fysieke kwetsbaarheid frailty physical impairment
Conditions
Interventions
All intervention-group participants will perform resistance exercise training
and will increase their dietary protein intake, during week 1 * 12. The
progressive resistance exercise trainings will b
they pay attention to the
safe and correct execution of the exercises. The training consists of a
warming-up, exercises for the major muscle groups, and a cooling-down. The
exercise intensity is ta
Sponsors
Wageningen Universiteit
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: In order to participate in the study, individuals should be aged 65 years or over, living in one of the five selected municipalities, being able to understand Dutch, be pre-frail or frail based on Fried frailty criteria. Also non-frail elderly who do not fulfill the fitnorm and experience difficulties with activities of daily living will be included.
Exclusion criteria
Exclusion criteria: The General Practitioner of the possible participant will check whether a person can safely participate in the study, based on the following exclusion criteria:;- Allergic or sensitive to milk proteins and/or lactose - Clients with diagnosed COPD or cancer - Clients with diabetes type I or type II that is unstable, not well regulated with medication, or who do not notice when they get hypoglycaemia - Clients with hypertension (systolic blood pressure >160 mmHG) that is not well regulated with medication - Clients with severe heart failure - Clients with renal insufficiency (eGFR
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in physical functioning. | — |
Secondary
| Measure | Time frame |
|---|---|
| Effect evaluation, change in: - Quality of life - Muscle strength - Muscle mass - Protein intake - Social participation - Activities of daily living - Behavioural determinants Economic evaluation: - Cost-effectiveness of the intervention compared to usual care, based on effect on Short Physical Performance Battery score - Cost-utility of the intervention compared to usual care, based on Quality Adjusted Life Years (QALY's). Process evaluation: The feasibility of the intervention in practice, based on the following process indicators: - Acceptance of the intervention (both participants and professionals) - Applicability of the intervention (professionals) - Integrity of the intervention: extent to which the intervention is implemented as planned (professionals) - Dose received: Attendance of the training for professionals (professionals), attendance of training sessions and consultations with the dietician, compliance in taking protein products during the intervention and maintenance phase (participants) - Factors for success and failure | — |
Countries
Netherlands
Outcome results
None listed