Exercise, group therapy and diet advice for older adults with overweight or obesity
Compares strength training alone or with group therapy and diet advice in older adults.
Plain-language title generated from the registry record
Registry title: Multimodal Intervention for Weight Management and Health in the Elderly Population
Key facts
- Where
- Maringá, BrazilSee the site
Where in Brazil
- UniCesumar - Centro Universitário Cesumar, Maringá, Paraná 87050-900Maringá, BrazilTaking people
Questions to ask the study team
- How often do I need to come in, and for how long each time?
- Are travel costs paid?
- Can I keep my own doctor?
- What happens if I want to stop?
Trial details
- Who runs it
- Universidade Cesumar (UNICESUMAR)
- Trial code
- NCT07820774
- Record updated
- 20 October 2026
- Original description
Aging may be accompanied by changes in body composition, muscle strength, metabolic health, and well-being. In older adults with overweight or obesity, strategies that combine physical exercise, behavioral changes, and nutritional guidance may contribute to better health and the maintenance of healthier habits.Read full original descriptionShow less
Interdisciplinary Approaches to Managing Excess Weight and Promoting Health in Older Adults: a Multimodal Intervention
Aging may be accompanied by changes in body composition, muscle strength, metabolic health, and well-being. In older adults with overweight or obesity, strategies that combine physical exercise, behavioral changes, and nutritional guidance may contribute to better health and the maintenance of healthier habits.
This study aims to investigate the effects of a 16-week intervention combining resistance training, group cognitive behavioral therapy, and nutritional guidance for a higher-protein diet. Changes in body composition, muscle strength and function, vascular and metabolic health, cognitive function, psychological outcomes, quality of life, autonomy, self-care, and motivation for exercise and changes in eating habits will be assessed.
The study will include adults aged 60 years or older who have low levels of physical activity and excess body fat. Participants will be randomly assigned to one of three groups. The first group will receive resistance training only; the second group will receive resistance training plus group cognitive behavioral therapy; and the third group will receive resistance training, group cognitive behavioral therapy, and nutritional guidance for a higher-protein diet. This comparison will help determine the effects of each additional component of the intervention.
Resistance training will be performed three times per week. Group cognitive behavioral therapy sessions will be held weekly and will address strategies to support sustainable behavioral changes, including self-awareness, goal setting, the relationship between thoughts, emotions, and behaviors, problem-solving, and maintenance of behavioral changes. Nutritional guidance will also be provided in weekly group sessions, focusing on the sustainable adoption of a higher-protein diet using commonly consumed foods while considering participants' individual circumstances and autonomy.
Assessments will be conducted before and after the 16-week intervention to evaluate potential changes associated with the interventions. Comparing the three groups will help determine whether adding psychological and nutritional strategies to resistance training provides additional benefits for the physical, metabolic, cognitive, and psychological health of older adults with overweight or obesity.
Inclusion: Age ≥ 60 years; Presence of excess adiposity/overweight or obesity, according to protocol criteria; Medical clearance to perform supervised physical exercises and the tests; No regular participation in structured resistance training over the past 5 months.
Exclusion: Use of medications that significantly alter body mass or composition; Current use of anti-obesity medication, including GLP-1 agonists; Unstable or uncontrolled cardiovascular disease; Uncontrolled arterial hypertension; History of bariatric surgery or scheduled procedure; Contraindication to resistance training or physical testing; Recent (< 6 months) coronary or cerebrovascular event; Untreated secondary/endocrine causes of obesity; Active weight loss process or weight fluctuation > 5% in the last 6 months.