Generation 100: How Exercise Affects Mortality and Morbidity in the Elderly: A Randomized Control Study

NCT ID: NCT01666340

Last Updated: 2025-09-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

1567 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-08-21

Study Completion Date

2026-06-30

Brief Summary

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Hypothesis: Exercise will reduce morbidity and mortality rates in an elderly population. The extent of reduction will be intensity dependent.

Detailed Description

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Literature lacks large controlled randomized studies that look at the effect of exercise training on morbidity and mortality. Generation 100 will be the first randomized, controlled clinical study where the primary objective is to study the effects of exercise training on morbidity and mortality in the elderly. Furthermore, the researchers will investigate whether there is a relationship between the exercise intensity and health benefits, with particular focus on major health problems in the elderly population. In addition to being a study, this is also an initiative to improve public health in all healthy individuals between 70-75 years of age in the Trondheim municipality. The participants will either be randomized to supervised exercise or follow current guidelines for physical activity on their own. Clinical examinations, as well as questionnaires, will be administered to all participants at baseline, after one year, after three years, and after five years. Additionally, participants will be followed-up by linking to relevant registers for up to 20 years.

Also data will be collected with the purposes of (a) investigating genetic predisposition for fitness and cardiovascular diseases, and (b) identification of potential targets for therapies.

The study seeks to determine if exercise training gives the seniors a longer active and healthy life.

Conditions

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Ageing

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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high intensity aerobic training

Exercise intervention: High intensity group performing high intensity training where they are required to raise their heart rate several times during the workout and reach perceived exhaustion of 16 on a Borg scale

Group Type EXPERIMENTAL

Exercise intervention

Intervention Type OTHER

Group asked to perform exercise at a given moderate intensity for a set time

Exercise intervention

Intervention Type OTHER

High intensity exercise

Moderate intensity training

Exercise intervention: Moderate intensity Group of people asked to perform moderate training where they exercise at a given intensity (moderate as per Borg scale) for a certain amount of time

Group Type OTHER

Exercise intervention

Intervention Type OTHER

Group asked to perform exercise at a given moderate intensity for a set time

Exercise intervention

Intervention Type OTHER

High intensity exercise

Interventions

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Exercise intervention

Group asked to perform exercise at a given moderate intensity for a set time

Intervention Type OTHER

Exercise intervention

High intensity exercise

Intervention Type OTHER

Other Intervention Names

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Moderate training High intensity

Eligibility Criteria

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Inclusion Criteria

* Born in 1936, 1937, 1938, 1939, 1940, 1941 or 1942
* Able to complete the exercise program (determined by the researchers).

Exclusion Criteria

* Illness or disabilities that preclude exercise or hinder completion of the study
* Uncontrolled hypertension
* Symptomatic valvular, hypertrophic cardiomyopathy, unstable angina, pulmonary hypertension, heart failure and severe arrhythmia
* Diagnosed dementia
* Cancer that makes participation impossible or exercise contraindicated. Considered individually, in consultation with the attending physician.
* Chronic communicable infectious diseases.
* Test results indicating that study participation is unsafe
* Participation in other studies conflicting with participation in Generation 100
Minimum Eligible Age

70 Years

Maximum Eligible Age

76 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Norwegian University of Science and Technology

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ulrik Wisløff, Professor

Role: STUDY_CHAIR

Norwegian University of Science and Technology

Locations

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Norwegian University of Science and Technology

Trondheim, , Norway

Site Status

Countries

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Norway

References

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Stensvold D, Viken H, Rognmo O, Skogvoll E, Steinshamn S, Vatten LJ, Coombes JS, Anderssen SA, Magnussen J, Ingebrigtsen JE, Fiatarone Singh MA, Langhammer A, Stoylen A, Helbostad JL, Wisloff U. A randomised controlled study of the long-term effects of exercise training on mortality in elderly people: study protocol for the Generation 100 study. BMJ Open. 2015 Feb 12;5(2):e007519. doi: 10.1136/bmjopen-2014-007519.

Reference Type BACKGROUND
PMID: 25678546 (View on PubMed)

Viken H, Reitlo LS, Zisko N, Nauman J, Aspvik NP, Ingebrigtsen JE, Wisloff U, Stensvold D. Predictors of Dropout in Exercise Trials in Older Adults: The Generation 100 Study. Med Sci Sports Exerc. 2019 Jan;51(1):49-55. doi: 10.1249/MSS.0000000000001742.

Reference Type BACKGROUND
PMID: 30113524 (View on PubMed)

Stensvold D, Viken H, Steinshamn SL, Dalen H, Stoylen A, Loennechen JP, Reitlo LS, Zisko N, Baekkerud FH, Tari AR, Sandbakk SB, Carlsen T, Ingebrigtsen JE, Lydersen S, Mattsson E, Anderssen SA, Fiatarone Singh MA, Coombes JS, Skogvoll E, Vatten LJ, Helbostad JL, Rognmo O, Wisloff U. Effect of exercise training for five years on all cause mortality in older adults-the Generation 100 study: randomised controlled trial. BMJ. 2020 Oct 7;371:m3485. doi: 10.1136/bmj.m3485.

Reference Type RESULT
PMID: 33028588 (View on PubMed)

Letnes JM, Berglund I, Johnson KE, Dalen H, Nes BM, Lydersen S, Viken H, Hassel E, Steinshamn S, Vesterbekkmo EK, Stoylen A, Reitlo LS, Zisko N, Baekkerud FH, Tari AR, Ingebrigtsen JE, Sandbakk SB, Carlsen T, Anderssen SA, Singh MAF, Coombes JS, Helbostad JL, Rognmo O, Wisloff U, Stensvold D. Effect of 5 years of exercise training on the cardiovascular risk profile of older adults: the Generation 100 randomized trial. Eur Heart J. 2022 Jun 1;43(21):2065-2075. doi: 10.1093/eurheartj/ehab721.

Reference Type RESULT
PMID: 34746955 (View on PubMed)

Hallan SI, Ovrehus MA, Shlipak MG, Potok OA, Romundstad S, Aspvik NP, Wisloff U, Ix JH, Stensvold D, Langlo KA. Long-Term Physical Exercise for Preventing CKD in Older Adults: A Randomized Clinical Trial. J Am Soc Nephrol. 2025 Feb 11;36(7):1352-1362. doi: 10.1681/ASN.0000000636.

Reference Type DERIVED
PMID: 39932787 (View on PubMed)

Tari AR, Brissach DE, Ingestrom EML, Nauman J, Tyrell T, Foster C, Radtke K, Porcari JP, Lydersen S, Kaminsky LA, Myers J, Walker TL, Coombes JS, Stensvold D, Wisloff U. Survival of the fittest? Peak oxygen uptake and all-cause mortality among older adults in Norway. Prog Cardiovasc Dis. 2025 Mar-Apr;89:25-34. doi: 10.1016/j.pcad.2024.11.004. Epub 2024 Dec 4.

Reference Type DERIVED
PMID: 39638222 (View on PubMed)

Reitlo LS, Mihailovic JM, Stensvold D, Wisloff U, Hyder F, Haberg AK. Hippocampal neurochemicals are associated with exercise group and intensity, psychological health, and general cognition in older adults. Geroscience. 2023 Jun;45(3):1667-1685. doi: 10.1007/s11357-022-00719-9. Epub 2023 Jan 10.

Reference Type DERIVED
PMID: 36626020 (View on PubMed)

Zotcheva E, Haberg AK, Wisloff U, Salvesen O, Selbaek G, Stensvold D, Ernstsen L. Effects of 5 Years Aerobic Exercise on Cognition in Older Adults: The Generation 100 Study: A Randomized Controlled Trial. Sports Med. 2022 Jul;52(7):1689-1699. doi: 10.1007/s40279-021-01608-5. Epub 2021 Dec 8.

Reference Type DERIVED
PMID: 34878637 (View on PubMed)

Sokolowski DR, Hansen TI, Rise HH, Reitlo LS, Wisloff U, Stensvold D, Haberg AK. 5 Years of Exercise Intervention Did Not Benefit Cognition Compared to the Physical Activity Guidelines in Older Adults, but Higher Cardiorespiratory Fitness Did. A Generation 100 Substudy. Front Aging Neurosci. 2021 Nov 16;13:742587. doi: 10.3389/fnagi.2021.742587. eCollection 2021.

Reference Type DERIVED
PMID: 34867275 (View on PubMed)

Berglund I, Vesterbekkmo EK, Retterstol K, Anderssen SA, Fiatarone Singh MA, Helge JW, Lydersen S, Wisloff U, Stensvold D. The Long-term Effect of Different Exercise Intensities on High-Density Lipoprotein Cholesterol in Older Men and Women Using the Per Protocol Approach: The Generation 100 Study. Mayo Clin Proc Innov Qual Outcomes. 2021 Sep 16;5(5):859-871. doi: 10.1016/j.mayocpiqo.2021.07.002. eCollection 2021 Oct.

Reference Type DERIVED
PMID: 34585083 (View on PubMed)

Related Links

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https://doi.org/10.1136/bmj.m3485

Results published in BMJ Oct 2020

Other Identifiers

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Generation-100

Identifier Type: -

Identifier Source: org_study_id

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