Enhancing Mobility and Psychosocial Function in Obese Veterans Following Stroke Via Weight Loss and ExeRcise (EMPOWER)
Weight loss interventions for neurologically health individuals have established benefits for improving physical and psychosocial function. The investigators believe that Veterans who have had a stroke would realize similar benefits and that the effects would be enhanced with concurrent exercise training. The investigators will study the effects of a 15-week lifestyle management program to determine if it can effectively improve some of the physical and psychosocial problems common in Veterans who have had a stroke.
• A diagnosis of stroke at least 6 months prior
• BMI \> 30 kg/m2
• Residual paresis in the lower extremity (Fugl-Meyer LE motor score \<34)
• Ability to follow instructions, complete training and testing and to communicate exertion, pain and distress
• Provision of informed consent
⁃ Individuals who meet inclusion criteria must complete an exercise tolerance test and be cleared for participation by the study cardiologist