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ObesityNCT03843190

Healthy Me: A Program for Older Women

A study testing Take of Pounds Sensibly (TOPS) in people with Obesity, run by Duke University at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The first phase of the study is a feasibility survey of eligible participants, completed prior to initiating the intervention. The intervention consists of a 6-month 1:1 randomized trial with a waitlist control that recruits 120 older AA women. Read more about this study

Who is it for?
Ages 55 to 99 years, women only
Conditions the study is for
Obesity
What is being tested?
Take of Pounds Sensibly (TOPS)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
116 participants
Where
1 siteUnited States
Study dates
17 May 2023to 17 Jan 2025
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 55 to 99 years
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • African American women aged ≥55
  • BMI ≥27 kg/m2
  • Stable body weight (± 2 kg for 6 months prior to study)
  • Sedentary (not exercising more than 1 hour per week)
  • Must have a primary care provider and provide contact information
  • Conditional Inclusion Criteria:
  • Participants with type 2 diabetes on insulin or sulfonylureas will be allowed to participate in the study only if their providers agree to manage the changing medications requirements associated with possible weight loss by signing a "Permission to Participate" form. It is important to include patients with type 2 diabetes on insulin and sulfonylureas because these participants can benefit greatly from weight loss.

Who cannot join

  • Type 2 diabetes on insulin or sulfonylureas without provider approval
  • current cancer diagnosis
  • Provider did not approve participation
  • use of medications thought to effect metabolism, body weight, energy expenditure, or appetite
  • major psychiatric disorder
  • current moderate to severe symptoms of depression
Show all 11Show fewer
  • dementia
  • neurological conditions causing functional limitations
  • unstable medical illness such as unstable angina, recent MI, or congestive heart failure class III-IV
  • terminal medical conditions
  • Currently enrolled in a weight loss program

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Duke University

    Durham, North Carolina, 27707

Other trials in United States

About this study

Official title: Changes in Weight and Physical Function for Older African American Women in a National, Nonprofit, Community-Based, Peer-Led, Weight Loss Program

The first phase of the study is a feasibility survey of eligible participants, completed prior to initiating the intervention. The intervention consists of a 6-month 1:1 randomized trial with a waitlist control that recruits 120 older AA women. The rationale for these aims is that the successful completion is expected to provide evidence that a community-based, peer-led weight loss program with a national infrastructure can help a vulnerable, underserved population lose weight and improve their physical function. For older, obese, frail individuals, this could improve their CVD risk factors, quality of life, enhance their health; reduce their healthcare utilization, illness, and disability; and decrease their adverse geriatric outcomes. After completing these aims, the investigators expect that they will have proven that the community-based, peer-led weight loss program can improve both weight and physical function among older, obese AA women. This also could help other demographic groups with obesity and poor physical function. Eventually, it could help older adults maintain their health and independence in the community

Read the detailed description

Older African American (AA) women have the highest prevalence of both obesity and frailty. In academic, expert-led interventions, obese, frail, older individuals both lost weight and improved their physical function. However, because of high personnel costs and nonexistent nationwide infrastructure, large-scale implementation of these interventions is impractical. The long-term goals are to eliminate the health disparities of obesity and frailty in older AA women. This proposal's overall objective is to determine the effects of a low-cost, community-based, peer-led weight loss program with a national infrastructure on obesity, physical function, and healthcare utilization in older AA women. To treat obesity and frailty in older AA women, it is critical to test a weight loss intervention that 1) has preliminary evidence of benefit; 2) is acceptable to older AA women; 3) is affordable; and 4) can be broadly disseminated. Take Off Pounds Sensibly (TOPS) is a national, nonprofit, community-based, peer-led weight loss program that meets these criteria. First, the applicant's retrospective database analyses of TOPS showed two important results: 1) Participants who renew their annual membership lose and maintain significant weight loss (SWL) for up to 7 years; and 2) Compared to their younger counterparts, older women are more likely to achieve SWL. Second, the applicant started three TOPS chapters for older AA women in a successful pilot study. Though the study ended in 2012, one of the chapters is still active almost 6 years later. Third, TOPS is affordable; it only costs $120 annually. Finally, TOPS has a nationwide infrastructure with chapters in all 50 states. Since obese, frail, older individuals in academic, expert-led weight loss interventions can improve their physical function, the central hypothesis is that a low cost, community-based, peer-led weight loss program with a national infrastructure can provide SWL, improved physical function, and lower healthcare utilization for AA women, an underserved, vulnerable population. The rationale for the proposed research is that TOPS and academic, expert-led weight loss interventions share components critical to successful weight loss; therefore, TOPS can deliver similar outcomes. The central hypothesis will be tested by pursuing the following aims in obese, frail, older AA women: Determine the effect of TOPS on 1) weight change and cardiovascular disease risk factors; 2) physical function and quality of life; and 3) healthcare utilization. This project is innovative because it uses a "community to academia" approach to treat the health disparities; our study population focuses on older AA women with decreased physical function; our outcomes focus on weight, physical function, and healthcare utilization; and our unique study settings. The proposed research is significant because determining the real-world effectiveness of the TOPS program and its impact on weight, physical function, and healthcare utilization in AA women can have a widespread impact on the older population at large. Thus, it has the potential to reduce adverse geriatric outcomes among all older individuals.

Conditions
Obesity
Being tested
Take of Pounds Sensibly (TOPS), Waitlist Control
Keywords
weight loss, african american women, physical function
Medical subject headings
Obesity, Weight Loss

What participants receive

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

  • Take of Pounds Sensibly (TOPS)Behavioural

    Dietitian-facilitated classes

  • Waitlist ControlOther

    At end of study, offered peer-led classes to attend.

Study groups in NCT03843190
Study groupRoleWhat they receive
Take Off Pounds Sensibly (TOPS)ExperimentalThis group will receive TOPS intervention at the start of the study.
Receives: Behavioral: Take of Pounds Sensibly (TOPS)
Waitlist controlOtherThis group will be the control group for 6 months. Then at the completion of the study they will receive the vouchers to participate in TOPS chapters in the community.
Receives: Other: Waitlist Control

What is being measured

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

  1. Weight Change

    Percent of body weight change over 6 months

    Measured: Baseline to 6 months

Secondary outcomes (25)
  1. Systolic Blood Pressure (BP)

    A measure of cardiovascular disease (CVD) risk.

    Measured: Baseline, 3 months, 6 months

  2. Diastolic Blood Pressure (BP)

    A measure of cardiovascular disease (CVD) risk.

    Measured: Baseline, 3 months, 6 months

  3. Waist Circumference (WC)

    A measure of cardiovascular disease (CVD) risk.

    Measured: Baseline, 3 months, 6 months

  4. Hemoglobin A1c (HA1c)

    Percentage of hemoglobin that is coated with glucose. A measure of cardiovascular disease (CVD) risk.

    Measured: Baseline, 3 months, 6 months

  5. HDL (High-Density Lipoprotein) Cholesterol

    A measure of cardiovascular disease (CVD) risk.

    Measured: Baseline, 3 months, 6 months

  6. LDL (Low-Density Lipoprotein) Cholesterol, Calculated

    A measure of cardiovascular disease (CVD) risk.

    Measured: Baseline, 3 months, 6 months

  7. LDL (Low-Density Lipoprotein) Cholesterol, Direct

    A measure of cardiovascular disease (CVD) risk.

    Measured: Baseline, 3 months, 6 months

  8. Triglycerides

    A measure of cardiovascular disease (CVD) risk.

    Measured: Baseline, 3 months, 6 months

  9. Quality of Life (QoL) as Measured by 36-item Short Form Survey (SF-36) - General Health

    The SF-36 consists of eight scaled scores, which are the weighted sums of the questions in their section. Each scale is directly transformed into a 0-100 scale on the assumption that each question carries equal weight. The lower the score the more disability. The higher the score the less disability, i.e., a score of zero is equivalent to maximum disability and a score of 100 is equivalent to no disability.

    Measured: Baseline, 3 months, 6 months

  10. Quality of Life (QoL) as Measured by 36-item Short Form Survey (SF-36) - Physical Functioning

    The SF-36 consists of eight scaled scores, which are the weighted sums of the questions in their section. Each scale is directly transformed into a 0-100 scale on the assumption that each question carries equal weight. The lower the score the more disability. The higher the score the less disability, i.e., a score of zero is equivalent to maximum disability and a score of 100 is equivalent to no disability.

    Measured: Baseline, 3 months, 6 months

  11. Quality of Life (QoL) as Measured by 36-item Short Form Survey (SF-36) - Role Functioning/Physical

    The SF-36 consists of eight scaled scores, which are the weighted sums of the questions in their section. Each scale is directly transformed into a 0-100 scale on the assumption that each question carries equal weight. The lower the score the more disability. The higher the score the less disability, i.e., a score of zero is equivalent to maximum disability and a score of 100 is equivalent to no disability.

    Measured: Baseline, 3 months, 6 months

  12. Quality of Life (QoL) as Measured by 36-item Short Form Survey (SF-36) - Role Functioning/Emotional

    The SF-36 consists of eight scaled scores, which are the weighted sums of the questions in their section. Each scale is directly transformed into a 0-100 scale on the assumption that each question carries equal weight. The lower the score the more disability. The higher the score the less disability, i.e., a score of zero is equivalent to maximum disability and a score of 100 is equivalent to no disability.

    Measured: Baseline, 3 months, 6 months

  13. Quality of Life (QoL) as Measured by 36-item Short Form Survey (SF-36) - Energy/Fatigue

    The SF-36 consists of eight scaled scores, which are the weighted sums of the questions in their section. Each scale is directly transformed into a 0-100 scale on the assumption that each question carries equal weight. The lower the score the more disability. The higher the score the less disability, i.e., a score of zero is equivalent to maximum disability and a score of 100 is equivalent to no disability.

    Measured: Baseline, 3 months, 6 months

  14. Quality of Life (QoL) as Measured by 36-item Short Form Survey (SF-36) - Emotional Well-being

    The SF-36 consists of eight scaled scores, which are the weighted sums of the questions in their section. Each scale is directly transformed into a 0-100 scale on the assumption that each question carries equal weight. The lower the score the more disability. The higher the score the less disability, i.e., a score of zero is equivalent to maximum disability and a score of 100 is equivalent to no disability.

    Measured: Baseline, 3 months, 6 months

  15. Quality of Life (QoL) as Measured by 36-item Short Form Survey (SF-36) - Social Functioning

    The SF-36 consists of eight scaled scores, which are the weighted sums of the questions in their section. Each scale is directly transformed into a 0-100 scale on the assumption that each question carries equal weight. The lower the score the more disability. The higher the score the less disability, i.e., a score of zero is equivalent to maximum disability and a score of 100 is equivalent to no disability.

    Measured: Baseline, 3 months, 6 months

  16. Quality of Life (QoL) as Measured by 36-item Short Form Survey (SF-36) - Pain

    The SF-36 consists of eight scaled scores, which are the weighted sums of the questions in their section. Each scale is directly transformed into a 0-100 scale on the assumption that each question carries equal weight. The lower the score the more disability. The higher the score the less disability, i.e., a score of zero is equivalent to maximum disability and a score of 100 is equivalent to no disability.

    Measured: Baseline, 3 months, 6 months

  17. Healthcare Utilization as Measured by Number of Primary Care Visits

    Number of primary care visits reported by participant in last month (baseline) or since last study visit (3 and 6 months).

    Measured: Baseline, 3 months, 6 months

  18. Healthcare Utilization as Measured by Number of Participants With Emergency Department Visits

    Number of participants reporting emergency department visit(s) in last month (baseline) or since last study visit (3 and 6 months).

    Measured: Baseline, 3 months, 6 months

  19. Healthcare Utilization as Measured by Number of Participants With Hospitalizations

    Number of participants reporting hospitalization(s) in last month (baseline) or since last study visit (3 and 6 months).

    Measured: Baseline, 3 months, 6 months

  20. Physical Function as Measured by Short Physical Performance Battery (SPPB)

    The Short Physical Performance Battery (SPPB) is an objective measurement instrument of balance, lower extremity strength, and functional capacity in older adults. Scores range from zero to 12 possible points. Lower scores are associated with lower function.

    Measured: Baseline, 3 months, 6 months

  21. Physical Function as Measured by 8-ft Up and Go

    The 8-foot up-and-go test is a timed test that measures balance, agility, and speed while walking or moving. Higher times are associated with worse physical function.

    Measured: Baseline, 3 months, 6 months

  22. Physical Function as Measured by Isometric Hand Grip, Right Hand

    Decreased grip strength is a predictor of adverse outcomes in older adults.

    Measured: Baseline, 3 months, 6 months

  23. Physical Function as Measured by Isometric Hand Grip, Left Hand

    Decreased grip strength is a predictor of adverse outcomes in older adults.

    Measured: Baseline, 3 months, 6 months

  24. Physical Function as Measured by 30 Second Chair Stands

    Counts the number of times a participant goes from sitting to standing in 30 seconds. Tests leg strength and endurance. Higher number associated with higher leg strength and endurance.

    Measured: Baseline, 3 months, 6 months

  25. Physical Function as Measured by 6 Minute Walk Test

    Measures distance walked in 6 minutes and assesses aerobic capacity and endurance. Higher number indicates higher aerobic capacity and endurance.

    Measured: Baseline, 3 months, 6 months

Timeline

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

  1. First posted18 Feb 2019
  2. Study start17 May 2023
  3. Primary completion17 Jan 2025
  4. Study completion17 Jan 2025

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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
116 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03843190
Sponsor's protocol ID
Pro00100588
Other IDs
R01AG058725
Status last verified
Apr 2026
First submitted
29 Jan 2019
Last updated
20 May 2026
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Mitchell NS, North R, Hung A, Porter Starr KN, Bales CW, Coffman CJ. Changes in weight and physical function for older African American women in Take Off Pounds Sensibly (TOPS): Study protocol for a randomized clinical trial. Contemp Clin Trials. 2025 Mar;150:107815. doi: 10.1016/j.cct.2025.107815. Epub 2025 Jan 18.

    PubMed 39832532

Questions about this trial

What is this clinical trial studying?

A study testing Take of Pounds Sensibly (TOPS) in people with Obesity, run by Duke University at 1 site in United States.

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 7 inclusion and 11 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: finished, as of the sponsor's last update on 20 May 2026. 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 United States. 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?

Yes. Results are posted in the registry (first posted 20 May 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Weight Change (time frame: Baseline to 6 months). 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 NCT03843190, which also lists 1 linked publication.

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 20 May 2026; AzTrials last refreshed its copy on 1 Nov 2026.

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