Clinical trial NCT06133894: Effect of Exercise-education Program PERMANENTO in Late Life
Official title: Effect of Exercise-education Program Inspired by Developmental Kinesiology on Determinants of Sarkopenia and Frailty in Late Life
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Frailty
Sarcopenia
Keywords: prevention
older adults
functional status
frailty
sarcopenia
exercise
on-line program
sustainability
Lead sponsor: Charles University, Czech Republic
Sponsor class: OTHER
First posted: 2023-11-18
Enrollment: 90
Sex: ALL
Minimum age (years): 70
Standard ages: OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Randomized controlled trial of volunteers over 70 years of age
Primary purpose: PREVENTION

Brief summary: The general aim of the present study is to create and empirically evaluate (RCT trial) an online education and exercise program (called PERMANENTO) to help older adults to understand the wider consequences of being active and offer them easy to follow exercise program inspired by developmental kinesiology.

Detailed description: There is no doubt about the importance of a physical activity at a later age, yet it is often missing in the lives of seniors and the current epidemiological situation deepens this deficit even further. It is known that insufficient physical activity has a major effect on the decline of functional fitness components, premature development of sarcopenia or frailty syndrome, threatening self-sufficiency, health and consequently quality of life. This is associated with an increased burden on the health care system and related social services, with implications for public budgets. The aim of this project is to eliminate the onset or premature manifestation of negative aspects of aging by prevention. The content is to research a unique intervention inspired by the principles of developmental kinesiology with a presumed positive effect on the health status and the development of a comprehensive exercise and educational program for older adults. The main planned result of the project is a methodological manual and a web application containing education and exercise program for both older adults as well healthcare professionals.

The project responds to the priorities of the Applied Health Research Program for the years 2020-2026 and its focus contributes to a long-term solution of the population aging issue. With regard to demographic change, health and social care systems will be unsustainable without the adoption of preventive measures by seniors themselves. Exercise-educational intervention can lead to lasting changes and can help seniors to actively and responsibly participate in the course of their own aging. Main objective: to reduce negative health related aspects of aging, resp. their premature manifestation, by a preventive exercise-educational program. Sub-objectives: - to develop a specifically targeted exercise-educational program; - to demonstrate effectiveness of the program on health and social related indicators; - to assess acceptability, sustainability and other personal contexts - to create a methodological manual and a web platform for home-dwelling as well as institutionalized older adults containing complex information for independent exercise (how, as well as why).

Eligibility criteria: Inclusion Criteria:

* permanent residency in Prague
* being at least 70 years of age or older
* living independently at home

Exclusion Criteria:

* significant mobility limitation
* any health condition preventing from physical activity

Primary outcomes:
measure: Timed up-and go test
timeFrame: Within a week prior the intervention and within a week after the intervention
measure: Limits of stability on NeuroCom
timeFrame: Within a week prior the intervention and within a week after the intervention
measure: The Sensory Organization Test on NeuroCom
timeFrame: Within a week prior the intervention and within a week after the intervention
measure: Body composition on InBody 720
timeFrame: Within a week prior the intervention and within a week after the intervention
measure: Handgrip strength on dynanometr
timeFrame: Within a week prior the intervention and within a week after the intervention
measure: Perceived functional fitness and health status
timeFrame: Within a week prior the intervention and within a week after the intervention
Secondary outcomes:
measure: Long-term sustainability
timeFrame: 6 and 12 months after the end of the intervention
Other outcomes:
Locations:
city: Praha
country: Czechia
facility: Centre of Expertise oi Longevity and Long-term Care
Study officials:
affiliation: Centre of Expertise in Longevity and Long-term care, Faculty of Humanities, Charles University
name: Katerina Machacova
role: PRINCIPAL_INVESTIGATOR
References: