About this trial
This is clinical trials is to evaluate the effect of exercise with weight loss medication compared to weight loss alone. The study will enroll 24 adults from 30-65 years old with overweight or obesity.
The main questions it will answer includes:
* Does exercise combined with weight loss medication reduce body weight and body fat more than weight loss medication alone * Does exercise combined with weight loss medication improve other risk factors more such as the sugar in the blood, cholesterol, fitness, and quality of life
Participants will:
* Take a weight loss medication (tirzepatide) monthly under the supervision of their primary care physician * (Exercise group only) Will perform exercise \~3 times a week at the University of Virginia). Walking on a treadmill and resistance training * Visit the study site at the beginning of the study and after the study to evaluate weight, body fat, and other health measures
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Men and women 30-65 years of age, postmenopausal women included
27-29.9 with an additional CVD risk factor or 30-40 kg/m2
For overweight adults only: additional cardiometabolic risk factor (diagnosed dyslipidemia, hypertension)
Willingness and adequate health to go on weight loss medication
Disqualifiers
Including but not limited to serious arrhythmias
Cardiomyopathy
Congestive heart failure
Stroke or transient ischemic attacks
Trial design
Parallel
Treatments tested in this trial
Tirzepatide
DrugParticipants will take tirzepatide under the care of their primary care provider for 16 weeks
Exercise
BehavioralParticipants will perform a combination of aerobic and resistance training for 16 weeks
Treatment groups
Trial outcomes
Primary outcomes
Weight
Measurement will be taken 3 times and measured in kg. A positive value indicates an increase in weight and a negative value indicates a reduction in weight
Secondary outcomes
Physical activity level
Physical activity will measured via accelerometry (total steps and light, moderate, vigorous physical activity) and steps for 7 consecutive days
Changes in Blood Lipids Concentrations
A fasting blood sample will be used to measure low density lipoprotein, high density lipoprotein, total cholesterol, and triglycerides will be measured. It will be quantified as the specific amount of the lipoprotein within the blood in mg/dL for all lipid variables. Participants will be fasted at least 12 hours prior to the blood draw. Change will be quantified as the week 16 value subtracted from the baseline value. A positive value indicates an increase in the blood lipid variable and a negative value is associated with a reduction in the variable.
Resting Metabolic Rate
Resting metabolic rate (RMR) will be measured in a quiet, temperature-controlled room using indirect calorimetry with a clear ventilated canopy and dilution pump. An increase represents a positive change and a decrease represents a negative change
Change in Fasting Glucose Level
Change in fasting glucose level. Fasting glucose level refers to the concentration of glucose within the blood (mg/dL). The change in fasting glucose level is quantified by subtracting the week 16 value from the baseline value. Thus, a positive value indicates an increase in glucose level and a negative value indicates a decrease in glucose.
Sponsors and contacts
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