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

Study Overview
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Brief Summary
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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
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Sarcopenia, Obesity

Intervention / Treatment
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* Behavioral: Resistant Training
* Other: Control Group


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 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. Exclusion Criteria: 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).

Ages Eligible for Study
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Minimum Age: 60 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Resistant Training Group<br>sandbag 2-5lb, grip ball, twice/week, Duration:12 weeks | Behavioral: Resistant Training<br> <br> |
| Active Comparator: Control Group<br>not change lifestyle | Other: Control Group<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Sarcopenic obesity, Body composition, Physical function, quality of life, long term care