Lifestyle treatments
Participants were encouraged to increase exercise and adopt novel exercise routines with the goal of getting regular aerobic and strength training exercise. Exercise recommendations were given after assessment of risk, accessibility, and possible maximal impact to the participant. Depending on participant activity level at baseline, these recommendations varied (e.g., if a participant was already doing strength training, aerobic exercise was added, etc.). If participants were doing no exercise at the time of study enrollment, then a recommendation to walk each day was recommended as a starting point (the timing component dependent upon the above-mentioned assessments). The foci of exercise recommendations were novelty to the participant and increases in movement. Self-reported exercise diaries were collected monthly.Participants were encouraged to increase social interaction with peers, including in church groups and/or through hobbies and activities, with COVID-19 risk mitigation in mind. All participants were encouraged to engage in mindfulness practices, including daily meditation or prayer depending on participant preference. Twelve minutes daily of Kirtan Kriya meditation was recommended to all participants [