Obesity, Sarcopenic, Risk of Falls in Spanish Postmenopausal Women

Effects of a Program of Pilates Exercises on Obesity, Sarcopenic, Risk of Falls and Health in Spanish Postmenopausal Women

To analyze the effects of a Pilates exercise program on obesity, sarcopenic, risk of falls and health in Spanish postmenopausal women.

Study Overview

• Status: Completed
• Conditions: Fall Due to Loss of Equilibrium
• Intervention / Treatment: Other: Pilates

Detailed Description

This is a randomized clinical trial of single-blind with 2 arms (Control group and experimental group), in which a pre-treatment-postest design has been used.

The study will define two groups:

• A control group (CG) that will not be submitted to treatment, which will be evaluated in the pre and post phase of the study. Participants assigned to this group will receive general advice on the positive effects of regular physical activity and will be given a guide to recommendations for promoting physical activity.
• An experimental group (GE) that after an initial evaluation will undergo a physical training program based on Pilates exercises.

Once the intervention is finished, it will be submitted to a final evaluation to see if there is a difference or not with the results obtained at the beginning.

• Study Type: Interventional
• Enrollment (Actual): 107
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Spain
  • Jaén, Spain, 23002
    • Center of active participation of seniors of Jaén "Catedral"

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 50 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: Female

Description

Inclusion Criteria:

• No menstrual activity for at least 12 months.
• Present obesity and / or sarcopenic.
• Do not participate in a weight loss program.
• Be able to understand the instructions, programs and protocols of this project.

Exclusion Criteria:

• Contraindications for conducting physical tests.
• Diseases that limit the static and dynamic balance and physical activity. -
• Central or peripheral vestibular or nerve alterations.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Triple

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Pilates group; This group receives physical training based on pilates exercises	Other: Pilates; Training based on a basic level Pilates exercise program will be as follows: A duration of weeks with a frequency of 2 sessions a week and with a duration of 55 minutes each. The exercises to be performed will be divided into three distinct phases: warm-up, lasting 15 minutes; Main part with a duration of 30 minutes and the return to calm, based mostly on stretching and with a duration of 10 minutes. The repetitions of the exercises will be between 5 and 10 according to the difficulty.
No Intervention: No intervention group; This group does not receive any treatment

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Skeletal Muscle Mass (kg)	Is computed based on muscle mass of the limbs, which is almost composed of skeletal muscle and takes up about 70% of total body skeletal muscle	At the beginning and at three months
TUG (Timed Up and Go test)	Is a simple test used to assess a person's mobility and physical function	At the beginning and at three months
X mean	Mean value of the lateral oscillations of the Pressure Center	At the beginning and at three months
Y mean	Mean value of the anteroposterior oscillations of the Pressure Center	At the beginning and at three months
Dynamometer	Dynamometer will be employed to assess hand grip stregth.	At the beginning and at three months
ABC-16 (Activities Specific Balance Confidence Scale)	Questionnaire that assesses balance confidence in performing activities of daily living.	At the beginning and at three months
FES-I (Falls Efficacy Scale-International)	Questionnaire that evaluates the fear of falling.	At the beginning and at three months
Barthel index	Measures disability or dependence in activities of daily living	At the beginning and at three months
KATZ INDEX	Is a widely used tool to assess the level of independency in older adults.	At the beginning and at three months
FSS (Fatigue Severity Scale)	A self-report scale describing the severity of fatigue and the impact of fatigue on activities of daily living.	At the beginning and at three months
PSQI (Pittsburgh Sleep Quality Index)	A simple and valid assessment of both sleep quality and disturbance that might affect sleep quality.	At the beginning and at three months
HADS (The Hospital Anxiety And Depression)	A reliable, valid and practical screening tool for identifying and quantifying anxiety and/or depression in non- patients.	At the beginning and at three months
SF-36 (The Short Form-36 Health Survey)	Used extensively for assessing health-related quality of life.	At the beginning and at three months
MRS (Menopause Rating Scale):	Assesses the severity of menopause-related complaints and the impact on health-related quality of life.	At the beginning and at three months
FSFI (Female Sexual Function Index)	Is a brief questionnaire that evaluates sexual functioning in women.	At the beginning and at three months
INBODY	Valid and reliable tool to quantify and measure the 4 major components of body composition: Water, Protein, Minerals and Fat.	At the beginning and at three months
Bone Mineral Content (BMC)	Is mineral mass in bone.	At the beginning and at three months
Body Weight	Is the sum of Body Fat and Fat Free Mass.	At the beginning and at three months
Lean Body Mass	The amount of lean body mass.	At the beginning and at three months
Body Fat Mass	The standard range of Body Fat Mass is ascertained by calculating an examinee Body Fat Mass as compared to the standard weight and standard Body Fat Mass.	At the beginning and at three months
Percent of Body Fat (%)	Indicates the percentage of body fat to body weight.	At the beginning and at three months
BMI (Body Mass Index)	Is calculated from the formula, Weight (kg) / Height2 (m2), whose unit is kg/m2. It is a rough indicator of total body fat.	At the beginning and at three months
Segmental Analysis	Is the technology that assumes the body as five cylinders of four limbs and trunk and measures the impedance of these parts separately. Segmental body composition analysis provides segmental measurement of body water, muscle mass, and fat free mass.	At the beginning and at three months
OPTOGAIT	Is an innovative system for movement analysis and functional assessment of patients with normal or pathological conditions. REACTION TEST: This test detects the time between one optical/acoustic impulse and the patient's movement. It can be used to measure simple reactions or more complex movements	At the beginning and at three months
CT10P	Test that evaluates the balance by walking along a straight line.	At the beginning and at three months
STABILOMETRIC PLATFORM	Instrument composed of resistive pressure sensors, used to measure the static or postural balance. The test was performed under both eyes-open and eyes-closed conditions.	At the beginning and at three months
RMS X	Mean position of the center of pressure in the mediolateral plane.	At the beginning and at three months
RMS Y	Mean position of the center of pressure in the anteroposterior plane	At the beginning and at three months
Length	Length of the path described by the center of pressure.	At the beginning and at three months
Area	Area of the path described by the center of pressure.	At the beginning and at three months
Velocity	Is an estimate of the average velocity of displacement of the center of pressures of the subject during the whole test.	At the beginning and at three months
Isaac test	Questionnaire that measures verbal fluency.	At the beginning and at three months
trail making test part a y b	Neuropsychological test of visual attention and task switching.	At the beginning and at three months
mmse (mini-mental state examination)	A tool that can be used to systematically and thoroughly assess mental status.	At the beginning and at three months
chair sit and reach test	To test low back and hamstring flexibility.	At the beginning and at three months
back scratch test	To measure general shoulder range of motion.	At the beginning and at three months
30-second chair stand test	To test leg strength and endurance.	At the beginning and at three months
height	The distance between the lowest and highest points of a person standing upright.	At the beginning and at three months
waist circumference	Is used to assess central fat distribution and degree of abdominal obesity.	At the beginning and at three months
hip circumference	It is the greatest circumference of hip	At the beginning and at three months
waist-to-hip ratio	Is the dimensionless ratio of the circumference of the waist to that of the hips. This is calculated as waist measurement divided by hip measurement.	At the beginning and at three months

Collaborators and Investigators

• Sponsor: University of Jaén

Study record dates

Study Major Dates

• Study Start (Actual): August 1, 2017
• Primary Completion (Actual): November 1, 2017
• Study Completion (Actual): February 27, 2018

Study Registration Dates

• First Submitted: June 22, 2017
• First Submitted That Met QC Criteria: June 23, 2017
• First Posted (Actual): June 28, 2017

Study Record Updates

• Last Update Posted (Actual): September 16, 2021
• Last Update Submitted That Met QC Criteria: September 9, 2021
• Last Verified: September 1, 2021

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Overnutrition; Nutrition Disorders; Overweight; Body Weight; Obesity
• Other Study ID Numbers: UJaen

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No