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Effects of Multidomain Training of Health With Aging (Train-Old) (Train-Old)

Primary Purpose

Sarcopenia, Memory Loss, Muscular Atrophy

Status

Recruiting

Phase

Not Applicable

Locations

Spain

Study Type

Interventional

Intervention

Multidomain training

About this trial

This is an interventional treatment trial for Sarcopenia focused on measuring older adults, Healthy aging, Resistance training, cognitive training, cardiovascular training

Eligibility Criteria

55 Years - 90 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

Subject has provided written and dated informed consent to participate in the study.
Subject is a male or female between 55 and 90 years of age, inclusive.
Subject is in good health as determined by a health history questionnaire and has been provided clearance from their personal physician.
Subject is untrained in resistance and aerobic exercise (does not participate in structured physical activity, including walking, more than 3 times per week).
Ability to walk independently without any gait aid

Exclusion Criteria:

Perform high-intensity aerobic exercise on a consistent basis (>180 min-week).
Be performing some other regular and systematic strength training program during the intervention in the first half of 2022.
Have a body mass index greater than 35.
Have a diagnosis of ischemic heart disease.
Have a diagnosis of severe aortic stenosis, uncontrolled arrhythmias, decompensated heart failure or acute myocarditis.
Possess uncontrolled blood pressure (TAS >180 and TAD >110).
Stroke.
Severe peripheral arterial disease.
Other illnesses such as recent thromboembolic disease, aortic aneurysm, clinically significant renal or hepatic insufficiency, severe COPD, clinically significant acute infections, severe psychiatric illness, uncontrolled metabolic disease, limiting locomotor pathology or musculoskeletal disease worsened by exercise, hormone therapy at the time or one year prior, being a woman with surgical menopause.
Other pathologies that contraindicate the practice of physical exercise, collected in the previous medical examination that all participants must undergo.

Sites / Locations

Pablo Jorge Marcos PardoRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

No Intervention

Arm Label

Multidomain training group

Control group

Arm Description

Participants will use free weights and functional materials to work the main muscle groups. In addition, they will perform cardiorespiratory training and cognitive training with proposed tasks. Participants will follow the planned training progression. The researchers will record the number of sets completed and the load lifted for each exercise for each participant and the perception of effort in each class.

The control group did not receive a training program and were asked not to modify their physical activity habits.

Outcomes

Primary Outcome Measures

Body Weight in Kilograms

was measured after removal of shoes and heavy outer clothing, using a Tanita BC-418 MA or InBody equipment to the nearest 0.1 kg.

Height in Meters

Standing height without shoes was measured using a Seca 202 stadiometer (Seca, Hamburg, Germany) to the nearest 0.1 cm.

Body Mass Index (BMI)

was calculated as the ratio of weight to squared height in kg/m^2

% Fat Mass

% fat mass was measured after removal of shoes and heavy outer clothing, using a Tanita BC-418 MA or InBody equipment to the nearest 0.1 kg.

Muscle quality sarcopenia

Sarcopenia will be assessed taking into account the reference values established for muscle quality. The muscle quality will be measure by hand grip strength test. This test will be performance with manual dynamometry (TKK 5401; Scientific Instruments Co., Ltd., Tokyo, Japan). Maximal isometric upper limb strength will be performance by maximal isometric strength. Upper strength will be register by kilogrammes. Higher value show high strength.

Secondary Outcome Measures

Change Blood pressure

Blood pressure and heart rate will be assessed by means of an automatic device (Colin BP 880, Inc., Tampa, FL). This is noninvasive technique. The result will be register in millimeters of mercury (bood pressure) and number of pulse per minutes (heart rate).

Change Chair stand test

Chair stand test measure the functional capacity. This is a easy physical test. This test measures the functionality of getting up and sitting down from a chair five times. The participant have to performance the test as faster as possible. The total time is recorded in seconds. A better time indicates better functional ability.

Change Upper and Lower strength

Maximal isometric upper limb strength will be performance by maximal isometric strength of knee extension and biceps flexion with load cell. Maximal isometric lower limb will be registered in newton. Higher value show high strength.

Health-related quality

SF-36 quality of life questionnaire

Cardiorrespiratory 6 minutes walk test

cardiorespiratory endurance test that evaluates the distance covered in 6 minutes.

Change heart rate

Heart rate will be assessed by means of an automatic device (Colin BP 880, Inc., Tampa, FL). This is noninvasive technique. The result will be register in number of pulse per minutes (heart rate).

Gait speed

Gait speed will be measure by 4. 6 and 10 meter test. This is easy physical test in with the participant have to walk 4. 6 and 10 metres as faster as possible. The result will be register in seconds. Less time indicates better functional ability.

Time up and go test change

Time up and go test measure the functional capacity of getting up, walking and sitting down form a chair. Participant have to performance this test as faster as possible. This is a easy physical test. Total seconds are records. Less seconds indicates better functional ability.

Short physical performance battery (SPPB)

Short physical performance battery (SPBB) include three test (balance, chair stand test and gait speed) and report a final score. Chair stand test and gait speed were describe in other outcome. Balance test is a easy physical test. The participant must maintain three balancing positions for 10 seconds to overcome it. Each test offers a different score. Higher score show better functional capacity.

Fragility

Frailty will be defined in relation to Fried's frailty phenotype (Fried et al., 2001), based on 5 criteria: unintentional weight loss, exhaustion, weakness, slow walking speed and low physical activity.

Satisfaction with life

The Satisfaction with Life Scale is a 4-item instrument with a Likert-type scale ranging from 1 to 7 points measuring overall subjective happiness by means of statements in which participants rate themselves or compare themselves with others. Two items ask people to describe themselves using absolute rating criteria of their lives or rating criteria with respect to others, while the other two items present brief descriptions of happy or unhappy people and respondents are asked to indicate the degree to which they identify with that description.

Depression

Depression will be measured through the Center for Epidemiological Studies Depression Scale-Revised (CESD-R) (Van Dam & Earleywine, 2011), is a 20-item questionnaire that can be used to measure levels of depressive symptoms among elderly participants. The CESD-R consists of 16 items of negative affect and 4 items of positive affect.

Cognitive flexibility

the Stroop test measures the ability to classify information selectively. It consists of 3 phases and requires discerning between colors and words without making mistakes.

Attention test

the Trail Making test will also assess flexibility of thought and visuospatial ability. It consists of joining numbers and words in a numerical sequence without error.

PSQ test

To evaluate the factors that influence the general state of health, specifically stress. It evaluates six factors: Tension-Instability-Fatigue; Social Acceptance of Conflict; Energy and Fun; Overload; Satisfaction for self-fulfillment; Fear and anxiety.

TMMS-24

Trait-Meta Mood Scale (TMMS) emotional states

Full Information

NCT ID

NCT05481346

First Posted

July 28, 2022

Last Updated

July 31, 2022

Sponsor

Universidad de Almeria

1. Study Identification

Unique Protocol Identification Number

NCT05481346

Brief Title

Effects of Multidomain Training of Health With Aging (Train-Old)

Acronym

Train-Old

Official Title

Psycho-physiological Effects of Multidomain Training in Adults and Older Adults

Study Type

Interventional

2. Study Status

Record Verification Date

July 2022

Overall Recruitment Status

Recruiting

Study Start Date

July 28, 2022 (Actual)

Primary Completion Date

September 18, 2022 (Anticipated)

Study Completion Date

December 30, 2022 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title

Principal Investigator

Name of the Sponsor

Universidad de Almeria

4. Oversight

Studies a U.S. FDA-regulated Drug Product

Studies a U.S. FDA-regulated Device Product

Data Monitoring Committee

Yes

5. Study Description

Brief Summary

The current study aims to determine the effect of a multidomain intervention (physical fitness, motivational and cognitive training) on body composition, sarcopenia, cardiovascular health, physical fitness, functional capacity, quality of life, frailty, emotional state and cognitive status in elderly participants, through a randomized controlled trial, to determine its suitability and recommend it as a preventive and health strategy for community-dwelling older adults.

6. Conditions and Keywords

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

Sarcopenia, Memory Loss, Muscular Atrophy, Cardiovascular Diseases, Frailty

Keywords

older adults, Healthy aging, Resistance training, cognitive training, cardiovascular training

7. Study Design

Primary Purpose

Treatment

Study Phase

Not Applicable

Interventional Study Model

Parallel Assignment

Model Description

Participants will be randomly assigned to an experimental group that will perform the physical exercise program and a control group that will perform nothing and continue with their normal lifestyle routines, without any physical activity.

Masking

None (Open Label)

Allocation

Randomized

Enrollment

80 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title

Multidomain training group

Arm Type

Experimental

Arm Description

Arm Title

Control group

Arm Type

No Intervention

Arm Description

The control group did not receive a training program and were asked not to modify their physical activity habits.

Intervention Type

Procedure

Intervention Name(s)

Multidomain training

Intervention Description

The training program has a duration of 18 weeks with 2 training sessions per week. The training will have a gradual progression of intensity. One day they train two blocks of strength and one block of cognitive exercises and on the second day, they train one block of power, one block of strength+cognitive and one block of aerobic training. All sessions are 60 minutes long (10 minutes of warm-up, 40 minutes of training and 10 minutes of cool-down). Classes are in small groups of no more than 8 members.

Primary Outcome Measure Information:

Title

Body Weight in Kilograms

Description

was measured after removal of shoes and heavy outer clothing, using a Tanita BC-418 MA or InBody equipment to the nearest 0.1 kg.

Time Frame

Change from Baseline body weight (kg) at 18 weeks

Title

Height in Meters

Description

Standing height without shoes was measured using a Seca 202 stadiometer (Seca, Hamburg, Germany) to the nearest 0.1 cm.

Time Frame

Change from Baseline standing height (cm) at 18 weeks

Title

Body Mass Index (BMI)

Description

was calculated as the ratio of weight to squared height in kg/m^2

Time Frame

Change from Baseline Body Mass Index (BMI): (kg/m^2) at 18 weeks

Title

% Fat Mass

Description

% fat mass was measured after removal of shoes and heavy outer clothing, using a Tanita BC-418 MA or InBody equipment to the nearest 0.1 kg.

Time Frame

Change from Baseline bioelectrical impedance % fat mass at 18 weeks

Title

Muscle quality sarcopenia

Description

Time Frame