- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT07180485
- Original retssag
Effektivitet af helkropsvibrationer på sundhedsresultater hos ældre voksne med dynapenisk abdominal fedme
Effektiviteten af hele kroppen vibrationstræning i forbedring af hjerneaktivitet, knoglemineraltæthed, livskvalitet og biomarkører for de ældre med dynapenisk abdominal fedme
Denne undersøgelse fokuserer på hele kroppens vibrationstræning (WBVT), en form for neuromuskulær træning, der bruger mekaniske vibrationer. Det har vist sig, at WBVT forbedrer muskelfunktion, knoglemineraltæthed og livskvalitet. Mens der er observeret nogle fordele i den ældre befolkning, er der stadig et forskningsgap vedrørende dens effektivitet hos ældre voksne med dynapenisk abdominal fedme. Derfor vil resultaterne af denne undersøgelse give nye beviser for sundhedsinterventioner, der er rettet mod denne specifikke gruppe.
Denne forskning er målrettet mod ambulante patienter i alderen 65 år og derover, der opfylder kriterierne for dynapenisk abdominal fedme. Det sigter mod at evaluere virkningerne af WBVT på hjerneaktivitet, osteoporose, livskvalitet og biologiske markører. Undersøgelsesperioden er fra 1. februar 2025 til 31. januar 2027 med en planlagt prøvestørrelse på 120 deltagere, lige så opdelt i en eksperimentel gruppe og en kontrolgruppe (60 deltagere hver).
Studieoversigt
Status
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
Formålet med denne undersøgelse er at undersøge virkningerne af hele kropsvibrationstræning på ældre voksne med dynapenisk abdominal fedme i følgende områder:
Hjerneaktivitet: Ændringer i serumniveauer af hjerneafledt neurotrofisk faktor (BDNF).
Knoglemineraltæthed: målt ved hjælp af røntgenoptagelse med dobbelt energi (DXA).
Livskvalitet: vurderet gennem spørgeskemaer, der dækker forbedringer i fysisk sundhed, mental velvære og social funktion.
Biomarkører: Ændringer i niveauer af total kolesterol, lipoprotein-kolesterol med høj og lav densitet, C-reaktivt protein (CRP) og glyceret hæmoglobin (HBA1C).
Undersøgelsestype
Tilmelding (Anslået)
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiekontakt
- Navn: SHIH CHUN LIN
- Telefonnummer: 3112 +88652648000
- E-mail: t780927t@yahoo.com.tw
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
Inkluderingskriterier:
Ambulante patienter i alderen 65 år eller ældre
Diagnosticeret med dynapenisk abdominal fedme
I stand til at forstå og følge enkle instruktioner
I stand til at kommunikere klart og udtrykke deres egen vilje
Villig til at underskrive den informerede samtykkeformular
Ekskluderingskriterier:
Manglende evne til at kommunikere på mandarin eller taiwanese, hvilket resulterer i manglende evne til at deltage i forskningsaktiviteter
Alvorlig visuel eller hørselsnedsættelse, der hindrer undersøgelsen af deltagelse
Tilstedeværelse af kognitiv svækkelse, muskuloskeletale eller alvorlige osteoporose-relaterede tilstande
Afvisning af at underskrive formularen informeret samtykke
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Forebyggelse
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
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Eksperimentel: Hele kroppens vibrationsuddannelsesgruppe
Deltagere i den eksperimentelle gruppe gennemgik hele kroppens vibration (WBV) træning tre gange om ugen i en samlet varighed på 24 uger.
Under hver session stod deltagerne barfodet på en vibrationsplatform og opretholdt en statisk squat-position med knæ bøjet ved 30 grader og fødder skulderbredde fra hinanden.
Uddannelsesprotokollen steg gradvist i varighed, antal sæt og total træningstid fra de første 10 minutter til 30 minutter i løbet af den 24-ugers periode.
Vibrationsfrekvensen blev gradvist hævet fra 20 Hz til 40 Hz med en konstant amplitude på 2 mm.
Hver 10-minutters session omfattede et 1-minutters hvileinterval.
Derudover blev alle deltagere forsynet med håndbogen "Move for Health" udstedt af Health Promotion Administration, Ministry of Health and Welfare, Taiwan, som en del af vejledningen af sundhedsuddannelsen.
Dataindsamling efter intervention blev gennemført i uger 18 og 25 efter det 24-ugers interventionsprogram.
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Hele kropsvibrationstræning og sundhedsuddannelseshæfte
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Placebo komparator: kontrolgruppe
Kontrolgruppen modtog håndbogen "Move for Health" udstedt af Health Promotion Administration, Ministry of Health and Welfare, Taiwan, og deltog i 30-minutters sundhedsuddannelsessessioner over en 24-ugers periode.
Det uddannelsesmæssige indhold omfattede træningsrelateret information, en introduktion til dynapenisk abdominal fedme (DAO), tilknyttede risikofaktorer og potentielle sundhedsmæssige konsekvenser.
Dataindsamling efter intervention blev gennemført i uger 18 og 25 efter det 24-ugers interventionsprogram.
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Sundhedsuddannelseshæfte
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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blodprøver
Tidsramme: 24 uger
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Total kolesterol (TC) tidsramme: baseline, 3 måneder, 6 måneder ; Beskrivelse: Serum Total kolesterolniveau målt i Mg/DL. Referenceværdi: <200 mg/dl. Triglycerider (TG) Tidsramme: baseline, 3 måneder, 6 måneder ; Beskrivelse: Serum triglyceridniveau målt i Mg/dL. Referenceværdi: <150 mg/dl. Lipoproteinkolesterol med lav densitet (LDL-C) tidsramme: baseline, 3 måneder, 6 måneder ; Beskrivelse: Serum LDL-kolesterol målt i Mg/DL. Referenceværdi: <130 mg/dl. Lipoproteinkolesterol med høj densitet (HDL-C) tidsramme: baseline, 3 måneder, 6 måneder ; Beskrivelse: Serum HDL-kolesterol målt i Mg/DL. Referenceværdier:> 40 mg/dL for mænd,> 50 mg/dL for kvinder. C-reaktivt protein (CRP) tidsramme: baseline, 3 måneder, 6 måneder ; Beskrivelse: Kvantitativt serum CRP-niveau målt i Mg/DL. Normal referenceværdi: 0,3 mg/dl. Glycated hæmoglobin (HBA1C) Tidsramme: Baseline, 3 måneder, 6 måneder ; Beskrivelse: HBA1C -procentdel målt i blod. Normal hjerneafledt neurotrof i PG/ml ved hjælp af |
24 uger
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Røntgenoptagelse med dobbelt energi (DXA)
Tidsramme: 8 måneder
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Denne undersøgelse anvendte dobbeltenergi røntgenabsorptiometri (DXA), en meget anvendt og klinisk sikker metode til vurdering af knoglesundhed.
DXA-systemet (mærket, der henvises til i tidligere publikationer), fungerer ved at udsende en dosis med lav stråling (± 10 μsv) røntgenstråle for at måle omfanget af røntgenstråling gennem kropsvæv.
Baseret på absorptionsdataene beregner enheden knoglemineraltæthed (BMD).
Da knogler absorberer flere røntgenstråler og har høj gennemtrængning, mens fedt absorberer mindre og har lav penetrabilitet, skelner DXA effektivt mellem vævstyper.
DXA-resultater tolkes typisk ved hjælp af T-scoringer til BMD.
En T -score ≥ -1,0 indikerer normal knogletæthed og god knoglesundhed.
En T -score mellem -2,5 og -1,0 antyder lav knoglemasse (osteopeni), hvilket indikerer en nedsat BMD, men endnu ikke ved tærsklen for osteoporose.
En T -score ≤ -2,5 definerer osteoporose, hvilket indikerer signifikant reduceret BMD og en højere risiko for brud.
Alvorlig osteoporose diagnosticeres, når en T -score ≤ -2,5.
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8 måneder
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Livskvalitetsspørgeskema
Tidsramme: 24 uger
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Taiwan-versionen af Verdenssundhedsorganisationens spørgeskema om livskvalitet er en forkortet version afledt af den originale 100-punkts WHOQOL-100 udviklet af Verdenssundhedsorganisationen.
Undersøgende og bekræftende faktoranalyser af spørgeskemaet understøtter en fire-domænemodel bestående af fysisk sundhed, psykologisk velvære, sociale forhold og miljø.
Den interne konsistens (Cronbachs α) af disse fire domæner varierer fra 0,70 til 0,77.
Spørgeskemaet indeholder 28 genstande: et element til den samlede livskvalitet, et til generel sundhed, syv til fysisk sundhed, seks til psykologisk velvære, tre til sociale forhold og otte til miljøfaktorer.
Skalaen bruger et 5-punkts Likert-format baseret på frekvens, intensitet, kapacitet og evaluering.
Højere score indikerer bedre livskvalitet.
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24 uger
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Samarbejdspartnere og efterforskere
Sponsor
Samarbejdspartnere
Efterforskere
- Studiestol: Chang Shu Fang, professor, National Taipei University of Nursing and Health Sciences
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