Functional Status
Conditions
Interventions
The study is a non-blinded randomized clinical trial with comparison of groups. Due to the nature of the intervention, it is not possible to blind treatment participants or therapists to the allocated
E02.760.169.063.500.387.750
Sponsors
Universidade Regional do Noroeste do Estado do Rio Grande do Sul - UNIJUÍ
Universidade Regional do Noroeste do Estado do Rio Grande do Sul - UNIJUÍ
Eligibility
Age
65 Years to No maximum
Inclusion criteria
Inclusion criteria: Age equal to or greater than 65 years; Both sexes; Hospital discharge from April to November 2022 at the hospital of a medical cooperative located in the northwest region of the State of Rio Grande do Sul/Brazil; Accept to participate in the study by signing the Free and Informed Consent Term (FICT); Live in the city of Ijuí in the urban area; Ability to walk with or without an aid; Score above 23 points on the Mini Mental State Examination (MMSE); Score less than or equal to 5 points on the 15-item Geriatric Depression Scale (GDS-15);
Exclusion criteria
Exclusion criteria: Practice physical activity or sport after hospital discharge; Acute myocardial infarction or recent unstable angina; Uncontrolled atrial or ventricular arrhythmias; Dissecting aortic aneurysm; severe aortic stenosis; Endocarditis/Acute Pericarditis; Acute Embolic Thrombotic Disease; Severe Acute Heart Failure; Severe Acute Respiratory Failure; Recent fracture (in the last three months), without medical clearance to perform physical activity; Surgery in the last three months and without medical clearance to perform physical activity; Any other circumstance that has a medical contraindication to perform physical activity.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Detect the presence of a risk of falls, which will be assessed by frequent falls (the participant will be asked if they have had two or more falls in the last year or a fall that required medical attention. If the answer is positive, they are at risk for falls); by the Timed up and go (if the test takes more than 20 seconds, there is a risk of falls); by gait speed in 6 meters (if the test takes more than 7.5 seconds, there is a risk of falls) and by the presence of moderate cognitive deterioration (the elderly will be asked if they have already been diagnosed with cognitive deterioration. risk of falls if there is an affirmative report by a family member or medical record of cognitive disorder or dementia). When one or more of the tests show an affirmative result, the elderly person is at risk of falling.;It is expected to find improvement in functional capacity, from the beginning of the intervention to the sixth week of intervention. Evaluated by the Short Physical Performance Battery (SPPB), which combines tests of balance, gait speed and lower limb strength, with a score from zero (worst score) to twelve (best score). The magnitude of the significant change, that is, clinically important, will be 2.2 points for the SPPB. The SPPB and the tests used to assess the risk of falling are part of the Vivifrail protocol; for the purpose of classifying the functional conditions of the elderly and indicating the multicomponent exercise program. | — |
Secondary
| Measure | Time frame |
|---|---|
| Screening for the risk of sarcopenia among the elderly sample, through the application of the Sarc-F questionnaire (screening tool for risk of sarcopenia). The 2019 European Consensus on Sarcopenia recommends this tool to obtain characteristic signs of sarcopenia through patient self-reports. The SARC-F questionnaire consists of five items: strength, assistance with walking, getting up from a chair, climbing stairs, and falling , with a score ranging from 0 to 10 points. Sum: from 0 to 5 points = no signs suggestive of sarcopenia at the moment; from 5 to 10 points = suggestive of sarcopenia.;Assessment of muscle strength by assessing handgrip strength using a dynamometer. The measurement will be performed on the dominant upper limb, with the elderly person sitting, the limb supported, adducted, elbow in 90° flexion and neutral wrist, three measurements will be performed, with a 1-minute interval between them, and the average of the values will be considered. obtained. The cutoff points for handgrip strength for the elderly population of the municipality under study (Ijuí/RS) were defined by a study by Berlezi et al (2019), taking into account the Body Mass Index (BMI), for men and women .;Muscle Mass: will be measured from the assessment of body composition using a portable device for Bioelectrical Impedance Analysis, tetrapolar pattern, which provides resistance and reactance values, with a frequency of 50kHz and 800µA. The criteria proposed by the equipment manual will be followed for the examination. The resistance values found will be used to calculate skeletal muscle mass (SMM), from the formula SMM = [(h2/R x 0.401) + (sex x 3.825) + (age x -0.071)] + 5.102 by Janssen et al. (2000), where height (h) is in centimeters, “R” is the resistance value in ohms; for sex, female=0 and male=1, and age in years. To obtain the Skeletal Muscle Index (SMI), the MSM will be divided by the height squared.;Mobility: the assessment of the mobility of the elderly will be carrie | — |
Countries
Brazil
Contacts
Public ContactCarolina Pinto
Universidade Regional do Noroeste do Estado do Rio Grande do Sul - UNIJUÍ
Outcome results
None listed