Clinical trial NCT06632899: Effects of "Comprehensive Health Promotion and Healthy Lifestyle Development" in Community-dwelling Elderly.
Official title: Effects of "Comprehensive Health Promotion and Healthy Lifestyle Development" in Community-dwelling Elderly.
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Community Centers
Keywords: Aged, community living elderly, active aging, multidomain interventions, health promotion, healthy lifestyle development.
Lead sponsor: Chang Gung Memorial Hospital
Sponsor class: OTHER
First posted: 2024-10-09
Enrollment: 100
Sex: ALL
Minimum age (years): 60
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: The World Health Organization (WHO) defines "Active Aging" as continued engagement in social, economic, cultural, spiritual, and civic activities, emphasizing the importance of participation for older adults. Personal health behaviors and habits influence both longevity and health status in later life, with healthy lifestyle development optimizing aging and enhancing well-being and quality of life.

WHO's Integrated Care for Older People (ICOPE) highlights six key indicators of physical and mental function-mobility, cognition, nutrition, vision, hearing, and depression-as critical to promoting active aging. These factors are also used to evaluate aging outcomes. Multidomain interventions are employed to address cognitive decline and dementia.

While research supports the benefits of multidomain interventions for cognitive improvement in older adults, consistent findings are lacking. Most interventions focus on exercise and cognitive training, with limited attention to other aging risk factors. Broader, more diverse interventions that actively involve older adults are needed to confirm the effects of these factors on cognitive function.

This study aims to evaluate the effects of multidomain interventions-covering exercise, cognitive training, nutrition, chronic disease management, vision and hearing care, fall prevention, psychosocial factors, and sleep-on mobility, cognition, daily functioning, and social participation in community-dwelling older adults


Eligibility criteria: Inclusion Criteria:

1. Age ≥ 60 years old
2. Mini-Mental State Examination (MMSE) score \> 20 (Folstein et al., 1975), able to follow instructions and participate in activities
3. With self-reported or caregiver-reported memory or cognitive-related problems
4. No diagnosis of any type of dementia

Exclusion Criteria:

1. Unstable medical condition that would prevent safe participation in exercise training (e.g., myocardial infarction, heart failure, recent cardiac surgery, severe asthma, concomitant neurological disorders, or joint deformities)
2. Participation in other studies
3. Inability to provide informed consent

Primary outcomes:
measure: Change scores of Montreal Cognitive Assessment (MoCA)
timeFrame: baseline, after the intervention 12 weeks
measure: Change scores of Timed up and go (TUG)
timeFrame: baseline, after the intervention 12 weeks
measure: Change scores of Grip strength (GS)
timeFrame: baseline, after the intervention 12 weeks
measure: Change scores of Outcome Measure of Health-Promotion Program for Community-Dwelling Elderly
timeFrame: baseline, after the intervention 12 weeks
measure: Change scores of the Acting Aging Scale
timeFrame: baseline, after the intervention 12 weeks
Secondary outcomes:
Other outcomes:
Locations:
city: Taoyuan
country: Taiwan
facility: Chang Gung Memotial Hospital
state: 龜山區
Study officials:
References: