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Effects of Exercise Interventions in Frail Middle-aged and Older Adults

Not Applicable
Conditions
Frailty
Interventions
Device: exercise training
Registration Number
NCT05279625
Lead Sponsor
Taipei Veterans General Hospital, Taiwan
Brief Summary

This study aimed to determine the ideal parameters of exercise program for frail middle-aged and older adults on physical and mental functions.

Detailed Description

Exercise has been suggested as a possible lifestyle intervention for improving physical and cognitive performance. Various training options depending on various physical circumstances will be presented. However, the ideal exercise protocol for frail middle-aged and older adults had the greater benefits remain unknown. In general, 3-6 months of frequent exercise can enhance physical and cognitive outcome.

The investigators conduct this multiple arm, prospective study to determine the ideal parameters of exercise program for frail middle-aged and older adults on physical and cognitive functions. This study designed to recruit 200 older adults with frailty. All the older adults will receive exercise training using either elastic band, dumbbells, machines, treadmill, cycling for 6 months. Outcome measures including a systematic evaluation for frail older persons using comprehensive geriatric assessment, as well as the assessments of physical and cognitive functions before and after interventions.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
200
Inclusion Criteria
  • Patients aged above 50 years old with frailty syndrome
Exclusion Criteria
  • Acute illnesses, such as unstable cardiac dysrhythmia, sepsis, or unstable vital signs
  • Physical or Cognitive issues that make it difficult for the patients to participate in our program

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
traditional rehabilitationexercise trainingtraditional rehabilitation for 6 months
machine-assisted exercise trainingexercise trainingmachine-assisted exercise training for 6 months
Interval exercise trainingexercise trainingInterval exercise training using either elastic band, dumbbells, treadmill, cycling for 6 months
continuous exercise trainingexercise trainingcontinuous exercise training using either elastic band, dumbbells, treadmill, cycling for 6 months
Primary Outcome Measures
NameTimeMethod
Change of Montreal Cognitive AssessmentUp to 6 months

Test cognition including memory, attention, and language, range from 0-30, higher values represent a greater outcome

Change of Geriatric Depression ScaleUp to 6 months

Test depression status, , range from 0-15, higher values represent a worse outcome

Change of Lawton Instrumental Activities of Daily Living (IADL) ScaleUp to 6 months

To assesses a person's ability to perform tasks such as using a telephone, doing laundry, and handling finances.y. A summary score ranges from 0 (low function, dependent) to 8 (high function, independent)

Change of Barthel indexUp to 6 months

Test function of activities of daily living, range from 0-100, higher values represent a greater outcome.

Secondary Outcome Measures
NameTimeMethod
Change of Digit symbol substitution testUp to 6 months

Test cognitive function. The test consists of filling as many empty boxes as possible with a symbol matching each number. The score is the number of correct number-symbol matches achieved.

Change of Six-minute Walking TestUp to 6 months

Test physical function. In healthy subjects, the 6-min walk distance ranges from 400 to 700 m.

Change of Timed Get-up-and-go TestUp to 6 months

Test for quantifying functional mobility

Change of Memory span testUp to 6 months

an examiner reads a list of random numbers aloud at about the rate of one number per second. At the end, the person being tested is asked to recall the items, in order.

Change of Mini-mental state examinationUp to 6 months

Test cognitive function, range from 0-30, higher values represent a greater outcome

Change of Color Trails TestUp to 6 months

Test cognitive function. Test is scored by how long it takes to complete the test.

Trial Locations

Locations (1)

Department of Physical Medicine & Rehabilitation, Taipei Veterans General Hospital, Yuan-Shan/Su-Ao Branch

🇨🇳

Yilan, Taiwan

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