The Effect of Cardiopulmonary and Muscular Fitness on Healthy Aging Among Community-Dwelling Older Adults

To compare the different cardiopulmonary and muscular fitness of community-dwelling older adults on healthy aging, and to identify the optimal cutoff points of their cardiopulmonary fitness and muscular fitness on targeting healthy aging.

Study Overview

• Status: Enrolling by invitation
• Conditions: Healthy Aging
• Intervention / Treatment: Behavioral: Group exercises

Detailed Description

At the end of the 20th century, the WHO began to promote the issue of healthy aging. From then on, the Taiwan government gradually attached importance to long-term care and devoted to developing community-based health promotion programs for the elderly. Currently, the programs commonly plan to proceed through the group exercise intervention, increasing physical activity to improve their physical fitness and also to prevent their functional disability. This study aims to compare the different cardiorespiratory fitness and muscular fitness of community-dwelling older adults on healthy aging, and figure out to what extent of cardiorespiratory fitness level and muscular fitness level may achieve healthy aging. The present healthy status of participants will be investigated by interviewing if having any disability or frail. Based on multidimensional model, the definition and measurement of healthy aging status include physiological, psychological and social function aspect. In this study, the health aging status is defined as non-frailty, independence in basic and instrumental activities of daily living, normal cognitive function, absent of depression status, good social relations and good environmental support.

• Study Type: Observational
• Enrollment (Anticipated): 200

Contacts and Locations

Study Locations

• Taiwan
  • Taipei, Taiwan, 112
    • Tsai, Mei-Wun

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 55 years to 100 years (Adult, Older Adult)
• Accepts Healthy Volunteers: N/A
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

Community-dwelling older adults

Description

Inclusion Criteria:

• Aged ≥ 55 years old
• Had contact information from project
• Had attended both pre-test or post-test during program
• Volunteer to participant

Exclusion Criteria:

• Incomplete physical fitness data
• Participant with frailty after screening during the class
• Not available to respond
• Not accept the informed consent

Study Plan

How is the study designed?

Number of groups / cohorts

5

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
low to moderate CRF with low MF; According to the senior fitness test norms in Taiwan, participants with low to moderate cardiorespiratory fitness (CRF) and low muscular fitness (MF).	Behavioral: Group exercises; Group exercises including aerobic, resistance and stretching exercise. Once a week for 8-12 weeks.
low to moderate CRF with moderate MF; According to the senior fitness test norms in Taiwan, participants with low to moderate cardiorespiratory fitness (CRF) and moderate muscular fitness (MF).	Behavioral: Group exercises; Group exercises including aerobic, resistance and stretching exercise. Once a week for 8-12 weeks.
low to moderate CRF with high MF; According to the senior fitness test norms in Taiwan, participants with low to moderate cardiorespiratory fitness (CRF) and high muscular fitness (MF).	Behavioral: Group exercises; Group exercises including aerobic, resistance and stretching exercise. Once a week for 8-12 weeks.
high CRF with low to moderate MF; According to the senior fitness test norms in Taiwan, participants with high cardiorespiratory fitness (CRF) and low to moderate muscular fitness (MF).	Behavioral: Group exercises; Group exercises including aerobic, resistance and stretching exercise. Once a week for 8-12 weeks.
high CRF and high MF; According to the senior fitness test norms in Taiwan, participants with high cardiorespiratory fitness (CRF) and high muscular fitness (MF).	Behavioral: Group exercises; Group exercises including aerobic, resistance and stretching exercise. Once a week for 8-12 weeks.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Physiological health: non-frailty	SOF index (study of osteoporotic fracture index). Minimum value is 0 and maximum value is 3. Non-frailty is defined as the score less than 2 points.	once follow up at 2-4 years after community-based health promotion programs
Physiological health: independence in basic activities of daily living	Katz ADL index (Katz index of independence in activities of daily living). Minimum value is 0 and maximum value is 6. Independence in basic ADL is defined as that score 0 point.	once follow up at 2-4 years after community-based health promotion programs
Physiological health: independence in instrumental activities of daily living	Lawton IADL scale (Lawton scale of instrumental activities of daily living). Minimum value is 0 and maximum value is 8. Independence in IADL is defined as that score 0 point.	once follow up at 2-4 years after community-based health promotion programs
Mental health: normal cognitive function	MoCA (Montreal cognitive assessment). Minimum value is 0 and maximum value is 30. Normal cognitive function is defined as score above 24.	once follow up at 2-4 years after community-based health promotion programs
Mental health: absent of depression status	GDS-15 (short form geriatric depression scale). Minimum value is 0 and maximum value is 15. Absent of depression status is defined as score less than 5.	once follow up at 2-4 years after community-based health promotion programs
Social function: good social relations	WHOQOL-BREF (WHO Quality of Life-BREF questionnaire). Minimum value is 4 and maximum value is 20. Good social relations is defined as score above 15.	once follow up at 2-4 years after community-based health promotion programs
Social function: good environmental support	WHOQOL-BREF (WHO Quality of Life-BREF questionnaire). Minimum value is 4 and maximum value is 20. Good environment support is defined as score above 15.	once follow up at 2-4 years after community-based health promotion programs

Collaborators and Investigators

• Sponsor: National Yang Ming University

Study record dates

Study Major Dates

• Study Start (Actual): November 12, 2020
• Primary Completion (Anticipated): November 11, 2021
• Study Completion (Anticipated): December 31, 2021

Study Registration Dates

• First Submitted: April 26, 2021
• First Submitted That Met QC Criteria: July 9, 2021
• First Posted (Actual): July 12, 2021

Study Record Updates

• Last Update Posted (Actual): July 12, 2021
• Last Update Submitted That Met QC Criteria: July 9, 2021
• Last Verified: July 1, 2021

More Information

Terms related to this study

• Keywords: Health promotion; Cardiorespiratory fitness; Healthy aging; Muscular fitness
• Other Study ID Numbers: YM109154E

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED

Drug and device information, study documents

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