About this trial
This study examines whether routine treatment with semaglutide or tirzepatide, prescribed with lifestyle coaching in a real-world weight-management program, is associated with changes in biological age measured by the LinAge2 clinical aging clock over 6 months.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adults aged 40-89 years, who are newly enrolled in the NOVI OP+ weight management program.
BMI of ≥ 30 kg/m2 (obesity); OR
BMI of ≥ 27 kg/m2 to < 30 kg/m2 (overweight) in the presence of at least one weight-related comorbid condition e.g. dysglycemia (prediabetes or type 2 diabetes mellitus), hypertension, dyslipidemia, obstructive sleep apnea or cardiovascular disease.
Disqualifiers
Pregnancy or lactation.
Non-ambulatory status, total blindness, complete hearing loss, or inability to speak.
Medical history of, or self-reported, psychiatric illness, congenital or irreversible neurodegenerative diseases, cognitive impairment, or eating disorders that may affect adherence or assessment outcomes.
On GLP-1 RA, sulfonylurea or insulin medications for the past 3 months.
Trial population
Adults aged 40-89 years who are overweight or obese and newly enrolled in the NOVI Health weight management program in Singapore. Participants are selected from routine clinical practice at the NOVI Health clinic.
Trial design
Cohort
Prospective
Treatments tested in this trial
Not applicable. This is an observational study.
Other interventionNot applicable. This is an observational study.
Treatment groups
Trial outcomes
Primary outcomes
LinAge2 Biological Age
The primary outcome of this study is to determine the change in LinAge2 biological age estimates in response to the NOVI Health weight management program, which comprises GLP-1 RA therapy alongside personalized diet and physical activity interventions.
Secondary outcomes
Change in Body Composition: Body Weight
Body weight measured in kilograms (kg); outcome is change from baseline to 6 months.
Change in Body Composition: Body Mass Index (BMI)
BMI calculated as weight (kg) divided by height (m²), reported in kg/m².
Change in Body Composition: Waist Circumference
Waist circumference measured in centimeters (cm) using a measuring tape
Change in Body Composition: Hip Circumference
Waist circumference measured in centimeters (cm) using a measuring tape
Sponsors and contacts
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National University of Singapore
Lead sponsor
T3 Health PTE LTD
Collaborator
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