Chronic Conditions, Multiple, Old Age; Debility, Physical Inactivity
Conditions
Keywords
Multimorbidity, Older people, Physical activity
Brief summary
Physical activity is an important determinant of health and well-being in older people. However, many older people do not achieve recommended physical activity levels and increasing older people's physical activity is challenging. This preliminary study will explore the effects of a brief physical activity intervention on physical activity and physical function in older people with multimorbidity. The findings will be used to inform the design of a subsequent adequately-powered randomised controlled trial.
Interventions
See arm/group descriptions
Sponsors
Study design
Masking description
Outcome assessors will be blinded to group allocation, and participants will be asked to not disclose their allocation
Intervention model description
Pilot randomised controlled trial
Eligibility
Inclusion criteria
* aged ≥60 years * 2 or more chronic conditions * able to walk outside the home * able to attend the study visits
Exclusion criteria
* living in a residential or nursing home * housebound * ≥3 falls in previous year * dementia or significant cognitive impairment (unable to follow simple instructions) * contraindication to increasing physical activity * unable to read or speak English * unable to provide consent * no more than one person per household
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Average daily acceleration | 4 weeks | Average acceleration from wrist accelerometry |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Time in MVPA | 4 weeks | Average daily time spent in moderate-to-vigorous physical activity from wrist accelerometry |
| Steps | 4 weeks | Average daily step count |
| Muscle strengthening exercise | 4 weeks | Average daily time spent doing muscle strengthening exercise |
| 30-second chair rise performance | 4 weeks | Number of sit-to-stand movements completed within 30 seconds |
| Intensity gradient | 4 weeks | Intensity gradient from wrist accelerometry |
| Timed 8ft up and go performance | 4 weeks | Time to complete 8ft up and go test |
| Timed single-leg balance performance | 4 weeks | Time able to stand on one limb |
| 6-minute walk test performance | 4 weeks | Total distance walked during 6-minute corridor walking test |
| Handgrip strength | 4 weeks | Maximum handgrip strength measured on both hands using a Jamar handgrip dynamometer |
Countries
United Kingdom