Detection of Clinical-functional Changes Following Exercise Therapy and Neuroscience Education in Institutionalised and Community-dwelling Older Adults Diagnosed With Sarcopenia

Study Overview
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Brief Summary
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Nowadays, ageing is an important aspect to consider from a social, healthcare and economic perspective. For this reason, it is necessary to focus on all the elements which can help staying healthy and active in old age. Physical activity and exercise are one of these, and more specifically resistance training.

Detailed Description
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Recently, it is been evidenced that physical activity and exercise are an important coping strategy to get what is called active ageing. However, it is still under discussion some key aspect, like the training type or the optimal dose, among others. There is a modality of resistance training which it has not been sufficiently studied in old age population: the high intensity interval training. It has been demonstrated in other population (like cardiovascular patients or cancer survivor patients) that this modality of training can improve a lots their physical condition. Furthermore, it produces a higher adhesion to the training program, because it does not require so long time like another type of training. For this reason, the aim of this investigation is to assess how implement this modality of training on elderly people with sarcopenia.

Official Title
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Detection of Clinical-functional Changes Following Exercise Therapy and Education in Institutionalised and Community-dwelling Older Adults Diagnosed With Sarcopenia

Conditions
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Resistance Training, Aged, Nursing Homes, Sarcopenia

Intervention / Treatment
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* Other: Physical therapy exercise programme


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Older adults aged 55 years or older. Living in an institutionalised setting or community-dwelling older adults living in the province of Badajoz or Cáceres. Voluntarily participating in the study. Who had a diagnosis of sarcopenia/fragility in the last year. Submit a prescription from the centre's medical practitioner to participate in the study as physiotherapy intervention would be appropriate and potentially beneficial. Exclusion Criteria: Patients with cognitive impairment (score ≥24 in the validated Spanish version for general older adults of the Mini-Mental Status Examination). Unable to tolerate moderate physical activity due to cardiovascular or respiratory disease. With balance disorders other than those caused by ageing such as dizziness or vestibular disorders requiring the ingestion of medication with a potential effect on balance, as well as balance disorders secondary to the ingestion of any medication or other medical causes. At high risk of falling (≥ 51 points on the MORSE scale). At high risk of falling (≥ 51 points on the MORSE scale). At high risk of falling (≥ 51 points on the MORSE scale).

Ages Eligible for Study
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Minimum Age: 55 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: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Experimental Group Exercise<br>Participants will be required to undertake a strength oriented physical therapy exercise programme. | Other: Physical therapy exercise programme<br>* Carrying out a programme of therapeutic physical exercise for 12 weeks, twice a week for 45 minutes.<br>|
| No Intervention: Control Group<br>Participants will not engage in a strength oriented therapeutic physical exercise programme. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes in handgrip strength | Hand-held dynamometer JAMAR | 12 weeks | 
| Changes in muscle mass | electrical bioimpedance | 12 weeks | 
| Changes in physical performance | SPPB test battery | 12 weeks | 
| Changes in Funcional Mobility | Measured by the Timed Up and Go test (TUG) | 12 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes in Risk of falling | The Downton, Tinetti fall risk index was used to assess the risk of falling. | 12 weeks | 
| Changes in Health-Related Quality of Life | Will be measured through the SF-12 health questionnaire. | 12 weeks |