The Influence of Exercise on Mental Health After Discharge From Hospital

Study Overview
=================
Brief Summary
-----------------
The aim of this study is to evaluate the effect of aerobic fitness training on mental health (health-related quality of life),cognitive and physical capacity in older people discharge from hospital and to assess if further aerobic training at home enhances the effect. Design: Randomized controlled trial conducted at Oslo University Hospital, department of Medicine in conjunction with Oslo University College. The subjects will be randomized into one intervention group (training group) or one control group. Outcome measure: Health-related quality of life Physical function Cognitive capacity Physical activity Body composition Physical activity level

Detailed Description
-----------------
Research has indicated that participation in a regular exercise program is an effective intervention to maintain and enhance cognitive and physical function in older individuals.Despite good evidence regarding the positive effects of exercise, a sedentary or inactive lifestyle is common among people over 65 years of old, especially among persons with chronic diseases. Research shows that good mental health and physical capacity is of vital importance for living independently in the community and we know that participation in physical activity offers good opportunities to extend years of active independent life. Nevertheless our knowledge is sparse regarding the evidence of effective programs for health promotion in groups of elderly, especially after discharge from hospital. Our knowledge is also sparse as to which intervention program is the most effective, group-based training or home- based training.

Official Title
-----------------
The Aim of the Study is to Evaluate the Effect of Aerobic Fitness Training on Mental Health (Health-related Quality of Life), Cognitive and Physical Capacity in Older People Discharged From Hospital.

Conditions
-----------------
Quality of Life

Intervention / Treatment
-----------------
* Other: Aerobic training


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: 70 years or older Be able to perform the Timed Up and Go test without use of assistive device Exclusion Criteria: Chronic disease with expected lifespan < 1 year Exercise regularly more than twice a week Cognitive impairment MMS < 24 Assessed by a doctor not to tolerate aerobic exercises Exercise limiting cardiovascular or musculoskeletal disease

Ages Eligible for Study
-----------------
Minimum Age: 70 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Training follow-up after discharge<br>Aerobic training Home-program | Other: Aerobic training<br>* Group-based Aerobic Interval Training twice a week in 12 weeks, based on the Ulleval model. The Norwegian Ulleval Model is a group-based aerobic interval training program which is widely used in Scandinavian hospitals for patients with coronary disease. It is designed to improve physical capacity, body awareness and emotional well-being.<br>* Other names: 1 control group no follow-up;|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Health-related quality of life. Short form Health Survey (SF-36, version 2 |  | 3 and 12 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Senior fitness test, Cognitive capacity, PASE |  | 3 and 12 months | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
HLRQ, elderly, aerobic fitness, cognitive capacity