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AgeingGEN100NCT01666340

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

A study testing Exercise intervention in people with Ageing, run by Norwegian University of Science and Technology at 1 site in Norway.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

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

Who is it for?
Ages 70 to 76 yearsHealthy volunteers can take part
Conditions the study is for
Ageing
What is being tested?
Exercise intervention
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,567 participants
Where
1 siteNorway
Study dates
21 Aug 2012to Jun 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 70 to 76 years
  • All sexes
  • Healthy volunteers accepted
  • Older adult

Who may be able to join

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

Who cannot join

  • 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

Trial locations and contacts

1 site in 1 country.

Norway1 site
  • Norwegian University of Science and Technology

    Trondheim, 7006

Other trials in Norway

About this study

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

Read the detailed description

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
Ageing
Being tested
Exercise intervention
Keywords
Exercise, Elderly, Mortality, Morbidity, Prognosis, Longevity
Medical subject headings
Motor Activity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Exercise interventionOther

    Also called Moderate training

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

  • Exercise interventionOther

    Also called High intensity

    High intensity exercise

Study groups in NCT01666340
Study groupRoleWhat they receive
high intensity aerobic trainingExperimentalExercise 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
Receives: Other: Exercise intervention
Moderate intensity trainingOtherExercise 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
Receives: Other: Exercise intervention

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Mortality

    using data from governmental registers

    Measured: 5 years follow up

Secondary outcomes (4)
  1. General measurements

    resting blood pressure, resting fasting blood sample, resting heart rate, weight, height and waistline, body composition (muscle vs fat) questionnaires (activity, safety, monthly training diary) walking test, grip strength test, leg strength test, pulmonary function, physical activity level

    Measured: 1 year follow up, 3 years follow up, 5 years follow up

  2. Epigenetics

    transcriptomics (messenger RNAs and microRNAs) and proteomics arrays, aimed at blood-borne factors induced by training.

    Measured: 1 year follow up, 3 years follow up, 5 years follow up

  3. Morbidity

    Look at morbidity after 3 and 5 years follow up(i.e. cardiovascular disease, cancer, etc.) using medical records and link to the different health registers.

    Measured: 3 and 5 years

  4. Mortality and Morbidity

    Look at morbidity after 10 year follow-up

    Measured: 10 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted16 Aug 2012 (estimated)
  2. Study start21 Aug 2012
  3. Primary completionJun 2018
  4. Study completionJun 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Health services research
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
1,567 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01666340
Sponsor's protocol ID
Generation-100
Acronym
GEN100
Status last verified
Sep 2025
First submitted
8 Aug 2012
Last updated
15 Sep 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • 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.

    PubMed 25678546
  • 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.

    PubMed 30113524
  • 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.

    PubMed 33028588
  • 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.

    PubMed 34746955
  • Brissach DE, Berg HH, Stensvold D, Ingestrom EML, Walker TL, Laukkanen JA, Vasankari T, Sando SB, Tari AR, Wisloff U. Objectively Measured Cardiorespiratory Fitness as a Potential Biomarker for Alzheimer Disease Risk in Older Adults: Evidence from the Generation 100 Study. Med Sci Sports Exerc. 2026 Nov 1;58(11):2423-2432. doi: 10.1249/MSS.0000000000004064. Epub 2026 Jul 3.

    PubMed 42390354
  • Reitlo LS, Pani J, Stensvold D, Wisloff U, Haberg AK. Long-Term Effects of a 5-Year Randomized Controlled Exercise Trial on Brain Volumes and Cognitive Function in Older Adults: A 4-Year Post-Intervention Follow-Up Study. Sports Med. 2026 Aug;56(8):2029-2045. doi: 10.1007/s40279-026-02434-3. Epub 2026 Apr 18.

    PubMed 41999477
  • Stene GB, Lequerica MJ, Stensvold D, Balstad TR, Lydersen S, Wisloff U, Helbostad JL. Effects of 5 Years of Aerobic Exercise on Sarcopenia in Older Adults-Secondary Outcomes of the Generation 100 Study. J Cachexia Sarcopenia Muscle. 2026 Apr;17(2):e70279. doi: 10.1002/jcsm.70279.

    PubMed 41936539
  • Bakken J, Brissach DE, Ingestrom EML, Midttun S, Walker TL, Stensvold D, Tari AR. Effects of 5-Year Exercise Training on Cognition in Older Adults: 10-Years Follow-Up from the Generation 100 Study. Sports Med Open. 2025 Dec 7;11(1):153. doi: 10.1186/s40798-025-00956-0.

    PubMed 41354893
  • LE AN, Lydersen S, Brissach DE, Haberg AK, Walker TL, Schaumberg M, Berg HH, Stensvold D, Tari AR. Longitudinal Associations between Cardiorespiratory Fitness and Cognition in Older Adults: A 10-Year Follow-Up from the Generation 100 Study. Med Sci Sports Exerc. 2026 Apr 1;58(4):704-712. doi: 10.1249/MSS.0000000000003903. Epub 2026 Mar 5.

    PubMed 41330544
  • 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.

    PubMed 39932787
  • 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.

    PubMed 39638222
  • 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.

    PubMed 36626020
  • 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.

    PubMed 34878637
  • 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.

    PubMed 34867275
  • 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.

    PubMed 34585083

Questions about this trial

What is this clinical trial studying?

A study testing Exercise intervention in people with Ageing, run by Norwegian University of Science and Technology at 1 site in Norway.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 15 Sep 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Norway. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Mortality (time frame: 5 years follow up). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01666340, which also lists 15 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Sep 2025.

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