Individualized Physical Exercise Training and Enhanced Protein Intake in Older Citizens During Municipality-based Rehabilitation

University College Absalon1 site in 1 country40 target enrollmentJanuary 10, 2020

ConditionsRehabilitation

Overview

Phase: Not Applicable
Intervention: Not specified
Conditions: Rehabilitation
Sponsor: University College Absalon
Enrollment: 40
Locations: 1
Primary Endpoint: Short Musculoskeletal Function Assessment (SMFA) - Dysfunction Index
Status: Completed
Last Updated: 2 years ago

Overview Investigators Eligibility Criteria Outcomes Sites Similar Trials

Overview

Brief Summary

The study will investigate if: 1) individualized physical exercise training in combination with extra protein intake can increase measures on all three ICF-levels? 2) extra protein intake alone increases outcomes of usual care treatment?

Detailed Description

Successful rehabilitation of the growing number of elderly citizens can lead to preservation of functional independence and improvement in the quality of life. The aim of the study is to investigate the effect of an individually tailored physical exercise training program combined with increased protein intake in order to improve measures on all three ICF levels (International Classification of Functioning, Disability, and Health). By conducting the study in a real-life clinical setting, research is translated into practice involving health professionals and the target group in the development of new knowledge on how to enhance the outcome of rehabilitation, thereby increasing the overall capacity of the elderly citizen, and decreasing the expenditure of health-services.

Registry

clinicaltrials.gov

Start Date

January 10, 2020

End Date

June 1, 2023

Last Updated

2 years ago

Study Type

Interventional

Study Design

Parallel

Sex

All

Investigators

Sponsor

University College Absalon

Responsible Party

Principal Investigator

Sanel Teljigovic

Senior lecturer, PhD-student

University College Absalon

Eligibility Criteria

Inclusion Criteria

•All citizens that are referred to the health/rehabilitation center age 65 years and older from Slagelse municipality will be invited to a screening interview with a physiotherapist after which the participant will be asked to join the study if not subject to one of the following exclusion criteria's:

Exclusion Criteria

•inability to speak or read Danish,
•renal diseases,
•active cancer,
•upper or lower limp amputations,
•milk/lactose allergy or intolerance,
•hypertension \>180/110,
•pacemaker/other implanted electrical stimulants (due to Bio-Impedance Analysis),
•progressive somatic or psychiatric diseases which can affect the course of training,
•referred to rehabilitation primarily due to gynecological and neurological conditions (apoplexies) or surgeries where movement restrictions are recommended,
•daily medication that may have an impact on muscle protein synthesis,

Outcomes

Primary Outcomes

Short Musculoskeletal Function Assessment (SMFA) - Dysfunction Index

Time Frame: Change from: baseline to 3 months (primary endpoint) and 12 months

Self reported

Secondary Outcomes

Mean change from baseline in function measured with the 2 minutes walk test (2MWT)(Change from: baseline to 3 months and 12 months)
Mean change from baseline in mobility with The New Mobility Score(Change from: baseline to 3 months and 12 months)
Mean change from baseline in health-related quality of life on SF-36(Change from: baseline to 3 months and 12 months)
Mean change from baseline in the PRISMA-7 score(Change from: baseline to 3 months and 12 months)
Measure of pain, physical activity level and educational level(Change from: baseline to 3 months and 12 months)
Mean change from baseline of Waist-To-Hip ratio(Change from: baseline to 3 months and 12 months)
Mean change from baseline in the Tilburg Frailty Scale score(Change from: baseline to 3 months and 12 months)
Measure of height at baseline(Baseline)
Mean change from baseline in blood pressure(Change from: baseline to 3 months and 12 months)
Mean change from baseline in body composition measured with a bioimpedance device(Change from: baseline to 3 months and 12 months)
Mean change from baseline in knee extension strength(Change from: baseline to 3 months and 12 months)
Mean change from baseline in weight(Change from: baseline to 3 months and 12 months)
Mean change from baseline in resting heart rate(Change from: baseline to 3 months and 12 months)
Mean change from baseline in calf extension strength(Change from: baseline to 3 months and 12 months)
Mean change from baseline in The Borg Rating of Perceived Exertion before and after the 2 minutes walk test (2MWT)(Change from: baseline to 3 months and 12 months)
Balance and reaction time for upper and lower extremity(Change from: baseline to 3 months and 12 months)
Mean change from baseline in heart rate during 2 minutes walk test (2MWT)(Change from: baseline to 3 months and 12 months)
Mean change from baseline in heart rate before and after the 2 minutes walk test (2MWT)(Change from: baseline to 3 months and 12 months)
Mean change from baseline in function measured with the Timed Up and Go test (TUG)(Change from: baseline to 3 months and 12 months)
Mean change from baseline in maximal isometric voluntary contraction of leg extension(Change from: baseline to 3 months and 12 months)
Mean change from baseline in the basic metabolic rate (BMR)(Change from: baseline to 3 months and 12 months)
Mean change from baseline in handgrip strength(Change from: baseline to 3 months and 12 months)
Mean change from baseline in leg press strength(Change from: baseline to 3 months and 12 months)
Mean change from baseline in balance measured with the Tandem test(Change from: baseline to 3 months and 12 months)
Protein and energy intake(Change from: baseline, week 3, week 6, week 9, 3 months and 12 months)