Clinical trial NCT01646632: Exercise Intervention in Institutionalized Elderly People
Official title: Effects of Exercise on ADL Performance, Physical Fitness, and Care Dependency in Institutionalized Elderly People
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: PHASE2
Conditions: Fragility
Physical Disability
Keywords: institutionalized ADL fitness care-dependency
Lead sponsor: Hanze University of Applied Sciences Groningen
Sponsor class: OTHER
Collaborators: name: University Medical Center Groningen
First posted: 2012-07-20
Enrollment: 164
Sex: ALL
Minimum age (years): 70
Standard ages: OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Questions: Does an evidence-based exercise program increase activities of daily living and physical fitness in institutionalized older adults? Does this program decrease the care dependency of institutionalized older adults? Design: A randomized control trial using group-based exercise was performed in 14 assisted-living facilities for the elderly (\>70 years old).

Outcome measures: Outcome measures were performance on ADL, physical fitness, and care dependency measures. The exercise program comprised group-based progressive resistance training, balance training, and functional training. The control intervention comprised social group meetings.

Detailed description: To improve physical fitness, a combined exercise program including progressive resistance training, balance training, and functional training will be used in a sample of institutionalized elderly people. The exercise program has a frequency of 2 times a week and a duration of 16 weeks. The intensity is moderate, measured on a 0-10 scale. The level of intensity is specified as follows: on a 10- point scale, where no movement is 0 and maximal effort of a muscle group is 10, moderate-intensity effort is a 5 or 6, and high- intensity effort is a 7 or 8. There is currently insufficient evidence that a combined exercise program, developed to improve physical fitness, can improve ADL performance and care dependency also.

Eligibility criteria: Inclusion Criteria:

* Age 70 and older
* Being able to walk at least 10 meters
* Not cognitive impaired

Exclusion Criteria:

* Dementia
* Severe hart failure
* Progressive neurological diseases

Primary outcomes:
measure: ADL performance in institutionalized elderly people
timeFrame: 16 weeks
Secondary outcomes:
measure: Physical fitness in institutionalized older people
timeFrame: 16 weeks
measure: Care dependency in institutionalized older people
timeFrame: 16 weeks
Other outcomes:
Locations:
city: Groningen
country: Netherlands
facility: Hanze University Applied Sciences
Study officials:
affiliation: Hanze University Applied Science Groningen The Netherlands
name: Cees P van der Schans, Prof., PhD
role: STUDY_CHAIR
References:
citation: Weening-Dijksterhuis E, Kamsma YP, van Heuvelen MJ. Psychometric properties of the PAT: an assessment tool for ADL performance of older people living in residential homes. Gerontology. 2011;57(5):405-13. doi: 10.1159/000318151. Epub 2010 Aug 26.
citation: Weening-Dijksterhuis E, de Greef MH, Scherder EJ, Slaets JP, van der Schans CP. Frail institutionalized older persons: A comprehensive review on physical exercise, physical fitness, activities of daily living, and quality-of-life. Am J Phys Med Rehabil. 2011 Feb;90(2):156-68. doi: 10.1097/PHM.0b013e3181f703ef.