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Not yet recruitingNCT07933393PRESERVE GLP-1Updated Nov 12, 2026

Lifestyle Strategies to Preserve Muscle and Reduce Cardiovascular Risk in Adults With Obesity Using GLP-1 Receptor Agonists

An interventional study of GLP-1 Lifestyle Management Program and Enhanced Usual Care Health Education in Obesity & Overweight, sponsored by University of Florida. Not yet recruiting at 1 site in United States. Open to participants aged 30 Years to 79 Years. Per ClinicalTrials.gov, last updated 2026-11-12.

Sponsored by University of Florida · Not applicable, Interventional, and Prevention

Updated Nov 12, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
670
Allocation
Randomized
Ages
30 Years to 79 Years
Sex
All
01

Where this study stands

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

Among 37 studies in Obesity by University of Florida — 5 open to participants now, 6 under way, none of them phase 3. Obesity · University of Florida.

Planned enrollment
3rd of 34
670 · median 55
Started
2027
the only one that year
No phase
29 of 37
5 open now
Registered
37th of 37
by date

Among the 37 studies in Obesity by University of Florida, this one is the 3rd largest by planned enrollment of the 34 interventional ones that give a count, is the only one that started in 2027, is one of 29 with no phase, and was the 37th 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

5 of the 37 studies in Obesity by University of Florida are open now, in 1 country. Recruiting first, the newest first:

By country, each count listing its studies:

All 5 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: 30 Years to 79 Years · all sexes · no healthy volunteers.

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 37 studies in Obesity by University of Florida, or all of them as a file.
02

Study summary

This study will test whether adding a lifestyle program to GLP-1 medication treatment can help preserve muscle, reduce cardiovascular risk, and improve quality of life in adults with overweight or obesity. About 670 adults who are starting a GLP-1 medication for weight loss will be enrolled. Participants will be randomly assigned to either a 6-month YMCA lifestyle program that includes resistance exercise and nutrition support, or to enhanced usual care with monthly health education workshops. Study assessments will occur at baseline, 6 months, and 12 months. The main outcome is the change in appendicular lean tissue mass measured by DXA at 6 months. Other outcomes include cardiovascular risk, quality of life, bone density, total lean mass, weight loss, dietary intake, and physical activity.

Read the detailed description

The study is a randomized controlled trial evaluating whether a lifestyle management program provided alongside GLP-1 receptor agonist therapy can preserve muscle mass and improve cardiovascular and quality-of-life outcomes. The study will enroll 670 adults ages 30-79 with obesity, or overweight with at least one weight-related comorbidity, who are beginning a GLP-1 receptor agonist approved for weight loss. Participants who have already started treatment must be randomized within 3 weeks of their first dose. Participants will be randomized to one of two groups. The intervention group will participate in a 6-month First Coast YMCA Lifestyle Management Program that includes supervised resistance training 2 days per week and nutrition counseling 1 day per week. The enhanced usual care group will attend a monthly health education workshop and continue to follow guidance from their prescribing clinician. Assessments will be completed at baseline, 6 months, and 12 months. The primary outcome is change in appendicular lean tissue mass at 6 months, measured by dual-energy X-ray absorptiometry (DXA). Secondary outcomes include atherosclerotic cardiovascular disease risk, self-reported quality of life, bone density, total lean mass, weight loss, dietary intake, and physical activity and sedentary behavior.

03

Conditions studied

  • Obesity & Overweight

Keywords

  • GLP-1 receptor agonist
  • Lifestyle intervention
  • Physical activity
  • DXA
  • Cardiovascular risk
  • Nutrition counseling
  • Resistance training
04

Who can participate

Ages eligible
30 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

  • Age 30-79 years
  • Obesity ( ≥30 kg/m²), or overweight (BMI ≥27 kg/m²) with at least one weight-related comorbidity, such as hypertension, dyslipidemia, obstructive sleep apnea, or cardiovascular disease
  • Prescribed a GLP-1 receptor agonist approved for weight loss, including semaglutide, tirzepatide, or liraglutide
  • Able to enroll after prescription and before initiating GLP-1 therapy or, if already taking a GLP-1 receptor agonist, able to be randomized within 3 weeks of the first dose
  • Intends to continue the GLP-1 receptor agonist
  • English speaking

Exclusion criteria

Exclusion Criteria:

  • Severe cardiovascular or pulmonary disease, including myocardial infarction, unstable angina, stroke, or within the previous 3 months
  • Uncontrolled hypertension (systolic blood pressure >180 mmHg or diastolic blood pressure >110 mmHg)
  • Musculoskeletal or neurologic deficits that preclude exercise training
  • Cognitive impairment, defined as a (MoCA) score \<23
  • Treatment with a GLP-1 receptor agonist or other weight-loss medication within 6 months before screening, other than the current qualifying GLP-1 initiation
  • Planned bariatric surgery or weight-loss device implantation during the study period
  • Known or suspected alcohol or recreational drug abuse
  • Residence in a nursing home
  • Weight >450 lb because of DXA scanner limitations
  • Unable to safely complete study assessments based on investigator judgment
  • Medical history that, based on physician assessment, would compromise participant safety or study fidelity
  • Failure to provide
  • Participation in moderate-to-high-intensity resistance training at least 1 day per week
  • Another household member already enrolled in the study
Terms in these criteria, in plain language(4)

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.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

MMSE and MoCA

Short tests of memory and thinking, each scored out of 30. Lower scores suggest more difficulty; criteria give a range, either to include people with memory problems or to leave them out.

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
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
670 participants (estimated)

Study arms

  • Experimental
    GLP-1 Lifestyle Management Program

    Participants will receive a 6-month First Coast YMCA Lifestyle Management Program tailored for adults using GLP-1 receptor agonists. The program includes supervised progressive resistance training 2 days per week and nutrition counseling 1 day per week. Nutrition counseling includes individualized protein goals and daily fruit, vegetable, and water targets.

    Behavioral: GLP-1 Lifestyle Management Program

  • Active comparator
    Enhanced Usual Care

    Participants will attend a monthly health education workshop for 6 months and continue to follow guidance from their GLP-1 prescribing clinician. Health education topics may include navigating the health care system, safe travel, preventive services and screenings, reliable health information, and caregiving. Specific diet or exercise prescriptions will not be provided by the study in this group.

    Behavioral: Enhanced Usual Care Health Education

Interventions

  • BehavioralGLP-1 Lifestyle Management Program

    Six-month lifestyle intervention consisting of supervised progressive resistance exercise twice weekly and nutrition counseling once weekly. The resistance program includes upper- and lower-body exercises with gradual progression in sets, repetitions, and intensity. Nutrition counseling focuses on adequate protein intake and daily fruit, vegetable, and hydration goals.

  • BehavioralEnhanced Usual Care Health Education

    Monthly health education workshops for 6 months covering general health topics such as navigating the health care system, preventive services, safe travel, reliable health information, and caregiving. Participants are directed to their GLP-1 prescribing clinician for diet or exercise recommendations.

06

What researchers measure

Primary outcomes

  1. Change in Appendicular Lean Tissue Mass

    Change in appendicular lean tissue mass measured by dual-energy X-ray absorptiometry (DXA), expressed in kilograms (kg).

    Time frame: Baseline to 6 months

Secondary outcomes

  1. Change in Atherosclerotic Cardiovascular Disease (ASCVD) Risk

    Change in estimated 10-year atherosclerotic cardiovascular disease risk calculated using the American Heart Association PREVENT risk equations. Clinical and laboratory variables are combined to generate a single estimated risk percentage (0-100%), with higher percentages indicating greater cardiovascular risk.

    Time frame: Baseline to 6 months and 12 months

  2. Change in SF-36v2 Physical Component Summary Score

    Change in the Physical Component Summary (PCS) score of the 36-Item Short Form Health Survey, Version 2 (SF-36v2). Higher scores indicate better physical health-related quality of life. The PCS is calculated using norm-based scoring, standardized to a mean of 50 and a standard deviation of 10 in the reference population. Higher scores indicate better physical health-related quality of life.

    Time frame: Baseline to 6 months and 12 months

  3. Change in SF-36v2 Mental Component Summary Score

    Change in the Mental Component Summary (MCS) score of the 36-Item Short Form Health Survey, Version 2 (SF-36v2). Higher scores indicate better mental health-related quality of life. The MCS is calculated using norm-based scoring, standardized to a mean of 50 and a standard deviation of 10 in the reference population. Higher scores indicate better mental health-related quality of life.

    Time frame: Baseline to 6 months and 12 months

  4. Change in Total Hip Bone Mineral Density

    Change in total hip bone mineral density measured by dual-energy X-ray absorptiometry (DXA), expressed in grams per square centimeter (g/cm²).

    Time frame: Baseline to 6 months and 12 months

  5. Change in Lumbar Spine Bone Mineral Density

    Change in lumbar bone mineral density measured by dual-energy X-ray absorptiometry (DXA), expressed in grams per square centimeter (g/cm²).

    Time frame: Baseline to 6 months and 12 months

  6. Change in Body Weight

    Change in body weight measured using a calibrated scale, expressed in kilograms (kg).

    Time frame: Baseline to 6 months and 12 months

  7. Change in Total Lean Mass

    Change in total lean mass measured by whole-body dual-energy X-ray absorptiometry (DXA), expressed in kilograms (kg).

    Time frame: Baseline to 6 months and 12 months

07

Study locations

1 site
  • First Coast YMCA sites
    Jacksonville, Florida 32202, United States
    • Rezvan Ghaderpanah, MD · Contactghaderpanah.r@ufl.edu · 3522739710
    • Stephen Anton, PhD · Principal investigator
    • Joseph Ladapo, MD, PhD · Principal investigator
08

References and documents

Individual participant data

Plan to share: Undecided — This is a discussion item within our study team at the current time.

No publications or documents are linked to this record.

09

Timeline

1 registry update 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 Jan 2027; primary completion for Nov 2031, 58 months later.

Of 3,680 non-industry interventional studies with no phase under Obesity, half reached primary completion within 23 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 43. This study's planned 58 months is above that.

Counting every sponsor, half of 3,843 studies reached it within 22 months; a quarter within 10 and three quarters within 42.

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

Registered
Aug 24, 2026
First posted
Nov 12, 2026
StartEst.
Jan 15, 2027
Primary completionEst.
Nov 15, 2031
CompletionEst.
Mar 15, 2032
Last update
Nov 12, 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.
Registered
First appeared on the registry. No changes since
Nov 12, 2026
Show all 1 update
  1. Nov 12, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07933393
Responsible party
Sponsor
First posted
Nov 12, 2026
Start date
Jan 15, 2027 (estimated)
Primary completion
Nov 15, 2031 (estimated)
Completion
Mar 15, 2032 (estimated)
Last update
Nov 12, 2026

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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