The Effects of Exercise Training in Community-dwelling Elderly With Sleep Disturbances With Follow-up
The Effects of Exercise Training in Community-dwelling Elderly With Sleep Disturbances With Follow-up: Body Composition and Energy Metabolism
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
This project will be conducted in three years:
In the first year,investigators will explore the correlation of sleep parameters, dietary behavior and body composition in community-dwelling elders. Two hundred elders will be recruited to receive the actigraph accelerometer recording, sleep quality questionnaire, bio-electrical impedance analysis, heart rate variability analysis, cognitive and depression evaluation.
Secondly, the study will evaluate the efficacy and possible mechanisms of a 24-week exercise training for sleep disturbances patients. Sixty patients with sleep disturbances elders will be randomized to exercise group or control group. Participants in the exercise group will receive aerobic and resistance exercise 3 times per week for 24 weeks. The controls will receive sleep hygiene education and consultation. All measurements will be performed as described before.
Finally, all the 260 elders participating in this study will receive 12-month follow-up assessments to explore the longitudinal impact of sleep disturbances on cardiorespiratory function, body composition and metabolic function, and long-term effect of exercise training on sleep disturbances patients. Investigators expect elders with poor sleep quality have lower level of health-related fitness and metabolic function; exercise training is effective to improve sleep quality, metabolic function and general health in the elders with sleep disturbances, and the effect can be sustained for a long period.
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Taipei, Taiwan
- National Taiwan University
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
1. Community dwelling sedentary men and women who were 65 years or older
Exclusion Criteria:
- History of Diagnostic and Statistical Manual Diploma in Social Medicine, 4th. Edition (DSM-IV) criteria for any major psychiatric disorder, including mania or alcohol or substance abuse
- History of cognitive or other neurological disorders
- Other sleep disorders by history or documented on screening polysomnography (apnea index >10, periodic leg movement arousal index >15, or rapid eye movement (REM) behavior disorder
- Unstable or serious medical conditions or cardiopulmonary disease that contraindicate exercise
- BMI > 35 kg/m2
- Individual with a life expectancy of no more than 1 years or final stage of cancer
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Exercise training group
Exercise group will attend a supervised aerobic plus resistance exercise training class 3 times a week totally for 24 weeks.
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The conditioning period (24 weeks) of the exercise intervention was under the supervision of an exercise physiologist.
The conditioning protocol included aerobic exercise sessions 3 times per week with 70-85% of maximal heart rate(max HR) for 30 mins and resistance sessions 3 times per week with an intensity of 80% of one-repetition maximum(1RM), 3 sets of 8 repetitions maximum.
Each participant will measured the borg rating of perceived exertion scale and heart rate monitor during exercise.
Exercise sessions were conducted in the afternoon (3-5 PM).
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No Intervention: Control group
Control group only provide standard outpatient care program.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Body fat percentage
Time Frame: Up to 1 year (the first year)
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Body fat percentage in percentage.
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Up to 1 year (the first year)
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Body fat mass
Time Frame: Up to 1 year (the first year)
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Body fat mass in kilograms.
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Up to 1 year (the first year)
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Body fat free mass
Time Frame: Up to 1 year (the first year)
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Body fat free mass in kilograms.
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Up to 1 year (the first year)
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Body mass index
Time Frame: Up to 1 year (the first year)
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BMI in kg/m^2.
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Up to 1 year (the first year)
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Rest metabolic rate
Time Frame: Up to 1 year (the first year)
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Rest metabolic rate in percentage.
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Up to 1 year (the first year)
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Impedance
Time Frame: Up to 1 year (the first year)
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Impedance in ohm.
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Up to 1 year (the first year)
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Resistance
Time Frame: Up to 1 year (the first year)
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Resistance in ohm.
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Up to 1 year (the first year)
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Electroencephalography(EEG)
Time Frame: Pretest and after 24 weeks intervention (the second year)
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Electroencephalography was assessed during sleep.
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Pretest and after 24 weeks intervention (the second year)
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Electrooculography(EOG)
Time Frame: Pretest and after 24 weeks intervention (the second year)
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Electrooculography was assessed during sleep.
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Pretest and after 24 weeks intervention (the second year)
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Electromyography(EMG)
Time Frame: Pretest and after 24 weeks intervention (the second year)
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Electromyography was assessed during sleep.
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Pretest and after 24 weeks intervention (the second year)
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Electrocardiography(ECG)
Time Frame: Pretest and after 24 weeks intervention (the second year)
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Electrocardiography was assessed during sleep.
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Pretest and after 24 weeks intervention (the second year)
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Pittsburgh sleep quality index
Time Frame: Up to 1 year (the first year)
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Up to 1 year (the first year)
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Dual energy X-ray absorptiometry
Time Frame: Pretest and after 24 weeks intervention (the second year)
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Pretest and after 24 weeks intervention (the second year)
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Triglyceride
Time Frame: Pretest and after 24 weeks intervention (the second year)
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Triglyceride in mg/dL.
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Pretest and after 24 weeks intervention (the second year)
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Total cholesterol
Time Frame: Pretest and after 24 weeks intervention (the second year)
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Total cholesterol in mg/dL.
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Pretest and after 24 weeks intervention (the second year)
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Insulin
Time Frame: Pretest and after 24 weeks intervention (the second year)
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Insulin in uIU/mL.
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Pretest and after 24 weeks intervention (the second year)
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Fasting glucose
Time Frame: Pretest and after 24 weeks intervention (the second year)
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Fasting glucose in mg/dL.
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Pretest and after 24 weeks intervention (the second year)
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Glycated hemoglobin(HbA1C)
Time Frame: Pretest and after 24 weeks intervention (the second year)
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HbA1C in percentage.
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Pretest and after 24 weeks intervention (the second year)
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High-density lipoprotein
Time Frame: Pretest and after 24 weeks intervention (the second year)
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High-density lipoprotein in mg/dL.
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Pretest and after 24 weeks intervention (the second year)
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Low-density lipoprotein
Time Frame: Pretest and after 24 weeks intervention (the second year)
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Low-density lipoprotein in mg/dL.
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Pretest and after 24 weeks intervention (the second year)
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C-reactive protein
Time Frame: Pretest and after 24 weeks intervention (the second year)
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C-reactive protein in mg/dL.
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Pretest and after 24 weeks intervention (the second year)
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Heart rate variability
Time Frame: Pretest and after 24 weeks intervention (the second year)
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It is measured by the variation in the beat-to-beat interval.
Methods used to detect beats is electrocardiography.
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Pretest and after 24 weeks intervention (the second year)
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Maximum oxygen consumption
Time Frame: Pretest and after 24 weeks intervention (the second year)
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Use treadmill exercise testing.
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Pretest and after 24 weeks intervention (the second year)
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Three factor eating questionnaire
Time Frame: Up to 1 year (the first year)
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Up to 1 year (the first year)
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Taiwan Geriatric Depression Scale
Time Frame: Up to 1 year (the first year)
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Up to 1 year (the first year)
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Groningen Activity Restriction Scale
Time Frame: Up to 1 year (the first year)
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Up to 1 year (the first year)
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Chair: Meng-Yueh Chien, doctor, National Taiwan University
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Completion (Anticipated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 201512210RIND
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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