Frailty
Conditions
Interventions
Malnutrition prevention + TVEx program 1. Malnutrition prevention program Participants will receive four documents that introduce detailed methods for preventing malnutrition in their habitual lifes
Sponsors
Tokyo Metropolitan Institute of Gerontology
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Community-dwelling older adults aged 65 to 99 years old. 2. Meeting the revised J-CHS frailty or prefrailty crteria. 3. Providing informed consent.
Exclusion criteria
Exclusion criteria: 1. Diagnosed as dementia or prescribed anti-dementia agency. 2. Having a disability in BADL. 3. Exercise restriction ordered by family doctors, except for light-intensity exercise. 4. Having an unstable medical condition or severe diseases, and not approved to participate in the study by the medical doctor. 5. Having experience of angina or myocardial infarction, have heart surgery within the last 3 months, or who are receiving end-stage disease or palliative care. 6. Participating in radio or television calisthenics 1 day/week in the past month. 7. Participating in specific rehabilitation programs. 8. Not able to walk more than 10 m independently. 9. Participate in other clinical trials 10. Not having a TV. 11. Having difficulty in communication by Japanese. 12. Participation of housemates. 13. Judged to be ineligible as a participant by a principal investigator or medical doctor.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in the score of Short Physical Performance Battery from baseline to post-intervention (after 12 weeks) surveys. | — |
Secondary
| Measure | Time frame |
|---|---|
| [Secondary outcome on the effectiveness] 1. Frailty phenotype score 2. Motor function test (gait performance assessed using the GAITRite System, sit and rearch test, up and go test, and knee extension strength) 3. Cognitive function test (verbal memory, logical memory, Symbol Digit Substitution Task, Trail making Test A and B assessed using the National Center for Geriatrics and Gerontology-Functional Assessment Tool) 4. Body composition test (body fat and fat-free mass assessed using the InBody720) 5. Questionnaires (SF-36, home-based exercise self-efficacy, GDS15, LSNS-6, and Kihon Check List) 6. Blood test (Hb, Ht, BG, TP, Alb, LDH, Fe, TC, LDLC, HDLC, TG, and h-CRP) 7. Lifestyle behavior (habitual dietary intake (brief-type self-administered diet history questionnaire), habitual physical activity (active style pro HJA-750C), sleep condition (ActiGraph GT3X+, the Japanese version of the Pittsburgh Sleep Quality Index)) [Safety] 1. Number of all adverse events that occur during the intervention period 2. Blood test (WBC, RBC, AST, ALT, gamma-GTP, PLT, BUN, and Cr) [Feasibility] 1. When the participation rate in the TVEx is 75% or more and the withdrawal/dropout rate from the intervention is less than 25%, then we consider it as feasible. 2. Total frequency of participating in the TVEx. | — |
Countries
Japan
Contacts
Public ContactYosuke Osuka
Tokyo Metropolitan Institute of Gerontology Research Team for Promoting Independence and Mental Health
Outcome results
None listed