None listed
Conditions
Brief summary
Age-associated frailty is a significant cause of disability and dependency. Physical frailty and falls predict, fractures, mobility/functional decline, residential care admissions, hospitalisations and death. Often, older people who fell have serious personal and societal consequences. Studies showed that maintaining function and quality of life (QOL) are preferred over longevity, and healthy lifestyle behaviours benefit QOL and function. However physical activity is low and nutrition risk high in older people. To date, most studies test a single programme (either physical activity or nutrition) with few combining both strategies in community setting. This study aims to answer this main question “Does eating well and moving about more make life happier and easier by decreasing falls and reducing frailty?” We believe physical activity go with active ageing and new ways to cook will help an older person to eat better. Changing the way of living and ageing will prevent the progression of frailty and reduce the risk of falling over. The study, if successful, will have a positive impact on reducing health services and prolonging healthy life expectancy.
Interventions
The intervention consist of Senior Chef (Nutrition) programme, Steady As You Go programme (SAYGO; physical activity) or both Participants will be randomised into 1) Senior Chef Group, 2) SAYGO group, 3) a group consisting of both Senior Chef and SAYGO or 4) the control group. Participants in the group 3 (Senior Chef and SAYGO) will attend 2 classes in a week. The Senior Chef is an 8-week programme consisting of 3-hour weekly hands-on cooking classes followed by sharing the food cooked that day, nutrition education including menu planning, budgeting and shopping tips delivered by a trained facilitator. There are 10 participants per class The Steady As You Go programme (SAYGO) is a 1-hour weekly for 10-week strength and balance exercise programme based on the adapted Otago Exercise Programme. The programmed focuses on peer-led exercises, rather than peer-led education alone. There are 10 participants per class. The exercise programme consist of seated flexibility, range of motion, and seated aerobic exercises taught by a trained instructor. SAYGO is between 2-4 on a 10 point Rating of Perceived Exertion scale. Facilitators will maintain an attendance log to monitor adherence.
Sponsors
Study design
Eligibility
Inclusion criteria
- Age criteria: Non-Maori 75 years and over; Maori aged 60 and over - Living in the community - Pre-frail using criteria of 1 or 2 score on the FRAIL questionnaire - Able to communicate in English or te reo or have someone who can translate - Able to use the kitchen utensils safely - Able to stand
Exclusion criteria
- Terminally ill as judged by the general practitioner or Maori health provider. - Advanced dementia from GP records