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Obesity, Sarcopenic, Risk of Falls in Spanish Postmenopausal Women

Not Applicable
Completed
Conditions
Fall Due to Loss of Equilibrium
Interventions
Other: Pilates
Registration Number
NCT03201107
Lead Sponsor
University of Jaén
Brief Summary

To analyze the effects of a Pilates exercise program on obesity, sarcopenic, risk of falls and health in Spanish postmenopausal women.

Detailed Description

This is a randomized clinical trial of single-blind with 2 arms (Control group and experimental group), in which a pre-treatment-postest design has been used.

The study will define two groups:

* A control group (CG) that will not be submitted to treatment, which will be evaluated in the pre and post phase of the study. Participants assigned to this group will receive general advice on the positive effects of regular physical activity and will be given a guide to recommendations for promoting physical activity.

* An experimental group (GE) that after an initial evaluation will undergo a physical training program based on Pilates exercises.

Once the intervention is finished, it will be submitted to a final evaluation to see if there is a difference or not with the results obtained at the beginning.

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
107
Inclusion Criteria
  • No menstrual activity for at least 12 months.
  • Present obesity and / or sarcopenic.
  • Do not participate in a weight loss program.
  • Be able to understand the instructions, programs and protocols of this project.
Exclusion Criteria
  • Contraindications for conducting physical tests.
  • Diseases that limit the static and dynamic balance and physical activity. -
  • Central or peripheral vestibular or nerve alterations.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Pilates groupPilatesThis group receives physical training based on pilates exercises
Primary Outcome Measures
NameTimeMethod
MRS (Menopause Rating Scale):At the beginning and at three months

Assesses the severity of menopause-related complaints and the impact on health-related quality of life.

ABC-16 (Activities Specific Balance Confidence Scale)At the beginning and at three months

Questionnaire that assesses balance confidence in performing activities of daily living.

Body Fat MassAt the beginning and at three months

The standard range of Body Fat Mass is ascertained by calculating an examinee Body Fat Mass as compared to the standard weight and standard Body Fat Mass.

Percent of Body Fat (%)At the beginning and at three months

Indicates the percentage of body fat to body weight.

VelocityAt the beginning and at three months

Is an estimate of the average velocity of displacement of the center of pressures of the subject during the whole test.

FES-I (Falls Efficacy Scale-International)At the beginning and at three months

Questionnaire that evaluates the fear of falling.

FSS (Fatigue Severity Scale)At the beginning and at three months

A self-report scale describing the severity of fatigue and the impact of fatigue on activities of daily living.

INBODYAt the beginning and at three months

Valid and reliable tool to quantify and measure the 4 major components of body composition: Water, Protein, Minerals and Fat.

Skeletal Muscle Mass (kg)At the beginning and at three months

Is computed based on muscle mass of the limbs, which is almost composed of skeletal muscle and takes up about 70% of total body skeletal muscle

RMS XAt the beginning and at three months

Mean position of the center of pressure in the mediolateral plane.

RMS YAt the beginning and at three months

Mean position of the center of pressure in the anteroposterior plane

30-second chair stand testAt the beginning and at three months

To test leg strength and endurance.

heightAt the beginning and at three months

The distance between the lowest and highest points of a person standing upright.

DynamometerAt the beginning and at three months

Dynamometer will be employed to assess hand grip stregth.

Barthel indexAt the beginning and at three months

Measures disability or dependence in activities of daily living

KATZ INDEXAt the beginning and at three months

Is a widely used tool to assess the level of independency in older adults.

PSQI (Pittsburgh Sleep Quality Index)At the beginning and at three months

A simple and valid assessment of both sleep quality and disturbance that might affect sleep quality.

SF-36 (The Short Form-36 Health Survey)At the beginning and at three months

Used extensively for assessing health-related quality of life.

STABILOMETRIC PLATFORMAt the beginning and at three months

Instrument composed of resistive pressure sensors, used to measure the static or postural balance. The test was performed under both eyes-open and eyes-closed conditions.

hip circumferenceAt the beginning and at three months

It is the greatest circumference of hip

HADS (The Hospital Anxiety And Depression)At the beginning and at three months

A reliable, valid and practical screening tool for identifying and quantifying anxiety and/or depression in non- patients.

FSFI (Female Sexual Function Index)At the beginning and at three months

Is a brief questionnaire that evaluates sexual functioning in women.

Bone Mineral Content (BMC)At the beginning and at three months

Is mineral mass in bone.

OPTOGAITAt the beginning and at three months

Is an innovative system for movement analysis and functional assessment of patients with normal or pathological conditions. REACTION TEST: This test detects the time between one optical/acoustic impulse and the patient's movement. It can be used to measure simple reactions or more complex movements

TUG (Timed Up and Go test)At the beginning and at three months

Is a simple test used to assess a person's mobility and physical function

LengthAt the beginning and at three months

Length of the path described by the center of pressure.

Isaac testAt the beginning and at three months

Questionnaire that measures verbal fluency.

mmse (mini-mental state examination)At the beginning and at three months

A tool that can be used to systematically and thoroughly assess mental status.

waist circumferenceAt the beginning and at three months

Is used to assess central fat distribution and degree of abdominal obesity.

waist-to-hip ratioAt the beginning and at three months

Is the dimensionless ratio of the circumference of the waist to that of the hips. This is calculated as waist measurement divided by hip measurement.

Body WeightAt the beginning and at three months

Is the sum of Body Fat and Fat Free Mass.

Lean Body MassAt the beginning and at three months

The amount of lean body mass.

BMI (Body Mass Index)At the beginning and at three months

Is calculated from the formula, Weight (kg) / Height2 (m2), whose unit is kg/m2. It is a rough indicator of total body fat.

Segmental AnalysisAt the beginning and at three months

Is the technology that assumes the body as five cylinders of four limbs and trunk and measures the impedance of these parts separately. Segmental body composition analysis provides segmental measurement of body water, muscle mass, and fat free mass.

CT10PAt the beginning and at three months

Test that evaluates the balance by walking along a straight line.

X meanAt the beginning and at three months

Mean value of the lateral oscillations of the Pressure Center

Y meanAt the beginning and at three months

Mean value of the anteroposterior oscillations of the Pressure Center

AreaAt the beginning and at three months

Area of the path described by the center of pressure.

trail making test part a y bAt the beginning and at three months

Neuropsychological test of visual attention and task switching.

chair sit and reach testAt the beginning and at three months

To test low back and hamstring flexibility.

back scratch testAt the beginning and at three months

To measure general shoulder range of motion.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Center of active participation of seniors of Jaén "Catedral"

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Jaén, Spain

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