Clinical Research Directory

Inclusion Criteria: * Age ≥ 60 years * Ambulatory and community-dwelling * Diagnosis of Pre-diabetes within prior 12 months: fasting glucose between 100 to 126 OR HbA1c between 5.7 and 6.4% * Low functioning: 1) able to do at least 1 chair stand and 2) number of chair stands done in 30 seconds is below criterion-referenced fitness standards for maintaining physical independence for age and gender * Sedentary: less than 150 minutes of moderate physical activity OR less than 60 minutes of vigorous physical activity per week * Have not engaged in resistance training for at least 6 months prior to enrollment * Access to WiFi in defined exercise space Exclusion Criteria: * Inability to complete physical function assessment * Use of antidiabetic medications * Use of testosterone supplement or replacement * Clinical disorder precluding/interfering with participation of assessments * Unstable angina, arrhythmia, uncontrolled hypertension * End Stage Renal Disease on Hemodialysis * Lower extremity amputation or paralysis * Neurological condition causing functional or pronounced cognitive impairments * Active malignancy except for non-melanomatous skin cancers * Weight instability (defined as gain or loss of ≥10% over the last 6 months) * Unable to provide consent