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The Effectiveness of Lifestyle Intervention on Body Composition, Physical Performances and Quality of Life Among Elderly People in Long-term Care Facilities

Primary Purpose

Sarcopenia, Obesity

Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Resistant Training
Control Group
Sponsored by
Central Taiwan University of Science and Technology
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional supportive care trial for Sarcopenia focused on measuring Sarcopenic obesity, Body composition, Physical function, quality of life, long term care

Eligibility Criteria

60 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. aged and elderly over 60 years old and no exercise restrictions.
  2. conscious clear, able to communicate with to the traditional Chinese language or Taiwanese.
  3. in the past three months living in long-term care institutions.
  4. in the last month the subject biased static life
  5. in a stable condition with enough energy: to maintain the support of at least one hour sitting in a wheelchair or bed edge.

Exclusion Criteria:

  1. In the past three months have unstable weight (> ± 4 kg).
  2. severe disease states, such as severe heart and lung liver and kidney disease, a serious cancer, severe malnutrition (Mini Nutritional Assessment Scale 0-7 points).
  3. limb unable to anti-gravity completely
  4. severe dementia (Clinical Dementia Rating (CDR) Scale Clinical Dementia Rating, CDR 3-5 points).

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Active Comparator

    Arm Label

    Resistant Training Group

    Control Group

    Arm Description

    sandbag 2-5lb, grip ball, twice/week, Duration:12 weeks

    not change lifestyle

    Outcomes

    Primary Outcome Measures

    Body Composition
    measuring machine: Bioelectrical impedance analysis (BIA) estimates body composition of fat and lean tissue.
    body weight
    Weighing scales in kilograms
    BMI
    kg/m2
    hand grip
    Jamar Handgrip Dynamometer
    hand pinch
    Lafayette Hydraulic Pinch Gauge 5030P1
    Activities of daily living
    Functional Independence Measure (FIM) included 18 items, covering 6 situations in the burden of personal care, specifically self-care, mobility, transfers, sphincter management, communication, and social cognition. A high score indicates better function.
    Quality of Life
    Short Form 8 health survey (SF8)included the items focusing on physical and mental health; EuroQol-5D (EQ-5D) includes the EQ-visual analogue scale (VAS) and the EQ-5D descriptive system. EQ-VAS documents the participant's self-reported health on a VAS of 100-0. The EQ-5D-3L descriptive system consists of five dimensions, namely mobility, self-care, usual activities, pain/discomfort and anxiety/depression, all with three function levels (no problem = 1; some problems = 2; severe problems = 3)

    Secondary Outcome Measures

    Full Information

    First Posted
    September 9, 2016
    Last Updated
    July 18, 2019
    Sponsor
    Central Taiwan University of Science and Technology
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02912338
    Brief Title
    The Effectiveness of Lifestyle Intervention on Body Composition, Physical Performances and Quality of Life Among Elderly People in Long-term Care Facilities
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    July 2019
    Overall Recruitment Status
    Completed
    Study Start Date
    September 2015 (undefined)
    Primary Completion Date
    March 2016 (Actual)
    Study Completion Date
    March 2016 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Central Taiwan University of Science and Technology

    4. Oversight

    5. Study Description

    Brief Summary
    Purpose: To understand the change in body composition, physical functions and quality of life of elderly residents with sarcopenic obesity in LTC facilities after the implementation of exercise intervention.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Sarcopenia, Obesity
    Keywords
    Sarcopenic obesity, Body composition, Physical function, quality of life, long term care

    7. Study Design

    Primary Purpose
    Supportive Care
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    Outcomes Assessor
    Allocation
    Non-Randomized
    Enrollment
    123 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Resistant Training Group
    Arm Type
    Experimental
    Arm Description
    sandbag 2-5lb, grip ball, twice/week, Duration:12 weeks
    Arm Title
    Control Group
    Arm Type
    Active Comparator
    Arm Description
    not change lifestyle
    Intervention Type
    Behavioral
    Intervention Name(s)
    Resistant Training
    Intervention Type
    Other
    Intervention Name(s)
    Control Group
    Primary Outcome Measure Information:
    Title
    Body Composition
    Description
    measuring machine: Bioelectrical impedance analysis (BIA) estimates body composition of fat and lean tissue.
    Time Frame
    Change gram, kg and percentage from baseline to follow up (12 weeks later)
    Title
    body weight
    Description
    Weighing scales in kilograms
    Time Frame
    Change kg from baseline to follow up (12 weeks later)
    Title
    BMI
    Description
    kg/m2
    Time Frame
    Change from baseline to follow up (12 weeks later)
    Title
    hand grip
    Description
    Jamar Handgrip Dynamometer
    Time Frame
    Change from baseline to follow up (12 weeks later)
    Title
    hand pinch
    Description
    Lafayette Hydraulic Pinch Gauge 5030P1
    Time Frame
    Change kg from baseline to follow up (12 weeks later)
    Title
    Activities of daily living
    Description
    Functional Independence Measure (FIM) included 18 items, covering 6 situations in the burden of personal care, specifically self-care, mobility, transfers, sphincter management, communication, and social cognition. A high score indicates better function.
    Time Frame
    Change score from baseline to follow up (12 weeks later)
    Title
    Quality of Life
    Description
    Short Form 8 health survey (SF8)included the items focusing on physical and mental health; EuroQol-5D (EQ-5D) includes the EQ-visual analogue scale (VAS) and the EQ-5D descriptive system. EQ-VAS documents the participant's self-reported health on a VAS of 100-0. The EQ-5D-3L descriptive system consists of five dimensions, namely mobility, self-care, usual activities, pain/discomfort and anxiety/depression, all with three function levels (no problem = 1; some problems = 2; severe problems = 3)
    Time Frame
    Change score from baseline to follow up (12 weeks later)

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    60 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: aged and elderly over 60 years old and no exercise restrictions. conscious clear, able to communicate with to the traditional Chinese language or Taiwanese. in the past three months living in long-term care institutions. in the last month the subject biased static life in a stable condition with enough energy: to maintain the support of at least one hour sitting in a wheelchair or bed edge. Exclusion Criteria: In the past three months have unstable weight (> ± 4 kg). severe disease states, such as severe heart and lung liver and kidney disease, a serious cancer, severe malnutrition (Mini Nutritional Assessment Scale 0-7 points). limb unable to anti-gravity completely severe dementia (Clinical Dementia Rating (CDR) Scale Clinical Dementia Rating, CDR 3-5 points).

    12. IPD Sharing Statement

    Citations:
    PubMed Identifier
    32279360
    Citation
    Chang SF, Chiu SC. Effect of resistance training on quality of life in older people with sarcopenic obesity living in long-term care institutions: A quasi-experimental study. J Clin Nurs. 2020 Jul;29(13-14):2544-2556. doi: 10.1111/jocn.15277. Epub 2020 Apr 24.
    Results Reference
    derived
    PubMed Identifier
    29357826
    Citation
    Chiu SC, Yang RS, Yang RJ, Chang SF. Effects of resistance training on body composition and functional capacity among sarcopenic obese residents in long-term care facilities: a preliminary study. BMC Geriatr. 2018 Jan 22;18(1):21. doi: 10.1186/s12877-018-0714-6.
    Results Reference
    derived

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    The Effectiveness of Lifestyle Intervention on Body Composition, Physical Performances and Quality of Life Among Elderly People in Long-term Care Facilities

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