Frailty, Sleep Quality, Aging
Conditions
Brief summary
This study aims to explore the relationships between frailty, daily physical activity, sleep quality, and Traditional Chinese Medicine (TCM) constitutions among older adults in Taiwan. In the trial phase, a randomized controlled trial will be conducted specifically for pre-frail older adults. Participants will be randomly assigned to either the exercise training group (Vivifrail program) or the integrated group combining exercise with daytime and sleep-improving acupoint stimulation. The study evaluates the combined efficacy of these non-invasive interventions on reducing frailty severity, improving sleep, and enhancing daily physical functions.
Interventions
BEHAVIORALVivifrail Exercise Program
A 12-week home-based multimodal exercise program including daily walking, upper limb resistance training, balance exercises, and flexibility training, tailored to pre-frail older adults.
OTHERAcupoint Stimulation
Daily home-based acupoint self-massage (2-3 times per day, 3-5 minutes per point) targeting specific meridians (including Spleen, Stomach, and Bladder meridians) to alleviate fatigue and promote sleep quality.
Sponsors
Tainan Hospital, Ministry of Health and Welfare
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
50 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Individuals who are capable of undergoing frailty assessments. 2. Individuals who possess effective communication skills. 3. Aged 50 years or older. 4. Willing to provide written informed consent, keep a 7-day sleep diary, and complete related questionnaires. 5. Identified as pre-frail (frailty score of 1-2 points) according to the frailty phenotype criteria for the clinical trial phase.
Exclusion criteria
1\. Individuals who are unwilling or unable to wear an actigraph (wrist monitor) or undergo physical measurements.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Frailty Score | Baseline, Week 4, and Week 12 | Evaluated using the Fried frailty phenotype criteria, which includes five components: unintentional weight loss, weakness (grip strength), exhaustion, slowness (walking speed), and low physical activity. Each component is scored as 0 or 1, resulting in a total score ranging from 0 to 5. Higher scores indicate a worse outcome (higher severity of frailty). |
| Change in Sleep Quality | Baseline, Week 4, and Week 12 | Measured via the Pittsburgh Sleep Quality Index (PSQI) questionnaire (global score ranges from 0 to 21, where higher scores indicate poorer sleep quality) and objective metrics from the 7-day wrist actigraphy (including total sleep time and sleep efficiency). |
Countries
Taiwan
Contacts
CONTACTYu-Ching Hsu, MD
Outcome results
None listed