High Intensity Training to Reduce the Risk of Falls in Older People

Study Overview
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Brief Summary
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Due to the high incidence of falls in the elderly population, this study is presented as a method to reduce the risk of falls through a specific type of training in people over 60 years of age.

Detailed Description
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A 16-week high intensity interval training (HIIT) program, compared to a continuous exercise program and one that does not perform any training program, decreases the risk of falls and improves the state of health, physical condition and quality of life to a greater extent than a group that does not perform any type of exercise in people over 60 years.

Official Title
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Effects of a Program of High Intensity Exercise by Intervals on the Risk of Falls the Physical Condition and the State of Health in People Over 60 Years

Conditions
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Risk of Falls

Intervention / Treatment
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* Other: HIIT group, MICT group


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: To participate in the study, participants will be required to be 60 years of age or older. Exclusion Criteria: All participants with diseases that may alter balance and functional activity (such as auditory or vestibular alterations), central or peripheral neurological disorders, other rheumatological diseases, or serious psychiatric or somatic diseases will be excluded.

Ages Eligible for Study
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Minimum Age: 60 Years
Maximum Age: 80 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: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Randomized controlled trial
Masking: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: HIIT group<br>This group receives physical training based on HIIT | Other: HIIT group, MICT group<br>* The HIIT program training: 5 minutes of heating will be done. The intervention will consist of a training in suspension (TRX) performing squats. The session will be divided into four four-minute intervals at an intensity of 90-95% of the maximum heart rate, followed by three-minute active rest intervals of 50-70%. This intensity will be assigned to each subject individually. After the training, there will be a return to calm of 10 minutes of exercises of joint range. There will be 2 weekly training, with three days between both training, for a period of 12 weeks. The training of the MICT program: 5 minutes of heating will be done. Subsequently, participants will perform a squat training with the Suspension Training System (TRX) with an intensity close to 70% of their maximum heart rate maintained for 40 minutes. The session will conclude with a return to calm of 10 min of joint width and stretching.<br>|
| Experimental: MICT group<br>This group receives physical training based on MICT | Other: HIIT group, MICT group<br>* The HIIT program training: 5 minutes of heating will be done. The intervention will consist of a training in suspension (TRX) performing squats. The session will be divided into four four-minute intervals at an intensity of 90-95% of the maximum heart rate, followed by three-minute active rest intervals of 50-70%. This intensity will be assigned to each subject individually. After the training, there will be a return to calm of 10 minutes of exercises of joint range. There will be 2 weekly training, with three days between both training, for a period of 12 weeks. The training of the MICT program: 5 minutes of heating will be done. Subsequently, participants will perform a squat training with the Suspension Training System (TRX) with an intensity close to 70% of their maximum heart rate maintained for 40 minutes. The session will conclude with a return to calm of 10 min of joint width and stretching.<br>|
| No Intervention: No intervention group<br>This group does not receive any treatment. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Opto-electric measuring system. | To be used to control the parameters of the gait. | Up to twelve weeks. | 
| CT10P | Can be used for the assessment of dynamic equilibrium, which aims to walk ten steps followed by a straight line on the ground, in the shortest time possible, without losing speed, or support a cake off the line. | Up to twelve weeks. | 
| UPDATE AND PERFORM THE TEST | Be employed for the assessment of dynamic balance, in which the subject starts from the sitting position in a chair (without palm rest). The evaluator's verbal signal initiates time control (sec). The evaluator must: get up from the chair, travel a distance of 3 meters, go around a pivot, travel the same distance back and sit back in the chair as quickly as possible. The closing of the time is established when the evaluated subject makes contact with the chair sitting down. | Up to twelve weeks. | 
| Sensor Medica | It has been used to measure the static equilibrium and the calculation of the displacement of the center of pressures (CoP). | Up to twelve weeks. | 
| Opto-electric measurement system | It has been used for the evaluation of the reaction speed of the lower train and the upper train of the participants, with three different tests, acoustic, optical and optoacoustic. | Up to twelve weeks. | 
| Dynamometer | Be used to assess the muscle strength of each participant in your dominant hand. | Up to twelve weeks. | 
| Confidence Scale of the specific balance of activities (ABC) | Be used to assess the fear of falling. | Up to twelve weeks. | 
| Falls Efficacy Scale-International (FES-I) | Be used to assess the confidence in carrying out daily activities of the participants. | Up to twelve weeks. | 
| Pulsometer | It will be used to measure the heart rate of the participants in the performance of a cardiorespiratory function test. | Up to twelve weeks. | 
| UKK walk test of 2 km | It will be necessary to assess the cardiorespiratory frequency of the participants in a walking test 2 km as fast as possible. | Up to twelve weeks. | 
| InBody 720 | It will be used for the assessment of the lean muscle mass, the segmental fat mass and the amount of intra and extracellular water. | Up to twelve weeks. | 
| SF-36 (The Short Form-36 Health Survey) | Will be used to assess the quality of life in its Spanish version. | Up to twelve weeks. | 
| HADS (Hospital Anxiety And Depression Scale) | It will be used to evaluate the depression and anxiety levels of the participants. | Up to twelve weeks. | 
| Accelerometer | It will be used to assess the quality of sleep, control of the period of physical activity, sedentary period and energy expenditure. | Up to twelve weeks. |