Lifestyle Intervention to Reduce the Risk of Sarcopenia in A...

About this study

This study aims to test whether a multi-disciplinary intervention involving exercise and nutrition can slow down the decline in physical function, muscle strength and mass in older adults (aged 65 and above) with Type 2 diabetes (T2D) and obesity treated with Semaglutide. The main questions it aims to answer are: In older people with T2D and obesity, treated with Semaglutide, does a multi-disciplinary intervention of exercise and nutrition compared to standard health recommendations: 1. Reduce the rate of decline in muscle mass? 2. Reduce the rate of decline in muscle strength? 3. Reduce the rate of decline in physical function? Participants will: Administer Semaglutide once weekly for 6 months. Visit the clinic once every 8 weeks for checkups and tests. Keep a diary of their food consumption. Participants in the intervention group will participate in an online exercise program and will receive personal nutritional counseling.

Condition: Type 2 Diabetes Mellitus in Obese
Tested: Wegovy (2.4 Mg Dose) + exercise & nutrition, Wegovy (2.4 Mg Dose) + usual care
Sponsor: Sheba Medical Center

Who can join

Age: 65 years and older
Sex: All sexes
Healthy volunteers: Not accepted

Inclusion 5

Minimum age: 65 years
Study condition: Type 2 Diabetes Mellitus in Obese
Patients 65 years and above.
Patients who were previously diagnosed with type 2 diabetes.
Overweight / obesity (body mass index, BMI ≥ 27 kg/m2).

Exclusion 19

Patients with significant hearing or visual disability.
Patients with Estimated Glomerular Filtration Rate (eGFR)\<30 ml/min/1.73 m2.
Patients who are in active nutritional therapy.
Patients who changed their diet recently (\< 1 month) and/or in a weight-loss program with \>5% weight loss or used anti-obesity drugs in the last 3 months.
Patients who reported a weight loss of \>5kg within 90 days of screening
Patients who were on Glucagon-like peptide-1 receptor agonists (GLP-1-RA) treatment during the last 3 months.
Patients with musculoskeletal disorders, which, by the judgment of the investigators, would limit their ability to perform the exercise training.
Patients with neurological diseases, which by the judgment of the investigators, would affect their ability to participate in the trial.
Patients with a history of amputation that impairs their ability to participate in the exercise program.
Patients with disabilities, which, by the judgment of the investigators, would affect their ability to participate in the trial.
Patients who use a walking aid.
Patients who are currently using systemic steroids.
Patients with active oncological diseases, excluding non-melanoma skin cancer.
Patients with diagnosed dementia or cognitive impairment that, in the view of the researchers, may impair their ability to sign a consent form or participate in the trial.
Patients who were hospitalized in the past month.
Patients who exercise regularly and in the eyes of the examiner will not benefit from the intervention program.
Anyone who is not suitable to participate in the study, according to the researcher's discretion.
Any contraindication to Magnetic resonance imaging (MRI) (e.g., MRI non-compatible cardiac implantable electronic device, metallic foreign bodies, implantable neurostimulation system, cochlear implants/ear implant, non-removable drug infusion pumps, catheters with metallic components, cerebral artery aneurysm clips which), or inability to perform an MRI scanner (e.g., claustrophobia).
Patients who do not fit within the measurement field of view of the Dual-energy X-ray absorptiometry (DXA) scanner in a supine position with the arms next to the body.

Where

2 sites, 2 recruiting

Sheba medical center

Ramat Gan, Israel, Israel

Recruiting

Hadassah Medical Center

Jerusalem, Israel, Israel