Exercise Snacking to Improve Strength and STability: ESISST Pilot Study

NCT05439252 | Completed Results

• 1 other identifier: UoB-ESS-02
• Study Type: interventional
• Target: 21
• Locations: 1 country
• Sites: 1

Brief Summary

As we age, muscles can become progressively weaker to the point that tasks of daily living cannot be carried out safely. However, regular resistance exercise training has been shown to maintain and even increase muscle strength in older adults. Previous research has identified a homebased, non-loaded, lower limb only, 'exercise snacking' model that does not require exercise equipment or supervision as a viable alternative exercise strategy to traditional resistance exercise, with potential to improve leg muscle strength in healthy older adults. This approach has been shown to be feasible and acceptable to general healthy older adult population, however this approach to exercise focussed on improving strength has not been considered in a clinical population. This research seeks to investigate the acceptability of 28 days of homebased exercise snacking in outpatients with attending the memory clinic at the Research Institute for Care of the Elderly (RICE) Centre in Bath, UK, with diagnosis limited to mild cognitive impairment only. This study will improve understanding of how zero-cost exercise strategies to potentially improve muscle function and delay frailty could be incorporated in daily routines of older adults.

Conditions

Acceptability of an Exercise Intervention

Keywords

Exercise Snacking; Elderly; Homebased exercise; Outpatient

Outcome Measures

Primary Outcomes (1)

• Acceptability of the Intervention

  Participants will be asked to complete a Theoretical Framework of Acceptability questionnaire on their experiences of the exercise snacking questionnaire. The scale scores range from 0 to 5 with high scores indicating greater acceptability, and the total score representing the mean average of 7 individual domains of acceptability (each also rated 0-5).

  28-days (post intervention)

Secondary Outcomes (16)

• Attitudes to Exercise

  28-days (pre-to-post intervention)

• Self-confidence for Exercise

  28-days (pre-to-post intervention)

• Psychological Need Satisfaction for Exercise

  28-days (pre-to-post intervention)

• Current Mental Health

  28-days (pre-to-post intervention)

• Patient Anxiety

  28-days (pre-to-post intervention)

Other Outcomes (1)

• Acceptability of the Intervention

  28-days (post intervention)

Study Arms (1)

Exercise Snacking Group

EXPERIMENTAL

For 28 days, this group will be asked to perform two 'exercise snacks' a day; once in the morning and once in the evening, and record exercise snacking compliance data in a log book

Behavioral: Exercise Snacking

Interventions

Exercise Snacking BEHAVIORAL

Each bout of exercise snacking consists of 5 exercise. Each exercise is performed for one minute, with aim of completing as many repetitions as possible of that exercise in that minute. One minute of rest is observed between each exercise of the exercise snack. The five exercises are sit-to-stand from a chair, seated overhead arm raises, march on the spot, seated arm raises and shoulder touches, and seated calf raises. The sit-to-stand exercise is always performed first, with the number of repetitions achieved recorded, and subsequent exercises performed in any order without recording of repetitions.

Exercise Snacking Group

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)

You may qualify if:

• Aged \>65 years
• Have attended the Memory Clinic at the RICE Centre in Bath
• Mini-mental state examination (MMSE) score of ≥20
• Short Physical Performance Battery (SPPB) score 3-8 and not scoring 0 on any component of the test
• Capability to safely perform the exercise snacking movements, assessed by a researcher during screening, and be able to have someone present in the home who could call for help if required during all exercise snacks.
• Not regularly engaging in recreational sports or structured exercise (once a week or more).
• Have a foreseeable clear period of 28 consecutive days in which to perform the exercise snacking protocol (i.e. no planned holidays or hospitalisation)

You may not qualify if:

• Co-morbidity preventing participation (e.g. severe breathlessness, pain, psychosis, Parkinson's, Dementia with Lewy Bodies, or other severe neurological disease)
• Individuals with a history of bone, joint or neuromuscular problems or a current musculoskeletal injury ascertained through preliminary screening that would prevent exercise snacking or be made worse by performing exercise snacking.
• Individuals with contraindications to exercise including chest pain, dizziness, or loss of consciousness, or who have been instructed by their doctor to only do physical activity recommended by them.

Sponsors & Collaborators

• University of Bath: lead

Study Sites (1)

University of Bath

Bath, Avon, BA2 7AY, United Kingdom

Location

Related Publications (1)

• Western MJ, Welsh T, Keen K, Bishop V, Perkin OJ. Exercise snacking to improve physical function in pre-frail older adult memory clinic patients: a 28-day pilot study. BMC Geriatr. 2023 Aug 4;23(1):471. doi: 10.1186/s12877-023-04169-6.

  PMID: 37542234 DERIVED

Results Point of Contact

• Title: Dr Oliver Perkin
• Organization: University of Bath

o.j.perkin@bath.ac.uk

01225384356

Study Officials

• Tomas Welsh, MD, PhD

  RICE

  STUDY DIRECTOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: OTHER
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principle Investigator

Model Details: Single group, pre-test-post-test pilot study of acceptability

Study Record Dates

• First Submitted: June 21, 2022
• First Posted: June 30, 2022
• Study Start: August 1, 2022
• Primary Completion: January 20, 2023
• Study Completion: January 20, 2023
• Last Updated: October 4, 2024
• Results First Posted: October 4, 2024

Record last verified: 2024-07

Data Sharing

• IPD Sharing: Will not share

Locations

GB (1)