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Effects of Supervised Exercise on Physical Health and Quality of Life Among Older HIV Adults

20. november 2018 opdateret af: Chi Hong, CHUNG, The Society for AIDS Care

Effects of Supervised Exercise Program on Physical Health and Quality of Life Among Older Adults Living With HIV in Hong Kong

The effects of exercise for older HIV-infected adults have not been well studied, especially in Chinese population. This study aimed to investigate the effect of supervised exercise on physical health and quality of life among older people living with HIV (PLWH) in Hong Kong.

HIV-infected adults were recruited from a community-based Non-Governmental Organization (NGO) for HIV patient services. Participants were randomized into exercise group or control group. The participants in exercise group performed an 8-week moderate intensity supervised exercise program. In the control group, participants were not given any supervised exercises. They were advised to continue their routine daily activities and self exercises.

Outcomes were measured for both groups at baseline and after 8 weeks. Primary outcomes: grip strength, 30 seconds chair stand, 6 minutes-walk test and Short Form-36 questionnaire (SF-36). Secondary outcome: Subjective improvement

At the end of the program, all participants from exercise group were interviewed individually by principle investigator to allow feedbacks.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

It is a randomized controlled trial. HIV-infected adults were recruited from a community-based Non-Governmental Organization (NGO) for HIV patient services.They were randomized into exercise group or control group by drawing lots which contained equal number of orange balls (exercise) and white balls (control)

The participants in exercise group performed an 8-week, 2 times/week supervised exercise program in the community day center of the recruiting NGO. Exercise sessions were organized in a group of 2 to 3 participants. The exercises were supervised by a registered physiotherapist to ensure exercise safety and quality. Exercise intensity was moderate. We monitored the heart rate of participants during exercise and maintained around 50% to 70% of maximum heart rate. Blood pressure and oxygen saturation were also checked for safety purposes. The mode of exercise was combined aerobic and resistance training. It involved upper and lower limbs cycling, treadmill walking, multi-gym strengthening, stepper exercise, dumb bell and squatting exercise. The duration for each exercise session was around 45 minutes. Duration and intensity of exercises were adjusted depending on the tolerance and physical capacity of each participant. In the control group, participants were not given any supervised exercises. They were advised to continue their routine daily activities and self exercises. Control group participants were allowed to join into the same training program after the research had finished.

Outcomes were measured for both groups at baseline and after 8 weeks in the same community day center. A research assistant who was blinded for the participants grouping was responsible for data collection. Physical health parameters included grip strength, 30 seconds chair stand and 6 minutes-walk test. Health related quality of life was measured by Short Form-36 questionnaire (SF-36). Subjective improvement was taken in form of Likert scale, from -100% to +100% with 10% interval in each possible response.

At the end of the program, all participants from exercise group were interviewed individually by principle investigator to allow feedbacks.

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

21

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

  • Hong Kong
      • Hong Kong, Hong Kong
        • The Society for AIDS Care Day Centre

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

50 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  1. Participants with HIV age > 50, treating with antiretroviral therapy
  2. No contraindication to moderate intensity exercise
  3. Independent Outdoor walker without assistance
  4. Sedentry participants who have not received any structural / supervised exercise program in the past 1 year

Exclusion Criteria:

  1. Age <50
  2. Unstable or unfit for exercise
  3. Wheelchair user or assisted walker
  4. Already had regular exercise habit or under structural exercise program in the past 1 year

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Enkelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Exercise group
8-week moderate intensity exercise training under supervision
Andet: Moderate intensity exercise training under supervision
Upper and lower limbs cycling, treadmill walking, multi-gym strengthening, stepper exercise, dumb bell and squatting exercise
Ingen indgriben: Control group
No supervised exercise training given. Participants were advised to continue their routine daily activities and self exercises if they have

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Change of SF-36 scores
Tidsramme: Change from Baseline SF-36 scores at 8 weeks
Short Form 36 (SF-36) questionnaire is used to assess health related quality of life
Change from Baseline SF-36 scores at 8 weeks
Change of Grip strength
Tidsramme: Change from Baseline grip strength at 8 weeks
Maximum grip strength of the participant in kg
Change from Baseline grip strength at 8 weeks
Change of 30 seconds chair stand
Tidsramme: Change from Baseline performance at 8 weeks
Number of times that the participant stand up and sit down within 30 seconds
Change from Baseline performance at 8 weeks
Change of 6 minutes walk test
Tidsramme: Change from Baseline performance at 8 weeks
The distance (in meters) which the participant is able to walk in 6 minutes
Change from Baseline performance at 8 weeks

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Subjective improvement
Tidsramme: Subjective change after 8 weeks compare to baseline
Subjective physical improvement reported by participant (from -100% to +100%)
Subjective change after 8 weeks compare to baseline

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

The Society for AIDS Care

Samarbejdspartnere

The University of Hong Kong

Efterforskere

  • Ledende efterforsker: Chi Hong Chung, MSc, The Society for AIDS Care

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

1. november 2017

Primær færdiggørelse (Faktiske)

31. marts 2018

Studieafslutning (Faktiske)

31. marts 2018

Datoer for studieregistrering

Først indsendt

16. november 2018

Først indsendt, der opfyldte QC-kriterier

19. november 2018

Først opslået (Faktiske)

21. november 2018

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

23. november 2018

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

20. november 2018

Sidst verificeret

1. november 2018

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Andre undersøgelses-id-numre

  • supervised exercise

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

UBESLUTET

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Kliniske forsøg med HIV/AIDS

Kliniske forsøg med Moderate intensity exercise training under supervision

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Betingelser

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Placeringer

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