- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03831841
Physical Fitness, Body Composition and Frailty in Elderly People.Exercise Program Effecsts. EXERNET Elder 3.0 (EXERNETElder)
Physical Fitness Body Composition and Frailty in Elderly People Above 65 Years. Mediation of Vitamin D and Exercise Program Effects. EXERNET Elder 3.0
One of the major changes occurring in developed societies is a significant ageing of the population. Nowadays, because of an enhanced life expectancy, 17% of the Spanish population is composed of people over 65 and the number is expected to rise to 33% in 2050. Aging is characterized by a gradual lifelong accumulation of molecular and cellular damage that results in a progressive and generalized impairment in several bodily functions, an increased vulnerability to environmental challenges and a growing risk of disease and risk of death. These facts led to an increase on the prevalence of diseases such as osteoporosis diabetes, sarcopenia, obesity or frailty. However, lifestyles such as physical activity could attenuated aging process, maintaining the autonomy of elders, and it has been demonstrated that even implying guided exercise programs could reverse this condition of frailty and dependence.
In this way, the main aims of this research project are to analyze the effect of a multicomponent exercise program in frailty and pre-frailty people above 65 years and without cognitive impairment. Thus, it is going to be evaluated at the beginning and the end of the study; body composition, physical fitness, blood parameters including vitamin D and other health related parameters included in a questionnaire. Secondly, to study the perdurability of training-related gains over time.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Zaragoza, Spain, 50009
- Universidad de Zaragoza
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Above 65 years
- frailty of pre-frailty by SPPB.
Exclusion Criteria:
- Severe cognitive impairment
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: NON_RANDOMIZED
- Interventional Model: PARALLEL
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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EXPERIMENTAL: Intervention
Multicomponent exercise programe involving all physical fitness paramenters and consisting on sesions of 1 hour, 3 days a week.
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An intervention consisting of training by a multicomponent program 3 times a week, working on aerobic capacity, flexibility, balance and strength.
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NO_INTERVENTION: Control
Control group with no intervention programe
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in SPPB
Time Frame: Change from Baseline at 3 months, 6 months and 12 months
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Short Physical Performance Battery by Romberg (SPPB): consist of walking 4m, a balance test with three levels (tandem, semi-tandem and stand up on one foot) and sit up and reach 5 times as fast as possible.
Each test could point from 0 to 4, reaching a maximum of 12 months in the battery.
Puntuation correspond to; 0-4 points the person is not valid, from 4 to 6 frails and form 7-9 pre-frailt
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Change from Baseline at 3 months, 6 months and 12 months
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Change in Senior fitness test physical performance battery
Time Frame: Change from Baseline at 3 months, 6 months and 12 months
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A fitness test battery in order to measured physical performance of elderly, it includes: flamingos test (for balance), 30m of walking speed, 30 seconds of sit and reach (strength of lower extremities), 30sconds of arm curl, 6 minutes test (aerobic capacity), sit-up and go test (agility), flexibility of upper and lower extremities.
Results are registered without puntuation.
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Change from Baseline at 3 months, 6 months and 12 months
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Change of 25-OH Vitamin D concentrations
Time Frame: Change from Baseline at 3 months, 6 months and 12 months
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25-OH Vitamin D concentration in blood test
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Change from Baseline at 3 months, 6 months and 12 months
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Changes on Fried Scale
Time Frame: Change from Baseline at 3 months, 6 months and 12 months
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Fried frailty phenotype criteria; measured by 3 questiones (exhaustion, walking more than 2 or 2,5 jours a week (for men or women)a and to have lose weigth (4,5kg) in the last year), Handgrip and 4,5 meters walking.
Those who point 2 or 3 are prefrail and 3 or more frail.
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Change from Baseline at 3 months, 6 months and 12 months
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Changes on Leucocites
Time Frame: Change from Baseline at 3 months, 6 months and 12 months
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Measured by blood test (%)
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Change from Baseline at 3 months, 6 months and 12 months
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Changes on Linfocites
Time Frame: Change from Baseline at 3 months, 6 months and 12 months
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Measured by blood test (%)
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Change from Baseline at 3 months, 6 months and 12 months
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Changes on hemoglobine
Time Frame: Change from Baseline at 3 months, 6 months and 12 months
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Measured by blood test (%)
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Change from Baseline at 3 months, 6 months and 12 months
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Changes on platelets
Time Frame: Change from Baseline at 3 months, 6 months and 12 months
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Measured by blood test (10^3/uL)
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Change from Baseline at 3 months, 6 months and 12 months
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Changes on calcium
Time Frame: Change from Baseline at 3 months, 6 months and 12 months
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Measured by blood test (mg/dL)
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Change from Baseline at 3 months, 6 months and 12 months
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Changes on Cholesterol
Time Frame: Change from Baseline at 3 months, 6 months and 12 months
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Measured by blood test (mg/dL)
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Change from Baseline at 3 months, 6 months and 12 months
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Changes on HDL-Cholesterol
Time Frame: Change from Baseline at 3 months, 6 months and 12 months
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Measured by blood test (mg/dL)
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Change from Baseline at 3 months, 6 months and 12 months
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Changes on LDL-Cholesterol
Time Frame: Change from Baseline at 3 months, 6 months and 12 months
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Measured by blood test (mg/dL)
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Change from Baseline at 3 months, 6 months and 12 months
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Changes on Trigicerids
Time Frame: Change from Baseline at 3 months, 6 months and 12 months
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Measured by blood test (mg/dL)
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Change from Baseline at 3 months, 6 months and 12 months
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Changes on uric acid
Time Frame: Change from Baseline at 3 months, 6 months and 12 months
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Measured by blood test (mg/dL)
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Change from Baseline at 3 months, 6 months and 12 months
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Changes on urea
Time Frame: Change from Baseline at 3 months, 6 months and 12 months
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Measured by blood test (mg/dL)
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Change from Baseline at 3 months, 6 months and 12 months
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Changes on creatine
Time Frame: Change from Baseline at 3 months, 6 months and 12 months
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Measured by blood test (mg/dL)
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Change from Baseline at 3 months, 6 months and 12 months
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Changes on creatine kinasa
Time Frame: Change from Baseline at 3 months, 6 months and 12 months
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Measured by blood test (U/dL)
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Change from Baseline at 3 months, 6 months and 12 months
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Changes on glucose
Time Frame: Change from Baseline at 3 months, 6 months and 12 months
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Measured by blood test (mg/dL)
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Change from Baseline at 3 months, 6 months and 12 months
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Changes on lactate deydrogenase
Time Frame: Change from Baseline at 3 months, 6 months and 12 months
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Measured by blood test (UI/dL)
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Change from Baseline at 3 months, 6 months and 12 months
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Changes on potasium
Time Frame: Change from Baseline at 3 months, 6 months and 12 months
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Measured by blood test (mEq/dL)
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Change from Baseline at 3 months, 6 months and 12 months
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Changes on magnesium
Time Frame: Change from Baseline at 3 months, 6 months and 12 months
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Measured by blood test (mg/dL)
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Change from Baseline at 3 months, 6 months and 12 months
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Changes on transferrine
Time Frame: Change from Baseline at 3 months, 6 months and 12 months
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Measured by blood test (mg/dL)
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Change from Baseline at 3 months, 6 months and 12 months
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Changes on albumin
Time Frame: Change from Baseline at 3 months, 6 months and 12 months
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Measured by blood test (g/dL)
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Change from Baseline at 3 months, 6 months and 12 months
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Changes on protein c reative
Time Frame: Change from Baseline at 3 months, 6 months and 12 months
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Measured by blood test (mg/dL)
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Change from Baseline at 3 months, 6 months and 12 months
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Changes on Bone mass and structure by perifereal quantitative computed tomography
Time Frame: Change from Baseline at 3 months, 6 months and 12 months
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Mass and structure of tibia (at 4, 38, 66 % slides) and radius (4, 66 % slides) by pQCT
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Change from Baseline at 3 months, 6 months and 12 months
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Changes on hip perimeter
Time Frame: Change from Baseline at 3 months, 6 months and 12 months
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Hip perimeter measured following ISAK protocol.
Centimeters
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Change from Baseline at 3 months, 6 months and 12 months
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Change on wrist perimeter
Time Frame: Change from Baseline at 3 months, 6 months and 12 months
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Wrist perimeter following ISAK protocol.
Centimeters
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Change from Baseline at 3 months, 6 months and 12 months
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Change on calf perimeter
Time Frame: Change from Baseline at 3 months, 6 months and 12 months
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Calf perimeter following ISAK protocol.
Centimeters
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Change from Baseline at 3 months, 6 months and 12 months
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Changes on arm relaxed perimeter
Time Frame: Change from Baseline at 3 months, 6 months and 12 months
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Calf perimeter following ISAK protocol.
Centimeters
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Change from Baseline at 3 months, 6 months and 12 months
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Changes on weight
Time Frame: Change from Baseline at 3 months, 6 months and 12 months
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Change on kilograms by bioimpedance measurement (TANITA)
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Change from Baseline at 3 months, 6 months and 12 months
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Changes on body fat
Time Frame: Change from Baseline at 3 months, 6 months and 12 months
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Change on kilograms by bioimpedance measurement (TANITA)
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Change from Baseline at 3 months, 6 months and 12 months
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Changes on efat percentage
Time Frame: Change from Baseline at 3 months, 6 months and 12 months
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Change on % by bioimpedance measurement (TANITA)
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Change from Baseline at 3 months, 6 months and 12 months
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Changes on height
Time Frame: Change from Baseline at 3 months, 6 months and 12 months
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Change on height (cm)
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Change from Baseline at 3 months, 6 months and 12 months
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Changes on Unkle-Brachial Index
Time Frame: Change from Baseline at 3 months, 6 months and 12 months
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Vascular measure to observed blood circultaion.
With a Doppler, sistolic blood pressure measured in brachial arteries (humerus) and unkle arteries are measured.
Then, ratio is calculated dividing both results.
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Change from Baseline at 3 months, 6 months and 12 months
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Changes on FRAIL Scale
Time Frame: Change from Baseline at 3 months, 6 months and 12 months
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5 questions scale asking about; lose a 5% of own weigth in the last year, to have more than 5 diseases between cancer, diabetes, chloresterol, asthma, EPOC, IAM, cardiac insuficiency, arthritis, ACVA, ERC, angina, hipertension), exhaustion in the last 4 weeks ,ability to walk 10 steps without help, ability to walk more than 100 meters without help.
Confirm 3 or more items means to be frail.
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Change from Baseline at 3 months, 6 months and 12 months
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Changes on Clinical frailty scale
Time Frame: Change from Baseline at 3 months, 6 months and 12 months
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A descriptive scale about disability and funcional assessments.
Is a practical and efficient tool for assessing frailty.
It is compound of 9 options describing stages functionality depending on how much help they need for daily activities (1- very fit, 2- well, 3- managing well, 4- vulnerable, 5- mildly frail, 6- moderately frail, 7- severely frail, 8-very severely frail, 9- terminally ill).
One option have to be selected.
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Change from Baseline at 3 months, 6 months and 12 months
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Changes on Sociotype Questionnaire for geriatric population
Time Frame: Change from Baseline at 3 months, 6 months and 12 months
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Questionnaire about how people stablish their relationships between three social dimensions (family, friendship, and acquaintance).
The questionnaire consisted of 12 questions which point from 0 to 5, having the high punctuation a positive meaning.
Final mark is obtained from de sum up pf every point of each question.
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Change from Baseline at 3 months, 6 months and 12 months
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Changes on Physical Activity Questionnnaire for the Elder (PASE)
Time Frame: Change from Baseline at 3 months, 6 months and 12 months
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Physical activity questionnaire to assesed daily light, moderate and vigorous physical activities.
Physical Activity Scale for the Elderly (PASE) is a brief (5 minutes) and easily scored survey designed specifically to assess physical activity in persons age 65 years and older.
The PASE score combines information on leisure, household and occupational activity.
The PASE assesses the types of activities typically chosen by older adults (walking, recreational activities, exercise, housework, yard work, and caring for others.
A total of 10 questions using frequency, duration, and intensity level of activity over the previous week to assign a score, ranging from 0 to 793, with higher scores indicating greater physical activity.
Contribution of each questionnaire item to the overall PASE score is determined by the product of the sample mean and activity weight
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Change from Baseline at 3 months, 6 months and 12 months
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Changes on Insomnia Severity Index Score
Time Frame: Change from Baseline at 3 months, 6 months and 12 months
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The Insomnia Severity Index (ISI) is a short instrument developed to assess insomnia severity Seven questions asking severity of difficulties to falling asleep, staying asleep, waking up too much early, how unsatisfied the person is with his sleep, how affect daily if there is a problem of sleep life.
Severity must be pointed from 0 to 4 and the sum up of all question is calculated for the final mark.
0-7 lack of insomnia, 8-14 subclinical insomnia, 15-21 clinical insomnia (mild), 22-28 clinical insomnia (grave)
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Change from Baseline at 3 months, 6 months and 12 months
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Changes on Incontinence Urinary Questionnaire
Time Frame: Change from Baseline at 3 months, 6 months and 12 months
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Questionnaire about urinary incontinence, how it affects they daily life pointing from 1 to 10 (being 10 too much worry) and when it happens.
This question does not point, they are only registered.
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Change from Baseline at 3 months, 6 months and 12 months
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Changes on EUROQOL (EQ-5D)
Time Frame: Change from Baseline at 3 months, 6 months and 12 months
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EQ-5D is a standardised measure of health status developed in order to provide a simple, generic measure of health for clinical and economic appraisal.
It descriptive system comprises the following 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression.
Each dimension has 3 levels: no problems, some problems, extreme problems.
The respondent is asked to indicate his/her health state by ticking (or placing a cross) in the box against the most appropriate statement in each of the 5 dimensions.
The second part of the questionnire records the respondent's self-rated health on a vertical, visual analogue scale where the endpoints are labelled 'Best imaginable health state' and 'Worst imaginable health state'.
This information can be used as a quantitative measure of health outcome as judged by the individual respondents.
It should be noted that the numerals 1-3 have no arithmetic properties and should not be used as a cardinal score.
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Change from Baseline at 3 months, 6 months and 12 months
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Changes on Use of hospital Resources
Time Frame: Change from Baseline, 6 months and 12 months
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Descriptive measure.
Registration through the hospital internet private platform of; medication of the patient, number of medical appointments, number of specialised complementary tests, and other medical resourse that could be used by the patient related to healthcare system.
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Change from Baseline, 6 months and 12 months
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Change Lawton and Brody Index
Time Frame: Change from Baseline at 3 months, 6 months and 12 months
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Questionnaire about instrumental activities of daily life; Ability to Use Telephone Shopping, Laundry, Mode of Transportation, Food Preparation, Responsibility for Own Medications, Housekeeping and Ability to Handle Finances.
Each part has 4 options to tick in order of independent to more dependent.
Highest mark is 8 and correspond to a summary score ranges from 0 (low function, dependent) to 8 (high function, independent) for women and 0 through 5 for men to avoid potential gender bias.
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Change from Baseline at 3 months, 6 months and 12 months
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Changes on Barthel Index
Time Frame: Change from Baseline at 3 months, 6 months and 12 months.
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Questionnaire about authonomy and dependence in; Feeding, Bathing , Grooming , Dressing , Bowel control , Bladder control , Toilet use , Transfers (bed to chair and back) (, Mobility on level surfaces , Stairs.
Puntuation correspond to Independent +10points, Needs help+5points, Unable 0 points).
Maximal puntuation is 100.which
means independence.
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Change from Baseline at 3 months, 6 months and 12 months.
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Change on Risk of falls and Fear to Fall Assesment
Time Frame: Change from Baseline at 3 months, 6 months and 12 months.
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Questionnaire about, have fear to fall, since when, give up activities because of fear and since when.
No puntuation.
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Change from Baseline at 3 months, 6 months and 12 months.
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Change Sun Expousure Questionnaire
Time Frame: Change from Baseline at 3 months, 6 months and 12 months.
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Questionnaire about hours expended outside, sun exposure and skin type.
Only registration of data, without puntuations.
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Change from Baseline at 3 months, 6 months and 12 months.
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Change on Mediterranean Adherence Questionnaire PREDIMED
Time Frame: Change from Baseline at 3 months, 6 months and 12 months.
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14 items questionnaire about adherence to Mediterranean diet patron each question is puntuated with 1 (positive to mediterrranean diet) or 0. The total puntuation is a sum up from the 14 questions.
Questions are about olive oil , vegetable and fruit , meat, desserts, wine, fish, and legumes consumption.
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Change from Baseline at 3 months, 6 months and 12 months.
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Changes on Mini Nutritional Assesment
Time Frame: Change from Baseline at 3 months, 6 months and 12 months.
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The MNA is a screening tool composed of two parts, 6 and 12 questions.First part permits detection of a decline in ingestion over the past three months (loss of appetite, decline of food intake, digestive problems, chewing or swallowing difficulties), weight loss in the past three months, current mobility impairment, an acute illness or major stress in the past three months, a neuropsychological problem (dementia or depression) and a decrease in body mass index (BMI).
Second part of MNA evaluates living arrangements, the presence of polypharmacy or pressure ulcers, the number of full meals eaten daily, the amount and frequency of specific foods and fluids, and the mode of feeding.
The patient reports nutritional and health status, and the practitioner determines weight and height (to calculate BMI), and mid-arm and mid-calf circumferences.
The maximum score for first part is 14; a score of 12 points or greater means disorders.
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Change from Baseline at 3 months, 6 months and 12 months.
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Changes on ExernetElder questionnaire
Time Frame: Change from Baseline at 6 months and 12 months.
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Questionnaire about sociodemographic aspects such as participation on sports during lifespan, menarchy age and menopause age. Descriptive registration. |
Change from Baseline at 6 months and 12 months.
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Change on Food Frequency Questionnaire
Time Frame: Baseline
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Food intake questionnaire (PREDIMED) asking about frequence of eating each food in last month. 139 different food from groups as daily products, eggs, meats and fishes, vegetables, fruits, legumes, fats and oils, desserts, miscalaneas and drinks. Each food could be answer with never, 1-3 a month, 1 a week, 2-4 a week, 5-6 a week, 1 a day, 2-3 a day, 4-6 a day, +6 a day. Each pint is registered but they do not pointed. |
Baseline
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Collaborators and Investigators
Sponsor
Publications and helpful links
General Publications
- Fernandez-Garcia AI, Gomez-Cabello A, Gomez-Bruton A, Moradell A, Navarrete-Villanueva D, Perez-Gomez J, Gonzalez-Gross M, Ara I, Casajus JA, Vicente-Rodriguez G. Effects of multicomponent training and detraining on the fitness of older adults with or at risk of frailty: results of a 10-month quasi-experimental study. Eur J Sport Sci. 2022 Aug 11:1-14. doi: 10.1080/17461391.2022.2104657. Online ahead of print.
- Moradell A, Fernandez-Garcia AI, Navarrete-Villanueva D, Perez-Gomez J, Gesteiro E, Ara Royo I, Casajus JA, Gomez-Cabello A, Vicente-Rodriguez G. Does nutritional status influence the effects of a multicomponent exercise programme on body composition and physical fitness in older adults with limited physical function? Eur J Sport Sci. 2022 Jul 11:1-10. doi: 10.1080/17461391.2022.2092426. Online ahead of print.
Study record dates
Study Major Dates
Study Start (ACTUAL)
Primary Completion (ACTUAL)
Study Completion (ACTUAL)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ACTUAL)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- EXERNET Elder 3.0
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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