frailty status transition in the frail and pre-frail older people frail, prefrail, pre-frail, robust, frailty status, frailty status transition, frailty improve, older, elder, exercise, home based exercise, nutrition, nutrition intervention, nutritional intervention, geriatric clinic, internet based nutritional intervention, Frailty management, nutrition for elderly, kihon, kihon checklist, frail scale, MNA, GPAQ, calf circumference, TGDS-15, depression, cognitive impairment, HEPOP, HEPOP 2020,
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Prefrail or frail older patients age 60 years or older 2.Visit geriatric clinic Siriraj Hospital or Ratchapiphat Hospital 3.lives with caregiver 4.able to access internet
Exclusion criteria
Exclusion criteria: 1.Patients who cannot communicate 2.Cognitive impairment ( TMSE <18) 3.Life expectancy <6 months 4.Unstable condition ( Congestive heart failure, Cardiovascular or respiratory failure , Blood pressure <90/60mmHg, or >180/100mmHg, heart rate >100bpm, oxygen saturation < 92%, Respiratory rate 22/min) 5.disabled people 6. people with prosthesis which disturbs body composition measurement by bioelectrical impedance analysis 7.History of hospitalization within 3 months
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Frailty status transition 3 months Kihon checklist, FRAIL scale | — |
Secondary
| Measure | Time frame |
|---|---|
| Physical performance test 3months SPPB, 2-minute step test, Functional reach test, sit and reach test, back scratch test,step count/day, energy used/day 3months Pedometer tracking,Calf circumference 3months measure (cm),Body composition 3months bioelectric impedance analaysis,dietary intake 3months food frequency questionnaire,cognitive function 3months TMSE,Depression 3 months TGDS-15,Self-esteem 3 months Rosenberg self-esteem scale,Functional outcome 3 months Barthel index, Lawton iADL scale,Patient satisfaction 3 months questionnaires,Adverse events from exercise program 3 months questionnaires,Falls 3 months Questionnaires,Hospital admissions 3 months Questionnaires,Emergency department visits 3 months questionnaires | — |
Countries
Thailand
Contacts
Mahidol University