The LIFE Study - Lifestyle Interventions and Independence for Elders

Sponsor
University of Florida (Other)
Overall Status
Completed
CT.gov ID
NCT01072500
Collaborator
National Institute on Aging (NIA) (NIH), National Heart, Lung, and Blood Institute (NHLBI) (NIH)
1,635
8
2
58
204.4
3.5

Study Details

Study Description

Brief Summary

Based upon promising results from a pilot study among 424 sedentary older adults who were randomized to a physical activity intervention or a successful aging health education intervention, a Phase 3 multi-center randomized controlled trial is being conducted to compare a moderate-intensity physical activity program to a successful aging health education program in 1,600 sedentary older adults who are followed for an average of 2.7 years.

The primary aim was to assess the long-term effects of the proposed interventions on the primary outcome of major mobility disability, defined as inability to walk 400 m.

Condition or Disease Intervention/Treatment Phase
  • Behavioral: Physical Activity
  • Behavioral: Successful Aging
Phase 3

Detailed Description

As life expectancy in the United States continues to rise, the maintenance of physical independence among older Americans has emerged as a major clinical and public health priority. Efficient and reliable locomotion, or the ability to move without assistance, is a fundamental feature of human functioning. Older people who lose mobility are less likely to remain in the community, have higher rates of morbidity, mortality, and hospitalizations and experience a poorer quality of life. Several studies have shown that regular physical activity improves physical performance, but definitive evidence showing that mobility disability can be prevented was lacking. A Phase 3 randomized controlled trial was needed to fill this evidence gap.

The LIFE Study was a Phase 3, multicenter randomized controlled trial (RCT) designed to compare a moderate-intensity physical activity program to a successful aging health education program in 1,600 sedentary older persons who are followed for an average of 2.7 years. The primary outcome was major mobility disability, defined as inability to walk 400 m. Secondary outcomes include cognitive function based on the Digit Symbol Substitution Test (DSST) and the Hopkins Verbal Learning Test (HVLT); serious fall injuries; persistent mobility disability; the combined outcome of major mobility disability or death; disability in activities of daily living; and cost-effectiveness. Tertiary outcomes include the combined outcome of mild cognitive impairment or dementia, a composite measure of the cognitive assessment battery, physical performance within pre-specified subgroups defined on the basis of race, gender and baseline physical performance, sleep-wake disturbances, dyspnea, ventilatory capacity, cardiopulmonary events, and cardiovascular events.

The physical activity intervention consists primarily of walking at moderate intensity, lower extremity resistance exercises, balance exercises, stretching and behavioral counseling. The successful aging intervention consists of health education seminars regarding health-related matters and upper extremity stretching exercises. This trial provides definitive evidence regarding whether physical activity is effective and practical for preventing major mobility disability. These results will have crucial implications for public health prevention in a rapidly aging society, and will fill an important gap in knowledge for practicing evidence-based geriatric medicine. The study will also yield valuable information concerning the efficacy and effectiveness of physical activity across a broad spectrum of important health outcomes. The study will impact both clinical practice and public health policy, and will, therefore, benefit individuals and society.

The Coordinating Center was at the University of Florida and the Data Management Analysis and Quality Control Center (DMAQC) was at Wake Forest University School of Medicine. The 8 field sites participating in the LIFE Study are University of Florida, Gainesville, Florida; Northwestern University, Chicago, Illinois; Pennington Biomedical Research Center, Baton Rouge, Louisiana; University of Pittsburgh, Pittsburgh, Pennsylvania; Stanford University, Palo Alto, California; Tufts University, Boston, Massachusetts; Wake Forest University, Winston-Salem, North Carolina; and Yale University, New Haven, Connecticut.

Study Design

Study Type:
Interventional
Actual Enrollment :
1635 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Single (Outcomes Assessor)
Primary Purpose:
Prevention
Official Title:
The LIFE Study - Lifestyle Interventions and Independence for Elders
Study Start Date :
Feb 1, 2010
Actual Primary Completion Date :
Dec 1, 2013
Actual Study Completion Date :
Dec 1, 2014

Arms and Interventions

Arm Intervention/Treatment
Active Comparator: Physical Activity

The physical activity intervention consists primarily of walking at moderate intensity, lower extremity resistance exercises, balance exercises, stretching and behavioral counseling.

Behavioral: Physical Activity
The physical activity intervention consists primarily of walking at moderate intensity, lower extremity resistance exercises, balance exercises, stretching and behavioral counseling.

Active Comparator: Successful Aging

The successful aging intervention consists of health education seminars regarding health-related matters and upper extremity stretching exercises.

Behavioral: Successful Aging
The successful aging intervention consists of health education seminars regarding health-related matters and upper extremity stretching exercises.
Other Names:
  • Health Education
  • Outcome Measures

    Primary Outcome Measures

    1. Major Mobility Disability, Defined as Incapacity to Walk 400 Meters [Median 2.7 years/Average 2.6 years]

      The primary outcome of major mobility disability was defined as the inability to complete a 400-m walk test within 15 minutes without sitting and without the help of another person or walker. Use of a cane was acceptable. Participants were asked to walk 400 m at their usual pace, without overexerting, on a 20 meter course for 10 laps (40 meters/lap). Participants were allowed to stop for up to 1 minute for fatigue or related symptoms. When major mobility disability could not be objectively measured because of the inability of the participant to come to the clinic and absence of a suitable walking course at the participant's home, institution, or hospital, an alternative adjudication of the outcome was based on objective inability to walk 4 meters in less than 10 seconds, or self-, proxy-, or medical record-reported inability to walk across a room. If participants met these alternative criteria, they would not be able to complete the 400 meter walk within 15 minutes.

    Secondary Outcome Measures

    1. Persistent Mobility Disability (Assessed Every 6 Months) [Median 2.7 years/Average 2.6 years]

      The assessment of major mobility disability (the inability to complete a 400-m walk test within 15 minutes without sitting and without the help of another person or walker. Use of a cane was acceptable. Participants were asked to walk 400m at their usual pace, without overexerting, on a 20 meter course for 10 laps (40 meters/lap). Participants were allowed to stop for up to 1 minute for fatigue or related symptoms. When MMD could not be objectively measured because of the inability of the participant to come to the clinic and absence of a suitable walking course at the participant's home, institution, or hospital, an alternative adjudication of the outcome was based on objective inability to walk 4 meters in less than 10 seconds, or self-, proxy-, or medical record-reported inability to walk across a room. If participants met these alternative criteria, they would not be able to complete the 400 m walk within 15 minutes.) at two consecutive time points or MMD followed by death.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    70 Years to 89 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    1. age 70 to 89 years; (2) summary score <10 on the short physical performance battery (SPPB) (45% are <8);90 (3) sedentary lifestyle; (4) ability to complete the 400 m walk test without an assistive device; and (5) willingness to be randomized to either intervention group.
    Exclusion Criteria:

    Exclusion Criteria for Factors that May Limit Adherence to Interventions or Affect Conduct of the Trial • Unable or unwilling to give informed consent or accept randomization in either study group • Current diagnosis of schizophrenia, other psychotic disorders, or bipolar disorder

    • Current consumption of more than 14 alcoholic drinks per week

    • Plans to relocate to out of the study area within the next 2 years or plans to be out of the study area for more than 6 consecutive weeks in the next year

    • Self-reported inability to walk across a small room

    • The use of a walker to complete the 400 m walk and/or unable to complete the 400 m walk without sitting down or the help of another person

    • Another member of the household is a participant in the Life Study

    • Residence too far from the intervention site

    • Residence in a nursing home

    • Difficulty in communication with study personnel due to speech or hearing problems

    • Modified Mini-Mental State Exam (3MSE) score below the cutoff for education:

    African American, 9+ yrs 76, <9 yrs 70; English Speaking Non-African American, 9+ yrs 80, <9 yrs 76; Spanish Speaking, 9+ yrs 80, <9 yrs 70

    • Participation in LIFE-Pilot study

    • Other medical, psychiatric, or behavioral factors that in the judgment of the Principal Investigator may interfere with study participation or the ability to follow the intervention protocol

    Exclusion Criteria for Underlying Diseases Likely to Limit Lifespan and/or Affect the Safety of the Interventions

    • Severe arthritis (either osteoarthritis or rheumatoid arthritis)

    • Cancer requiring treatment in the past three years, except for non-melanoma skin cancers or cancers that have clearly been cured or in the opinion of the investigator carry an excellent prognosis (e.g., Stage 1 cervical cancer)

    • Lung disease requiring either regular use of corticosteroid pills or injections or the use of supplemental oxygen

    • Development of chest pain or severe shortness of breath on a 400 m self-paced walk test

    • Cardiovascular disease (including New York Heart Association Class III or IV congestive heart failure, clinically significant aortic stenosis, history or cardiac arrest, use of a cardiac defibrillator or uncontrolled angina)

    • Parkinson's disease or other serious neurological disorder

    • Renal disease requiring dialysis

    • Other illness of such severity that life expectancy is considered to be less than 12 months

    • Conditions not specifically mentioned above may serve as criteria for exclusion at the discretion of the clinical site

    Temporary Exclusion Criteria

    • Uncontrolled hypertension (systolic blood pressure > 200 mmHg and/or diastolic blood pressure > 110 mmHg).

    • Uncontrolled diabetes with recent weight loss, diabetic coma or frequent insulin reactions.

    • Stroke, hip fracture, hip or knee replacement, or spinal surgery in the past 6 months.

    • Serious conduction disorder (e.g., 3rd degree heart block), uncontrolled arrhythmia, or new Q waves or ST-segment depressions (>3 mm) on ECG.

    • Myocardial infarction, major heart surgery (i.e., valve replacement or bypass surgery), stroke, deep vein thrombosis or pulmonary embolus in the past 6 months.

    • Undergoing physical therapy or cardiopulmonary rehabilitation

    • Currently enrolled in another randomized trial involving lifestyle or pharmaceutical interventions

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Stanford University Palo Alto California United States 94304
    2 Yale University New Haven Connecticut United States 06510
    3 University of Florida Gainesville Florida United States 32608
    4 Northwestern University Chicago Illinois United States 60611
    5 Pennington Biodmedical Research Baton Rouge Louisiana United States 70808
    6 Tufts University Boston Massachusetts United States 02111
    7 Wake Forest University Baptist Medical Center Winston-Salem North Carolina United States 27157
    8 University of Pittsburgh Pittsburgh Pennsylvania United States 15213

    Sponsors and Collaborators

    • University of Florida
    • National Institute on Aging (NIA)
    • National Heart, Lung, and Blood Institute (NHLBI)

    Investigators

    • Principal Investigator: Marco Pahor, MD, University of Florida

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    Responsible Party:
    University of Florida
    ClinicalTrials.gov Identifier:
    NCT01072500
    Other Study ID Numbers:
    • IRB201701066-N
    • 3U01AG022376-05A2S1
    • U01AG022376
    First Posted:
    Feb 22, 2010
    Last Update Posted:
    May 7, 2018
    Last Verified:
    Apr 1, 2018
    Individual Participant Data (IPD) Sharing Statement:
    Yes
    Plan to Share IPD:
    Yes
    Keywords provided by University of Florida

    Study Results

    Participant Flow

    Recruitment Details 1,635 participants were randomized over 21-months, with the target of 1,600 reached late Nov 2011. The 1st randomization occurred 3/12/10, and the final randomization on 12/27/11. Participants in the recruitment pipeline completed screening and testing visits and were randomized; hence, the total randomized exceeded the target.
    Pre-assignment Detail
    Arm/Group Title Physical Activity Successful Aging (Health Education)
    Arm/Group Description The physical activity intervention consists primarily of walking at moderate intensity, lower extremity resistance exercises, balance exercises, stretching and behavioral counseling. The successful aging intervention consists of health education seminars regarding health-related matters and upper extremity stretching exercises.
    Period Title: Overall Study
    STARTED 818 817
    COMPLETED 794 803
    NOT COMPLETED 24 14

    Baseline Characteristics

    Arm/Group Title Physical Activity Successful Aging Total
    Arm/Group Description The physical activity intervention consists primarily of walking at moderate intensity, lower extremity resistance exercises, balance exercises, stretching and behavioral counseling. The successful aging intervention consists of health education seminars regarding health-related matters and upper extremity stretching exercises. Total of all reporting groups
    Overall Participants 818 817 1635
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    78.7
    (5.2)
    79.1
    (5.2)
    78.9
    (5.2)
    Sex: Female, Male (Count of Participants)
    Female
    547
    66.9%
    551
    67.4%
    1098
    67.2%
    Male
    271
    33.1%
    266
    32.6%
    537
    32.8%
    Race/Ethnicity, Customized (participants) [Number]
    Hispanic
    31
    3.8%
    30
    3.7%
    61
    3.7%
    White
    604
    73.8%
    635
    77.7%
    1239
    75.8%
    African American
    163
    19.9%
    125
    15.3%
    288
    17.6%
    Asian
    7
    0.9%
    8
    1%
    15
    0.9%
    Other/Mixed
    10
    1.2%
    17
    2.1%
    27
    1.7%
    Refused/Missing
    3
    0.4%
    2
    0.2%
    5
    0.3%
    Education (participants) [Number]
    No formal eduction
    7
    0.9%
    6
    0.7%
    13
    0.8%
    Elementary School (k-8)
    15
    1.8%
    17
    2.1%
    32
    2%
    High school/equivalent (9-12)
    248
    30.3%
    236
    28.9%
    484
    29.6%
    College (13-17)
    321
    39.2%
    320
    39.2%
    641
    39.2%
    Post Graduate
    194
    23.7%
    208
    25.5%
    402
    24.6%
    Other
    32
    3.9%
    26
    3.2%
    58
    3.5%
    Unknown
    1
    0.1%
    4
    0.5%
    5
    0.3%
    Total SPPB Score (units on a scale) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [units on a scale]
    7.4
    (1.6)
    7.3
    (1.6)
    7.4
    (1.6)
    3MSE Score, 0-100 scale, mean (units on a scale) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [units on a scale]
    91.5
    (5.6)
    91.6
    (5.5)
    91.5
    (5.5)
    CHAMPS 18 Total Score (hours/week) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [hours/week]
    15.9
    (32.1)
    18.2
    (33.8)
    17.0
    (33.0)
    Total Cholesterol (mg/dL) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [mg/dL]
    179.3
    (39.6)
    178.5
    (39.9)
    178.9
    (39.8)
    Systolic Blood Pressure (mmHg) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [mmHg]
    127.9
    (18.1)
    127.0
    (17.8)
    127.4
    (18.0)
    Diastolic Blood Pressure (mmHg) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [mmHg]
    68.7
    (10.3)
    67.7
    (10.1)
    68.2
    (10.2)
    Weight (kg) (kg) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [kg]
    81.9
    (18.4)
    82.0
    (19.3)
    81.9
    (18.8)
    Body Mass Index, mean (kg/m^2) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [kg/m^2]
    30.1
    (5.9)
    30.3
    (6.2)
    30.2
    (6.1)
    High blood pressure/hypertension (participants) [Number]
    Number [participants]
    573
    70%
    578
    70.7%
    1151
    70.4%
    Heart Attack/Coronary/MI (participants) [Number]
    Number [participants]
    60
    7.3%
    69
    8.4%
    129
    7.9%
    Heart failure/congestive heart failure (participants) [Number]
    Number [participants]
    26
    3.2%
    45
    5.5%
    71
    4.3%
    Pacemaker (participants) [Number]
    Number [participants]
    33
    4%
    33
    4%
    66
    4%
    Stroke (participants) [Number]
    Number [participants]
    57
    7%
    52
    6.4%
    109
    6.7%
    Cancer (participants) [Number]
    Number [participants]
    178
    21.8%
    192
    23.5%
    370
    22.6%
    Diabetes/High Blood Sugar (participants) [Number]
    Number [participants]
    198
    24.2%
    216
    26.4%
    414
    25.3%
    Chronic lung disease (participants) [Number]
    Number [participants]
    130
    15.9%
    123
    15.1%
    253
    15.5%

    Outcome Measures

    1. Primary Outcome
    Title Major Mobility Disability, Defined as Incapacity to Walk 400 Meters
    Description The primary outcome of major mobility disability was defined as the inability to complete a 400-m walk test within 15 minutes without sitting and without the help of another person or walker. Use of a cane was acceptable. Participants were asked to walk 400 m at their usual pace, without overexerting, on a 20 meter course for 10 laps (40 meters/lap). Participants were allowed to stop for up to 1 minute for fatigue or related symptoms. When major mobility disability could not be objectively measured because of the inability of the participant to come to the clinic and absence of a suitable walking course at the participant's home, institution, or hospital, an alternative adjudication of the outcome was based on objective inability to walk 4 meters in less than 10 seconds, or self-, proxy-, or medical record-reported inability to walk across a room. If participants met these alternative criteria, they would not be able to complete the 400 meter walk within 15 minutes.
    Time Frame Median 2.7 years/Average 2.6 years

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title Physical Activity Successful Aging
    Arm/Group Description The physical activity intervention consists primarily of walking at moderate intensity, lower extremity resistance exercises, balance exercises, stretching and behavioral counseling. The successful aging intervention consists of health education seminars regarding health-related matters and upper extremity stretching exercises.
    Measure Participants 818 817
    Number [participants]
    246
    30.1%
    290
    35.5%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Physical Activity, Successful Aging
    Comments
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.03
    Comments
    Method Regression, Cox
    Comments To compare interventions, we used a likelihood ratio test from a Cox regression model, stratified by field center and sex.
    Method of Estimation Estimation Parameter Hazard Ratio (HR)
    Estimated Value 0.82
    Confidence Interval (2-Sided) 95%
    0.69 to 0.98
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    2. Secondary Outcome
    Title Persistent Mobility Disability (Assessed Every 6 Months)
    Description The assessment of major mobility disability (the inability to complete a 400-m walk test within 15 minutes without sitting and without the help of another person or walker. Use of a cane was acceptable. Participants were asked to walk 400m at their usual pace, without overexerting, on a 20 meter course for 10 laps (40 meters/lap). Participants were allowed to stop for up to 1 minute for fatigue or related symptoms. When MMD could not be objectively measured because of the inability of the participant to come to the clinic and absence of a suitable walking course at the participant's home, institution, or hospital, an alternative adjudication of the outcome was based on objective inability to walk 4 meters in less than 10 seconds, or self-, proxy-, or medical record-reported inability to walk across a room. If participants met these alternative criteria, they would not be able to complete the 400 m walk within 15 minutes.) at two consecutive time points or MMD followed by death.
    Time Frame Median 2.7 years/Average 2.6 years

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title Physical Activity Successful Aging
    Arm/Group Description The physical activity intervention consists primarily of walking at moderate intensity, lower extremity resistance exercises, balance exercises, stretching and behavioral counseling. Physical Activity: The physical activity intervention consists primarily of walking at moderate intensity, lower extremity resistance exercises, balance exercises, stretching and behavioral counseling. The successful aging intervention consists of health education seminars regarding health-related matters and upper extremity stretching exercises. Successful Aging: The successful aging intervention consists of health education seminars regarding health-related matters and upper extremity stretching exercises.
    Measure Participants 818 817
    Number [participants]
    120
    14.7%
    162
    19.8%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Physical Activity, Successful Aging
    Comments
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.006
    Comments
    Method Regression, Cox
    Comments
    Method of Estimation Estimation Parameter Hazard Ratio (HR)
    Estimated Value 0.72
    Confidence Interval (2-Sided) 95%
    0.57 to 0.91
    Parameter Dispersion Type:
    Value:
    Estimation Comments

    Adverse Events

    Time Frame Adverse events were collected from each participant beginning with screening until closeout of the study. Participants were queried every 6 months but could report adverse events in-between visits. Participants were followed for an average of 2.6 years.
    Adverse Event Reporting Description To minimize reporting bias, adverse events originating from the blinded assessments are presented. Blinded assessments were completed every 6 months. Non-serious AEs were collected without regard to the specific AE term.
    Arm/Group Title Physical Activity Successful Aging
    Arm/Group Description The physical activity intervention consists primarily of walking at moderate intensity, lower extremity resistance exercises, balance exercises, stretching and behavioral counseling. The successful aging intervention consists of health education seminars regarding health-related matters and upper extremity stretching exercises.
    All Cause Mortality
    Physical Activity Successful Aging
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total / (NaN) / (NaN)
    Serious Adverse Events
    Physical Activity Successful Aging
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 404/818 (49.4%) 373/817 (45.7%)
    Blood and lymphatic system disorders
    ANEMIA 10/818 (1.2%) 15 6/817 (0.7%) 6
    BLOOD AND LYMPHATIC SYSTEM DISORDERS - OTHER, SPECIFY 2/818 (0.2%) 2 2/817 (0.2%) 2
    FEBRILE NEUTROPENIA 0/818 (0%) 0 1/817 (0.1%) 4
    Cardiac disorders
    ACUTE CORONARY SYNDROME 6/818 (0.7%) 6 6/817 (0.7%) 6
    AORTIC VALVE DISEASE 3/818 (0.4%) 3 2/817 (0.2%) 2
    ASYSTOLE 1/818 (0.1%) 1 0/817 (0%) 0
    ATRIAL FIBRILLATION 23/818 (2.8%) 28 19/817 (2.3%) 23
    ATRIAL FLUTTER 1/818 (0.1%) 1 1/817 (0.1%) 1
    ATRIOVENTRICULAR BLOCK COMPLETE 2/818 (0.2%) 2 0/817 (0%) 0
    CARDIAC ARREST 6/818 (0.7%) 6 7/817 (0.9%) 7
    CARDIAC DISORDERS - OTHER, SPECIFY 11/818 (1.3%) 11 8/817 (1%) 8
    CHEST PAIN - CARDIAC 18/818 (2.2%) 24 12/817 (1.5%) 14
    CONDUCTION DISORDER 1/818 (0.1%) 1 2/817 (0.2%) 2
    HEART FAILURE 20/818 (2.4%) 24 16/817 (2%) 23
    MYOCARDIAL INFARCTION 14/818 (1.7%) 14 12/817 (1.5%) 13
    PALPITATIONS 1/818 (0.1%) 2 1/817 (0.1%) 1
    PAROXYSMAL ATRIAL TACHYCARDIA 0/818 (0%) 0 1/817 (0.1%) 1
    PERICARDITIS 1/818 (0.1%) 1 1/817 (0.1%) 1
    RESTRICTIVE CARDIOMYOPATHY 0/818 (0%) 0 1/817 (0.1%) 1
    SINUS BRADYCARDIA 3/818 (0.4%) 3 7/817 (0.9%) 7
    SUPRAVENTRICULAR TACHYCARDIA 0/818 (0%) 0 1/817 (0.1%) 1
    VENTRICULAR ARRHYTHMIA 0/818 (0%) 0 1/817 (0.1%) 1
    VENTRICULAR TACHYCARDIA 2/818 (0.2%) 3 0/817 (0%) 0
    Ear and labyrinth disorders
    VERTIGO 5/818 (0.6%) 5 6/817 (0.7%) 6
    Endocrine disorders
    ADRENAL INSUFFICIENCY 1/818 (0.1%) 2 0/817 (0%) 0
    ENDOCRINE DISORDERS - OTHER, SPECIFY 1/818 (0.1%) 1 1/817 (0.1%) 1
    HYPERPARATHYROIDISM 1/818 (0.1%) 1 0/817 (0%) 0
    HYPERTHYROIDISM 1/818 (0.1%) 1 0/817 (0%) 0
    HYPOPARATHYROIDISM 0/818 (0%) 0 1/817 (0.1%) 1
    Gastrointestinal disorders
    ABDOMINAL PAIN 12/818 (1.5%) 12 6/817 (0.7%) 7
    COLITIS 4/818 (0.5%) 4 3/817 (0.4%) 3
    COLONIC FISTULA 1/818 (0.1%) 1 0/817 (0%) 0
    COLONIC HEMORRHAGE 1/818 (0.1%) 1 0/817 (0%) 0
    COLONIC OBSTRUCTION 2/818 (0.2%) 2 0/817 (0%) 0
    COLONIC PERFORATION 1/818 (0.1%) 1 2/817 (0.2%) 2
    CONSTIPATION 1/818 (0.1%) 2 2/817 (0.2%) 2
    DIARRHEA 3/818 (0.4%) 3 4/817 (0.5%) 4
    DYSPEPSIA 1/818 (0.1%) 1 1/817 (0.1%) 1
    DYSPHAGIA 1/818 (0.1%) 1 3/817 (0.4%) 3
    ENTEROCOLITIS 0/818 (0%) 0 1/817 (0.1%) 1
    ESOPHAGEAL OBSTRUCTION 1/818 (0.1%) 1 0/817 (0%) 0
    ESOPHAGEAL STENOSIS 0/818 (0%) 0 1/817 (0.1%) 1
    ESOPHAGEAL ULCER 1/818 (0.1%) 1 0/817 (0%) 0
    GASTRIC HEMORRHAGE 4/818 (0.5%) 4 0/817 (0%) 0
    GASTRIC ULCER 2/818 (0.2%) 2 4/817 (0.5%) 5
    GASTRITIS 2/818 (0.2%) 2 1/817 (0.1%) 1
    GASTROESOPHAGEAL REFLUX DISEASE 2/818 (0.2%) 2 1/817 (0.1%) 1
    GASTROINTESTINAL DISORDERS - OTHER, SPECIFY 5/818 (0.6%) 8 3/817 (0.4%) 3
    GASTROINTESTINAL PAIN 1/818 (0.1%) 1 1/817 (0.1%) 1
    HEMORRHOIDS 0/818 (0%) 0 1/817 (0.1%) 1
    ILEAL OBSTRUCTION 1/818 (0.1%) 1 1/817 (0.1%) 1
    INTRA-ABDOMINAL HEMORRHAGE 3/818 (0.4%) 3 0/817 (0%) 0
    JEJUNAL OBSTRUCTION 1/818 (0.1%) 1 0/817 (0%) 0
    LOWER GASTROINTESTINAL HEMORRHAGE 2/818 (0.2%) 3 1/817 (0.1%) 1
    NAUSEA 1/818 (0.1%) 1 1/817 (0.1%) 1
    OBSTRUCTION GASTRIC 1/818 (0.1%) 1 0/817 (0%) 0
    PANCREATIC NECROSIS 1/818 (0.1%) 1 0/817 (0%) 0
    PANCREATITIS 2/818 (0.2%) 2 5/817 (0.6%) 5
    RECTAL HEMORRHAGE 3/818 (0.4%) 3 2/817 (0.2%) 3
    RECTAL PERFORATION 1/818 (0.1%) 1 0/817 (0%) 0
    RECTAL STENOSIS 1/818 (0.1%) 1 0/817 (0%) 0
    SMALL INTESTINAL OBSTRUCTION 8/818 (1%) 8 2/817 (0.2%) 2
    STOMACH PAIN 0/818 (0%) 0 2/817 (0.2%) 2
    VOMITING 4/818 (0.5%) 6 3/817 (0.4%) 3
    General disorders
    DEATH NOS 4/818 (0.5%) 4 3/817 (0.4%) 3
    EDEMA LIMBS 0/818 (0%) 0 3/817 (0.4%) 3
    EDEMA TRUNK 0/818 (0%) 0 1/817 (0.1%) 1
    FATIGUE 3/818 (0.4%) 3 1/817 (0.1%) 1
    FEVER 1/818 (0.1%) 5 1/817 (0.1%) 2
    FLU LIKE SYMPTOMS 0/818 (0%) 0 3/817 (0.4%) 3
    GAIT DISTURBANCE 1/818 (0.1%) 2 0/817 (0%) 0
    GENERAL DISORDERS AND ADMINISTRATION SITE CONDITIONS - OTHER, SPECIFY 31/818 (3.8%) 49 27/817 (3.3%) 46
    INJECTION SITE REACTION 1/818 (0.1%) 1 0/817 (0%) 0
    MALAISE 0/818 (0%) 0 1/817 (0.1%) 1
    NON-CARDIAC CHEST PAIN 11/818 (1.3%) 11 8/817 (1%) 9
    PAIN 0/818 (0%) 0 1/817 (0.1%) 1
    Hepatobiliary disorders
    CHOLECYSTITIS 3/818 (0.4%) 3 2/817 (0.2%) 2
    GALLBLADDER NECROSIS 0/818 (0%) 0 1/817 (0.1%) 1
    GALLBLADDER OBSTRUCTION 2/818 (0.2%) 2 1/817 (0.1%) 1
    GALLBLADDER PAIN 2/818 (0.2%) 2 1/817 (0.1%) 1
    HEPATIC FAILURE 1/818 (0.1%) 2 0/817 (0%) 0
    HEPATIC HEMORRHAGE 0/818 (0%) 0 1/817 (0.1%) 1
    HEPATOBILIARY DISORDERS - OTHER, SPECIFY 1/818 (0.1%) 1 1/817 (0.1%) 1
    Immune system disorders
    ALLERGIC REACTION 5/818 (0.6%) 7 1/817 (0.1%) 1
    ANAPHYLAXIS 0/818 (0%) 0 1/817 (0.1%) 1
    IMMUNE SYSTEM DISORDERS - OTHER, SPECIFY 0/818 (0%) 0 1/817 (0.1%) 1
    Infections and infestations
    ABDOMINAL INFECTION 0/818 (0%) 0 2/817 (0.2%) 2
    ANORECTAL INFECTION 0/818 (0%) 0 1/817 (0.1%) 1
    APPENDICITIS 1/818 (0.1%) 1 1/817 (0.1%) 1
    APPENDICITIS PERFORATED 1/818 (0.1%) 1 0/817 (0%) 0
    BILIARY TRACT INFECTION 1/818 (0.1%) 1 0/817 (0%) 0
    BLADDER INFECTION 1/818 (0.1%) 1 0/817 (0%) 0
    BONE INFECTION 1/818 (0.1%) 1 0/817 (0%) 0
    BRONCHIAL INFECTION 8/818 (1%) 9 4/817 (0.5%) 4
    CATHETER RELATED INFECTION 1/818 (0.1%) 1 0/817 (0%) 0
    DEVICE RELATED INFECTION 1/818 (0.1%) 1 0/817 (0%) 0
    ENCEPHALITIS INFECTION 1/818 (0.1%) 1 0/817 (0%) 0
    ENTEROCOLITIS INFECTIOUS 1/818 (0.1%) 1 0/817 (0%) 0
    GALLBLADDER INFECTION 1/818 (0.1%) 1 0/817 (0%) 0
    INFECTIONS AND INFESTATIONS - OTHER, SPECIFY 6/818 (0.7%) 6 1/817 (0.1%) 1
    JOINT INFECTION 0/818 (0%) 0 1/817 (0.1%) 1
    KIDNEY INFECTION 1/818 (0.1%) 1 1/817 (0.1%) 1
    LARYNGITIS 1/818 (0.1%) 1 0/817 (0%) 0
    LUNG INFECTION 15/818 (1.8%) 17 15/817 (1.8%) 16
    OVARIAN INFECTION 0/818 (0%) 0 1/817 (0.1%) 1
    PHARYNGITIS 1/818 (0.1%) 1 0/817 (0%) 0
    PROSTATE INFECTION 1/818 (0.1%) 1 1/817 (0.1%) 1
    SALIVARY GLAND INFECTION 0/818 (0%) 0 1/817 (0.1%) 1
    SEPSIS 7/818 (0.9%) 7 3/817 (0.4%) 3
    SINUSITIS 1/818 (0.1%) 1 0/817 (0%) 0
    SKIN INFECTION 6/818 (0.7%) 6 7/817 (0.9%) 9
    SOFT TISSUE INFECTION 1/818 (0.1%) 1 0/817 (0%) 0
    UPPER RESPIRATORY INFECTION 2/818 (0.2%) 2 1/817 (0.1%) 1
    URINARY TRACT INFECTION 11/818 (1.3%) 11 13/817 (1.6%) 14
    WOUND INFECTION 2/818 (0.2%) 2 1/817 (0.1%) 1
    Injury, poisoning and procedural complications
    ANKLE FRACTURE 2/818 (0.2%) 2 1/817 (0.1%) 1
    FALL 28/818 (3.4%) 29 31/817 (3.8%) 35
    FRACTURE 18/818 (2.2%) 19 19/817 (2.3%) 19
    HIP FRACTURE 4/818 (0.5%) 4 4/817 (0.5%) 4
    INJURY, POISONING AND PROCEDURAL COMPLICATIONS - OTHER, SPECIFY 0/818 (0%) 0 1/817 (0.1%) 1
    INTRAOPERATIVE CARDIAC INJURY 0/818 (0%) 0 1/817 (0.1%) 1
    SEROMA 1/818 (0.1%) 1 0/817 (0%) 0
    SPINAL FRACTURE 4/818 (0.5%) 4 3/817 (0.4%) 3
    WOUND DEHISCENCE 1/818 (0.1%) 1 0/817 (0%) 0
    WRIST FRACTURE 0/818 (0%) 0 1/817 (0.1%) 1
    Investigations
    CREATININE INCREASED 1/818 (0.1%) 1 0/817 (0%) 0
    INR INCREASED 0/818 (0%) 0 1/817 (0.1%) 1
    PLATELET COUNT DECREASED 2/818 (0.2%) 3 0/817 (0%) 0
    WHITE BLOOD CELL DECREASED 0/818 (0%) 0 1/817 (0.1%) 1
    Metabolism and nutrition disorders
    DEHYDRATION 12/818 (1.5%) 12 9/817 (1.1%) 9
    HYPERCALCEMIA 0/818 (0%) 0 1/817 (0.1%) 1
    HYPERGLYCEMIA 6/818 (0.7%) 6 3/817 (0.4%) 3
    HYPERKALEMIA 0/818 (0%) 0 2/817 (0.2%) 2
    HYPERURICEMIA 1/818 (0.1%) 1 0/817 (0%) 0
    HYPOCALCEMIA 1/818 (0.1%) 2 0/817 (0%) 0
    HYPOGLYCEMIA 2/818 (0.2%) 2 4/817 (0.5%) 4
    HYPONATREMIA 2/818 (0.2%) 2 0/817 (0%) 0
    METABOLISM AND NUTRITION DISORDERS - OTHER, SPECIFY 0/818 (0%) 0 1/817 (0.1%) 1
    TUMOR LYSIS SYNDROME 0/818 (0%) 0 1/817 (0.1%) 1
    Musculoskeletal and connective tissue disorders
    ARTHRALGIA 1/818 (0.1%) 1 0/817 (0%) 0
    ARTHRITIS 14/818 (1.7%) 15 15/817 (1.8%) 15
    BACK PAIN 11/818 (1.3%) 11 7/817 (0.9%) 7
    BONE PAIN 0/818 (0%) 0 2/817 (0.2%) 2
    CHEST WALL PAIN 1/818 (0.1%) 1 2/817 (0.2%) 3
    GENERALIZED MUSCLE WEAKNESS 1/818 (0.1%) 1 1/817 (0.1%) 1
    JOINT EFFUSION 2/818 (0.2%) 2 0/817 (0%) 0
    JOINT RANGE OF MOTION DECREASED 1/818 (0.1%) 1 3/817 (0.4%) 3
    JOINT RANGE OF MOTION DECREASED CERVICAL SPINE 1/818 (0.1%) 1 0/817 (0%) 0
    JOINT RANGE OF MOTION DECREASED LUMBAR SPINE 1/818 (0.1%) 1 0/817 (0%) 0
    MUSCLE WEAKNESS LOWER LIMB 1/818 (0.1%) 1 0/817 (0%) 0
    MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDER - OTHER, SPECIFY 9/818 (1.1%) 9 17/817 (2.1%) 18
    MUSCULOSKELETAL DEFORMITY 0/818 (0%) 0 1/817 (0.1%) 1
    MYALGIA 2/818 (0.2%) 2 0/817 (0%) 0
    MYOSITIS 1/818 (0.1%) 1 1/817 (0.1%) 2
    NECK PAIN 4/818 (0.5%) 4 2/817 (0.2%) 2
    OSTEOPOROSIS 2/818 (0.2%) 2 0/817 (0%) 0
    PAIN IN EXTREMITY 1/818 (0.1%) 1 8/817 (1%) 9
    SOFT TISSUE NECROSIS UPPER LIMB 0/818 (0%) 0 1/817 (0.1%) 1
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    MYELODYSPLASTIC SYNDROME 1/818 (0.1%) 1 0/817 (0%) 0
    NEOPLASMS BENIGN, MALIGNANT AND UNSPECIFIED (INCL CYSTS AND POLYPS) - OTHER, SPECIFY 24/818 (2.9%) 31 19/817 (2.3%) 31
    Nervous system disorders
    ATAXIA 2/818 (0.2%) 3 0/817 (0%) 0
    CENTRAL NERVOUS SYSTEM NECROSIS 1/818 (0.1%) 1 0/817 (0%) 0
    CEREBROSPINAL FLUID LEAKAGE 0/818 (0%) 0 1/817 (0.1%) 1
    COGNITIVE DISTURBANCE 0/818 (0%) 0 1/817 (0.1%) 1
    DEPRESSED LEVEL OF CONSCIOUSNESS 1/818 (0.1%) 1 1/817 (0.1%) 1
    DIZZINESS 10/818 (1.2%) 11 5/817 (0.6%) 5
    DYSESTHESIA 0/818 (0%) 0 1/817 (0.1%) 1
    ENCEPHALOPATHY 1/818 (0.1%) 1 0/817 (0%) 0
    FACIAL MUSCLE WEAKNESS 1/818 (0.1%) 1 0/817 (0%) 0
    FACIAL NERVE DISORDER 0/818 (0%) 0 1/817 (0.1%) 1
    HEADACHE 1/818 (0.1%) 1 0/817 (0%) 0
    HYDROCEPHALUS 1/818 (0.1%) 1 0/817 (0%) 0
    INTRACRANIAL HEMORRHAGE 4/818 (0.5%) 5 3/817 (0.4%) 4
    ISCHEMIA CEREBROVASCULAR 0/818 (0%) 0 2/817 (0.2%) 3
    LETHARGY 0/818 (0%) 0 1/817 (0.1%) 1
    NERVOUS SYSTEM DISORDERS - OTHER, SPECIFY 4/818 (0.5%) 5 1/817 (0.1%) 1
    PERIPHERAL MOTOR NEUROPATHY 1/818 (0.1%) 1 0/817 (0%) 0
    PERIPHERAL SENSORY NEUROPATHY 1/818 (0.1%) 1 1/817 (0.1%) 1
    PRESYNCOPE 5/818 (0.6%) 6 0/817 (0%) 0
    RADICULITIS 1/818 (0.1%) 1 0/817 (0%) 0
    SEIZURE 3/818 (0.4%) 4 2/817 (0.2%) 2
    STROKE 15/818 (1.8%) 19 22/817 (2.7%) 25
    SYNCOPE 13/818 (1.6%) 15 15/817 (1.8%) 17
    TRANSIENT ISCHEMIC ATTACKS 10/818 (1.2%) 10 8/817 (1%) 9
    TREMOR 0/818 (0%) 0 1/817 (0.1%) 1
    VASOVAGAL REACTION 1/818 (0.1%) 1 0/817 (0%) 0
    Psychiatric disorders
    ANXIETY 1/818 (0.1%) 1 0/817 (0%) 0
    CONFUSION 0/818 (0%) 0 2/817 (0.2%) 2
    DELIRIUM 2/818 (0.2%) 2 0/817 (0%) 0
    DEPRESSION 1/818 (0.1%) 1 1/817 (0.1%) 1
    HALLUCINATIONS 1/818 (0.1%) 1 0/817 (0%) 0
    MANIA 1/818 (0.1%) 1 0/817 (0%) 0
    SUICIDE ATTEMPT 1/818 (0.1%) 1 0/817 (0%) 0
    Renal and urinary disorders
    ACUTE KIDNEY INJURY 4/818 (0.5%) 5 4/817 (0.5%) 4
    CHRONIC KIDNEY DISEASE 1/818 (0.1%) 1 0/817 (0%) 0
    HEMATURIA 1/818 (0.1%) 1 3/817 (0.4%) 3
    PROTEINURIA 1/818 (0.1%) 1 0/817 (0%) 0
    RENAL AND URINARY DISORDERS - OTHER, SPECIFY 1/818 (0.1%) 1 5/817 (0.6%) 5
    RENAL CALCULI 3/818 (0.4%) 3 2/817 (0.2%) 2
    URINARY INCONTINENCE 1/818 (0.1%) 1 0/817 (0%) 0
    URINARY RETENTION 2/818 (0.2%) 2 0/817 (0%) 0
    URINARY TRACT OBSTRUCTION 1/818 (0.1%) 1 0/817 (0%) 0
    URINARY TRACT PAIN 0/818 (0%) 0 2/817 (0.2%) 2
    Reproductive system and breast disorders
    PROSTATIC OBSTRUCTION 2/818 (0.2%) 2 0/817 (0%) 0
    REPRODUCTIVE SYSTEM AND BREAST DISORDERS - OTHER, SPECIFY 1/818 (0.1%) 1 2/817 (0.2%) 2
    UTERINE PAIN 1/818 (0.1%) 1 0/817 (0%) 0
    VAGINAL HEMORRHAGE 0/818 (0%) 0 1/817 (0.1%) 1
    Respiratory, thoracic and mediastinal disorders
    APNEA 1/818 (0.1%) 1 0/817 (0%) 0
    ASPIRATION 1/818 (0.1%) 2 1/817 (0.1%) 1
    ATELECTASIS 1/818 (0.1%) 1 0/817 (0%) 0
    BRONCHIAL OBSTRUCTION 1/818 (0.1%) 1 0/817 (0%) 0
    BRONCHOSPASM 1/818 (0.1%) 1 2/817 (0.2%) 2
    COUGH 4/818 (0.5%) 4 1/817 (0.1%) 1
    DYSPNEA 12/818 (1.5%) 12 7/817 (0.9%) 8
    HICCUPS 0/818 (0%) 0 1/817 (0.1%) 1
    HYPOXIA 1/818 (0.1%) 1 0/817 (0%) 0
    PLEURAL EFFUSION 3/818 (0.4%) 4 2/817 (0.2%) 3
    PNEUMONITIS 17/818 (2.1%) 23 11/817 (1.3%) 11
    PNEUMOTHORAX 0/818 (0%) 0 1/817 (0.1%) 1
    PRODUCTIVE COUGH 0/818 (0%) 0 1/817 (0.1%) 1
    PULMONARY FIBROSIS 0/818 (0%) 0 1/817 (0.1%) 1
    PULMONARY HYPERTENSION 1/818 (0.1%) 1 1/817 (0.1%) 2
    RESPIRATORY FAILURE 5/818 (0.6%) 7 4/817 (0.5%) 5
    RESPIRATORY, THORACIC AND MEDIASTINAL DISORDERS - OTHER, SPECIFY 7/818 (0.9%) 7 8/817 (1%) 9
    WHEEZING 1/818 (0.1%) 1 0/817 (0%) 0
    Skin and subcutaneous tissue disorders
    BULLOUS DERMATITIS 0/818 (0%) 0 1/817 (0.1%) 1
    RASH MACULO-PAPULAR 0/818 (0%) 0 1/817 (0.1%) 1
    SKIN AND SUBCUTANEOUS TISSUE DISORDERS - OTHER, SPECIFY 2/818 (0.2%) 2 4/817 (0.5%) 5
    SKIN ULCERATION 0/818 (0%) 0 1/817 (0.1%) 2
    Surgical and medical procedures
    PROSTECTOMY 1/818 (0.1%) 1 0/817 (0%) 0
    SURGICAL AND MEDICAL PROCEDURES - OTHER, SPECIFY 67/818 (8.2%) 75 74/817 (9.1%) 86
    Vascular disorders
    HEMATOMA 3/818 (0.4%) 3 0/817 (0%) 0
    HYPERTENSION 6/818 (0.7%) 7 8/817 (1%) 8
    HYPOTENSION 8/818 (1%) 8 5/817 (0.6%) 5
    PERIPHERAL ISCHEMIA 2/818 (0.2%) 3 1/817 (0.1%) 1
    THROMBOEMBOLIC EVENT 11/818 (1.3%) 12 10/817 (1.2%) 12
    VASCULAR DISORDERS - OTHER, SPECIFY 5/818 (0.6%) 6 3/817 (0.4%) 3
    VISCERAL ARTERIAL ISCHEMIA 0/818 (0%) 0 1/817 (0.1%) 1
    Other (Not Including Serious) Adverse Events
    Physical Activity Successful Aging
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 181/818 (22.1%) 88/817 (10.8%)
    General disorders
    non-serious AES 181/818 (22.1%) 181 88/817 (10.8%) 88

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.

    Results Point of Contact

    Name/Title Michael Miller
    Organization Wake Forest School of Medicine
    Phone 336-716-6837
    Email mmiller@wakehealth.edu
    Responsible Party:
    University of Florida
    ClinicalTrials.gov Identifier:
    NCT01072500
    Other Study ID Numbers:
    • IRB201701066-N
    • 3U01AG022376-05A2S1
    • U01AG022376
    First Posted:
    Feb 22, 2010
    Last Update Posted:
    May 7, 2018
    Last Verified:
    Apr 1, 2018