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Improving and preserving cardiorespiratory fitness, muscle strength and adiposity through a complex lifestyle intervention in community-dwelling older adults with elevated cardiometabolic risk: study protocol for the RESTART randomised controlled trial

Introduction

As people age, they face more health issues related to heart and metabolism, which can increase healthcare costs. To help older adults maintain their physical health, the RESTART trial is testing a lifestyle program aimed at improving fitness and strength in those at risk of heart disease.

Study Overview

The RESTART trial is a research study taking place in Tromsø, Norway. It involves older adults aged 60-75 who are overweight, inactive, and at high risk for heart problems. Participants will be divided into two groups: one will receive the lifestyle intervention, while the other will receive standard care.

Intervention Details

The 12-month program includes:

  • High-intensity aerobic and strength training sessions twice a week.
  • Group counseling sessions to help participants commit to their health goals.
  • Dietary advice based on national nutrition guidelines.

After the initial year, participants will transition to local exercise programs to help them continue their healthy lifestyle independently.

Expected Outcomes

The main goal is to improve cardiorespiratory fitness after 24 months. Additional goals include enhancing muscle strength, physical activity levels, body composition, and overall quality of life.

Ethics and Communication

The study has received ethical approval, and results will be shared through various channels to reach older adults and healthcare providers. This will help shape future public health strategies for aging populations.

Opportunities for Clinics and Patients

Based on the trial’s findings, clinics can set measurable goals for improving fitness and health in older adults. This can include:

  • Tracking improvements in strength and fitness levels.
  • Implementing tailored lifestyle programs based on the trial’s success.

Using AI in Healthcare

Clinics can enhance their programs by selecting AI tools that meet their specific needs, such as monitoring patient progress or providing personalized health recommendations.

Next Steps

Start with a pilot project to test these interventions and use AI to track results effectively. This will help assess the real-world impact of the program on older adults’ health.

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