Functional Recovery, Frailty, Geriatric Syndromes
Conditions
Keywords
older adults, frailty, geriatric assessment, geriatric syndromes, multicomponent exercise program
Brief summary
The study has been designed to analyze the possible positive effects of a multicomponent physical exercise program monitored with an integrated electronic device system in dwelling-community frailty older adults. The study will assess changes in physical, nutritional, cognitive, and psychological aspects after program finishes at six months. Information will be collected by researchers at baseline, monthly and after study finishes.
Detailed description
The aging process is associated with physiological changes that determine a decrease in functional reserve and limit the ability to respond to external factors. Likewise, aging is associated with a deterioration of the regulatory processes that maintain the functional integration of the different organs and systems. A direct consequence of this phenomenon is the atypical presentation of highly prevalent diseases in the elderly. This atypical presentation of diseases in the elderly is responsible for the so-called geriatric syndromes, considered as specific nosological entities with a high frequency of presentation in the elderly, being included within the prevention, diagnosis and treatment strategies of geriatric medicine. These syndromes can generate greater morbidity and consequences, sometimes more serious than the disease that produces them. Its systematic detection should be included in the anamnesis of the clinical history of the elderly. Geriatric syndromes are a group of conditions usually caused by the conjunction of diseases with a high prevalence in the elderly and which are the frequent origin of functional or social disability in the population. They are the manifestation of many diseases, but they are also the beginning of many other problems that we must take into account from their detection to establish a good prevention of them. The hypothesis of this work is that in frail and pre-frail older adults who participate in an integrated program of multicomponent physical exercise tutored by means of an app will improve their functional situation and reverse their diagnoses of pre and frailty.
Interventions
BEHAVIORALMulticomponent exercise program
The exposed group will carry out the following program of specific muscle strength and cardio physical activity aimed at reducing frailty. For 2.5 hours per week.
Sponsors
University of Valencia
Hospital de la Ribera
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Masking description
Cohort study no masking presented.
Intervention model description
Cohort study
Eligibility
Sex/Gender
ALL
Age
65 Years to 100 Years
Healthy volunteers
Yes
Inclusion criteria
* Frailty * Informed consent signature
Exclusion criteria
* Life expectancy less than 6 months * Acute Ischemic coronariopathy event during the last three months * Active cancer treatment (chemoteraphy or radiotherapy) during the last three months * Major surgery during the last six months
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Sarcopenia | Six months | European Working Group on Sarcopenia in Older People (EWGSOP) criteria |
| Polypharmacy | Six months | Quantitative definition. Considered polypharmacy the daily intake of 5 or more drugs. |
| Cognitive state | Six months | Pfeiffer questionnaire |
| Depression | Six months | Yesavage's Geriatrics Depression Scale (15 items) |
| Nutrition state | Six months | Mini Nutritional Assessment Short Form. Score 0 to 14. |
| Falls | Six months | Number of falls during follow-up period |
| Frailty reversion. | Six months | Linda Fried's frailty criteria. Score 0 Fit, 1-2 Prefrail, 3 or over Frail |
| Intrinsic capacity | Six months | ICOPE questionnaire score |
| Quality of life objective and subjective | Six months | EuroQool 5 Dimensions (EQ-5D). Objective score 0 to 10. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Visits to General Practitioner (GP) | Six months | Number of visits to GP during follow-up period |
| Validation of a shaking measurement tool to asses muscle strength | six months | Gold standard Hand grip measured by dinamometry |
| Validation of a gait speed mobile phone tool | Six months | Gold standard Gait speed measurement |
| Validation of a pulmonar capacity mobile phone tool | six months | Gold standard forced expiratory volume in 1 (FEV1) Forced vital capacity (FVC) |
| Hospital admissions | Six months | Number of hospital admissions during follow-up period |
Countries
Spain
Outcome results
None listed