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SingHealth Polyclinics - Functional Strength Building of Older Persons

Not Applicable
Completed
Conditions
Prefrail Elderly
Registration Number
NCT07133282
Lead Sponsor
SingHealth Polyclinics
Brief Summary

The goal of this study is to find out if a 12-week exercise programme for pre-frail seniors will result in an improvement in physical performance measures.

Participants attended 12 group exercise sessions, lasting one hour each, and held once a week. Three of these sessions were be conducted remotely, via a video link that participants will follow at their own time. Physical performance measures were taken at the first and last sessions.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
227
Inclusion Criteria
  • 65 years or older, and
  • Clinical Frailty score of 3 or 4.
Exclusion Criteria
  • Persons who had pre-existing medical contraindications to exercise OR
  • clinical symptoms that rendered them unsuitable for physical activity as determined by their attending physician OR
  • cognitive impairment affecting their ability to provide informed consent.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Primary Outcome Measures
NameTimeMethod
Short physical performance battery scoreAssessed at baseline (at the start of the first exercise session) and 12 weeks (during the 12th exercise session)

It assesses the functional mobility of an older adult's lower extremities in three domains (static balance, gait speed and chair stands). Balance is evaluated via the duration which participant can maintain side-by-side, semi-tandem, and tandem stances. Gait speed is measured by duration taken by the participant to walk 3 meters at their usual pace. Lower limb strength is assessed using the chair stand test, which records the time taken to complete five consecutive sit-to-stand movements from an armless chair with the participants' arms folded across the chest.

Hand grip strengthAssessed at baseline (at the start of the first exercise session) and 12 weeks (during the 12th exercise session)

It is assessed using a handgrip dynamometer, with participants' elbows flexed at 90 degrees with the forearm in neutral position, squeezing the device as hard as possible with their left and right hands. The average recorded value from two measurements was used for analysis of this study

30-Seconds Sit-to-Stand repetitionsAssessed at first exercise session and 12th exercise session (i.e. 12 weeks from baseline)

30-Seconds Sit-to-Stand repetitions is a measure of lower limb strength, endurance, and functional fitness. It is performed by recording the maximum number of times a participant can stand up fully and sit down from an armless chair within 30 seconds, with their arms folded across their chest. A higher number of repetitions indicate better functional capacity

Secondary Outcome Measures
NameTimeMethod
Change in exercise category in the International Physical Activity Questionnaire-Short Form (IPAQ-SF)At enrolment, 6months post enrolment and 12 months post enrolment.

Participants reported their physical activity based on an interviewer-administered IPAQ-SF during the enrolment visit, 6-month and 12-month after the start of the structured exercise programme.

The IPAQ-SF is a validated instrument widely used as a measure of physical activity. The questionnaire contains 8 items, which assesses the frequency and duration of physical activity across domains such as sitting, walking, moderate-intensity activities and vigorous intensity activities. Based on the responses, the total metabolic equivalent (MET)-minutes per week is calculated, and participants are categorised into low, moderate, or high physical activity levels. There is no minimum or maximum value of MET-minutes per week as this is based on the participants' responses.

Trial Locations

Locations (4)

SingHealth Polyclinics - Marine Parade

🇸🇬

Singapore, Singapore

SingHealth Polyclinics - Sengkang

🇸🇬

Singapore, Singapore

SingHealth Polyclinics - Punggol

🇸🇬

Singapore, Singapore

SingHealth Polyclinics - Tampines

🇸🇬

Singapore, Singapore

SingHealth Polyclinics - Marine Parade
🇸🇬Singapore, Singapore

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