Effectiveness Multicomponent Exercise Programme in Older Subjects. A Pilot Study.
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Old Age; Debility
- Sponsor
- Universitat Internacional de Catalunya
- Enrollment
- 13
- Locations
- 1
- Primary Endpoint
- Functionality (Running speed in 4 metres. Seconds)
- Last Updated
- 4 years ago
Overview
Brief Summary
Sarcopenia can occur or increase due to sedentary lifestyles, physical inactivity or chronic endocrine and inflammatory disorders, this pathology is much more frequent in older people due to the added risk factors and the fact that the physiological ageing process generates a pro-inflammatory situation and an alteration in the synthesis of hormones and myokines, it has been observed that the loss of strength causes functional deterioration and a significant increase in the person's dependence, reduces their functional status and quality of life, and may increase the risk of falls, thereby increasing mortality.
The hipotesis of this study is that multicomponent training 3 times a week for 6 weeks, produces improvements in the functional capacity of elderly patients.
This study has the objective is whether multicomponent training 3 times a week for 6 weeks produces improvements in the functional capacity of elderly patients.
The methodology is a pilot clinical trial. The study population is people over 65 years of age, sedentary, with functional independence and with a state of health that allows them to carry out physical activity. The study is planned as a pilot study and will consist of 13 subjects in the experimental group (multicomponent training).
The variables to be measured are anthropometric variables and variables of neuromuscular function an functionality.
The intervention will be a training will be 3 times a week during 6 weeks, with a warm-up, a main block with aerobic work, strength work and training and coordination work, and finally a return to calm.
Detailed Description
Sarcopenia can occur or increase due to sedentary lifestyles, physical inactivity or chronic endocrine and inflammatory disorders, this pathology is much more frequent in older people due to the added risk factors and the fact that the physiological ageing process generates a pro-inflammatory situation and an alteration in the synthesis of hormones and myokines, it has been observed that the loss of strength causes functional deterioration and a significant increase in the person's dependence, reduces their functional status and quality of life, and may increase the risk of falls, thereby increasing mortality. The hipotesis of this study is that multicomponent training 3 times a week for 6 weeks, produces improvements in the functional capacity of elderly patients. This study has the objective is whether multicomponent training 3 times a week for 6 weeks produces improvements in the functional capacity of elderly patients. The methodology is a pilot clinical trial. The study population is people over 65 years of age, sedentary, with functional independence and with a state of health that allows them to carry out physical activity. The study is planned as a pilot study and will consist of 13 subjects in the experimental group (multicomponent training). The variables to be measured are anthropometric variables and variables of neuromuscular function an functionality. The variables to be measured are anthropometric variables such as height, sex, age, lower limb dominance and bioimpedance, we will also measure variables of neuromuscular function, with Tensiomyography: Contraction time (Tc), and radial displacement (Dm), Myotonometry: Stiffness, Surface electromyography: %RMS, all of this in muscles Rectus femoris, vastus lateralis, vastus medialis, lateral gastrocnemius and tibialis anterior. Manual dynamometry: Peak force (Kg) grip strength (Handgrip). Information on functionality with Short Physical Performance Battery (SPPB), velocity in 4 meters walking, Timed get up and go (TUG). The intervention will be a training will be 3 times a week during 6 weeks, with a warm-up, a main block with aerobic work, strength work and training and coordination work, and finally a return to calm. The intervention will be a training 3 times a week with, warm up, articular and functional exercises with one's own body weight, principal work: Aerobic training 20 minutes waking then strenght training 25 minutes, i.Sets: start with 1 set to consolidate the technique, and progress to 3 sets. ii.Repetitions: start with 10-15 repetitions (at lower intensity) and progress to 8-12 repetitions. iii.Intensity: start with a lower intensity (even 20-30%1RM) and progress to 70-80%1RM. iv.Rest: Breaks between sets of 3-5 minutes should be taken to avoid muscle fatigue. v.Exercises: Leg press on machine Balance and co-ordination training during 5-10 minutes finally return to calm during 5 minutes with stretching.
Investigators
Jacobo Rodríguez Sanz
Principal Investigator
Universitat Internacional de Catalunya
Eligibility Criteria
Inclusion Criteria
- •Sedentary persons between 65 and 95 years of age.
- •Have a walking speed ≤0.8 metres per second as this is characteristic of patients with or with onset of sarcopenia.
- •Have a grip strength \<30 kg for men and \<20 kg for women as being characteristic of patients with or with onset of sarcopenia.
Exclusion Criteria
- •Severe untreated osteoporosis.
- •Having suffered a bone fracture in the last year.
- •Having had juvenile osteoporosis during adolescence or young adulthood.
- •Active chronic pathology
- •Uncontrolled arterial hypertension.
- •Uncontrolled orthostatic hypotension.
- •Severe acute respiratory failure.
- •Diabetes mellitus with acute decompensation or uncontrolled hypoglycaemia.
- •Endocrine, haematological and other associated rheumatic diseases.
- •Mental health problems (schizophrenia, dementia, depression, etc.) or not being in full mental capacity.
Outcomes
Primary Outcomes
Functionality (Running speed in 4 metres. Seconds)
Time Frame: Change between baseline and 6 weeks
The participant's speed in covering 4 metres at their usual walking speed is assessed. The shorter the time, the faster the walking speed and therefore the better the functionality.
Functionality (Timed get up and go. Seconds)
Time Frame: Change between baseline and 6 weeks
The time it takes the participant to get up from a chair, walk 3 metres, turn around an obstacle (a cone) and sit back down in the chair is assessed. The less time the participant takes to perform the test, the better the functionality.
Secondary Outcomes
- Functionality (Short Physical Performance Battery. 0-12 points)(Change between baseline and 6 weeks)
- Neuromuscular Function, Handgrip (Kg)(Change between baseline and 6 weeks)
- Neuromuscular Function, Myotonometry (Stiffness)(Change between baseline and 6 weeks)
- Neuromuscular Function,Tensiomyography (Radial displacement (Dm)).(Change between baseline and 6 weeks)
- Neuromuscular Function,Tensiomyography (Shrinkage time (Tc))(Change between baseline and 6 weeks)