Physical Function and Fall Risk in Older Adults in the Lalín Frailty Prevention Program
FRAIL-Lalin
Observational Study of Frailty and Fall Risk in Older Adults Included in the Frailty and Falls Prevention Program at the Centro Integral de Saúde de Lalín
1 other identifier
observational
56
1 country
1
Brief Summary
This prospective observational study will describe changes in physical function and fall risk among adults aged 70 years or older who participate in the routine Frailty and Falls Prevention Program at the Centro Integral de Saúde de Lalín. Clinical assessments obtained before the program (T0) and at its completion (T1, approximately 8-12 weeks later) will be analyzed. The study does not assign treatment or change routine care.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for all trials
Started Sep 2026
Shorter than P25 for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 15, 2026
CompletedFirst Submitted
Initial submission to the registry
September 23, 2026
CompletedFirst Posted
Study publicly available on registry
September 30, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 15, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
February 15, 2027
September 30, 2026
September 1, 2026
4 months
September 23, 2026
September 23, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Change in Short Physical Performance Battery (SPPB) Total Score
Change in SPPB total score, a composite measure of lower-extremity function comprising standing balance, gait speed and chair rise. Score range: 0-12 points. Higher scores indicate better physical performance. Unit: points.
Baseline (T0) and end of the care program (T1, 8-12 weeks).
Change in Fall Risk Indicators
Change in the three protocol-defined yes/no indicators: a fall in the preceding year requiring healthcare, two or more falls in the preceding year, and clinically relevant gait impairment. Each indicator is recorded as No or Yes; no composite score or fixed numerical range is specified. A Yes response indicates the corresponding risk feature.
Baseline (T0) and end of the care program (T1, 8-12 weeks); each assessment uses the protocol-defined recall or clinical assessment.
Secondary Outcomes (12)
Change in Timed Up and Go Test Time
Baseline (T0) and end of the care program (T1, 8-12 weeks).
Change in FRAIL Scale Total Score
Baseline (T0) and end of the care program (T1, 8-12 weeks).
Change in Number of Chronic Prescription Medications
Baseline (T0) and end of the care program (T1, 8-12 weeks).
Change in 4 Meter Gait Speed
Baseline (T0) and end of the care program (T1, 8-12 weeks).
Change in 6 Minute Walk Test Performance
Baseline (T0) and end of the care program (T1, 8-12 weeks), when the 6-minute walk test is feasible.
- +7 more secondary outcomes
Study Arms (1)
Participants in the Lalín Frailty and Falls Prevention Program: adults aged 70 years or older with B
Routine multicomponent therapeutic exercise program; 12 supervised sessions, one per week, with individualized progression. Strength, aerobic, flexibility, balance, functional and dual-task components are described in the care protocol. Home aerobic activity is advised by the treating physiotherapist.
Eligibility Criteria
Adults aged 70 years or older linked to the Centro Integral de Saúde de Lalín who enter its routine Frailty and Falls Prevention Program through usual care and can provide informed consent.
You may not qualify if:
- Medical contraindication to physical activity; inability to consent to study participation.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Vigolead
- Servicio Gallego de Saludcollaborator
Study Sites (1)
Centro Integral de Saúde de Lalín
Lalín, Pontevedra, 36500, Spain
Related Publications (28)
Mehta P, Costa EC, Galliano LM, Vlietstra L, Saragiotto BT, Cadore EL, Izquierdo M, Waters DL. Exercise to prevent falls in older adults with physical frailty: A systematic review and meta-analysis. J Frailty Aging. 2026 Aug;15(4):100187. doi: 10.1016/j.tjfa.2026.100187. Epub 2026 Aug 18.
PMID: 42611710BACKGROUNDPradana AA, Hidayat AT, Yanti L, Lee SC. Effect of Physical Exercise on Frailty in Older Nursing Home Residents: A Systematic Review and Meta-Analysis. J Am Geriatr Soc. 2026 May;74(5):1450-1463. doi: 10.1111/jgs.70330. Epub 2026 Feb 3.
PMID: 41631861BACKGROUNDAbizanda Saro A, Garcia Molina R, Alcantud Corcoles R, Maestre Moreno M, Sanchez Uceda R, Moron Merchante I, Aragones Jimenez A, Gonzalez Cespedes MD, Montero Alia P, Simarro Rueda M, Torres Anton L, Martinez Garcia P, Soriano Fernandez H, Corcoles Garcia M, Reyes Abreu AM, Morcillo Gonzalez MN, Garcia Paez E, Rodriguez Sanchez B, Saez Blesa M, Cortes Zamora EB, Andres Pretel F, Avendano Cespedes A; FRAILMERIT Study Group; Abizanda P. Efficacy of a Multicomponent Intervention for Frailty or Physical Function in Prefrail or Frail Older Adults: FRAILMERIT Multicenter Clinical Trial. J Am Geriatr Soc. 2026 Mar;74(3):658-668. doi: 10.1111/jgs.70266. Epub 2025 Dec 28.
PMID: 41456342BACKGROUNDChen X, Ma C, Zhao L, Zhang H, Yang X. Effects of the Otago Exercise Program on frailty and cognitive function in cognitively frail older adults in nursing homes: A randomized controlled trial. Appl Nurs Res. 2026 Aug;90:152107. doi: 10.1016/j.apnr.2026.152107. Epub 2026 Jun 10.
PMID: 42547134BACKGROUNDVieira LM, Bocalini DS, Dos Santos CPC, Rego LB, Villar R, Junior AJF, da Silva RC, de Souza Lima AP, Netto RBMC, Neto FS, Nonato TC, Pinto JP, Junior FLP. Effect of bodyweight interval training on frailty status in older adults: a randomized controlled trial. Eur Geriatr Med. 2026 Aug 12. doi: 10.1007/s41999-026-01579-8. Online ahead of print.
PMID: 42584791BACKGROUNDClegg A, Young J, Iliffe S, Rikkert MO, Rockwood K. Frailty in elderly people. Lancet. 2013 Mar 2;381(9868):752-62. doi: 10.1016/S0140-6736(12)62167-9. Epub 2013 Feb 8.
PMID: 23395245BACKGROUNDBrar S, Hopkins M, Margolius D. Time to Next Available Appointment as an Access to Care Metric. Jt Comm J Qual Patient Saf. 2019 Nov;45(11):779-780. doi: 10.1016/j.jcjq.2019.07.007. Epub 2019 Aug 29. No abstract available.
PMID: 31474517BACKGROUNDMorley JE, Vellas B, van Kan GA, Anker SD, Bauer JM, Bernabei R, Cesari M, Chumlea WC, Doehner W, Evans J, Fried LP, Guralnik JM, Katz PR, Malmstrom TK, McCarter RJ, Gutierrez Robledo LM, Rockwood K, von Haehling S, Vandewoude MF, Walston J. Frailty consensus: a call to action. J Am Med Dir Assoc. 2013 Jun;14(6):392-7. doi: 10.1016/j.jamda.2013.03.022.
PMID: 23764209BACKGROUNDPerera S, Mody SH, Woodman RC, Studenski SA. Meaningful change and responsiveness in common physical performance measures in older adults. J Am Geriatr Soc. 2006 May;54(5):743-9. doi: 10.1111/j.1532-5415.2006.00701.x.
PMID: 16696738BACKGROUNDPilotto A, Custodero C, Maggi S, Polidori MC, Veronese N, Ferrucci L. A multidimensional approach to frailty in older people. Ageing Res Rev. 2020 Jul;60:101047. doi: 10.1016/j.arr.2020.101047. Epub 2020 Mar 21.
PMID: 32171786BACKGROUNDProietti M, Cesari M. Frailty: What Is It? Adv Exp Med Biol. 2020;1216:1-7. doi: 10.1007/978-3-030-33330-0_1.
PMID: 31894541BACKGROUNDDeng Y, Zhang K, Zhu J, Hu X, Liao R. Healthy aging, early screening, and interventions for frailty in the elderly. Biosci Trends. 2023 Sep 15;17(4):252-261. doi: 10.5582/bst.2023.01204. Epub 2023 Aug 23.
PMID: 37612123BACKGROUNDHoogendijk EO, Afilalo J, Ensrud KE, Kowal P, Onder G, Fried LP. Frailty: implications for clinical practice and public health. Lancet. 2019 Oct 12;394(10206):1365-1375. doi: 10.1016/S0140-6736(19)31786-6.
PMID: 31609228BACKGROUNDLee H, Lee E, Jang IY. Frailty and Comprehensive Geriatric Assessment. J Korean Med Sci. 2020 Jan 20;35(3):e16. doi: 10.3346/jkms.2020.35.e16.
PMID: 31950775BACKGROUNDKim KJ, Lee SB, Kim CO. How to Assess Frailty: Role of Comprehensive Geriatric Assessment. J Korean Med Sci. 2020 Jan 20;35(3):e34. doi: 10.3346/jkms.2020.35.e34. No abstract available.
PMID: 31950780BACKGROUNDChoi JY, Park JW, Kim KI, Lee YK, Kim CH. Prediction of 5-Year Survival Rate After Hip Fracture Surgery Using a Comprehensive Geriatric Assessment-Based Frailty Score Model. J Korean Med Sci. 2025 Mar 31;40(12):e40. doi: 10.3346/jkms.2025.40.e40.
PMID: 40165573BACKGROUNDLee JE, Chun H, Kim YS, Jung HW, Jang IY, Cha HM, Son KY, Cho B, Kwon IS, Yoon JL. Association between Timed Up and Go Test and Subsequent Functional Dependency. J Korean Med Sci. 2020 Jan 20;35(3):e25. doi: 10.3346/jkms.2020.35.e25.
PMID: 31950779BACKGROUNDSong BJ, Veech RL, Park SS, Gelboin HV, Gonzalez FJ. Structure and regulation of the ethanol-inducible cytochrome P450j. Adv Alcohol Subst Abuse. 1988;7(3-4):205-7. doi: 10.1300/J251v07n03_25.
PMID: 3223429BACKGROUNDDent E, Daly RM, Hoogendijk EO, Scott D. Exercise to Prevent and Manage Frailty and Fragility Fractures. Curr Osteoporos Rep. 2023 Apr;21(2):205-215. doi: 10.1007/s11914-023-00777-8. Epub 2023 Mar 28.
PMID: 36976491BACKGROUNDSadjapong U, Yodkeeree S, Sungkarat S, Siviroj P. Multicomponent Exercise Program Reduces Frailty and Inflammatory Biomarkers and Improves Physical Performance in Community-Dwelling Older Adults: A Randomized Controlled Trial. Int J Environ Res Public Health. 2020 May 26;17(11):3760. doi: 10.3390/ijerph17113760.
PMID: 32466446BACKGROUNDYang X, Li S, Xu L, Liu H, Li Y, Song X, Bao J, Liao S, Xi Y, Guo G. Effects of multicomponent exercise on frailty status and physical function in frail older adults: A meta-analysis and systematic review. Exp Gerontol. 2024 Nov;197:112604. doi: 10.1016/j.exger.2024.112604. Epub 2024 Oct 21.
PMID: 39426607BACKGROUNDVazquez-Guajardo M, Rivas D, Duque G. Exercise as a Therapeutic Tool in Age-Related Frailty and Cardiovascular Disease: Challenges and Strategies. Can J Cardiol. 2024 Aug;40(8):1458-1467. doi: 10.1016/j.cjca.2024.01.005. Epub 2024 Jan 10.
PMID: 38215969BACKGROUNDAllison R 2nd, Assadzandi S, Adelman M. Frailty: Evaluation and Management. Am Fam Physician. 2021 Feb 15;103(4):219-226.
PMID: 33587574BACKGROUNDIzquierdo M, Merchant RA, Morley JE, Anker SD, Aprahamian I, Arai H, Aubertin-Leheudre M, Bernabei R, Cadore EL, Cesari M, Chen LK, de Souto Barreto P, Duque G, Ferrucci L, Fielding RA, Garcia-Hermoso A, Gutierrez-Robledo LM, Harridge SDR, Kirk B, Kritchevsky S, Landi F, Lazarus N, Martin FC, Marzetti E, Pahor M, Ramirez-Velez R, Rodriguez-Manas L, Rolland Y, Ruiz JG, Theou O, Villareal DT, Waters DL, Won Won C, Woo J, Vellas B, Fiatarone Singh M. International Exercise Recommendations in Older Adults (ICFSR): Expert Consensus Guidelines. J Nutr Health Aging. 2021;25(7):824-853. doi: 10.1007/s12603-021-1665-8.
PMID: 34409961BACKGROUNDSato R, Vatic M, Peixoto da Fonseca GW, Anker SD, von Haehling S. Biological basis and treatment of frailty and sarcopenia. Cardiovasc Res. 2024 Jul 31;120(9):982-998. doi: 10.1093/cvr/cvae073.
PMID: 38828887BACKGROUNDChittrakul J, Siviroj P, Sungkarat S, Sapbamrer R. Multi-System Physical Exercise Intervention for Fall Prevention and Quality of Life in Pre-Frail Older Adults: A Randomized Controlled Trial. Int J Environ Res Public Health. 2020 Apr 29;17(9):3102. doi: 10.3390/ijerph17093102.
PMID: 32365613BACKGROUNDBeckwee D, Delaere A, Aelbrecht S, Baert V, Beaudart C, Bruyere O, de Saint-Hubert M, Bautmans I. Exercise Interventions for the Prevention and Treatment of Sarcopenia. A Systematic Umbrella Review. J Nutr Health Aging. 2019;23(6):494-502. doi: 10.1007/s12603-019-1196-8.
PMID: 31233069BACKGROUNDFragala MS, Cadore EL, Dorgo S, Izquierdo M, Kraemer WJ, Peterson MD, Ryan ED. Resistance Training for Older Adults: Position Statement From the National Strength and Conditioning Association. J Strength Cond Res. 2019 Aug;33(8):2019-2052. doi: 10.1519/JSC.0000000000003230.
PMID: 31343601BACKGROUND
Related Links
- Description World Health Organization. World report on ageing and health. Geneva: World Health Organization; 2015.
- Description European Commission. The European Innovation Partnership on Active and Healthy Ageing (EIP on AHA) \[Internet\]. Brussels: European Commission
- Description Consejo General de Colegios de Fisioterapia de España. Libro Blanco: Fisioterapia y Fragilidad. 2025
- Description Dirección Xeral de Asistencia Sanitaria. Servizo Galego de Saúde. Carteira de Servizos de Fisioterapia de Atencion Primaria e Comunitaria do Servizo Galego de Saúde. 2023
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Bachelor's degree in Physiotherapy, PhD in Neuroscience
Study Record Dates
First Submitted
September 23, 2026
First Posted
September 30, 2026
Study Start
September 15, 2026
Primary Completion (Estimated)
January 15, 2027
Study Completion (Estimated)
February 15, 2027
Last Updated
September 30, 2026
Record last verified: 2026-09