Chronic Disease
Conditions
Keywords
Chronic Disease, adapted physical activity, primary care, Motor Activity, Elders
Brief summary
Elders aged 70 and over, living in Toulouse, with a chronic disease identified by the French social insurance as an Affection Longue Durée will be eligible to a 4 months physical activity program in a primary health center. This program will be proposed by their general practitioner. The aim of the study is to establish the feasibility of such program conduced exclusively in primary care.
Detailed description
The number of elders aged 70 and over and suffering of a chronic disease are increasing in our country. These patients are at risk of sarcopenia which can lead to an increasing risk of falls and hospitalization, loss of autonomy, and morbi-mortality. Twelve weeks adapted physical activity program can manage sarcopenia in elders. One of the difficulties to propose such a program to elders patients is the difficulty to reach the program center due to mobility deficiency. Our hypothesis is that proposing an adapted physical activity in a primary health care center, in the city of the patient, could help the participation. Eligible patients addressed by their general practitioner will perform 4 months adapted physical activity program in the CAPA-CITY center (MSPU La Providence). The inclusion will be realized by the sports doctor of CAPA-CITY. At M2, sport doctor and adapted physical activity teacher will meet the patient to readapt the program taking in count his particularity and wishes. At M4 M6 and M12, an independent global evaluation will be realized by training nurse and clinical research associate.
Interventions
3 workouts of one hour every week during 4 months. Program will be conducted by adapted physical activity teachers and sports doctor.
Sponsors
University Hospital, Toulouse
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
70 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Elders aged 70 and over, with a chronic disease recognize as an Long Term Affection by the French social insurance. * Living at home in Toulouse * With a general practitioner working in Toulouse and agreed to participate to the CAPA-CITY70 program research
Exclusion criteria
* Elders living in nursing home * Elders dependent for daily activity (score \< 5.5 Autonomy scale of Katz) * Elders with dementia according to DSM V criteria * Elders participating in another research project * Contraindication for physical activity
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| feasibility of the adapted physical activity program (ratio 1) | Month 0 | total number of patients included in the study |
| feasibility of the adapted physical activity program (ratio 2) | Month 4 | number of patients who complete the program of adapted physical activity in totality |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| organization feasibility | Month 4 | number of canceled sessions |
| program adhesion (sessions realised) | Month 4 | numbers of realised session |
| feasibility complementary criteria Month 0 | Month 0 | number of patients who start the program of adapted physical activity |
| patient's physical activity measured by GPAQ Global Physical Activity Questionnaire | Month 0 | Global Physical Activity Questionnaire (GPAQ). Score from 0 to 3000. higher score mean better outcome |
| patient's quality of life measured by Whoqol-bref (World Health Organization Quality Of Life - Bref) | Month 0 | patient's quality of life measured by Whoqol-bref. Score from 0 to 100, higher score mean better outcome |
| feasibility complementary criteria Month 4 | Month 4 | reasons to not complete the program of adapted physical activity |
Countries
France
Outcome results
None listed