TCM Formula vs. HMB in Pre-Frail Elders: Muscle Strength and Bone Status (TCM-HMB-PF)
Effects of Traditional Chinese Medicine (TCM) Formula vs. HMB on Muscle Strength and Bone Status in Pre-Frail Elders: A Comparative Study
Panoramica dello studio
Stato
Stato
Condizioni
Condizioni
Intervento / Trattamento
Intervento / Trattamento
Descrizione dettagliata
Tipo di studio
Tipo di studio
Iscrizione (Stimato)
Iscrizione
Fase
Fase
- Fase 2
Contatti e Sedi
Contatto studio
Contatto studio
- Nome: Jui-Shan Lin, MD
- Numero di telefono: 24260 886-2-87923311
- Email: sunnylin@mail.ndmutsgh.edu.tw
Backup dei contatti dello studio
- Nome: Li-Wei Wu, MD
- Numero di telefono: 12618 886-2-87923311
- Email: liweiwu@mail.ndmutsgh.edu.tw
Luoghi di studio
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Taipei, Taiwan, 114202
- Reclutamento
- Tri-Service General Hospital
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Contatto:
- Jui-Shan Lin, MD
- Numero di telefono: 24260 886-2-87923311
- Email: sunnylin@mail.ndmutsgh.edu.tw
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Investigatore principale:
- Jui-Shan Lin, MD
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Sub-investigatore:
- Li-Wei Wu, MD
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Sub-investigatore:
- Sui-Lung Su, Prof.
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Sub-investigatore:
- Wen-Hui Fang, MD
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Sub-investigatore:
- Yaw-Wen Chang, MD
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Sub-investigatore:
- Tung-Wei Kao, MD
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Sub-investigatore:
- Hung-Yi Chen, MD
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Sub-investigatore:
- Yan-Ru Wang, MD
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Sub-investigatore:
- Yu-Heng Wang, MD
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Sub-investigatore:
- Po-Han Lin, MD
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Sub-investigatore:
- Tao-Chun Peng, MD
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Sub-investigatore:
- Ting-Ching Chen, MD
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Sub-investigatore:
- Wan-Ting Soong, MD
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Sub-investigatore:
- Yu-Ting Cheng, MD
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Sub-investigatore:
- Yi-Ru Lei, MD
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Criteri di partecipazione
Criteri di ammissibilità
Criteri di ammissibilità
Età idonea allo studio
- Adulto più anziano
Accetta volontari sani
Descrizione
Inclusion Criteria:
- Male or female participants aged 65 years or older at the time of screening.
- Body Mass Index less than 30 kilograms per square meter.
- Identified as pre-frail according to the Fried frailty phenotype, meeting 1 to 2 of the following 5 criteria: 1) Hand grip strength below specific thresholds based on gender and Body Mass Index. For males, Body Mass Index 24 or less is 29 kilograms or less, Body Mass Index 24.1 to 28 is 30 kilograms or less, Body Mass Index greater than 28 is 32 kilograms or less. For females, Body Mass Index 23 or less is 17 kilograms or less, Body Mass Index 23.1 to 26 is 17.3 kilograms or less, Body Mass Index 26.1 to 29 is 18 kilograms or less, Body Mass Index greater than 29 is 21 kilograms or less. 2) Slow walking speed. For a 4-meter distance, walking time of 7 seconds or more for males 173 centimeters or shorter, or 6 seconds or more for males taller than 173 centimeters. For females 159 centimeters or shorter, 7 seconds or more, or 6 seconds or more for females taller than 159 centimeters. 3) Self-reported exhaustion. Answering 3 days or more per week to either feeling that everything was an effort or could not get going in the past week. 4) Unintentional weight loss. Loss of 3 kilograms or more or more than 5 percent of body weight in the past year. 5) Low physical activity. Weekly energy expenditure less than 383 kilocalories for males or less than 270 kilocalories for females.
- Ability to safely complete a 6-meter walk test in a single attempt without assistance or using only simple aids such as a cane.
- Clinically stable condition allowing for follow-up visits every 4 weeks and participation in all study-related assessments.
- Willingness to provide existing test data from within 90 days prior to randomization, including Bone Mineral Density by DXA and serum biochemistry or urinalysis results.
- Sufficient cognitive function to understand the study and sign the informed consent form, or with the assistance of a legal representative.
- Willingness to maintain existing diet and exercise habits during the study and not start high-intensity exercise programs or large amounts of nutritional supplements.
Exclusion Criteria:
- Major acute illness such as acute myocardial infarction, pneumonia, or acute stroke within 2 weeks prior to screening.
- Major organ dysfunction, including renal function with estimated glomerular filtration rate less than 45 milliliters per minute per 1.73 square meters within 1 month prior to screening, liver function with AST or ALT greater than 3 times the upper limit of normal within 1 month prior to screening, NYHA Class III or IV heart failure, or severe COPD requiring long-term oxygen therapy.
- Unplanned hospitalization within 1 month prior to screening, or major surgery with incomplete functional recovery within 3 months prior to screening.
- Current malignant tumor under treatment, or less than 12 months since the completion of cancer treatment.
- Use of supplements containing the same ingredients as the study interventions, or products that may affect the primary endpoint including HMB, creatine, branched-chain amino acids, or high-dose protein powder within 4 weeks prior to screening.
- Known significant clinical allergy or hypersensitivity to any components of the study formula or HMB nutritional supplement.
- Moderate to severe dementia, severe depression, or other psychiatric disorders resulting in inability to cooperate without a legal representative.
- Participation in other interventional clinical trials involving drugs, biologics, or nutritional supplements within 3 months prior to screening.
- New initiation or dose adjustment of medications affecting muscle or bone metabolism within 3 months prior to screening, including systemic glucocorticoids, anabolic steroids, testosterone, or growth hormones.
- Any other condition that, in the opinion of the investigator, makes the participant unsuitable for the study due to safety or compliance concerns.
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Trattamento
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Nessuno (etichetta aperta)
Numero di armi
Armi e interventi
Gruppo di partecipanti / ArmGruppo di partecipanti / Arm |
Intervento / TrattamentoIntervento / Trattamento |
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Sperimentale: Experimental: TCM Group
Participants will receive a standardized Traditional Chinese Medicine herbal powder formula.
This formula is designed to tonify Qi, Blood, Liver, and Kidney to enhance physical function in elders.
The daily dosage is 18 grams, administered as one 9-gram sachet twice daily.
It is taken 30 minutes before breakfast and lunch for 24 consecutive weeks.
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A scientific TCM herbal powder formula prepared by the hospital pharmacy.
The formula consists of 10 botanical ingredients focused on tonifying Qi, Blood, Liver, and Kidney.
Participants will receive a total daily dose of 18 grams, administered as 9 grams twice daily (BID), 30 minutes before breakfast and lunch.
Altri nomi:
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Comparatore attivo: Active Comparator: HMB Group
Participants will receive beta-hydroxy-beta-methylbutyrate (HMB) as an active control.
The intervention consists of a total daily dose of 3 grams, administered as two 0.75-gram tablets twice daily.
The tablets are to be taken after breakfast and lunch for 24 consecutive weeks.
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The active ingredient is beta-hydroxy-beta-methylbutyrate (HMB), provided in 0.75g tablets.
Participants will take 2 tablets twice daily (BID) after breakfast and lunch, resulting in a total daily dose of 3 grams.
This is a common clinical dose used as a nutritional intervention for muscle strength and physical performance.
Altri nomi:
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Cosa sta misurando lo studio?
Misure di risultato primarie
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
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Change from Baseline in Hand Grip Strength at Week 12
Lasso di tempo: Baseline and Week 12
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Hand grip strength is used as a functional biomarker to reflect overall muscle strength.
Measurement will be performed using a standardized JAMAR dynamometer.
Participants will follow a standardized procedure: seated position, elbow flexed at 90 degrees, with the forearm in a neutral position using the dominant hand.
The "Change" is calculated as the value at Week 12 minus the baseline value .
Higher values indicate improved muscle strength.
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Baseline and Week 12
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Misure di risultato secondarie
Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Change in Hand Grip Strength at Week 24
Lasso di tempo: Baseline and Week 24.
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Change from baseline in hand grip strength at Week 24.
Measurement is performed using a standardized JAMAR dynamometer with the dominant hand.
Higher values indicate better muscle strength.
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Baseline and Week 24.
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Change in Skeletal Muscle Mass
Lasso di tempo: Baseline, Week 12, and Week 24.
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Change from baseline in skeletal muscle mass measured by Bioelectrical Impedance Analysis (BIA).
This reflects structural changes in muscle quantity.
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Baseline, Week 12, and Week 24.
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Change in Calf Circumference
Lasso di tempo: Baseline, Week 12, and Week 24.
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Change from baseline in calf circumference measured at the widest part of the calf using a soft tape.
It serves as a proxy indicator for lower limb muscle mass.
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Baseline, Week 12, and Week 24.
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Change in Gait Speed
Lasso di tempo: Baseline, Week 12, and Week 24.
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Change from baseline in gait speed using the 6-meter gait speed test.
Participants walk at a normal pace, and the time taken is recorded to reflect functional mobility.
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Baseline, Week 12, and Week 24.
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Change in Timed Up and Go (TUG) Test Time
Lasso di tempo: Baseline, Week 12, and Week 24.
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Change from baseline in the time required to rise from a chair, walk 3 meters, turn, return, and sit down again.
This test evaluates dynamic balance and agility.
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Baseline, Week 12, and Week 24.
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Change in Five Times Sit-to-Stand (5xSTS) Test Time
Lasso di tempo: Baseline, Week 12, and Week 24.
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Change from baseline in the time taken to complete five consecutive sit-to-stand cycles as quickly as possible.
This reflects lower limb muscle power and endurance.
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Baseline, Week 12, and Week 24.
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Change in Fried Frailty Phenotype Status
Lasso di tempo: Baseline, Week 12, and Week 24.
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Change from baseline in frailty status categorized as Robust (0 criteria), Pre-frail (1-2 criteria), or Frail (3-5 criteria) based on 5 indicators: grip strength, walking speed, exhaustion, weight loss, and physical activity.
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Baseline, Week 12, and Week 24.
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Change in Clinical Frailty Scale (CFS) Score
Lasso di tempo: Baseline, Week 12, and Week 24.
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Change from baseline in the Clinical Frailty Scale score, which ranges from 1 (Very Fit) to 9 (Terminally Ill).
It provides a holistic clinical assessment of frailty level.
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Baseline, Week 12, and Week 24.
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Change in Bone Mineral Density (BMD)
Lasso di tempo: Baseline, Week 12, and Week 24.
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Change from baseline in bone mineral density measured by Dual-energy X-ray Absorptiometry (DXA, Lunar iDXA).
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Baseline, Week 12, and Week 24.
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Change in Body Fat Percentage
Lasso di tempo: Baseline, Week 12, and Week 24.
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Change from baseline in body fat percentage analyzed using DXA (Lunar iDXA).
This reflects changes in body composition related to metabolic health.
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Baseline, Week 12, and Week 24.
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Change in SF-12 Quality of Life Score
Lasso di tempo: Baseline, Week 12, and Week 24.
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Change from baseline in the 12-Item Short Form Health Survey (SF-12) scores.
Higher scores represent better health-related quality of life.
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Baseline, Week 12, and Week 24.
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Altre misure di risultato
Altre misure di risultato
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
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Incidence of Treatment-Emergent Adverse Events (Safety)
Lasso di tempo: Baseline up to Week 24.
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Number of participants with treatment-emergent adverse events (AEs) and serious adverse events (SAEs) .
AEs will be assessed for severity (mild, moderate, or severe) and their causal relationship to the study interventions (TCM formula or HMB supplement).
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Baseline up to Week 24.
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Number of Participants With Clinically Significant Laboratory Abnormalities
Lasso di tempo: Baseline up to Week 24
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Number of participants with laboratory values that are outside the reference range and judged by the investigator to be clinically significant.
Laboratory assessments include: Complete Blood Count (CBC); Liver function (ALT, AST, Albumin); Renal function (BUN, Creatinine, eGFR, Uric acid); Electrolytes (Na, K, Ca, Mg); Fasting blood glucose; and General Urinalysis (protein, glucose, urobilinogen, bilirubin, sediment, specific gravity, pH, occult blood) .
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Baseline up to Week 24
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Collaboratori e investigatori
Sponsor
Sponsor
Collaboratori
Collaboratori
Investigatori
Investigatori
- Investigatore principale: Jui-Shan Lin, MD, Tri-Service General Hospital
Pubblicazioni e link utili
Pubblicazioni generali
- Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, Seeman T, Tracy R, Kop WJ, Burke G, McBurnie MA; Cardiovascular Health Study Collaborative Research Group. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001 Mar;56(3):M146-56. doi: 10.1093/gerona/56.3.m146.
- Yoo JI, Choi H, Ha YC. Mean Hand Grip Strength and Cut-off Value for Sarcopenia in Korean Adults Using KNHANES VI. J Korean Med Sci. 2017 May;32(5):868-872. doi: 10.3346/jkms.2017.32.5.868.
- Soares LA, Lima LP, Prates ACN, Arrieiro AN, Da Costa Teixeira LA, Duarte TC, Dos Santos JM, da Silva Lage VK, de Paula FA, Costa HS, Figueiredo PHS, de Almeida VMTL, de Sara Abreu N, Costa SP, Brant FP, Lima RR, Thomasini RL, Pereira LSM, Pereira FSM, Parentoni AN, de Avelar NCP, Leopoldino AAO, Mendonca VA, Lacerda ACR. Accuracy of handgrip and respiratory muscle strength in identifying sarcopenia in older, community-dwelling, Brazilian women. Sci Rep. 2023 Jan 27;13(1):1553. doi: 10.1038/s41598-023-28549-5.
- Blanquet M, Ducher G, Sauvage A, Dadet S, Guiyedi V, Farigon N, Guiguet-Auclair C, Berland P, Bohatier J, Boirie Y, Gerbaud L. Handgrip strength as a valid practical tool to screen early-onset sarcopenia in acute care wards: a first evaluation. Eur J Clin Nutr. 2022 Jan;76(1):56-64. doi: 10.1038/s41430-021-00906-5. Epub 2021 Apr 13.
- Vaishya R, Misra A, Vaish A, Ursino N, D'Ambrosi R. Hand grip strength as a proposed new vital sign of health: a narrative review of evidences. J Health Popul Nutr. 2024 Jan 9;43(1):7. doi: 10.1186/s41043-024-00500-y.
- Dwimartutie N, Setiati S, Tamin TZ, Prijanti AR, Harahap AR, Purnamasari D, Harimurti K, Pramantara IDP, Suwarto S, Kojima T. Effect of cholecalciferol supplementation on hand grip strength, walking speed, and expression of vitamin D receptor, interleukin-6, and insulin-like growth factor-1 in monocyte in pre-frail older adults: A randomized double-blind placebo-controlled trial. Geriatr Gerontol Int. 2024 Jun;24(6):554-562. doi: 10.1111/ggi.14881. Epub 2024 Apr 21.
- Castell MV, Sanchez M, Julian R, Queipo R, Martin S, Otero A. Frailty prevalence and slow walking speed in persons age 65 and older: implications for primary care. BMC Fam Pract. 2013 Jun 19;14:86. doi: 10.1186/1471-2296-14-86.
- Nari F, Park EC, Nam CM, Jang SI. Impact of frailty on mortality and healthcare costs and utilization among older adults in South Korea. Sci Rep. 2023 Dec 1;13(1):21203. doi: 10.1038/s41598-023-48403-y.
- Alvarez-Bustos A, Rodriguez-Sanchez B, Carnicero-Carreno JA, Sepulveda-Loyola W, Garcia-Garcia FJ, Rodriguez-Manas L. Healthcare cost expenditures associated to frailty and sarcopenia. BMC Geriatr. 2022 Sep 13;22(1):747. doi: 10.1186/s12877-022-03439-z.
- Peng LN, Cheng YC, Yu PC, Lee WJ, Lin MH, Chen LK. Oral Nutritional Supplement with beta-hydroxy-beta-methylbutyrate (HMB) Improves Nutrition, Physical Performance and Ameliorates Intramuscular Adiposity in Pre-Frail Older Adults: A Randomized Controlled Trial. J Nutr Health Aging. 2021;25(6):767-773. doi: 10.1007/s12603-021-1621-7.
- Yang C, Song Y, Li T, Chen X, Zhou J, Pan Q, Jiang W, Wang M, Jia H. Effects of Beta-Hydroxy-Beta-Methylbutyrate Supplementation on Older Adults with Sarcopenia: A Randomized, Double-Blind, Placebo-Controlled Study. J Nutr Health Aging. 2023;27(5):329-339. doi: 10.1007/s12603-023-1911-1.
- Takayama S, Tomita N, Arita R, Ono R, Kikuchi A, Ishii T. Kampo Medicine for Various Aging-Related Symptoms: A Review of Geriatric Syndrome. Front Nutr. 2020 Jul 15;7:86. doi: 10.3389/fnut.2020.00086. eCollection 2020.
- Buto MSS, de Oliveira MPB, Carvalho C, Vassimon-Barroso V, Takahashi ACM. Effect of complementary therapies on functional capacity and quality of life among prefrail and frail older adults: A systematic review of randomized controlled trials. Arch Gerontol Geriatr. 2020 Nov/Dec;91:104236. doi: 10.1016/j.archger.2020.104236. Epub 2020 Aug 21.
- Yakabe M, Hosoi T, Sasakawa H, Akishita M, Ogawa S. Kampo formula hochu-ekki-to (Bu-Zhong-Yi-Qi-Tang, TJ-41) ameliorates muscle atrophy by modulating atrogenes and AMPK in vivo and in vitro. BMC Complement Med Ther. 2022 Dec 28;22(1):341. doi: 10.1186/s12906-022-03812-w.
- Schonenberg A, Heimrich KG, Sternkopf A, Lochbihler P, Prell T. Patient-reported geriatric syndromes and their association with quality of life: findings from a cross-sectional study in German older adults. Eur Geriatr Med. 2026 Apr;17(2):721-733. doi: 10.1007/s41999-025-01332-7. Epub 2025 Oct 16.
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Inizio studio
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Completamento primario
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Date di iscrizione allo studio
Primo inviato
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Effettivo)
Primo Inserito
Aggiornamenti dei record di studio
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Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
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Maggiori informazioni
Termini relativi a questo studio
Parole chiave
Termini MeSH pertinenti aggiuntivi
- Manifestazioni neurologiche
- Malattie ossee
- Malattie muscoloscheletriche
- Malattie del sistema nervoso
- Manifestazioni neuromuscolari
- Condizioni patologiche, anatomiche
- Malattie metaboliche
- Malattie ossee, metaboliche
- Atrofia
- Condizioni patologiche, segni e sintomi
- Malattie nutrizionali e metaboliche
- Segni e sintomi
- Osteoporosi
- Sarcopenia
- Atrofia muscolare
- Astenia
- acido beta-idrossiisovalerico
Altri numeri di identificazione dello studio
Altri numeri di identificazione dello studio
- MBS-101
- 115-1-N001 (Altro numero di sovvenzione/finanziamento: NRICM, MOHW)
Piano per i dati dei singoli partecipanti (IPD)
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Descrizione del piano IPD
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