Comprehensive Risk Assessment and Prevention Plan of Osteoporosis and Sarcopenia for the Elderly Participating in Community-based Long-term Care Services

Study Overview
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Brief Summary
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The purpose of this project is: Provide the epidemiological data of the prevalence, incidence, and risk factors of osteoporosis and sarcopenia among the elderly in rural areas. Screen osteoporosis and sarcopenia among the elderly and provide with assistance for following care in order to improve the diagnosis and treatment rates of osteoporosis and sarcopenia Construct a pragmatic and integrated care service model for osteoporosis and sarcopenia in the elderly people from rural areas

Detailed Description
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Detailed Description: Investigators plan to use a stepped-wedge cluster randomized trial that allocates participants into the following three groups: Screening group: Inform the elderly about the results of the screening and recommend those with moderate to high risk of fracture to receive active examination and treatment. Multi-disciplinary team intervention group: Introduce integrated services of health education, nutrition, rehabilitation, medication evaluation and other multi-specialties to assist study participants with health promotion. Control group (Delayed intervention): receive general care after collecting basic information, and provide health education related information such as osteoporosis sarcopenia. After two year's follow-up, multi-disciplinary team intervention service will be implemented.

Official Title
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Comprehensive Risk Assessment and Prevention Plan of Osteoporosis and Sarcopenia for the Elderly Participating in Community-based Long-term Care Services

Conditions
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Osteoporosis, Sarcopenia

Intervention / Treatment
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* Behavioral: Osteoporosis and sarcopenia screening


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age≥ 50 old and lived in the community Exclusion Criteria: Life expectancy less than two years

Ages Eligible for Study
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Minimum Age: 50 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

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


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Screening group<br>Inform the elderly about the results of the screening and recommend those with moderate to high risk of fracture to receive active examination and treatment. | Behavioral: Osteoporosis and sarcopenia screening<br>* Use DXA, BIA, and questionnaire to screen the community elderly<br>|
| Experimental: Multi-discipline intervention<br>Introduce integrated services of health education, nutrition, rehabilitation, medication evaluation and other multi-specialties to assist study participants with health promotion | Behavioral: Osteoporosis and sarcopenia screening<br>* Use DXA, BIA, and questionnaire to screen the community elderly<br>|
| Placebo Comparator: Delayed intervention<br>receive general care after collecting basic information, and provide health education related information such as osteoporosis sarcopenia. After two year's follow-up, multi-disciplinary team intervention service will be implemented. | Behavioral: Osteoporosis and sarcopenia screening<br>* Use DXA, BIA, and questionnaire to screen the community elderly<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Osteoporosis diagnosis rate | To define if the osteoporosis diagnosis rate would be changed | one year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Osteoporosis treatment rate | To define if the osteoporosis treatment rate would be changed | one year | 
| Sarcopenia diagnosis rate | To define if the Sarcopenia diagnosis rate would be changed | one year | 
| Incidence of fall | To define if the fall frequency would be changed | two year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Sarcopenia, Osteoporosis