Outcome of Exercise With a Towel in Elderly With Sarcopenia
- Conditions
- Sarcopenia
- Interventions
- Procedure: Home-based exerciseProcedure: Exercise with a towel
- Registration Number
- NCT03258827
- Lead Sponsor
- Chang Gung Memorial Hospital
- Brief Summary
As the proportion of older adults increases, elderly-related issues attract more attention. Sarcopenia is one of the popular elderly-related issues. Sarcopenia may induce decreased muscle strength, poor physical activity, even disability and increase rate of hospitalization and mortality. Therefore, we want to figure out the management for decreasing prevalence of sarcopenia in older adults. This trial is planned to perform during 2017/08/01\~2017/12/31. We plan to enroll 60 elderlies who are sarcopenia. These patient will be divided into 2 group randomize. Experimental group will be received a set of exercise, composed by warm-up, strengthening training with a towel, cold-down, 60 minutes per time, 3 times per week. Control group will be suggested home-based walking activity. We will evaluate the patient's functional performance three times, before training, after training, post-training for three months, respectively. These results will be analyzed by repeated measure ANOVA.
- Detailed Description
As the proportion of older adults increases, elderly-related issues attract more attention. Sarcopenia is one of the popular elderly-related issues. Skeletal muscle is an important component for sustaining physical activity and storing protein. Protein of skeletal muscle is used as energy substrates in cases of starvation or under stress. As being aging, physical condition degenerates gradually. Older adults usually have multiple chronic diseases. Lesser physical function results in less physical activity. As a result, more muscle mass would be lost. In previous study, after the age of 50 year-old, muscle mass decreases 1-2% per year. The velocity of muscle mass decline increases after the age of 60 year-old. Sarcopenia may induce decreased muscle strength, poor physical activity, even disability and increase rate of hospitalization and mortality. Therefore, we want to figure out the management for decreasing prevalence of sarcopenia in older adults.
Exercise is an important method for preventing sarcopenia. In this study, we intend to design a set of exercise which is easily performed for older adults and also has preventing muscle mass loss effect. Towel is an important tool for exercise.
Duration to execute is during 2017/08/01\~2017/12/31. We randomize these 60 older adults into 2 groups (experimental group and control group) and there are 30 older adults in each group. Those older adults are age above 65 year-old, have lower grip strength and slower walking speed. One assistant who doesn't know which group these older adults belonged to would record their basic information and is responsible for the evaluation. We will evaluate the older adults' functional performance three times, before training, after training, post-training for three months, respectively.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 53
- age above 65 y/o
- low muscle mass (male<7.0 kg/m2, female<5.4kg/m2, tested by Dual energy X-ray Absorptiometry)
- with or without low grip strength (male< 26 kg, female <18 kg)
- with or without low walk speed (≤ 0.8 m/s).
- cognitive impairment or can't follow order appropriately
- elderlies with medical problems that they can't perform the exercise program
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Home-based exercise Home-based exercise There are 30 old adults in this group who is suggested a home-based program focuses on walking activity at fast speed. Exercise with a towel Exercise with a towel There are 30 old adults in this group who receives exercise program with a towel.
- Primary Outcome Measures
Name Time Method Maximal grip strength Baseline Handgrip dynamometer is used for measuring maximal grip strength.
Timed up and go test Baseline At first, the participant sits down. Then the participant would be asked to stand up, walk straight for 3 meters, turn around, go back to the chair and sit down. The duration of whole test would be measured.
Times of stand-up and sit-down within 30 seconds Baseline The participant is asked to cross arm before the chest. The investigator would record the times of stand-up and sit-down within 30 seconds.
Fat-free mass Baseline Dual-energy X-ray absorptiometry is used for measuring fat-free mass.
Bone mineral density Baseline Dual-energy X-ray absorptiometry is used for measuring bone mineral density.
6 minutes walking test Baseline At first, the participant sits down for a rest for 10 minutes. The participant would be asked to walk as longer distance as the participant can within 6 minutes.
Berg balance test Baseline The investigator record scores of 14 items involved in Berg balance test for measuring balance of the old adults.
Fat mass Baseline Dual-energy X-ray absorptiometry is used for measuring fat mass.
Walking speed Baseline Participants are asked to walk at a comfortable speed to perform 10 meter walk test.
- Secondary Outcome Measures
Name Time Method Fat mass Change between baseline and 6 month after training Dual-energy X-ray absorptiometry is used for measuring fat mass
Fat-free mass Change between baseline and 6 month after training Dual-energy X-ray absorptiometry is used for measuring fat-free mass
Times of stand-up and sit-down within 30 seconds Change between baseline and 6 month after training The participant is asked to cross arm before the chest. The investigator would record the times of stand-up and sitdown within 30 seconds.
Walking speed Change between baseline and 6 month after training Participants are asked to walk at a comfortable speed to perform 10 meter walk test.
Maximal grip strength Change between baseline and 6 month after training Handgrip dynamometer is used for measuring maximal grip strength.
6 minutes walking test Change between baseline and 6 month after training At first, the participant sits down for a rest for 10 minutes. The participant would be asked to walk as longer distance as the participant can within 6 minutes.
Bone mineral density Change between baseline and 6 month after training Dual-energy X-ray absorptiometry is used for measuring bone mineral density
Timed up and go test Change between baseline and 6 month after training At first, the participant sits down. Then the participant would be asked to stand up, walk straight for 3 meters, turn around, go back to the chair and sit down. The duration of whole test would be measured.
Berg balance test Change between baseline and 6 month after training The investigator record scores of 14 items involved in Berg balance test for measuring balance of the old adults.
Trial Locations
- Locations (1)
Wujia Senior Citizens activity Center of Kaohsiung City Government
🇨🇳Kaohsiung, Taiwan