Prefrail Elderly
Conditions
Brief summary
The goal of this study is to find out if a 12-week exercise programme for pre-frail seniors will result in an improvement in physical performance measures. Participants attended 12 group exercise sessions, lasting one hour each, and held once a week. Three of these sessions were be conducted remotely, via a video link that participants will follow at their own time. Physical performance measures were taken at the first and last sessions.
Interventions
BEHAVIORALGroup exercise programme
12-week group exercise programme
Sponsors
SingHealth Polyclinics
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* 65 years or older, and * Clinical Frailty score of 3 or 4.
Exclusion criteria
* Persons who had pre-existing medical contraindications to exercise OR * clinical symptoms that rendered them unsuitable for physical activity as determined by their attending physician OR * cognitive impairment affecting their ability to provide informed consent.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Short physical performance battery score | Assessed at baseline (at the start of the first exercise session) and 12 weeks (during the 12th exercise session) | It assesses the functional mobility of an older adult's lower extremities in three domains (static balance, gait speed and chair stands). Balance is evaluated via the duration which participant can maintain side-by-side, semi-tandem, and tandem stances. Gait speed is measured by duration taken by the participant to walk 3 meters at their usual pace. Lower limb strength is assessed using the chair stand test, which records the time taken to complete five consecutive sit-to-stand movements from an armless chair with the participants' arms folded across the chest. |
| Hand grip strength | Assessed at baseline (at the start of the first exercise session) and 12 weeks (during the 12th exercise session) | It is assessed using a handgrip dynamometer, with participants' elbows flexed at 90 degrees with the forearm in neutral position, squeezing the device as hard as possible with their left and right hands. The average recorded value from two measurements was used for analysis of this study |
| 30-Seconds Sit-to-Stand repetitions | Assessed at first exercise session and 12th exercise session (i.e. 12 weeks from baseline) | 30-Seconds Sit-to-Stand repetitions is a measure of lower limb strength, endurance, and functional fitness. It is performed by recording the maximum number of times a participant can stand up fully and sit down from an armless chair within 30 seconds, with their arms folded across their chest. A higher number of repetitions indicate better functional capacity |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in exercise category in the International Physical Activity Questionnaire-Short Form (IPAQ-SF) | At enrolment, 6months post enrolment and 12 months post enrolment. | Participants reported their physical activity based on an interviewer-administered IPAQ-SF during the enrolment visit, 6-month and 12-month after the start of the structured exercise programme. The IPAQ-SF is a validated instrument widely used as a measure of physical activity. The questionnaire contains 8 items, which assesses the frequency and duration of physical activity across domains such as sitting, walking, moderate-intensity activities and vigorous intensity activities. Based on the responses, the total metabolic equivalent (MET)-minutes per week is calculated, and participants are categorised into low, moderate, or high physical activity levels. There is no minimum or maximum value of MET-minutes per week as this is based on the participants' responses. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Satisfaction scores | Administered at 12 weeks (i.e. at the 12th session). | A researcher-developed satisfaction survey was used to assess participants' satisfaction with the sessions, instructors, venue, pace, exercises, and the perceived effects of FABULOS on their health. |
Countries
Singapore
Outcome results
None listed