Elderly, Pre-frail
Conditions
Keywords
Pre-frailty, Frail, Exercise, Nutritional assessment, Functional capacity
Brief summary
The study intervention improves functional capacity and delays frailty status in pre-frail elderly subjects.
Interventions
Multidimensional intervention based on: good control of baseline diseases, review of medication adequacy, exercise program, nutritional assessment and control, social assessment and control.
Sponsors
Study design
Eligibility
Inclusion criteria
* More than 70 years consulting in primary care * Non institutionalized * Pre-frailty according to L.Fried criteria (1 or 2 criteria) * Signed informed consent
Exclusion criteria
* Patient not able to stand by himself/herself * Dementia * Palliative care or life expectancy less than 6 months * Blind patient * unstable clinical situation * Participation in other programs, studies or trials for elderly people
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Functional capacity according to Barthel score and Timed up and go test. | One year | Barthel score and Timed up and go test. |
| Frailty according to L.Fried criteria (questionnaire). | One year | L.Fried frailty criteria: (Robust: 0 criteria; Pre-frail: 1-2 criteria; Frail: \>=3 criteria) 1. Weight loss 2. Fatigue 3. Poor physical activity 4. Low walking speed 5. Low muscle strength Reference of L.Fried: J Gerontol A Biol Sci Med Sci. 2001 Mar; 56(3):M146-56. PMID: 11253156. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mortality | One year | — |
| Health resource consumption (composite measure) | One year | Number of visits to primary care center, number of visits to hospital emergency department, number of hospitalizations, days of hospital stay, institutionalization to nursing homes, visits to nutritionist and visits to social services. |
| Nutritional status according to MNA-sf. | One year | Mini Nutritional Assessment short form (MNA-sf). |
| Quality of live according to EuroQoL. | One year | EuroQoL. |
Other
| Measure | Time frame |
|---|---|
| Pain according Visual Analog Scale. | One year |
Countries
Spain