Effects of Regular Exercise and Psychoeducation on Quality of Life, Depression and Physical Function in the Treatment of Sarcopenia in Elderly Individuals
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- TUG test
研究概览
简要总结
In this study, it was aimed to observe the effect of psychoeducation, which has not yet been included among the treatment methods of sarcopenia, which affects elderly individuals both physically and psychologically and has been proven to negatively affect their quality of life, on Quality of Life, Depression and Physical Function when applied with exercise therapy.
It is known that exercise programs applied in the treatment of sarcopenia, which has become a common problem in elderly individuals and is known as the trigger of most symptomatic diseases, have positive effects.
However, no psychoeducation program has been applied to date in the treatment of sarcopenia, which is thought to trigger psychological factors as well as physical factors.
In this direction, it is aimed to contribute to sarcopenia treatment and indirectly to geriatric rehabilitation programs according to the results we will obtain in sarcopenic individuals with the psychoeducation program, which we think is lacking.
In addition to all these, sarcopenia, which is a treatable diagnosis and one of the biggest obstacles to the independent life of elderly individuals, is thought to be a preventable condition with preventive rehabilitation programs.
Researchers believe that preventive rehabilitation programs will positively affect the amount spent on elderly care services, which constitute a large portion of our country's health expenses, and Researchers aim to support these issues with the results they will obtain.
详细描述
This study was planned to examine the effectiveness of exercise and psychoeducation programs applied to sarcopenic individuals.
Sarcopenia, which causes muscle strength loss in elderly individuals, is shown as a risk factor for many negative outcomes ranging from fractures to death.
Sarcopenia, which is also shown as the cause of many metabolic diseases, is often a preventable disease, but it is seen that scientific studies on sarcopenia treatment in the academic field are not sufficient.
While the majority of the studies conducted include physiotherapy programs, the psychological dimension of the treatment has been ignored and although it has been associated with depression, no scientific study has been found that includes this psychoeducation program.
The physical problems experienced by sarcopenic individuals are basically movement disorders that occur due to muscle strength loss, along with deterioration in their quality of life and physical functions, and musculoskeletal system diseases.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 60 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Individuals aged 60 and over who have signed a consent form and agreed to volunteer for the study.
- •Individuals classified as sarcopenic according to the criteria of the European Working Group on Sarcopenia (EWGSOP2).
- •Individuals who scored 24 points or higher on the Standardized Mini Mental Test.
排除标准
- •Individuals with neurological disease,
- •Individuals with advanced kidney disease,
- •Individuals with pacemakers,
- •Individuals with advanced vision and hearing problems,
- •Individuals with advanced dementia,
- •Individuals with orthopedic disabilities
研究组 & 干预措施
control
This group will be informed about exercise and psychoeducation only once after the sessions are completed.
exercise
Physical exercise will be performed for 45 minutes twice a week for eight weeks.
干预措施: Exercise (Other)
exercise and psychoeducation
A 45-minute exercise program twice a week and a 45-minute psychoeducation program once a week will be implemented for 8 weeks.
干预措施: psychoeducation (Other)
exercise and psychoeducation
A 45-minute exercise program twice a week and a 45-minute psychoeducation program once a week will be implemented for 8 weeks.
干预措施: Exercise (Other)
结局指标
主要结局
TUG test
时间窗: Before treatment
A chair and a stopwatch are required for the test, which evaluates the risk of falls and mobility in the elderly. The test is performed with the shoes the individual always uses. A 3-meter area is determined in front of the chair. The individual is asked to get up from the chair, walk this distance, and sit down again.
SF-12 Test
时间窗: Before treatment
It is an abbreviated form for assessing quality of life. This form, developed by Ware et al. (1995), is not specific to any age or type of disease, but is a scale that assesses the person's quality of life over the last four weeks. SF-12; It includes the sub-elements of physical functioning, physical role, pain, general health, emotional role, mental health, social functioning and vitality and consists of 12 questions.
GDS
时间窗: Before treatment
This scale was developed by Yesavage et al. (1983). The Turkish adaptation of the scale was made by Ertan et al. The scale is self-reporting, aimed at the elderly, easy to answer and consists of 30 questions. A higher score indicates a higher level of depression.
Bioelectrical impedance analysis (BIA)
时间窗: Before treatment
Bioelectrical impedance analysis (BIA) measurement; It is a non-invasive measurement. It takes advantage of the different resistance of different tissues in the body to currents. A weak electric current is directed to the body and the impedance is measured. It is used to estimate body composition parameters such as total body water and fat-free mass.
SARC-F
时间窗: Before treatment
SARC-F; It allows health professionals to quickly and easily assess the risk of sarcopenia in primary health care. It asks 5 questions about "strength, assistance while walking, getting up from a chair, climbing stairs and falling". The SARC-F score range is from 0 to 10, with a score range of 0-3 representing a healthy condition and a score range of 4 and above representing a symptomatic condition.
Standardized Mini Mental Test (SMMT)
时间窗: Before treatment , pre test only
Mini Mental Test developed by Folstein et al. (1975) allows for cognitive assessment in a short time. In this respect, SMMT is a short, easy-to-apply and standardized test used to determine the cognitive level globally.
Handgrip strength assessment
时间窗: Before treatment
During the assessment, the individual is seated upright on a chair without surface support for the arm being assessed. The arm to be measured is positioned in a free position, with the knee angle and elbow angle at 90 degrees. The subject is asked to squeeze the dynamometer with their fingers as hard and tight as possible. The measurements are repeated 3 times, with 10 seconds between them and each measurement being no less than 5 seconds, and any interventions that may affect the measurements during the assessment are avoided.
次要结局
- TUG test(Within a week of the end of treatment (within 1 week of the completion of the 8-week treatment))
- SF-12 Test(Within a week of the end of treatment (within 1 week of the completion of the 8-week treatment))
- GDS(Within a week of the end of treatment (within 1 week of the completion of the 8-week treatment))
- Bioelectrical impedance analysis (BIA)(Within a week of the end of treatment (within 1 week of the completion of the 8-week treatment))
- Handgrip strength assessment(Within a week of the end of treatment (within 1 week of the completion of the 8-week treatment))
研究者
Elif Asan
clinical physiotherapist
Lokman Hekim Üniversitesi