High Intensity Walking to Reduce Frailty
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Frailty
- Sponsor
- Northwestern University
- Enrollment
- 59
- Locations
- 1
- Primary Endpoint
- Change in frailty as measured by the Survey of Health, Ageing, and Retirement in Europe-Frailty Instrument (SHARE-FI)
- Status
- Terminated
- Last Updated
- 5 years ago
Overview
Brief Summary
The purpose of this study is to evaluate a physical therapist (PT) led gait training intervention for 100 older adults with pre-frailty or frailty. The goals of this study are To determine the effect of gait training intensity on frailty, mobility, physical functioning, and quality of life, as well as balance and healthcare utilization.
Detailed Description
Frailty is a leading cause of dependency among older adults, affects up to 60% of older adults, and is associated with an increased risk for falls, hospitalizations, institutionalization, and death. Exercise is the most widely recommended treatment for improving physical function among the frailty, but the optimal type or intensity of exercise is unknown. Walking is a preferred physical activity among older adults, however, there are no clear guidelines on the best intensity of walking to reduce frailty. The specific goal of this project is to compare a high intensity walking (HIW) intervention (70-80% of heart rate maximum) to a moderate intensity walking (MIW) intervention (50-60% of heart rate maximum) for pre-frail or frail older adults to determine the impact on frailty, mobility, balance, quality of life, and healthcare utilization.
Investigators
Margaret Danilovich
Assistant Professor
Northwestern University
Eligibility Criteria
Inclusion Criteria
- •Receiving services from CJE SeniorLife
- •Pre-frailty or frailty as determined on the SHARE-FI.
- •Able to ambulate at least 10 feet with moderate assistance (\<50% physical assistance) or less. Participants will be able to use their assistive device (e.g. cane or walker) during sessions.
- •\> 65 years of age
- •Provision of informed consent and clearance for participation as determined by the Exercise and Screening for You (EASY)
Exclusion Criteria
- •Uncontrolled cardiovascular, metabolic, renal, or respiratory disease that limits exercise participation (e.g., previous heart attack within 3 months of enrollment or uncontrolled diabetes)
- •Resting blood pressure \> 180/110 mmHg.59
Outcomes
Primary Outcomes
Change in frailty as measured by the Survey of Health, Ageing, and Retirement in Europe-Frailty Instrument (SHARE-FI)
Time Frame: Baseline, Week 9, Month 6
Survey of Health, Ageing, and Retirement in Europe-Frailty Instrument (SHARE-FI) which assesses fatigue, appetite, weakness, walking difficulties, and low physical activity
Secondary Outcomes
- Improved mobility as measured by 6 Minute Walk Test(Baseline, Week 9, Month 6)
- Monthly self reports of Health Care Utilization(Baseline, Week 9, Month 3, Month 4, Month 5, Month 6)
- Improved mobility as measured by Time Up and Go(Baseline, Week 9, Month 6)
- Improved balance as measured by the Berg Balance Scale(Baseline, Week 9, Month 6)
- Improved mobility as measured by gait speed(Baseline, Week 9, Month 6)
- Patient Reported Outcomes Measure Information System (PROMIS) Global Health(Baseline, Week 9, Month 6)
- Improved physical function on the Short Physical Performance Battery(Baseline, Week 9, Month 6)