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NCT04076618: INVEST

Incorporating Nutrition, Vests, Education, and Strength Training in Bone Health (INVEST in Bone Health)

Completed NA Results posted Last updated 6 February 2025
What this trial tests

NA trial testing Vest in Weight Loss in 150 participants. Completed in 1 April 2024.

Timeline
12 August 2020
Primary endpoint
1 April 2024
1 April 2024

Quick facts

Lead sponsorWake Forest University Health Sciences
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposeprevention
Enrollment150
Start date12 August 2020
Primary completion1 April 2024
Estimated completion1 April 2024
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Wake Forest University Health Sciences

Who can join

Adults 60 to 85, any sex, with Weight Loss or Bone Health. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Change in Total Hip Trabecular Volumetric Bone Mineral Density (vBMD) Primary · 12 months from baseline

measured in mg/cm3 during computed tomography (CT) scan

GroupValue95% CI
Weight Loss Plus Vest-0.002-0.003 – -0.001
Weight Loss Plus Resistance Exercise Training-0.002-0.003 – -0.001
Weight Loss-0.003-0.003 – -0.002
Change in Total Hip Trabecular Volumetric Bone Mineral Density (vBMD) Secondary · 6 months from baseline

measured in mg/cm3 during computed tomography (CT) scan

GroupValue95% CI
Weight Loss Plus Vest-0.001-0.001 – 0.000
Weight Loss Plus Resistance Exercise Training-0.000-0.001 – 0.001
Weight Loss-0.000-0.001 – 0.000
Change in Femoral Neck Volumetric Bone Mineral Density (vBMD) Secondary · 6 months from baseline

measured in mg/cm3 during computed tomography (CT) scan

GroupValue95% CI
Weight Loss Plus Vest-0.001-0.003 – 0.001
Weight Loss Plus Resistance Exercise Training-0.001-0.003 – 0.001
Weight Loss-0.001-0.002 – 0.001
Change in Femoral Neck Volumetric Bone Mineral Density (vBMD) Secondary · 12 months from baseline

measured in mg/cm3 during computed tomography (CT) scan

GroupValue95% CI
Weight Loss Plus Vest-0.002-0.004 – 0.001
Weight Loss Plus Resistance Exercise Training-0.003-0.005 – -0.000
Weight Loss-0.004-0.007 – -0.002
Change in Lumbar Spine Volumetric Bone Mineral Density (vBMD) Secondary · 6 months from baseline

measured in mg/cm3 during computed tomography (CT) scan

GroupValue95% CI
Weight Loss Plus Vest0.001-0.002 – 0.005
Weight Loss Plus Resistance Exercise Training0.0050.001 – 0.008
Weight Loss0.0050.002 – 0.008
Change in Lumbar Spine Volumetric Bone Mineral Density (vBMD) Secondary · 12 months from baseline

measured in mg/cm3 during computed tomography (CT) scan

GroupValue95% CI
Weight Loss Plus Vest-0.000-0.002 – 0.002
Weight Loss Plus Resistance Exercise Training0.0030.001 – 0.005
Weight Loss0.000-0.002 – 0.002
Change in Trabecular Bone Score (TBS) Secondary · 6 months from baseline

measurement taken during dual energy x-ray absorptiometry (DXA) scan; Trabecular Bone Score is a measure of bone architecture that has been shown to be an independent risk factor for fracture. The measure is unitless, and ranges from 1.0-1.6, where an elevated TBS greater than or equal to 1.3 appears to represent strong, fracture-resistant bone architecture, while a low TBS less than or equal to 1.2 reflects weak, fracture-prone bone architecture.

GroupValue95% CI
Weight Loss Plus Vest0.0200.002 – 0.039
Weight Loss Plus Resistance Exercise Training0.0370.018 – 0.056
Weight Loss0.017-0.002 – 0.035
Change in Trabecular Bone Score (TBS) Secondary · 12 months from baseline

measurement taken during dual energy x-ray absorptiometry (DXA) scan; Trabecular Bone Score is a measure of bone architecture that has been shown to be an independent risk factor for fracture. The measure is unitless, and ranges from 1.0-1.6, where an elevated TBS greater than or equal to 1.3 appears to represent strong, fracture-resistant bone architecture, while a low TBS less than or equal to 1.2 reflects weak, fracture-prone bone architecture.

GroupValue95% CI
Weight Loss Plus Vest0.014-0.005 – 0.034
Weight Loss Plus Resistance Exercise Training0.0370.017 – 0.057
Weight Loss0.017-0.003 – 0.037
Change in Total Hip Areal Bone Mineral Density (aBMD) Secondary · 6 months from baseline

measured in g/cm2 during dual energy x-ray absorptiometry (DXA) scan

GroupValue95% CI
Weight Loss Plus Vest-0.006-0.013 – 0.001
Weight Loss Plus Resistance Exercise Training-0.008-0.015 – -0.001
Weight Loss-0.008-0.015 – -0.001
Change in Total Hip Areal Bone Mineral Density (aBMD) Secondary · 12 months from baseline

measured in g/cm2 during dual energy x-ray absorptiometry (DXA) scan

GroupValue95% CI
Weight Loss Plus Vest-0.015-0.023 – -0.007
Weight Loss Plus Resistance Exercise Training-0.016-0.024 – -0.008
Weight Loss-0.017-0.025 – -0.009
Change in Femoral Neck Areal Bone Mineral Density (aBMD) Secondary · 6 months from baseline

measured in g/cm2 during dual energy x-ray absorptiometry (DXA) scan

GroupValue95% CI
Weight Loss Plus Vest-0.000-0.011 – 0.010
Weight Loss Plus Resistance Exercise Training0.004-0.007 – 0.014
Weight Loss0.004-0.007 – 0.015
Change in Femoral Neck Areal Bone Mineral Density (aBMD) Secondary · 12 months from baseline

measured in g/cm2 during dual energy x-ray absorptiometry (DXA) scan

GroupValue95% CI
Weight Loss Plus Vest-0.006-0.017 – 0.005
Weight Loss Plus Resistance Exercise Training-0.004-0.015 – 0.008
Weight Loss-0.005-0.016 – 0.007

Adverse events — posted to ClinicalTrials.gov

Time frame: Baseline through Month 12. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Weight Loss Plus Vest
Serious: 3/50 (6%)
Deaths: 0/50
Weight Loss Plus Resistance Exercise Training
Serious: 1/50 (2%)
Deaths: 0/50
Weight Loss
Serious: 2/50 (4%)
Deaths: 0/50

Serious adverse events (5 terms)

ReactionSystemWeight Loss Plus VestWeight Loss Plus Resistanc…Weight Loss
Small bowel obstructionGastrointestinal disorders
Back painMusculoskeletal and connective tissue disorders
Motor vehicle accidentSocial circumstances
Prostate transurethral resectionRenal and urinary disorders
Retinal detachmentEye disorders
Other adverse events (7 terms — click to expand)

ReactionSystemWeight Loss Plus VestWeight Loss Plus Resistanc…Weight Loss
FallSocial circumstances
COVID-19Respiratory, thoracic and mediastinal disorders
SinusitisInfections and infestations
Back painMusculoskeletal and connective tissue disorders
Urinary tract infectionRenal and urinary disorders
Shoulder painMusculoskeletal and connective tissue disorders
Knee painMusculoskeletal and connective tissue disorders

Most-reported serious reactions: Small bowel obstruction, Back pain, Motor vehicle accident, Prostate transurethral resection, Retinal detachment.

Data from ClinicalTrials.gov NCT04076618 adverse events section.

Sponsor's own description

The main goal of the proposed study is to compare the effects of weight loss (WL) alone with WL plus weighted vest use or WL plus resistance exercise training (RT) on indicators of bone health and subsequent fracture risk.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Incorporating Nutrition, Vests, Education, and Strength Training (INVEST) in Bone Health: Trial Design and Methods.
    Miller RM, Beavers DP, Cawthon PM, Crotts C, et al · · 2021 · cited 8× · PMID 33631359 · DOI 10.1016/j.cct.2021.106326
  2. Weighted Vest Use or Resistance Exercise to Offset Weight Loss-Associated Bone Loss in Older Adults: A Randomized Clinical Trial.
    Beavers KM, Lynch SD, Fanning J, Howard M, et al · · 2025 · cited 6× · PMID 40540267 · DOI 10.1001/jamanetworkopen.2025.16772
  3. Application of the D<sub>3</sub> -creatine muscle mass assessment tool to a geriatric weight loss trial: A pilot study.
    Beavers KM, Avery AE, Shankaran M, Evans WJ, et al · · 2023 · cited 5× · PMID 37668075 · DOI 10.1002/jcsm.13322
  4. Real-world data capture of daily limb loading using force-sensing insoles: Feasibility and lessons learned.
    Hsieh KL, Beavers KM, Weaver AA, Delanie Lynch S, et al · · 2024 · cited 3× · PMID 38564846 · DOI 10.1016/j.jbiomech.2024.112063
  5. Musculoskeletal characteristics in older adults with overweight or obesity: INVEST in Bone Health trial baseline analysis.
    Lynch SD, Howard M, Beavers DP, Lenchik L, et al · · 2025 · cited 1× · PMID 40051020 · DOI 10.1002/oby.24243
  6. Weighted vest use or resistance exercise to offset muscle loss in older adults: secondary findings from the INVEST in bone health RCT.
    Lynch SD, Howard M, Beavers DP, Weaver AA, et al · · 2026 · PMID 41761582 · DOI 10.1093/gerona/glag062
  7. Weighted Vests Preserve Resting Energy Expenditure During Intentional Weight Loss in Older Adults
    · 2025
  8. Sex-Stratified Skeletal Treatment Effects from the INVEST in Bone Health Randomized Clinical Trial
    · 2025

Verify or expand the search:

Other recruiting trials for Weight Loss

Currently open trials in the same condition.

Other Wake Forest University Health Sciences trials

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT04076618.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing