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Vitamin D3 - Omega3 - Home Exercise - HeALTHy Aging and Longevity Cohort

Conditions
Healthy Aging
Registration Number
NCT05062018
Lead Sponsor
Heike Bischoff-Ferrari
Brief Summary

The DO-HEALTH trial will be extended into the cohort including the collection on life style factors such as diet, quality of life and physical activity, as well as health-related data on co-morbid conditions as well as a standardized assessment of multiple organ functions, physical, cognitive and mental function using surveys and standardized health assessments.

Detailed Description

The DO-HEALTH cohort will be a continuation of the trial without intervention and will elucidate longterm determinants of healthy, active and independent aging in European community-dwelling older adults. The main emphasize of the cohort will be to determine the risk factors, to quantify the incidence and to describe the trajectories of incident frailty, impaired mobility, loss of independence and age related morbidity (e.g. heart arrhythmia, type 2 diabetes, falls, fractures).

Additionally, the cohort will continue to investigate the primary endpoints of the original trial like the risk and incidence of injurious falls (bone); functional decline (muscle); high blood pressure (cardiovascular); cognitive decline (brain); and the rate of any infection (immunity). Moreover, the cohort will include and extend key secondary and exploratory endpoints of the original trial such as incidence and prevalence of anemia, sarcopenia, cardiovascular diseases, type 2 diabetes and cancer.

Recruitment & Eligibility

Status
ENROLLING_BY_INVITATION
Sex
All
Target Recruitment
534
Inclusion Criteria
  • Former participation in the DO-HEALTH clinical trial study
Exclusion Criteria
  • Inability or unwillingness to give written informed consent
  • Medical condition that would make the results of the tests/assessments unreliable and/or would put too much burden to the participant, and/or leads to safety concerns.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Incidence of functional decline24 months

assessed by short physical performance test battery

Incidence of injurious falls24 months

assessed by fall questionnaire at each visit

Incidence of cognitive decline24 months

assessed by Montreal Cognitive Assessment (MoCA)

Incidence of infections24 months

assessed by infection questionnaire at each visit

Incidence of high blood pressure24 months

Standardized blood pressure assessment in sitting position

Secondary Outcome Measures
NameTimeMethod
Incidence and prevalence of dementia24 months

assessed by medical history

Incidence and prevalence of any gastrointestinal disease24 months

assessed by medical history

Incidence and prevalence of gastroesophageal reflux disease (GERD)24 months

assessed by medical history

Incidence and prevalence of inappropriate medication prescription24 months

assessed by medication

Incidence and prevalence of malnutrition24 months

assessed by medical history, FFQ, GOHAI, Rome

trajectories of frequent health care utilization24 months

assessed by medical history

Incidence and prevalence of impaired quality of life24 months

assessed by EQ5D-3L

Incidence and prevalence of functional decline24 months

assessed by medical history

Incidence of fractures24 months

assessed by fracture rate

Dual-tasking gait variability (DO-HEALTHcohort-MINDful substudy)one time

assessed by GAITRite® Platinum (Basel only)

Covid-19 related stress (DO-HEALTHcohort-MINDful)one time

assessed by Covid-19 Pandemic Stress Scale (CPSS)

Incidence and prevalence of atrial fibrillation24 months

assessed by ECG

Incidence of stroke24 months

assessed by medical history

Incidence and prevalence of Type 2 diabetes24 months

assessed by medical history

Incidence and prevalence osteoporosis24 months

assessed by medical history

Incidence and prevalence of chronic pain24 months

assessed by medical history, McGill, Joint Map, EQ5D-3L

Incidence and prevalence of urinary incontinence24 months

assessed by medical history, IPPS, QUID

Incidence and prevalence of frailty24 months

based on criteria by L. Fried (shrinking, weakness, poor endurance and energy, slowness, low physical activity level), SHARE-FI

Incidence and prevalence of impaired mobility24 months

assessed by EQ5D-3L, physical activity questionnaire

Incidence and prevalence of anemia or iron deficiency24 months

assessed by blood markers (ferritin, soluble transferrin receptor, RBC, Hb, erythrocyte indices (MCV, MCH, MCHC), reticulocytes)

Incidence and prevalence of heart failure, cardiomyopathy, heart valves abnormalities24 months

assessed by medical history, ECG, physical examination

Incidence and prevalence of any micronutrient deficiency (Vitamins, Minerals and fatty acids)24 months

assessed by medical history

Incidence and prevalence of subjective memory complaints24 months

assessed by medical history, MoCA, MACQ

Incidence and prevalence of hearing impairment24 months

assessed by medical history, hearing test, physical examination

Incidence and prevalence insomnia24 months

assessed by medical history, Insomnia

Incidence and prevalence of chronic inflammation24 months

assessed by medical history, blood marker (e.g. CRP)

Incidence and prevalence of polypharmacy24 months

assessed by medication

Incidence and prevalence of age related morbidity by individual drug use (e.g. Proton-Pump-Inhibitors, anticoagulants, benzodiazepines, antibiotics)24 months

assessed by medication

Prevalence of MIND diet adherence (DO-HEALTHcohort-MINDful substudy)24months

assessed by FFQ

Prevalence of Covid-19 vaccinated participants (DO-HEALTHcohort-MINDful substudy)24 months

assessed by medical history

Prevalence of reported subjective cognitive decline (DO-HEALTHcohort-MINDful substudy)24 months

assessed by MAC-Q, GDS, EQ5D-3L

Covid-19 related resilience (DO-HEALTHcohort-MINDful substudy)one time

assessed by Brief Resilience Scale (BRS)

Covid-19 related coping behaviours (DO-HEALTHcohort-MINDful)one time

assessed by Pandemic Coping Scale (PCS)

Incidence and prevalence of functional dependency24 months

assessed by PROMIS-HAQ

Incidence and prevalence of any cardiovascular disease24 months

assessed by medical history

Incidence and prevalence of heart arrhythmia24 months

assessed by ECG

Incidence and prevalence of osteoarthritis24 months

assessed by medical history

Incidence and prevalence of sarcopenia, osteosarcopenia24 months

assessed by medical history

Incidence and prevalence of knee buckling24 months

assessed by medical history, Buckling, KOOS, HOOS

Incidence and prevalence of depression24 months

assessed by medical history, GDS

Incidence and prevalence of frequent health care utilization24 months

assessed by medical history

Incidence of all-cause mortality24 months
Prevalence and Incidence of Mild Cognitive impairment (DO-HEALTHcohort-MINDful substudy)24months

assessed by MoCA

Prevalence of confirmed Covid-19 cases (DO-HEALTHcohort-MINDful substudy)24 months

assessed by medical history

Incidence of all-cause hospitalization24 months

assessed by medical history

Incidence of nursing home placement24 months

assessed by medical history

Incidence of cancer (any cancer, gastro-intestinal, breast cancer in women, prostate cancer in men)24 months

assessed by medical history

Trial Locations

Locations (1)

Centre on Aging and Mobility, University of Zurich, City Hospital Zurich

🇨🇭

Zürich, Switzerland

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