Fitbit and health coaching to improve movement and cardiometabolic health in adults with central obesity

Effects of Wearable Device Functions and Health Coaching on Device-measured Movement Behaviours and Cardiometabolic Risk Factors in Adults With Central Obesity: a Randomised Controlled Trial

Not applicable Interventional The University of Hong Kong · NCT07379970

This project tests whether giving adults with central obesity a Fitbit alone or with health coaching for one year improves daily movement and cardiometabolic risk factors.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment133 (estimated)
Ages40 Years and up
SexAll
SponsorThe University of Hong Kong Academic / other
Locations1 site (Hong Kong)
Trial IDNCT07379970 on ClinicalTrials.gov

What this trial studies

This is a 12-month, open-label, parallel-group randomized trial at the University of Hong Kong enrolling 133 adults with central obesity. Participants are randomized to no intervention, wearable-device functions alone (Fitbit), or wearable-device functions combined with a lifestyle coaching program, with outcomes measured by the device and clinical cardiometabolic tests. Primary outcomes include device-measured movement behaviours and cardiometabolic risk factors, with a 6-month post-intervention follow-up to assess durability. The trial requires smartphone ownership and English or Chinese literacy for participation.

Who should consider this trial

Good fit: Adults aged 40 or older with central obesity (waist ≥90 cm for men or ≥80 cm for women), insufficient physical activity, a smartphone, and the ability to read English or Chinese are appropriate candidates.

Not a fit: People unable to perform daily activities, those already meeting physical activity guidelines, or those enrolled in another lifestyle-change intervention are unlikely to benefit from this program.

Why it matters

Potential benefit: If successful, the approach could help adults with central obesity increase physical activity and improve cardiometabolic measures such as waist circumference, blood pressure, blood glucose, and lipids.

How similar studies have performed: Previous trials show wearables alone tend to produce modest activity gains while combining wearable feedback with structured coaching yields larger improvements, so this trial builds on mixed but promising evidence.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age 40 years or older
* Central obesity, defined as waist circumference: ≥90 cm for men; ≥80 cm for women
* Insufficient physical activity based on World Health Organization (WHO) guidelines
* Physical activity assessed using the International Physical Activity Questionnaire (IPAQ) - Short Form
* Ownership of a smartphone
* Able to read and understand English or Chinese

Exclusion Criteria:

* unable to perform daily-life activities, based on the Physical Activity Readiness-Questionnaire (PAR-Q) (24) and/or participation in another lifestyle-change intervention study.

Where this trial is running

Hong Kong

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Fitness TrackersCardio Vascular DiseasePhysical ActivitiesExerciseHealth Coachingmovement behaviorNDPP Programrandomized controlled trial
Last reviewed 2026-06-10 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.