Sustainable Exercise and Nutrition Programs for Managing Metabolic Disorders in Older Women

NCT ID: NCT07015307

Last Updated: 2025-06-15

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

140 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-06-01

Study Completion Date

2026-12-31

Brief Summary

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This study aims to evaluate the impact of sustainable diet and exercise programs on metabolic health and quality of life in older women. Participants will be assigned to different intervention groups including supervised physical training, personalized dietary guidance based on the Mediterranean dietary pattern, or a combination of both. The programs will be implemented over several weeks, with continuous monitoring of variables such as body composition, functional capacity, strength, fatigue perception, sleep quality, and emotional well-being. The project also includes the development of a digital platform to support remote engagement and long-term health behavior change.

Detailed Description

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This is a multi-phase interventional study designed to evaluate the impact of sustainable dietary and physical activity programs on metabolic health, functional capacity, and quality of life in older women. The target population includes women aged 65 and older, both with and without metabolic alterations.

The study comprises three phases:

Phase 1 includes initial assessments and an observational comparison between healthy older women and those with metabolic alterations.

Phase 2 implements three 12-week intervention programs: (1) a sustainable dietary strategy based on the Mediterranean diet, (2) a structured physical exercise program (both supervised and unsupervised), and (3) a combined intervention integrating both diet and exercise. Participants are assigned to groups based on their health status and intervention type.

Phase 3 focuses on knowledge transfer through the development of practical guidelines and a digital platform to facilitate remote monitoring and promote long-term adherence to healthy behaviors.

Primary and secondary outcomes include anthropometric measurements, body composition, handgrip strength, lower limb strength, walking speed, cardiovascular endurance, basal metabolic rate, blood pressure, blood biomarkers (glucose, cholesterol, triglycerides), fatigue perception, sleep quality, stress levels, emotional well-being, and health-related quality of life. Validated tools such as indirect calorimetry, digital hand dynamometers, functional capacity tests, and the SF-36 questionnaire will be employed.

The results are expected to support the design of sustainable, non-pharmacological strategies for the prevention and management of metabolic disorders and functional decline in aging women.

Conditions

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Metabolic Syndrome Aging Sarcopenia Obesity Chronic Disease Frailty

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Participants will be randomly assigned to parallel intervention groups (dietary strategy, physical exercise, or combined). No crossover will occur between arms.
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors
The researcher performing the statistical analysis will not know which intervention each group received.

Study Groups

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Control - Healthy Women

Women over 65 years of age with no diagnosed metabolic alterations. Participants will follow their usual lifestyle without any specific nutritional or physical exercise intervention

Group Type NO_INTERVENTION

No interventions assigned to this group

Control - Metabolic Alterations

Women over 65 years of age with metabolic alterations. Participants will continue their habitual routines without intervention, serving as a control group for comparison with the intervention arms.

Group Type NO_INTERVENTION

No interventions assigned to this group

Diet Intervention

Women with metabolic alterations will follow a sustainable dietary intervention based on Mediterranean principles. Personalized meal plans and regular follow-up will be delivered over a 12-week period. The aim is to improve metabolic and inflammatory markers.

Group Type EXPERIMENTAL

Sustainable Diet Program

Intervention Type BEHAVIORAL

Intervention based on the Mediterranean sustainable diet. It emphasizes the consumption of fish, fruits, and vegetables, while reducing the intake of meat and meat-derived products. The diet is tailored to the participants' health status, activity level, and nutritional requirements, following the recommendations of the Spanish Society of Cardiology and Endocrinology. Macronutrient and micronutrient goals follow national guidelines and are tracked using specialized dietary software.

Exercise Intervention

Participants will perform a supervised physical exercise program focused on strength and functional training over 12 weeks. Exercises will be tailored to the participants' physical condition and delivered through structured sessions.

Group Type EXPERIMENTAL

Supervised Physical Exercise Program

Intervention Type BEHAVIORAL

A 12-week supervised physical exercise program led by certified professionals in Sport Sciences. Exercise prescriptions are tailored individually based on baseline assessments and international guidelines from fields such as cardiology and metabolism. The sessions may include strength, endurance, or combined training. In the supervised period, the instructor guides the sessions, while during the unsupervised period, exercises are followed via an online platform that provides detailed explanations and graphics.

Combined Diet + Exercise

Participants will follow both the sustainable diet and the exercise program over a 12-week intervention period. This group will help assess the potential synergistic effect of the combined lifestyle strategies.

Group Type EXPERIMENTAL

Combined Sustainable Diet and Exercise Program

Intervention Type BEHAVIORAL

This experimental arm combines the dietary intervention based on the sustainable Mediterranean diet with the structured physical exercise program. Both components are personalized and adhere to national and international health and nutrition recommendations. The program includes a 12-week supervised phase and an unsupervised online phase, aiming to maximize improvements in metabolic, physical, and psychosocial health in older women with metabolic alterations.

Interventions

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Sustainable Diet Program

Intervention based on the Mediterranean sustainable diet. It emphasizes the consumption of fish, fruits, and vegetables, while reducing the intake of meat and meat-derived products. The diet is tailored to the participants' health status, activity level, and nutritional requirements, following the recommendations of the Spanish Society of Cardiology and Endocrinology. Macronutrient and micronutrient goals follow national guidelines and are tracked using specialized dietary software.

Intervention Type BEHAVIORAL

Supervised Physical Exercise Program

A 12-week supervised physical exercise program led by certified professionals in Sport Sciences. Exercise prescriptions are tailored individually based on baseline assessments and international guidelines from fields such as cardiology and metabolism. The sessions may include strength, endurance, or combined training. In the supervised period, the instructor guides the sessions, while during the unsupervised period, exercises are followed via an online platform that provides detailed explanations and graphics.

Intervention Type BEHAVIORAL

Combined Sustainable Diet and Exercise Program

This experimental arm combines the dietary intervention based on the sustainable Mediterranean diet with the structured physical exercise program. Both components are personalized and adhere to national and international health and nutrition recommendations. The program includes a 12-week supervised phase and an unsupervised online phase, aiming to maximize improvements in metabolic, physical, and psychosocial health in older women with metabolic alterations.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Female participants aged 65 years or older
* Ability to walk independently or with assistive device
* Capacity to provide informed consent
* For groups with metabolic alterations: clinical diagnosis of metabolic syndrome based on standard criteria
* For healthy volunteers: absence of diagnosed metabolic or cardiovascular disease

Exclusion Criteria

* Diagnosed cognitive impairment or dementia
* Unstable cardiovascular, respiratory, or musculoskeletal condition
* Participation in another structured lifestyle intervention during the study
* Any medical contraindication for physical exercise
* Severe mobility limitation preventing safe participation
Minimum Eligible Age

65 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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University of Alicante

OTHER

Sponsor Role lead

Responsible Party

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Prof. Dr. Alejandro Martínez-Rodríguez

Alejandro Martínez-Rodríguez

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Alejandro Martínez Rodríguez, Dr.

Role: PRINCIPAL_INVESTIGATOR

Alicante University

Locations

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European Institute Of Exercise and Health

Elche, Alicante, Spain

Site Status

Countries

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Spain

Other Identifiers

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UA-2025-05-19_1

Identifier Type: -

Identifier Source: org_study_id

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