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The Effects of Functional Power Training on Frail and Pre-frail Community - Dwelling Older Adults in Singapore

Primary Purpose

Frailty, Muscle Weakness

Status
Completed
Phase
Not Applicable
Locations
Singapore
Study Type
Interventional
Intervention
Functional Power Training
Usual care
Sponsored by
Geriatric Education and Research Institute
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Frailty

Eligibility Criteria

55 Years - 99 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • aged 55 years and above
  • low muscle strength - handgrip strength less than 26kg for men and 18kg for women
  • ambulate without human assistance
  • able to understand basic instructions

Exclusion Criteria:

  • currently enrolled in another study
  • acute musculoskeletal injury
  • unable to participate in the full duration of the study
  • unwilling to participate if not assigned to the intervention group
  • deemed not suitable to participate in exercise by a medical doctor

Sites / Locations

  • Geriatric Education & Research Institute

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Function power training

Usual care

Arm Description

12-week structured FPT program, conducted by a certified trainer from a community service provider. Sessions were held twice weekly at the respective community senior activity centers, each lasting 60 minutes in duration.

Participants either continued the usual exercise program provided by their respective community senior activity centers or their personal exercise routine.

Outcomes

Primary Outcome Measures

Change of Frail status at 12 and 24 weeks
Cardiovascular Health Study (CHS) Frailty status which characterizes frailty based on five components: unintentional weight loss, weakness, slowness, exhaustion and low physical activity. 1 point for each category. Robust: 0 point, Pre-Frail: 1-2 points , Frail: 3-5 points.
Change of hand grip strength at 12 and 24 weeks
Hand grip strength (kg)
Change of knee extensor strength at 12 and 24 weeks
Knee extensor strength (kg)
Change of Timed up and go (TUG) at 12 and 24 weeks
Timed up and go (TUG) (seconds)
Change of SPPB at 12 and 24 weeks
Short Physical Performance Battery (SPPB) consist of: Balance test Gait speed Chair stand test

Secondary Outcome Measures

Exercise adherence
Exercise journals

Full Information

First Posted
June 15, 2020
Last Updated
February 8, 2021
Sponsor
Geriatric Education and Research Institute
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1. Study Identification

Unique Protocol Identification Number
NCT04438876
Brief Title
The Effects of Functional Power Training on Frail and Pre-frail Community - Dwelling Older Adults in Singapore
Official Title
The Effects of Functional Power Training on Frail and Pre-frail Community - Dwelling Older Adults in Singapore: A Randomised Controlled Trial
Study Type
Interventional

2. Study Status

Record Verification Date
June 2020
Overall Recruitment Status
Completed
Study Start Date
March 14, 2019 (Actual)
Primary Completion Date
December 31, 2020 (Actual)
Study Completion Date
December 31, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Geriatric Education and Research Institute

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
To investigate the efficacy of a 12-week Functional Power Training (FPT) program in pre-frail and frail community-dwelling older adults in Singapore for the management of physical frailty. The proposed study will provide information on the benefits of FPT on physical performances of older adults and help to shape future exercise recommendations to slow or reverse the onset and severity of physical frailty.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Frailty, Muscle Weakness

7. Study Design

Primary Purpose
Other
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
61 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Function power training
Arm Type
Experimental
Arm Description
12-week structured FPT program, conducted by a certified trainer from a community service provider. Sessions were held twice weekly at the respective community senior activity centers, each lasting 60 minutes in duration.
Arm Title
Usual care
Arm Type
Active Comparator
Arm Description
Participants either continued the usual exercise program provided by their respective community senior activity centers or their personal exercise routine.
Intervention Type
Other
Intervention Name(s)
Functional Power Training
Intervention Description
The exercise intervention encompassed high-velocity movement, balance, and mobility exercises with the use of body weight and resistance bands as resistance. Participants were instructed to move rapidly during the concentric phase and slowly during the eccentric phase when performing the dynamic exercises.
Intervention Type
Other
Intervention Name(s)
Usual care
Intervention Description
Participants either continued the usual exercise program provided by their respective community senior activity centers or their personal exercise routine.
Primary Outcome Measure Information:
Title
Change of Frail status at 12 and 24 weeks
Description
Cardiovascular Health Study (CHS) Frailty status which characterizes frailty based on five components: unintentional weight loss, weakness, slowness, exhaustion and low physical activity. 1 point for each category. Robust: 0 point, Pre-Frail: 1-2 points , Frail: 3-5 points.
Time Frame
baseline, 12 weeks, 24 weeks
Title
Change of hand grip strength at 12 and 24 weeks
Description
Hand grip strength (kg)
Time Frame
baseline, 12 weeks, 24 weeks
Title
Change of knee extensor strength at 12 and 24 weeks
Description
Knee extensor strength (kg)
Time Frame
baseline, 12 weeks, 24 weeks
Title
Change of Timed up and go (TUG) at 12 and 24 weeks
Description
Timed up and go (TUG) (seconds)
Time Frame
baseline, 12 weeks, 24 weeks
Title
Change of SPPB at 12 and 24 weeks
Description
Short Physical Performance Battery (SPPB) consist of: Balance test Gait speed Chair stand test
Time Frame
baseline, 12 weeks, 24 weeks
Secondary Outcome Measure Information:
Title
Exercise adherence
Description
Exercise journals
Time Frame
baseline, 12 weeks, 24 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
55 Years
Maximum Age & Unit of Time
99 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: aged 55 years and above low muscle strength - handgrip strength less than 26kg for men and 18kg for women ambulate without human assistance able to understand basic instructions Exclusion Criteria: currently enrolled in another study acute musculoskeletal injury unable to participate in the full duration of the study unwilling to participate if not assigned to the intervention group deemed not suitable to participate in exercise by a medical doctor
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Shiou-Liang Wee, PhD
Organizational Affiliation
Geriatric Education & Research Institute
Official's Role
Principal Investigator
Facility Information:
Facility Name
Geriatric Education & Research Institute
City
Singapore
Country
Singapore

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
33742266
Citation
Tou NX, Wee SL, Seah WT, Ng DHM, Pang BWJ, Lau LK, Ng TP. Effectiveness of Community-Delivered Functional Power Training Program for Frail and Pre-frail Community-Dwelling Older Adults: a Randomized Controlled Study. Prev Sci. 2021 Nov;22(8):1048-1059. doi: 10.1007/s11121-021-01221-y. Epub 2021 Mar 19.
Results Reference
derived

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The Effects of Functional Power Training on Frail and Pre-frail Community - Dwelling Older Adults in Singapore

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