Personalized Exercise Programs for Older Adults - a Digital User-friendly Application
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 239
- 试验地点
- 1
- 主要终点
- Upper extremities strength
研究概览
简要总结
Scientific Background:
Despite the known health benefits of exercising during old age, older people remain highly sedentary. Official exercise guidelines aimed specifically at older people focus primarily on aerobic activity, and tend to be over generalized.There is need for personalized exercise programs, which account for the increasing variability in measures of fitness and mobility with advancing age, and offer exercises aimed at improving balance, strength, flexibility and aerobic fitness, and which can be performed at home. Advancing smartphone technology provides tools which might help address this important area of public health.
Study Aims:
To develop a novel digital smartphone app, which enables assessment of fitness components, and provides personalized comprehensive exercise programs which update at regular intervals according to changes in fitness levels.
Methodology:
A prospective interventional randomized control study involving 360 people aged ≥65 living at home/ sheltered living. Stage 1 will include selecting exercise and fitness tests, developing a smartphone app for self-assessment of these tests, and designing exercise programs to meet specific capabilities. A pilot study (n=60) will validate results from the app compared to standard laboratory tests, before finalizing the study platform, and will create a platform for matching exercise programs to levels of fitness. At Stage 2 - the main study - participants (n=300) will be randomly assigned to the intervention group (personalized updating exercise program via the app), an active control group (receiving World Health Organization (WHO) exercise guidelines), or control group (no intervention). Using the app for assessment, all participants will be tested during stage 2 at T0 (baseline), T1 (6 week) T2 (12 weeks), and during Stage 3 follow-up at T3 (18 weeks) and T4 (24 weeks).
Novelty and Applicability:
This innovative technology will enable older people to test their fitness level, and receive a personalized exercise program based on their current ability and preferences, which changes over time according to their progress. The program will be presented as photos and short videos, available on their smartphones, or easily transferable to computer or television (TV) screens.
详细描述
1.1 Scientific Background
Although the health benefits of exercise among the elderly are accepted, there is a need for greater accuracy in assessment of a wide range of fitness and mobility parameters, in order to provide a comprehensive exercise program delivered in the home environment. Advances in smartphone technology may provide useful tools to help address this important area of public health.
1.2 Research Objectives
Aim: 1) To examine whether an individually prescribed personalized comprehensive physical activity program performed at home, based on individual motor and physical evaluation, performed by a standard smartphone at home, is more effective than accepted standardized recommendations from the World Health Organization for physical activity, among people aged 65 years and above. The prescribed program will include colorful, clear pictures and videos of various exercises, presented in a user-friendly manner on the user's smartphone, TV or computer screen.
Aim: 2) To enable the personalized exercise program to be updated (by the study exercise specialists), according to the changes in level of fitness, as measured by home testing using the smartphone.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 65 Years 至 99 Years（Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- 未提供
排除标准
- 未提供
结局指标
主要结局
Upper extremities strength
时间窗: Changes in upper extremities strength will be measured at the following points in time:Pilot study entry and 6 weeks later; Main study T0 (Baseline), T1 (6 weeks), T2 (12 weeks), T3 (18 weeks), T4 ( 24 weeks)
1. Lifting right arm forward 20 times 2. Lifting left arm forward 20 times 3. Lifting right arm to the side 20 times 4. Lifting left arm to the side 20 times For the above tests the range of acceleration will be assessed in m/sec2.
Balance
时间窗: Changes in balance will be measured at the following points in time:Pilot study entry and 6 weeks later; Main study T0 (Baseline), T1 (6 weeks), T2 (12 weeks), T3 (18 weeks), T4 ( 24 weeks)
Time-up-and-go: A composite measure of balance , which includes 1) the range of acceleration in each direction (anterior-posterior, medio-lateral, superior-inferior) assessed in m/sec2,2) the Number of steps taken (n), 3) Step length (cm).
Leg Strength
时间窗: Changes in leg strength will be measured at the following points in time:Pilot study entry and 6 weeks later; Main study T0 (Baseline), T1 (6 weeks), T2 (12 weeks), T3 (18 weeks), T4 ( 24 weeks)
Sit-to-stand A composite measure of leg strength based upon measurement of number of repetitions in 30 sec (n), and the acceleration range which will be measured in m/sec2
Upper extremities flexibility
时间窗: Changes in upper extremities flexibility will be measured at the following points in time:Pilot study entry and 6 weeks later; Main study T0 (Baseline), T1 (6 weeks), T2 (12 weeks), T3 (18 weeks), T4 ( 24 weeks)
1. Rotate torso to right 2. Rotate torso to left 3. Right arm flexion 4. Right arm extension 5. Right arm abduction 6. Right arm to left shoulder at 90◦ 7. Right arm back folded 8. Left arm flexion 9. Left arm extension 10. Left arm abduction 11. Left arm to left shoulder at 90◦ 12. Left arm back folded The above tests are assessed by angle between arm and the horizon.
次要结局
未报告次要终点
研究者
Jacobs Jeremy
Associate Professor
Hadassah Medical Organization