.

    Behavioral: Subsidized Community Dining · Behavioral: Home Eating

  • Experimental
    Community Dining Followed by Home Eating

    Participants will complete 6 days of eating lunch and dinner at a subsidized community dining site, followed by 6 days of eating lunch and dinner at home.

    Behavioral: Subsidized Community Dining · Behavioral: Home Eating

Interventions

  • BehavioralSubsidized Community Dining

    Participants will eat lunch and dinner at a subsidized community dining site for 6 days. No walking target or exercise prescription will be given. After each meal, participants will be free to walk, sit, rest, remain at the dining site, or return home according to their usual preference.

  • BehavioralHome Eating

    Participants will eat lunch and dinner at home for 6 days using a standardized Chinese meal rotation designed to approximate the energy and macronutrient composition of the community dining meals.

06

What researchers measure

Primary outcomes

  1. Meal-Level 0- to 90-Minute Postprandial Glucose Incremental Area Under the Curve

    Postprandial glucose incremental area under the curve (iAUC) will be calculated for each lunch and dinner from exported timestamped continuous glucose monitoring data using the trapezoidal rule. Baseline glucose will be defined as the mean continuous glucose monitoring value during the fixed 30-minute premeal baseline window. The postprandial calculation window will extend from meal completion through 90 minutes after meal completion.

    Time frame: Study Days 2-13; fixed premeal baseline window through 90 minutes after completion of each lunch and dinner during the 12-day randomized meal-condition period.

Secondary outcomes

  1. Meal-Level 0- to 90-Minute Postmeal Step Count

    Postmeal step count will be obtained from the wearable-device activity session started immediately after meal completion and stopped 90 minutes later. This outcome will be assessed separately after lunch and dinner.

    Time frame: Study Days 2-13; from meal completion through 90 minutes after completion of each lunch and dinner during the 12-day randomized meal-condition period.

  2. Meal-Level Peak Postprandial Glucose

    Peak postprandial glucose will be defined as the highest continuous glucose monitoring value during the 90-minute postmeal window after each lunch and dinner.

    Time frame: Study Days 2-13; from meal completion through 90 minutes after completion of each lunch and dinner during the 12-day randomized meal-condition period.

  3. Meal-Level Time to Peak Postprandial Glucose

    Time to peak postprandial glucose will be defined as the time, in minutes, from meal completion to the highest continuous glucose monitoring value during the 90-minute postmeal window after each lunch and dinner.

    Time frame: Study Days 2-13; from meal completion through 90 minutes after completion of each lunch and dinner during the 12-day randomized meal-condition period.

  4. Daily 24-Hour Mean Glucose

    The 24-hour mean glucose will be calculated for each analytic day using valid continuous glucose monitoring readings.

    Time frame: Study Days 2-13; over each 24-hour analytic day during the 12-day randomized meal-condition period.

  5. Daily Time Above Range

    Time above range will be calculated for each analytic day as the percentage of valid continuous glucose monitoring readings above 7.8 mmol/L.

    Time frame: Study Days 2-13; over each 24-hour analytic day during the 12-day randomized meal-condition period.

  6. Daily Combined Postmeal Steps

    Daily combined postmeal steps will be calculated as the sum of 0- to 90-minute postmeal steps after lunch and dinner on the same analytic day.

    Time frame: Study Days 2-13; summed across the lunch and dinner 90-minute postmeal windows on each 24-hour analytic day during the 12-day randomized meal-condition period.

  7. Total Daily Steps

    Total daily steps will be obtained from the wearable activity tracker for each analytic day.

    Time frame: Study Days 2-13; over each 24-hour analytic day during the 12-day randomized meal-condition period.

  8. End-of-Condition Loneliness Score

    Loneliness will be assessed using the 6-item De Jong Gierveld Loneliness Scale. The total score ranges from 0 to 6, with higher scores indicating greater loneliness. The scale will be administered at baseline and at the end of each 6-day meal condition. End-of-condition loneliness scores will be compared between the home-eating and community-dining conditions.

    Time frame: Baseline and end of each 6-day meal condition during the 12-day randomized meal-condition period.

  9. End-of-Condition Meal-Condition Experience and Satisfaction Score

    Meal-condition experience and satisfaction will be assessed using a study-specific 4-item scale covering relaxation during meals, comfort of the meal environment, opportunities for communication, and willingness to go outdoors and be active. Each item will be rated on a 5-point Likert scale. The mean score ranges from 1 to 5, with higher scores indicating a more favorable meal-condition experience.

    Time frame: End of each 6-day meal condition during the 12-day randomized meal-condition period.

07

Study locations

1 of 1 sites recruiting
  • Community Elderly Meal-Assistance Site
    Changsha, Hunan 410017, China
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Aug 2026; primary completion for Dec 2026, 4 months later.

Of 378 non-industry interventional studies with no phase under Prediabetic State, half reached primary completion within 25 months of starting (the median), counting those still running; a quarter within 12 and three quarters within 39. This study's planned 4 months is below that.

Counting every sponsor, half of 424 studies reached it within 23 months; a quarter within 11 and three quarters within 37.

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

Registered
Jul 2, 2026
First posted
Jul 10, 2026
StartEst.
Aug 1, 2026
Primary completionEst.
Dec 31, 2026
CompletionEst.
Dec 31, 2026
Last update
Jul 20, 2026
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 Jul 20, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07695675
Lead sponsor
Yang Zhang
Responsible party
Yang Zhang (Independent researcher, Hunan Normal University) — Sponsor-investigator
First posted
Jul 10, 2026
Start date
Aug 1, 2026 (estimated)
Primary completion
Dec 31, 2026 (estimated)
Completion
Dec 31, 2026 (estimated)
Last update
Jul 20, 2026

Study contacts

Meng-Qi Zhen, MA
Contact
53221639@qq.com
8618867413605
Yang Zhang, PhD
study chair

Oversight

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

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