The Effectiveness of Lifestyle Intervention on Body Composition, Physical Performances and Quality of Life Among Elderly People in Long-term Care Facilities

NCT02912338 | Completed

• 1 other identifier: CTU104-PC-014
• Study Type: interventional
• Target: 123
• Locations: 0 countries
• Sites: N/A

Brief Summary

Purpose: To understand the change in body composition, physical functions and quality of life of elderly residents with sarcopenic obesity in LTC facilities after the implementation of exercise intervention.

Conditions

Sarcopenia; Obesity

Keywords

Sarcopenic obesity; Body composition; Physical function; quality of life; long term care

Outcome Measures

Primary Outcomes (7)

• Body Composition

  measuring machine: Bioelectrical impedance analysis (BIA) estimates body composition of fat and lean tissue.

  Change gram, kg and percentage from baseline to follow up (12 weeks later)

• body weight

  Weighing scales in kilograms

  Change kg from baseline to follow up (12 weeks later)

• BMI

  kg/m2

  Change from baseline to follow up (12 weeks later)

• hand grip

  Jamar Handgrip Dynamometer

  Change from baseline to follow up (12 weeks later)

• hand pinch

  Lafayette Hydraulic Pinch Gauge 5030P1

  Change kg from baseline to follow up (12 weeks later)

• Activities of daily living

  Functional Independence Measure (FIM) included 18 items, covering 6 situations in the burden of personal care, specifically self-care, mobility, transfers, sphincter management, communication, and social cognition. A high score indicates better function.

  Change score from baseline to follow up (12 weeks later)

• Quality of Life

  Short Form 8 health survey (SF8)included the items focusing on physical and mental health; EuroQol-5D (EQ-5D) includes the EQ-visual analogue scale (VAS) and the EQ-5D descriptive system. EQ-VAS documents the participant's self-reported health on a VAS of 100-0. The EQ-5D-3L descriptive system consists of five dimensions, namely mobility, self-care, usual activities, pain/discomfort and anxiety/depression, all with three function levels (no problem = 1; some problems = 2; severe problems = 3)

  Change score from baseline to follow up (12 weeks later)

Study Arms (2)

Resistant Training Group

EXPERIMENTAL

sandbag 2-5lb, grip ball, twice/week, Duration:12 weeks

Behavioral: Resistant Training

Control Group

ACTIVE COMPARATOR

not change lifestyle

Other: Control Group

Interventions

Resistant Training BEHAVIORAL

Resistant Training Group

Control Group OTHER

Control Group

Eligibility Criteria

• Age: 60 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• aged and elderly over 60 years old and no exercise restrictions.
• conscious clear, able to communicate with to the traditional Chinese language or Taiwanese.
• in the past three months living in long-term care institutions.
• in the last month the subject biased static life
• in a stable condition with enough energy: to maintain the support of at least one hour sitting in a wheelchair or bed edge.

You may not qualify if:

• In the past three months have unstable weight (\> ± 4 kg).
• severe disease states, such as severe heart and lung liver and kidney disease, a serious cancer, severe malnutrition (Mini Nutritional Assessment Scale 0-7 points).
• limb unable to anti-gravity completely
• severe dementia (Clinical Dementia Rating (CDR) Scale Clinical Dementia Rating, CDR 3-5 points).

Sponsors & Collaborators

• Central Taiwan University of Science and Technology: lead

Related Publications (2)

• Chang SF, Chiu SC. Effect of resistance training on quality of life in older people with sarcopenic obesity living in long-term care institutions: A quasi-experimental study. J Clin Nurs. 2020 Jul;29(13-14):2544-2556. doi: 10.1111/jocn.15277. Epub 2020 Apr 24.

  PMID: 32279360 DERIVED

• Chiu SC, Yang RS, Yang RJ, Chang SF. Effects of resistance training on body composition and functional capacity among sarcopenic obese residents in long-term care facilities: a preliminary study. BMC Geriatr. 2018 Jan 22;18(1):21. doi: 10.1186/s12877-018-0714-6.

  PMID: 29357826 DERIVED

MeSH Terms

Conditions

Sarcopenia; Obesity

Interventions

Control Groups

Condition Hierarchy (Ancestors)

Muscular Atrophy; Neuromuscular Manifestations; Neurologic Manifestations; Nervous System Diseases; Atrophy; Pathological Conditions, Anatomical; Pathological Conditions, Signs and Symptoms; Signs and Symptoms; Overweight; Overnutrition; Nutrition Disorders; Nutritional and Metabolic Diseases; Body Weight

Intervention Hierarchy (Ancestors)

Epidemiologic Research Design; Epidemiologic Methods; Investigative Techniques; Research Design; Methods

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Senior Lecturer, PhD candidate

Study Record Dates

• First Submitted: September 9, 2016
• First Posted: September 23, 2016
• Study Start: September 1, 2015
• Primary Completion: March 1, 2016
• Study Completion: March 1, 2016
• Last Updated: July 22, 2019

Record last verified: 2019-07