Long-term Health and Economic Effects of an Individualized Lifestyle Intervention (LI-PAD-Extended)

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age45-65
SponsorVastra Gotaland Region

About this trial

The goal of this clinical trial is to learn if an individualized lifestyle intervention works to improve weight, diet, physical activity, cardiovascular health, health-related quality of life, and cost-effectiveness in overweight and obese adults aged 45-65 years.

The main questions it aims to answer are:

Does the intervention lead to sustained weight loss after 18 months?

Does the intervention improve cardiovascular risk factors, metabolic markers, and health-related quality of life compared to general written advice?

Is the intervention cost-effective?

Researchers will compare the individualized lifestyle intervention to a control group that receives general written advice on physical activity and diet to see if the intervention provides greater long-term health and economic benefits.

Participants will:

Attend counseling sessions with a health promoter Take part in supervised aerobic and resistance training with a physiotherapist Use swimming facilities and participate in the Lifestyle School Access a digital health coach and the online Lifestyle Tool Complete measurements of body weight, diet, physical activity, and cardiovascular health markers (waist-to-hip ratio, blood pressure, blood lipids, fasting glucose, HbA1c, CRP, and liver enzymes) Complete assessments of resting energy expenditure, aerobic fitness, muscle strength, motivation, and health-related quality of life Provide blood samples at baseline, 6 months, and 18 months for dietary biomarker analysis Contribute data for health economic evaluation to assess cost-effectiveness

Eligibility criteria

Qualifiers

Adults aged 45-65 years at baseline of the original LI-PAD study

Body mass index (BMI) ≥28 and ≤34

Completed the original LI-PAD study

Able and willing to attend follow-up assessments and provide necessary data

Disqualifiers

Known coronary artery disease (clinical symptoms or earlier event)

Inability to understand the language used in the study

Inability to complete follow-up assessments at 18 months

Severe illness or medical condition that, in the investigator's opinion, precludes participation in follow-up assessments

Trial design

Treatments tested in this trial

  • Individualized physical activity and diet

Treatment groups

103 Participants
are divided into 2 treatment groups

Locations

1
Centre for Lifestyle Intervention416 85, GothenburgVästra Götaland County, Sweden

Sponsors and collaborators

Vastra Gotaland Region

Lead sponsor

Göteborg University

Collaborator

Chalmers University of Technology

Collaborator