Prescription of Physical Exercise Through Mobile Application in Elderly (PEME)

February 27, 2015 updated by: Josep1, University of the Balearic Islands

Effects of a Training Program of Physical Exercise Administered Through Mobile Application in Elderly

Physical inactivity is a health problem that affects people worldwide and has been identified as the fourth largest risk factor for overall mortality (contributing to 6% of deaths globally). Many researchers have tried to increase physical activity (PA) levels through traditional methods without much success. Thus, many researchers are turning to mobile technology as an emerging method for changing health behaviours.The study consists of a physical activity intervention through a mobile application in elderly. The study is a 3x2 model, in which the sample is distributed in three study groups (over 53 years) and were evaluated at 10 weeks from baseline.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Objectives of the study:

  • Evaluate effectiveness of a physical exercise program for 10 weeks to improve fitness, cardiovascular, anthropometric and body composition parameters in people over 53 years.
  • Examine effects of exercise intervention delivered through a mobile application (WhatsApp) on fitness, cardiovascular risk factors, anthropometric and body composition in people over 53 years.

Hypotheses of the study:

  • An intervention of exercise administered via mobile application (WhatsApp) is effective in reducing cardiovascular risk factors in people over 53 years.
  • An intervention of exercise administered via mobile application (WhatsApp) is effective to increase physical fitness in people over 53 years.
  • An intervention of exercise administered via mobile application (WhatsApp) is effective in reducing BMI, percent body fat; and in increasing the percentage of muscle mass in people over 53 years.
  • 10-weeks face-to-face intervention of physical exercise obtains greater improvements in fitness parameters than an intervention delivered via mobile application in people over 53 years.
  • 10-weeks face-to-face intervention of physical exercise obtains greater improvements in anthropometric and body composition than an intervention delivered via mobile application in people over 53 years.

Study Type

Interventional

Enrollment (Actual)

48

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Spain
    • Balearic Islands
      • Majorca, Balearic Islands, Spain, 07122
        • Josep Vidal Conti

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

53 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

Yes

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Have own mobile phone and Internet
  • Be clinically stable
  • Be able to perform physical activity
  • Be able to understand and complete the informed consent
  • Ability to cope assessment tests

Exclusion Criteria:

  • Unable to perform physical activity
  • Have an acute or chronic disease
  • Have medical conditions or other physical problem that needs special attention (history of fracture of any upper or lower limb, dementia, psychological problems, neuromuscular disease, history of myocardial infarction, osteoporosis, cancer, diabetes).

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Basic Science
  • Allocation: Non-Randomized
  • Interventional Model: Factorial Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Training group
Participants in this group received twice-weekly non-consecutive sessions of physical exercise for 10 weeks. Each session lasted approximately 60-70 minutes. Exercise program consisted of strength training and aerobic exercise. Each session began with a warm low intensity (10 min), then the main part of the session (25 min) and aerobic training and recovery period (25-35 min) was performed. The equipment used during the procedure was the Thera-Band elastic band.
Other: Training group

The main part of the session included a whole-body strength training, which incorporated chest press, shoulder press, lateral pull-down, seated row, shoulder flexion, chest pulley, hammer curl, biceps curl, triceps curl, triceps pushdown, leg extension, leg curl, lunge, squat, abdominal crunch. To control and equate the intensity between the TG and MG, a method based on the combined use of the prescribed number of repetitions and the OMNI Resistance Scale for the active muscles was used. Previous studies have described the method used for controlling exercise intensity (Colado et al., 2012; Colado et al., 2014).

During 1-3 weeks subjects performed 25 min of exercise at 60% maximum heart rate (HRmax), during weeks 4-6 subjects performed 30 min of exercise at 70% HRmax and during weeks 7-10 subjects performed 35 min of exercise at 80% HRmax.
Experimental: Mobile group
Intervention content was the same in both intervention arms; only the delivery mode differed. Participants in this group received two podcast (digital multimedia file available for download in a media player) per week for 10 weeks of the intervention, each podcast lasted about 5 min. Participants in this group received a weekly message with the aim of fostering motivation toward physical activity. Subjects in this group performed two sessions per week on non-consecutive days, the days could be chosen by the participants themselves.
Other: Mobile group
The subjects in this group received the same intervention that trainning group but through a mobile application (whatsapp).
Other: Control group
No received intervention.
Other: Control group
No received intervention.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change from Baseline in Maximum hand grip strength (dynamometry)
Time Frame: Change from Baseline in Maximum hand grip strength (dynamometry) at 10 weeks
The manual pressure force was measured with a digital force gauge (TKK 5001 Grip-A; Takey, Tokyo, Japan) and the results are recorded in kilograms
Change from Baseline in Maximum hand grip strength (dynamometry) at 10 weeks
Change from Baseline in Aerobic capacity
Time Frame: Change from Baseline in Aerobic capacity at 10 weeks
Aerobic capacity was measured using 2-Minute Step Test.
Change from Baseline in Aerobic capacity at 10 weeks
Change from Baseline in Static Balance
Time Frame: Change from Baseline in Static Balance at 10 weeks
Static balance measurement was conducted using the Flamingo test (Committee of Experts on Sport Research, 1988).
Change from Baseline in Static Balance at 10 weeks
Change from Baseline in Waist circumference
Time Frame: Change from Baseline in Waist circumference at 10 weeks
Change from Baseline in Waist circumference at 10 weeks
Change from Baseline in Body fat
Time Frame: Change from Baseline in Body fat at 10 weeks
Body fat was measured using Bioimpedance scale (Tanita Body Fat Monitor Scale plus, Model BF-556) is used
Change from Baseline in Body fat at 10 weeks
Change from Baseline in Muscle mass
Time Frame: Change from Baseline in Muscle mass at 10 weeks
Muscle mass was measured using Bioimpedance scale (Tanita Body Fat Monitor Scale plus, Model BF-556) is used
Change from Baseline in Muscle mass at 10 weeks

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change from Baseline in Physical activity levels
Time Frame: Change from Baseline in Physical activity levels at 10 weeks
To measure levels of physical activity of the participants used the International Physical Activity Questionnaire (IPAQ) (Craig et al., 2003)
Change from Baseline in Physical activity levels at 10 weeks
Change from Baseline in Height
Time Frame: Change from Baseline in Height at 10 weeks
The height was measured as close to the millimeter using the mobile rod (Seca 217).
Change from Baseline in Height at 10 weeks
Change from Baseline in Weight
Time Frame: Change from Baseline in Weight at 10 weeks
The weight was measured using bioelectrical impedance scales (Tanita Body Fat Monitor Scale plus, Model BF-556).
Change from Baseline in Weight at 10 weeks
Change from Baseline in Systolic Blood Pressure
Time Frame: Change from Baseline in Systolic Blood Pressure at 10 weeks
The Systolic Blood Pressure was measured using Omron Elite 7300W (Omron Healthcare Inc, Bannockburn, IL, USA)
Change from Baseline in Systolic Blood Pressure at 10 weeks
Change from Baseline in Dyastolic Blood Pressure
Time Frame: Change from Baseline in Dyastolic Blood Pressure at 10 weeks
The Dyastolic Blood Pressure was measured using Omron Elite 7300W (Omron Healthcare Inc, Bannockburn, IL, USA)
Change from Baseline in Dyastolic Blood Pressure at 10 weeks

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

University of the Balearic Islands

Investigators

  • Principal Investigator: Josep Vidal Conti, University of Balearic Islands

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

November 1, 2012

Primary Completion (Actual)

September 1, 2013

Study Registration Dates

First Submitted

December 20, 2014

First Submitted That Met QC Criteria

December 30, 2014

First Posted (Estimate)

December 31, 2014

Study Record Updates

Last Update Posted (Estimate)

March 3, 2015

Last Update Submitted That Met QC Criteria

February 27, 2015

Last Verified

February 1, 2015

More Information

Terms related to this study

Other Study ID Numbers

  • I+D

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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