Effective Change of Behaviour of the Elderly in Normal General Practice
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 85
- 试验地点
- 2
- 主要终点
- the change in morning urine sodium/potassium ratio
研究概览
简要总结
A randomised controlled trial to test if offering three visits to a dietician + two visits to a physiotherapist over six months + a home sphygmomanometer, will result in a reduction in sodium intake and an increase in fitness in people over 75yrs. Volunteers were enrolled from Oct 2008 to July 2009.
详细描述
There is evidence that both sedentary lifestyle and high sodium diets contribute to cardiovascular disease and possibly dementia among the elderly. There is a need to show that minimal intervention can reduce sodium intake and increase fitness in the elderly. Finland has shown that five dietician visits/year could change diet in respect to fat and fibre. In Australia the National Health Insurer (Medicare) funds five allied health visits/year for those with chronic disease, hence our use of this model. This is consistent with WHO guidelines for a national approach using existing health infrastructure. The elderly (75-95yrs) were chosen as this group is thought most difficult to change behaviour and has a higher incidence of dementia.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 75 Years 至 95 Years（Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Living independently
- •Must be able to walk for six minutes
排除标准
- •Dementia as defined by Standardised Mini-Mental State Examination score <25/30
- •All patients of HealthHQ-Southport General Practice
结局指标
主要结局
the change in morning urine sodium/potassium ratio
时间窗: between enrollment and six months
this measure is to reflect sodium intake. A 24hr urinary sodium cannot be readily validated as an accurate collection and even in the Trials of Hypertension Prevention study was changed to 8hrs to assist compliance. A spot morning ratio is a useful marker of sodium intake for group evaluation.
the increased distance in a six minute walk test
时间窗: between enrollment and six months
to measure objectively an increase in fitness the increase in the six minute walk test was used
次要结局
- change in systolic BP(between enrollment and six months)
- change in doses/day of antihypertensive medication(between enrollment and six months)
- change in waist measurement(between enrollment and six months)
- change in weight & BMI(between enrollment and six months)
- change in cognition measurement(between enrollment and six months)
研究者
Norman Hohl
Medical Director
Health HQ