Frailty
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Age 60 years or older; the presence of established clinical frailty, as determined by a multidimensional assessment conducted by the research team.
Exclusion criteria
Exclusion criteria: Severe or decompensated clinical comorbidities; advanced cognitive impairment that would prevent them from understanding or performing the proposed intervention; immobility, defined as complete dependence on assistance for ambulation; or absence of a minimum level of family support necessary for participation in the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Expected Outcome 1: It is expected to observe an improvement in functional status among frail older adults undergoing a home-based Mat Pilates exercise program, performed twice a week for six months. Functional status will be assessed using the Barthel Index and the IVCF-20 scale, by comparing scores obtained before and after the intervention period. A positive outcome will be defined as an increase of at least 10% in the average scores compared to baseline values after the intervention.;Found outcome 1: No significant improvement in overall functionality was observed after the home-based Mat Pilates intervention. Analysis of the Clinical-Functional Vulnerability Index (IVCF-20) showed no significant intervention effect at 3 months (p = 0.388) or 6 months (p = 0.936). Likewise, no significant difference between groups was observed in the Barthel Index at the end of follow-up (p = 0.334). The predefined minimum increase of 10% in mean scores compared to baseline was not achieved. | — |
Secondary
| Measure | Time frame |
|---|---|
| Expected Outcome 2: It is expected to observe an improvement in cognitive function among participants following the intervention. Cognition will be evaluated using the Mini-Mental State Examination (MMSE), verbal fluency test, and CERAD word list, by comparing pre- and post-intervention scores. A positive outcome will be defined as an average increase of at least 1 point on the MMSE or a statistically significant improvement in the other cognitive measures.;Expected Outcome 3: It is expected to observe a reduction in depressive symptoms among participants after six months of intervention. Depressive symptoms will be assessed according to DSM-V diagnostic criteria and clinical evaluation by comparing the frequency of symptoms before and after the intervention. A positive outcome will be defined as a reduction of at least 20% in the frequency of depressive symptoms or diagnoses. ;Expected Outcome 4: It is expected to observe an improvement in quality of life after the intervention. Quality of life will be assessed using the WHOQoL-OLD questionnaire, administered at baseline and at the end of the study. A positive outcome will be defined as an increase of at least 10% in the total WHOQoL-OLD score compared to baseline.;Expected Outcome 5: It is expected to observe an improvement in functional mobility among participants following the intervention. Mobility will be assessed using the Short Physical Performance Battery (SPPB), Timed Up and Go (TUG) test, gait speed, and the five-times sit-to-stand test, by comparing pre- and post-intervention results. A positive outcome will be defined as an increase of at least 10% in SPPB scores or a significant reduction in test times.;Found outcome 2: No significant differences in cognitive function were observed between groups after the intervention. Assessments using the Mini-Mental State Examination (MMSE) (p = 0.663), verbal fluency test (p = 0.390), and CERAD word list (p = 0.371) showed no significant improvement at the end o | — |
Countries
Brazil
Contacts
Universidade Federal de Minas Gerais