Older 60 years old pateint pre-frailty and frailty status Pre-frailty Frailty Walking Improve functional capacity Preoperative surgery
Conditions
Interventions
Walking more than 6,000 steps per day for at least 3 day per week (Weeks 2-4) with Polar Watch.,Normal walking in three week
Experimental Behavioral,No Intervention No treatment
Walking more than 6,000 steps/day ,Normal walking
Sponsors
Faculty of Medicine Siriraj Hospitall, Mahidol University
Eligibility
Sex/Gender
All
Age
60 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Patients aged 60 years or older. 2. Patients with pre-frailty and frailty (assessed by Simple Frail Questionnaire Thai version, score of 1 or higher). 3. Patients scheduled for surgery, with at least 4 weeks before the operation. 4. Patients who can use the provided step-counting device (Polar step counter watch). 5. Patients who own a smartphone and can communicate with the researchers via Line@ Application.
Exclusion criteria
Exclusion criteria: 1. Patients who decline to participate in the study. 2. Patients with disabilities to walking. 3. Patients with conditions that limit walking ability or require walking aids (severe knee osteoarthritis, spinal disc herniation with lower limb weakness). 4. Patients with severe comorbidities that limit or contraindicate physical exertion, or with uncontrolled conditions such as Coronary artery disease with chest pain at rest or exertion. Heart failure or uncontrolled heart conditions (NYHA grade 3-4). COPD or asthma with exacerbation or shortness of breath at rest (GOLD grade IV). Anemia with symptoms of fatigue at rest. Stroke with hemiparesis. Neurological conditions such as Alzheimer or Dementia. Peripheral artery disease causing leg pain or discomfort during exertion or prolonged walking.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Improve of functional capacity After finish intervention Barthel Activity of Daily Living (Barthel ADL) | — |
Secondary
| Measure | Time frame |
|---|---|
| Functional capacity After finish intervention Lawton Instrument Activity of Daily Living (Lawton IADL),Quality of life After finish intervention Quality of Life (EQ-5D-5L),Functional capacity After finish intervention Simple frailty score,Postoperative pulmonary complication After surgery Clinical diagnosis,Length of hospital stay Date of discharge Duration of admission | — |
Countries
Thailand
Contacts
Public ContactArunotai Siriussawakul
Department of Anesthesiology, Faculty of Medicine Siriraj Hospital
Outcome results
None listed