MOWI Home-Based Pilot

The national epidemic of obesity is also affecting older adults, and is associated with an
increased risk of disability, nursing home placement and early mortality. Conventional weight
loss programs have the potential to reduce body fat, but are difficult to access for older
obese adults due to transportation and mobility challenges. The overarching goal of this
study is to conduct a program of pilot research aimed at developing and evaluating a
technology assisted wellness intervention for older adults with obesity.

Study Timeline:

September 2018 to April 2021:

Goal: Conduct a study of improving weight and physical function in older adults with obesity
at home using video-conferencing. An mHealth obesity wellness intervention (MOWI) will
integrate a fitness device with a weekly individual dietician-led nutritional session, along
with twice weekly physical therapist led group exercise session performed in a person's home.

Participation Duration: Three times weekly for 6 months. We shall also have participants
return to the center once monthly

Inclusion Criteria:

- Age ≥65 years

- Body Mass Index (BMI) ≥ 30kg/m^2 OR Waist circumference ≥88cm in females or ≥102cm in
males

- Have Wi-Fi high speed internet

- Able to obtain medical clearance from doctor

- Have less than a 5% weight loss in past 6 months

- No advanced co-morbidity

- No exercise restrictions

- Not involved in other research studies that may interfere with participation

Exclusion Criteria:

- Severe mental or life-threatening illness

- Dementia

- Substance use

- History of bariatric surgery

- Suicidal ideation

- Unable to perform measures

- Reside in nursing home

- No advanced co-morbidity

- No exercise restrictions

- Not involved in other research studies that may interfere with participation