Morning Versus Evening Exercise for Adults With Overweight and Obesity
Morning Versus Evening Exercise for Adults With Overweight and Obesity
The purpose of this pilot study is to determine the feasibility and acceptability of
 randomizing adults with overweight and obesity to an exercise intervention of either
 prescribed morning aerobic exercise (AM-EX) or prescribed evening aerobic exercise (PM-EX)
 progressing to 2000 kcal/wk.
The purpose of this pilot study is to determine the feasibility and acceptability of
 randomizing adults with overweight and obesity to an exercise intervention of either
 prescribed morning aerobic exercise (AM-EX) or prescribed evening aerobic exercise (PM-EX)
 progressing to 2000 kcal/wk. Specifically, the purpose of this study is to assess
 recruitment, retention, and adherence to the exercise interventions.
Inclusion Criteria:

 -  Female or Male

 -  Age 18-55 years

 -  Body Mass Index 25-40 kg/m2

 -  Physically inactive: defined as self-reporting <150 minutes per week of physical
 activity at moderate intensity or greater on a regular basis over the past 3 months.

 -  No self-report of acute or chronic disease (cardiovascular disease (CVD), diabetes,
 gastrointestinal disorders and orthopedic problems in particular)

 -  No plans to relocate within the next 6 months

 -  No plans for extended travel (> 1weeks) within the next 6 months

 -  No nicotine use

 -  Live or work within 30 minutes of the AHWC (exceptions may be made at the discretion
 of the Study PI on a case by case basis for highly motivated subjects).

 -  Capable and willing to give informed consent, understand exclusion criteria, accept
 the randomized group assignment, and complete outcome measures.

 -  Own a smartphone and willing to download and use text messaging for meal intake and
 other related assessments.

 -  Have a primary care physician (or are willing to establish care with a primary care
 physician prior to study enrollment) to address medical issues which may arise during
 screening or study procedures/interventions.

 -  For Females

 -  Not currently pregnant or lactating

 -  Not pregnant within the past 6 months

 -  Not planning to become pregnant in the next 6 months; sexually active women of
 childbearing potential may be enrolled if they have had a tubal ligation or use a
 reliable means of contraception

 Exclusion Criteria:

 -  Diastolic blood pressure > 100 mm HG or systolic blood pressure > 160 mm HG.

 -  Resting heart rate >100

 -  Diabetes (fasting glucose ≥126 mg/dL or Hemoglobin A1C ≥6.5%)

 -  Undiagnosed hypo- or hyper-thyroidism (TSH outside of the normal range) or history of
 uncontrolled thyroid disorder. History of thyroid disease or current thyroid disease
 treated with a stable medication regimen for at least 6 months is acceptable.

 -  Hematocrit, white blood cell count or platelets significantly outside the normal
 reference range.

 -  Triglycerides > 400 mg/dL

 -  LDL cholesterol >200 mg/dL

 -  Abnormal resting electrocardiogram (ECG): serious arrhythmias, including multifocal
 PVC's, frequent PVC's (defined as 10 or more per min), ventricular tachycardia
 (defined as runs of 3 or more successive PVC's), or sustained atrial tachyarrhythmia;
 2nd or 3rd degree A-V block, QTc interval > 480 msec or other significant conduction
 defects.

 -  Presence or history of any metabolic or chronic health problems which would affect
 appetite, food intake, energy metabolism, or ability to optimally participate in the
 exercise component including: CVD, peripheral vascular disease, cerebrovascular
 disease, significant cardiac arrhythmias or cardiac valve disease, diabetes,
 uncontrolled hyper- or hypothyroidism, uncontrolled hypertension, cancer (within the
 last 5 years, except skin cancer or other cancers considered cured with excellent
 prognosis), HIV infection, significant gastrointestinal disorders (described below),
 significant pulmonary disorders (described below), significant renal, musculoskeletal,
 neurologic, hematologic, or psychiatric disease.

 -  Significant gastrointestinal disorders including: chronic malabsorptive conditions,
 peptic ulcer disease, Crohn's disease, Ulcerative Colitis, chronic diarrhea, or active
 gallbladder disease.

 -  Significant pulmonary disorders including: chronic obstructive pulmonary disease
 (COPD), interstitial lung disease, cystic fibrosis, or uncontrolled asthma.

 -  Symptoms suggestive of CVD: chest pain, shortness of breath at rest or with mild
 exertion, syncope.

 -  Regular use of prescription or over-the-counter medications known to significantly
 impact appetite, weight, sleep, or energy metabolism (e.g. appetite suppressants,
 lithium, stimulants, anti-psychotics, tricyclic antidepressants)

 -  Regular use of systemic steroids (other than Oral Contraceptive Pills).

 -  Regular use of obesity pharmacotherapeutic agents within the last 6 months.

 -  Previous obesity treatment with surgery or weight loss device, except: (1) liposuction
 and/or abdominoplasty if performed > 1 year before screening, (2) lap banding if the
 band has been removed > 1 year before screening, (3) intragastric balloon if the
 balloon has been removed > 1 year before screening (4) duodenal-jejunal bypass sleeve,
 if the sleeve has been removed > 1 year before screening or 5) AspireAssist or other
 endoscopically placed weight loss device if the device has been removed > 1 year
 before screening.

 -  Current alcohol or substance abuse

 -  Irregular sleep/wake patterns that may hinder ability to consistently exercise at a
 certain time of day (e.g. night shift-work, swing shifts, etc)

 -  Currently dieting or planning to alter diet during the exercise intervention

 -  Nicotine use (past 6 months)

 -  History of clinically diagnosed eating disorders including anorexia nervosa, bulimia,
 binge eating disorder. Pattern of response on the QEWP-5 suggestive of possible binge
 eating disorder or bulimia will require further assessment by the Study MD to
 determine if it is appropriate for the subject to participate in the study.

 -  Current severe depression or history of severe depression within the previous year,
 based on DSM-IV-TR criteria for Major Depressive Episode. Score > 18 on BDI will
 require further assessment by the Study MD to determine if it is appropriate for the
 subject to participate in the study.

 -  History of other significant psychiatric illness (e.g. psychosis, schizophrenia,
 mania, bipolar disorder) which in the opinion of the Study MD would interfere with
 ability to adhere to dietary or exercise interventions.

 -  Currently participating in or planning to participate in any formal weight loss or
 physical activity programs or clinical trials.

 -  Weight loss >5% in past 3 months for any reason except post-partum weight loss, weight
 gain >% in past 3 months requires assessment by PI to determine reason for weight gain
 and if it is appropriate for the subject to participate in the study.

 -  Weight loss of >50 lbs in past 3 years for any reason except post-partum weight loss.