Table 2 Inclusion/exclusion criteria

Latino (self-identified)

Have a diabetes diagnosis

Age 50+

Have a diagnosis of any neurodegenerative disorder or dementia (Parkinson’s disease, Alzheimer’s, vascular, frontotemporal dementia, etc.) or significant cognitive impairment as indicated by a Mini-Mental Status Exam score < 24

Male

Have contraindications to physical activity outlined in the American College of Sports Medicine standards

HIV infected but are virologically suppressed (viral load < 200 copies/mL)

Are unable to complete 10-m walk test

Volunteer informed consent

Currently residing in a nursing or group home

Expect to stay in Miami for the next 6 months

Have a terminal physical illness expected to result in the death within 1 year

Have documented risk of cardiometabolic disease.

Have an acute or severe medical illness that precludes them from safely participating in a health promotion intervention (e.g., progressive, degenerative neurologic disease, such as Parkinson’s Disease, multiple sclerosis, ALS; severe arthritis or orthopedic condition that would prevent participation in a physical activity program; lung disease requiring either oral or injected steroids, or the use of supplemental oxygen; New York Heart Association Class III or IV congestive heart failure, clinically significant aortic stenosis, history of cardiac arrest, use of a cardiac defibrillator, or uncontrolled angina; renal disease requiring the use of dialysis; cancer being actively treated with radiation or chemotherapy; myocardial infarction, CABG, or valve replacement within the past 6 months; serious conduction disorder, such as 3rd degree heart block; uncontrolled arrhythmia; pulmonary embolism or deep venous thrombosis within past 6 months; uncontrolled diabetes with recent weight loss, diabetic coma or frequent insulin reactions; stroke, hip fracture, hip or knee replacement, or spinal surgery in the past 6 months; receiving physical therapy for gait, balance, or other lower extremity training; severe, uncontrolled hypertension-systolic blood pressure > 200 mmHg and/or diastolic blood pressure > 110 mmHg)

Are currently taking antidepressant medications in doses indicated for weight reduction.