Assessment of the Possible Beneficial Effects of an Integrated Program of Multicomponent Physical Exercise Tutored at Home Through an Integrated Computer System. Cohort Study
试验速览
- 阶段
- 不适用
- 状态
- 撤回
- 发起方
- 试验地点
- 1
- 主要终点
- Intrinsic capacity
研究概览
简要总结
The study has been designed to analyze the possible positive effects of a multicomponent physical exercise program monitored with an integrated electronic device system in dwelling-community frailty older adults.
The study will assess changes in physical, nutritional, cognitive, and psychological aspects after program finishes at six months.
Information will be collected by researchers at baseline, monthly and after study finishes.
详细描述
The aging process is associated with physiological changes that determine a decrease in functional reserve and limit the ability to respond to external factors.
Likewise, aging is associated with a deterioration of the regulatory processes that maintain the functional integration of the different organs and systems. A direct consequence of this phenomenon is the atypical presentation of highly prevalent diseases in the elderly. This atypical presentation of diseases in the elderly is responsible for the so-called geriatric syndromes, considered as specific nosological entities with a high frequency of presentation in the elderly, being included within the prevention, diagnosis and treatment strategies of geriatric medicine.
These syndromes can generate greater morbidity and consequences, sometimes more serious than the disease that produces them. Its systematic detection should be included in the anamnesis of the clinical history of the elderly. Geriatric syndromes are a group of conditions usually caused by the conjunction of diseases with a high prevalence in the elderly and which are the frequent origin of functional or social disability in the population. They are the manifestation of many diseases, but they are also the beginning of many other problems that we must take into account from their detection to establish a good prevention of them.
The hypothesis of this work is that in frail and pre-frail older adults who participate in an integrated program of multicomponent physical exercise tutored by means of an app will improve their functional situation and reverse their diagnoses of pre and frailty.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
盲法说明
Cohort study no masking presented.
入排标准
- 年龄范围
- 65 Years 至 100 Years(Older Adult)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Informed consent signature
排除标准
- •Life expectancy less than 6 months
- •Acute Ischemic coronariopathy event during the last three months
- •Active cancer treatment (chemoteraphy or radiotherapy) during the last three months
- •Major surgery during the last six months
研究组 & 干预措施
Intervention
Multicomponent exercise program twice a week (2 hours per week) during six months
干预措施: Multicomponent exercise program (Behavioral)
Control Goup
Usual routine.
结局指标
主要结局
Intrinsic capacity
时间窗: Six months
ICOPE questionnaire score
Frailty reversion.
时间窗: Six months
Linda Fried's frailty criteria. Score 0 Fit, 1-2 Prefrail, 3 or over Frail
Quality of life objective and subjective
时间窗: Six months
EuroQool 5 Dimensions (EQ-5D). Objective score 0 to 10.
Polypharmacy
时间窗: Six months
Quantitative definition. Considered polypharmacy the daily intake of 5 or more drugs.
Cognitive state
时间窗: Six months
Pfeiffer questionnaire
Nutrition state
时间窗: Six months
Mini Nutritional Assessment Short Form. Score 0 to 14.
Falls
时间窗: Six months
Number of falls during follow-up period
Depression
时间窗: Six months
Yesavage's Geriatrics Depression Scale (15 items)
Sarcopenia
时间窗: Six months
European Working Group on Sarcopenia in Older People (EWGSOP) criteria
次要结局
- Validation of a gait speed mobile phone tool(Six months)
- Validation of a shaking measurement tool to asses muscle strength(six months)
- Hospital admissions(Six months)
- Visits to General Practitioner (GP)(Six months)
- Validation of a pulmonar capacity mobile phone tool(six months)
研究者
Francisco Jose Tarazona-Santabalbina
MD, Ph D
Hospital de la Ribera
