Seniors (> 40 years old) with a mild or moderate intellectual disability. Mental and Behavioural Disorders
Conditions
Interventions
Participants will be randomly allocated into the aerobic and resistance training (CPAP) group, sprint interval training program (SIT) group and control group. The CPAP group and the SIT group will par
Sponsors
Ministry of Economy and Competitiveness (MINECO)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Aged over 40 years and under 76 years (as of 01-12-2018) 2. Mild to moderate intellectual disability (ID). 3. Able to participate in activities in groups of 10 seniors with ID. 4. Able to conduct physical activities. 5. Able to wear an accelerometer for several days. 6. Able to walk independently. 7. Able to perform all the physical fitness measurements. 8. Declaration of physician that the senior with ID is able to perform physical activities safely.
Exclusion criteria
Exclusion criteria: 1. Severe or profound ID. 2. Atlantoaxial instability. 3. Contraindications to exercise. 4. Medication that may have an important effect on the participants' response to exercise. 5. Unable to communicate in Spanish/Catalan. 6. Unable to provide written informed consent. 7. Parents or legal representative of the participants did not provide written informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Maximal aerobic capacity measured using a precalibrated cycle ergometer (Excalibur, LODE, Groningen, The Netherlands), cycling at 50 rpm. After a one-minute period cycling at 0 watts, participants will follow a 10 watt/min ramp protocol up to exhaustion. Oxygen uptake and carbon dioxide production will be measured by an automatic gas analysis system. Measures will be taken at baseline (i.e. prior to randomization), 6 months after randomization (end of the interventions) and 12 months after randomization. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Health-related fitness measurements (strength, balance, flexibility). 1.1 Handgrip strength will be measured using a Jamar Hand Dynamometer. 1.2 Isometric strength of the lower limbs will be measured with a Chronojump force sensor. 1.3 To assess the balance we will use de following tests: the single leg stand test (SLST). The participants stand on a single leg. The maximum time will be set to 30 s. 1.4 Postural sway of the centre of pressure will be assessed with a pressure platform (Podoprint Balance Platform, Namrol, Barcelona, Spain). All participants will perform a double leg stance with opened and closed eyes. 1.5 Dynamic balance will be assessed by using the timed up and go test (TUGT). The test consists on rising from an armless chair with a seat height of ~46cm without using the arms, walking 9m and going back to the chair sitting again. 1.6 Flexibility will be assessed using the chair seat-and-reach test. Shoulder flexibility will be measured using the functional shoulder rotation test. 2. Resting blood pressure, aortic pulse wave velocity and augmentation index will be determined using the SphygmoCor Xcel (AtCor Medical). 3. Anthropometry: Weight, height, body mass index, waist and hip circumference and, fat and fat-free mass. 4. Physical activity and sedentary time, measured using ActiGraph accelerometers. 5. Chronic illness will be obtained from the participant medical files. 6. Interviews with seniors and parents or tutors and their staff will be held and quality of life of the participants will be measured using the Personal Outcome Scale. All measurements will be performed at baseline (i.e. prior to randomization), 6 months after randomization (end of the interventions) and 12 months after randomization. | — |
Countries
Spain
Outcome results
None listed