Trial Outcomes & Findings for Functional Exercise and Nutrition Education Program for Older Adults (NCT NCT04037436)
NCT ID: NCT04037436
Last Updated: 2025-04-13
Results Overview
Definition: Number recruited at end of rollout. The criterion for success is to recruit 10 participants at each of 4 sites.
Recruitment status
COMPLETED
Study phase
NA
Target enrollment
44 participants
Primary outcome timeframe
2 month (September to October 2019)
Results posted on
2025-04-13
Participant Flow
Within one-week of randomization but prior to the start of the intervention, five individuals dropped out.
Participant milestones
| Measure |
Arbour Trails
At regular intervals (the "steps") one cluster (i.e., one site) is randomised to cross from the control to the intervention under evaluation. This process continues until all clusters have crossed over to be exposed to the intervention. At the end of the study there will be a period when all clusters are exposed. Four sites are cluster-randomized to implement MoveSTroNg at one of four start times, each three weeks apart.
Strength and Balance Training \& Nutrition Education: Exercise:A kinesiologist-led twice-weekly program. Prior to attending the program, each attendee gets a 1:1 session with the kinesiologist to decide exercise starting levels. Group exercises start with a warm-up stepping game. Participants then perform 2 sets of 8 repetitions of each exercise, gradually progressing to an intensity of 3-8 repetitions maximum. Exercises include one each of a push, pull, squat, reach/press, lunge/step-up, lift and carry movement. After, there is a 10-minute group discussion to prompt making exercise routine at home. Nutrition:Two dietitian-led interactive group seminars to promote strategies to increase protein intake and sampling of protein-rich snacks and protein supplements. Seminar topics consider the cost to prepare high protein foods, the ability of retirement home residents to alter diet, how and why to spread protein intake through the day, how much protein is in their usual choices, and easy-to-consume protein-rich snacks.
|
Kinnect to Wellness
At regular intervals (the "steps") one cluster (i.e., one site) is randomised to cross from the control to the intervention under evaluation. This process continues until all clusters have crossed over to be exposed to the intervention. At the end of the study there will be a period when all clusters are exposed. Four sites are cluster-randomized to implement MoveSTroNg at one of four start times, each three weeks apart.
Strength and Balance Training \& Nutrition Education: Exercise:A kinesiologist-led twice-weekly program. Prior to attending the program, each attendee gets a 1:1 session with the kinesiologist to decide exercise starting levels. Group exercises start with a warm-up stepping game. Participants then perform 2 sets of 8 repetitions of each exercise, gradually progressing to an intensity of 3-8 repetitions maximum. Exercises include one each of a push, pull, squat, reach/press, lunge/step-up, lift and carry movement. After, there is a 10-minute group discussion to prompt making exercise routine at home. Nutrition:Two dietitian-led interactive group seminars to promote strategies to increase protein intake and sampling of protein-rich snacks and protein supplements. Seminar topics consider the cost to prepare high protein foods, the ability of retirement home residents to alter diet, how and why to spread protein intake through the day, how much protein is in their usual choices, and easy-to-consume protein-rich snacks.
|
Winston Park
At regular intervals (the "steps") one cluster (i.e., one site) is randomised to cross from the control to the intervention under evaluation. This process continues until all clusters have crossed over to be exposed to the intervention. At the end of the study there will be a period when all clusters are exposed. Four sites are cluster-randomized to implement MoveSTroNg at one of four start times, each three weeks apart.
Strength and Balance Training \& Nutrition Education: Exercise:A kinesiologist-led twice-weekly program. Prior to attending the program, each attendee gets a 1:1 session with the kinesiologist to decide exercise starting levels. Group exercises start with a warm-up stepping game. Participants then perform 2 sets of 8 repetitions of each exercise, gradually progressing to an intensity of 3-8 repetitions maximum. Exercises include one each of a push, pull, squat, reach/press, lunge/step-up, lift and carry movement. After, there is a 10-minute group discussion to prompt making exercise routine at home. Nutrition:Two dietitian-led interactive group seminars to promote strategies to increase protein intake and sampling of protein-rich snacks and protein supplements. Seminar topics consider the cost to prepare high protein foods, the ability of retirement home residents to alter diet, how and why to spread protein intake through the day, how much protein is in their usual choices, and easy-to-consume protein-rich snacks.
|
YMCAs
At regular intervals (the "steps") one cluster (i.e., one site) is randomised to cross from the control to the intervention under evaluation. This process continues until all clusters have crossed over to be exposed to the intervention. At the end of the study there will be a period when all clusters are exposed. Four sites are cluster-randomized to implement MoveSTroNg at one of four start times, each three weeks apart.
Strength and Balance Training \& Nutrition Education: Exercise:A kinesiologist-led twice-weekly program. Prior to attending the program, each attendee gets a 1:1 session with the kinesiologist to decide exercise starting levels. Group exercises start with a warm-up stepping game. Participants then perform 2 sets of 8 repetitions of each exercise, gradually progressing to an intensity of 3-8 repetitions maximum. Exercises include one each of a push, pull, squat, reach/press, lunge/step-up, lift and carry movement. After, there is a 10-minute group discussion to prompt making exercise routine at home. Nutrition:Two dietitian-led interactive group seminars to promote strategies to increase protein intake and sampling of protein-rich snacks and protein supplements. Seminar topics consider the cost to prepare high protein foods, the ability of retirement home residents to alter diet, how and why to spread protein intake through the day, how much protein is in their usual choices, and easy-to-consume protein-rich snacks.
|
|---|---|---|---|---|
|
Overall Study
STARTED
|
9
|
15
|
9
|
11
|
|
Overall Study
COMPLETED
|
6
|
8
|
7
|
9
|
|
Overall Study
NOT COMPLETED
|
3
|
7
|
2
|
2
|
Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
We had 44 participants total across four sites.
Baseline characteristics by cohort
| Measure |
Intervention
n=44 Participants
At regular intervals (the "steps") one cluster (i.e., one site) is randomised to cross from the control to the intervention under evaluation. This process continues until all clusters have crossed over to be exposed to the intervention. At the end of the study there will be a period when all clusters are exposed. Four sites are cluster-randomized to implement MoveSTroNg at one of four start times, each three weeks apart.
Strength and Balance Training \& Nutrition Education: Exercise:A kinesiologist-led twice-weekly program. Prior to attending the program, each attendee gets a 1:1 session with the kinesiologist to decide exercise starting levels. Group exercises start with a warm-up stepping game. Participants then perform 2 sets of 8 repetitions of each exercise, gradually progressing to an intensity of 3-8 repetitions maximum. Exercises include one each of a push, pull, squat, reach/press, lunge/step-up, lift and carry movement. After, there is a 10-minute group discussion to prompt making exercise routine at home. Nutrition:Two dietitian-led interactive group seminars to promote strategies to increase protein intake and sampling of protein-rich snacks and protein supplements. Seminar topics consider the cost to prepare high protein foods, the ability of retirement home residents to alter diet, how and why to spread protein intake through the day, how much protein is in their usual choices, and easy-to-consume protein-rich snacks.
|
|---|---|
|
Age, Categorical
Arbour Trails (n = 9) · <=18 years
|
0 Participants
n=9 Participants • We had 44 participants total across four sites.
|
|
Age, Categorical
Arbour Trails (n = 9) · Between 18 and 65 years
|
1 Participants
n=9 Participants • We had 44 participants total across four sites.
|
|
Age, Categorical
Arbour Trails (n = 9) · >=65 years
|
8 Participants
n=9 Participants • We had 44 participants total across four sites.
|
|
Age, Categorical
Kinnect to Wellness (n = 15) · <=18 years
|
0 Participants
n=15 Participants • We had 44 participants total across four sites.
|
|
Age, Categorical
Kinnect to Wellness (n = 15) · Between 18 and 65 years
|
0 Participants
n=15 Participants • We had 44 participants total across four sites.
|
|
Age, Categorical
Kinnect to Wellness (n = 15) · >=65 years
|
15 Participants
n=15 Participants • We had 44 participants total across four sites.
|
|
Age, Categorical
Village of Winston Park (n = 9) · <=18 years
|
0 Participants
n=9 Participants • We had 44 participants total across four sites.
|
|
Age, Categorical
Village of Winston Park (n = 9) · Between 18 and 65 years
|
0 Participants
n=9 Participants • We had 44 participants total across four sites.
|
|
Age, Categorical
Village of Winston Park (n = 9) · >=65 years
|
9 Participants
n=9 Participants • We had 44 participants total across four sites.
|
|
Age, Categorical
YMCA (n = 11) · <=18 years
|
0 Participants
n=11 Participants • We had 44 participants total across four sites.
|
|
Age, Categorical
YMCA (n = 11) · Between 18 and 65 years
|
1 Participants
n=11 Participants • We had 44 participants total across four sites.
|
|
Age, Categorical
YMCA (n = 11) · >=65 years
|
10 Participants
n=11 Participants • We had 44 participants total across four sites.
|
|
Age, Continuous
Arbour Trails
|
78 years
n=9 Participants • Measure Analysis Population Description: We had different numbers of participants at each site, and 44 participants total across four sites.
|
|
Age, Continuous
Kinnect to Wellness
|
81 years
n=15 Participants • Measure Analysis Population Description: We had different numbers of participants at each site, and 44 participants total across four sites.
|
|
Age, Continuous
Village of Winston Park
|
84 years
n=9 Participants • Measure Analysis Population Description: We had different numbers of participants at each site, and 44 participants total across four sites.
|
|
Age, Continuous
YMCA
|
72 years
n=11 Participants • Measure Analysis Population Description: We had different numbers of participants at each site, and 44 participants total across four sites.
|
|
Sex: Female, Male
Arbour Trails · Female
|
7 Participants
n=9 Participants • We had 44 participants total across four sites.
|
|
Sex: Female, Male
Arbour Trails · Male
|
2 Participants
n=9 Participants • We had 44 participants total across four sites.
|
|
Sex: Female, Male
Kinnect to Wellness · Female
|
10 Participants
n=15 Participants • We had 44 participants total across four sites.
|
|
Sex: Female, Male
Kinnect to Wellness · Male
|
5 Participants
n=15 Participants • We had 44 participants total across four sites.
|
|
Sex: Female, Male
Village of Winston Park · Female
|
7 Participants
n=9 Participants • We had 44 participants total across four sites.
|
|
Sex: Female, Male
Village of Winston Park · Male
|
2 Participants
n=9 Participants • We had 44 participants total across four sites.
|
|
Sex: Female, Male
YMCA · Female
|
10 Participants
n=11 Participants • We had 44 participants total across four sites.
|
|
Sex: Female, Male
YMCA · Male
|
1 Participants
n=11 Participants • We had 44 participants total across four sites.
|
|
Ethnicity (NIH/OMB)
Arbour Trail · Hispanic or Latino
|
0 Participants
n=9 Participants • We had 44 participants total across four sites.
|
|
Ethnicity (NIH/OMB)
Arbour Trail · Not Hispanic or Latino
|
9 Participants
n=9 Participants • We had 44 participants total across four sites.
|
|
Ethnicity (NIH/OMB)
Arbour Trail · Unknown or Not Reported
|
0 Participants
n=9 Participants • We had 44 participants total across four sites.
|
|
Ethnicity (NIH/OMB)
Kinnect to Wellness · Hispanic or Latino
|
0 Participants
n=15 Participants • We had 44 participants total across four sites.
|
|
Ethnicity (NIH/OMB)
Kinnect to Wellness · Not Hispanic or Latino
|
15 Participants
n=15 Participants • We had 44 participants total across four sites.
|
|
Ethnicity (NIH/OMB)
Kinnect to Wellness · Unknown or Not Reported
|
0 Participants
n=15 Participants • We had 44 participants total across four sites.
|
|
Ethnicity (NIH/OMB)
Village of Winston Park · Hispanic or Latino
|
0 Participants
n=9 Participants • We had 44 participants total across four sites.
|
|
Ethnicity (NIH/OMB)
Village of Winston Park · Not Hispanic or Latino
|
9 Participants
n=9 Participants • We had 44 participants total across four sites.
|
|
Ethnicity (NIH/OMB)
Village of Winston Park · Unknown or Not Reported
|
0 Participants
n=9 Participants • We had 44 participants total across four sites.
|
|
Ethnicity (NIH/OMB)
YMCA · Hispanic or Latino
|
0 Participants
n=11 Participants • We had 44 participants total across four sites.
|
|
Ethnicity (NIH/OMB)
YMCA · Not Hispanic or Latino
|
11 Participants
n=11 Participants • We had 44 participants total across four sites.
|
|
Ethnicity (NIH/OMB)
YMCA · Unknown or Not Reported
|
0 Participants
n=11 Participants • We had 44 participants total across four sites.
|
PRIMARY outcome
Timeframe: 2 month (September to October 2019)Population: Five individuals withdrew a few days after randomization, and, since the program had not started, we recruited an additional four participants.
Definition: Number recruited at end of rollout. The criterion for success is to recruit 10 participants at each of 4 sites.
Outcome measures
| Measure |
Arbour Trails
n=9 Participants
Retirement/assisted living home and independent living, Guelph, site 1
Strength and Balance Training \& Nutrition Education: Exercise:A kinesiologist-led twice-weekly program. Prior to attending the program, each attendee gets a 1:1 session with the kinesiologist to decide exercise starting levels. Group exercises start with a warm-up stepping game. Participants then perform 2 sets of 8 repetitions of each exercise, gradually progressing to an intensity of 3-8 repetitions maximum. Exercises include one each of a push, pull, squat, reach/press, lunge/step-up, lift and carry movement. After, there is a 10-minute group discussion to prompt making exercise routine at home. Nutrition:Two dietitian-led interactive group seminars to promote strategies to increase protein intake and sampling of protein-rich snacks and protein supplements. Seminar topics consider the cost to prepare high protein foods, the ability of retirement home residents to alter diet, how and why to spread protein intake through the day, how much protein is in their usual choices, and easy-to-consume protein-rich snacks.
|
City of Lakes Family Health Team
n=15 Participants
Sudbury, site 2 Strength and Balance Training \& Nutrition Education: Exercise:A kinesiologist-led twice-weekly program. Prior to attending the program, each attendee gets a 1:1 session with the kinesiologist to decide exercise starting levels. Group exercises start with a warm-up stepping game. Participants then perform 2 sets of 8 repetitions of each exercise, gradually progressing to an intensity of 3-8 repetitions maximum. Exercises include one each of a push, pull, squat, reach/press, lunge/step-up, lift and carry movement. After, there is a 10-minute group discussion to prompt making exercise routine at home. Nutrition:Two dietitian-led interactive group seminars to promote strategies to increase protein intake and sampling of protein-rich snacks and protein supplements. Seminar topics consider the cost to prepare high protein foods, the ability of retirement home residents to alter diet, how and why to spread protein intake through the day, how much protein is in their usual choices, and easy-to-consume protein-rich snacks.
|
Village of Winston Park
n=9 Participants
Retirement/assisted living home and independent living, Kitchener, site 3
Strength and Balance Training \& Nutrition Education: Exercise:A kinesiologist-led twice-weekly program. Prior to attending the program, each attendee gets a 1:1 session with the kinesiologist to decide exercise starting levels. Group exercises start with a warm-up stepping game. Participants then perform 2 sets of 8 repetitions of each exercise, gradually progressing to an intensity of 3-8 repetitions maximum. Exercises include one each of a push, pull, squat, reach/press, lunge/step-up, lift and carry movement. After, there is a 10-minute group discussion to prompt making exercise routine at home. Nutrition:Two dietitian-led interactive group seminars to promote strategies to increase protein intake and sampling of protein-rich snacks and protein supplements. Seminar topics consider the cost to prepare high protein foods, the ability of retirement home residents to alter diet, how and why to spread protein intake through the day, how much protein is in their usual choices, and easy-to-consume protein-rich snacks.
|
YMCA's
n=11 Participants
YMCA's of Cambridge and Kitchener-Waterloo, site 4
Strength and Balance Training \& Nutrition Education: Exercise:A kinesiologist-led twice-weekly program. Prior to attending the program, each attendee gets a 1:1 session with the kinesiologist to decide exercise starting levels. Group exercises start with a warm-up stepping game. Participants then perform 2 sets of 8 repetitions of each exercise, gradually progressing to an intensity of 3-8 repetitions maximum. Exercises include one each of a push, pull, squat, reach/press, lunge/step-up, lift and carry movement. After, there is a 10-minute group discussion to prompt making exercise routine at home. Nutrition:Two dietitian-led interactive group seminars to promote strategies to increase protein intake and sampling of protein-rich snacks and protein supplements. Seminar topics consider the cost to prepare high protein foods, the ability of retirement home residents to alter diet, how and why to spread protein intake through the day, how much protein is in their usual choices, and easy-to-consume protein-rich snacks.
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|---|---|---|---|---|
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Feasibility - Recruitment
|
9 # of participants @ start of study
|
15 # of participants @ start of study
|
9 # of participants @ start of study
|
11 # of participants @ start of study
|
PRIMARY outcome
Timeframe: Start of the program to 9 weeksDefinition: Number retrained at post-rollout end. The criterion for success is 90% at rollout end.
Outcome measures
| Measure |
Arbour Trails
n=9 Participants
Retirement/assisted living home and independent living, Guelph, site 1
Strength and Balance Training \& Nutrition Education: Exercise:A kinesiologist-led twice-weekly program. Prior to attending the program, each attendee gets a 1:1 session with the kinesiologist to decide exercise starting levels. Group exercises start with a warm-up stepping game. Participants then perform 2 sets of 8 repetitions of each exercise, gradually progressing to an intensity of 3-8 repetitions maximum. Exercises include one each of a push, pull, squat, reach/press, lunge/step-up, lift and carry movement. After, there is a 10-minute group discussion to prompt making exercise routine at home. Nutrition:Two dietitian-led interactive group seminars to promote strategies to increase protein intake and sampling of protein-rich snacks and protein supplements. Seminar topics consider the cost to prepare high protein foods, the ability of retirement home residents to alter diet, how and why to spread protein intake through the day, how much protein is in their usual choices, and easy-to-consume protein-rich snacks.
|
City of Lakes Family Health Team
n=15 Participants
Sudbury, site 2 Strength and Balance Training \& Nutrition Education: Exercise:A kinesiologist-led twice-weekly program. Prior to attending the program, each attendee gets a 1:1 session with the kinesiologist to decide exercise starting levels. Group exercises start with a warm-up stepping game. Participants then perform 2 sets of 8 repetitions of each exercise, gradually progressing to an intensity of 3-8 repetitions maximum. Exercises include one each of a push, pull, squat, reach/press, lunge/step-up, lift and carry movement. After, there is a 10-minute group discussion to prompt making exercise routine at home. Nutrition:Two dietitian-led interactive group seminars to promote strategies to increase protein intake and sampling of protein-rich snacks and protein supplements. Seminar topics consider the cost to prepare high protein foods, the ability of retirement home residents to alter diet, how and why to spread protein intake through the day, how much protein is in their usual choices, and easy-to-consume protein-rich snacks.
|
Village of Winston Park
n=9 Participants
Retirement/assisted living home and independent living, Kitchener, site 3
Strength and Balance Training \& Nutrition Education: Exercise:A kinesiologist-led twice-weekly program. Prior to attending the program, each attendee gets a 1:1 session with the kinesiologist to decide exercise starting levels. Group exercises start with a warm-up stepping game. Participants then perform 2 sets of 8 repetitions of each exercise, gradually progressing to an intensity of 3-8 repetitions maximum. Exercises include one each of a push, pull, squat, reach/press, lunge/step-up, lift and carry movement. After, there is a 10-minute group discussion to prompt making exercise routine at home. Nutrition:Two dietitian-led interactive group seminars to promote strategies to increase protein intake and sampling of protein-rich snacks and protein supplements. Seminar topics consider the cost to prepare high protein foods, the ability of retirement home residents to alter diet, how and why to spread protein intake through the day, how much protein is in their usual choices, and easy-to-consume protein-rich snacks.
|
YMCA's
n=11 Participants
YMCA's of Cambridge and Kitchener-Waterloo, site 4
Strength and Balance Training \& Nutrition Education: Exercise:A kinesiologist-led twice-weekly program. Prior to attending the program, each attendee gets a 1:1 session with the kinesiologist to decide exercise starting levels. Group exercises start with a warm-up stepping game. Participants then perform 2 sets of 8 repetitions of each exercise, gradually progressing to an intensity of 3-8 repetitions maximum. Exercises include one each of a push, pull, squat, reach/press, lunge/step-up, lift and carry movement. After, there is a 10-minute group discussion to prompt making exercise routine at home. Nutrition:Two dietitian-led interactive group seminars to promote strategies to increase protein intake and sampling of protein-rich snacks and protein supplements. Seminar topics consider the cost to prepare high protein foods, the ability of retirement home residents to alter diet, how and why to spread protein intake through the day, how much protein is in their usual choices, and easy-to-consume protein-rich snacks.
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|---|---|---|---|---|
|
Feasibility - Retention
|
6 # of participants that completed study
|
8 # of participants that completed study
|
8 # of participants that completed study
|
9 # of participants that completed study
|
PRIMARY outcome
Timeframe: 16 sessionsDefinition: Percentage of individuals that attended exercise and nutrition sessions. The criterion for success is 70% or higher.
Outcome measures
| Measure |
Arbour Trails
n=8 Participants
Retirement/assisted living home and independent living, Guelph, site 1
Strength and Balance Training \& Nutrition Education: Exercise:A kinesiologist-led twice-weekly program. Prior to attending the program, each attendee gets a 1:1 session with the kinesiologist to decide exercise starting levels. Group exercises start with a warm-up stepping game. Participants then perform 2 sets of 8 repetitions of each exercise, gradually progressing to an intensity of 3-8 repetitions maximum. Exercises include one each of a push, pull, squat, reach/press, lunge/step-up, lift and carry movement. After, there is a 10-minute group discussion to prompt making exercise routine at home. Nutrition:Two dietitian-led interactive group seminars to promote strategies to increase protein intake and sampling of protein-rich snacks and protein supplements. Seminar topics consider the cost to prepare high protein foods, the ability of retirement home residents to alter diet, how and why to spread protein intake through the day, how much protein is in their usual choices, and easy-to-consume protein-rich snacks.
|
City of Lakes Family Health Team
n=12 Participants
Sudbury, site 2 Strength and Balance Training \& Nutrition Education: Exercise:A kinesiologist-led twice-weekly program. Prior to attending the program, each attendee gets a 1:1 session with the kinesiologist to decide exercise starting levels. Group exercises start with a warm-up stepping game. Participants then perform 2 sets of 8 repetitions of each exercise, gradually progressing to an intensity of 3-8 repetitions maximum. Exercises include one each of a push, pull, squat, reach/press, lunge/step-up, lift and carry movement. After, there is a 10-minute group discussion to prompt making exercise routine at home. Nutrition:Two dietitian-led interactive group seminars to promote strategies to increase protein intake and sampling of protein-rich snacks and protein supplements. Seminar topics consider the cost to prepare high protein foods, the ability of retirement home residents to alter diet, how and why to spread protein intake through the day, how much protein is in their usual choices, and easy-to-consume protein-rich snacks.
|
Village of Winston Park
n=8 Participants
Retirement/assisted living home and independent living, Kitchener, site 3
Strength and Balance Training \& Nutrition Education: Exercise:A kinesiologist-led twice-weekly program. Prior to attending the program, each attendee gets a 1:1 session with the kinesiologist to decide exercise starting levels. Group exercises start with a warm-up stepping game. Participants then perform 2 sets of 8 repetitions of each exercise, gradually progressing to an intensity of 3-8 repetitions maximum. Exercises include one each of a push, pull, squat, reach/press, lunge/step-up, lift and carry movement. After, there is a 10-minute group discussion to prompt making exercise routine at home. Nutrition:Two dietitian-led interactive group seminars to promote strategies to increase protein intake and sampling of protein-rich snacks and protein supplements. Seminar topics consider the cost to prepare high protein foods, the ability of retirement home residents to alter diet, how and why to spread protein intake through the day, how much protein is in their usual choices, and easy-to-consume protein-rich snacks.
|
YMCA's
n=11 Participants
YMCA's of Cambridge and Kitchener-Waterloo, site 4
Strength and Balance Training \& Nutrition Education: Exercise:A kinesiologist-led twice-weekly program. Prior to attending the program, each attendee gets a 1:1 session with the kinesiologist to decide exercise starting levels. Group exercises start with a warm-up stepping game. Participants then perform 2 sets of 8 repetitions of each exercise, gradually progressing to an intensity of 3-8 repetitions maximum. Exercises include one each of a push, pull, squat, reach/press, lunge/step-up, lift and carry movement. After, there is a 10-minute group discussion to prompt making exercise routine at home. Nutrition:Two dietitian-led interactive group seminars to promote strategies to increase protein intake and sampling of protein-rich snacks and protein supplements. Seminar topics consider the cost to prepare high protein foods, the ability of retirement home residents to alter diet, how and why to spread protein intake through the day, how much protein is in their usual choices, and easy-to-consume protein-rich snacks.
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|---|---|---|---|---|
|
Feasibility - Adherence
|
73 % of exercise sessions completed
Interval 62.7 to 81.6
|
66 % of exercise sessions completed
Interval 45.5 to 77.5
|
73 % of exercise sessions completed
Interval 61.5 to 82.5
|
77 % of exercise sessions completed
Interval 72.0 to 84.5
|
SECONDARY outcome
Timeframe: BaselinePopulation: We used a standard scale to weight each participant in Kg
We will measure body weight with a calibrated scale.
Outcome measures
| Measure |
Arbour Trails
n=9 Participants
Retirement/assisted living home and independent living, Guelph, site 1
Strength and Balance Training \& Nutrition Education: Exercise:A kinesiologist-led twice-weekly program. Prior to attending the program, each attendee gets a 1:1 session with the kinesiologist to decide exercise starting levels. Group exercises start with a warm-up stepping game. Participants then perform 2 sets of 8 repetitions of each exercise, gradually progressing to an intensity of 3-8 repetitions maximum. Exercises include one each of a push, pull, squat, reach/press, lunge/step-up, lift and carry movement. After, there is a 10-minute group discussion to prompt making exercise routine at home. Nutrition:Two dietitian-led interactive group seminars to promote strategies to increase protein intake and sampling of protein-rich snacks and protein supplements. Seminar topics consider the cost to prepare high protein foods, the ability of retirement home residents to alter diet, how and why to spread protein intake through the day, how much protein is in their usual choices, and easy-to-consume protein-rich snacks.
|
City of Lakes Family Health Team
n=15 Participants
Sudbury, site 2 Strength and Balance Training \& Nutrition Education: Exercise:A kinesiologist-led twice-weekly program. Prior to attending the program, each attendee gets a 1:1 session with the kinesiologist to decide exercise starting levels. Group exercises start with a warm-up stepping game. Participants then perform 2 sets of 8 repetitions of each exercise, gradually progressing to an intensity of 3-8 repetitions maximum. Exercises include one each of a push, pull, squat, reach/press, lunge/step-up, lift and carry movement. After, there is a 10-minute group discussion to prompt making exercise routine at home. Nutrition:Two dietitian-led interactive group seminars to promote strategies to increase protein intake and sampling of protein-rich snacks and protein supplements. Seminar topics consider the cost to prepare high protein foods, the ability of retirement home residents to alter diet, how and why to spread protein intake through the day, how much protein is in their usual choices, and easy-to-consume protein-rich snacks.
|
Village of Winston Park
n=8 Participants
Retirement/assisted living home and independent living, Kitchener, site 3
Strength and Balance Training \& Nutrition Education: Exercise:A kinesiologist-led twice-weekly program. Prior to attending the program, each attendee gets a 1:1 session with the kinesiologist to decide exercise starting levels. Group exercises start with a warm-up stepping game. Participants then perform 2 sets of 8 repetitions of each exercise, gradually progressing to an intensity of 3-8 repetitions maximum. Exercises include one each of a push, pull, squat, reach/press, lunge/step-up, lift and carry movement. After, there is a 10-minute group discussion to prompt making exercise routine at home. Nutrition:Two dietitian-led interactive group seminars to promote strategies to increase protein intake and sampling of protein-rich snacks and protein supplements. Seminar topics consider the cost to prepare high protein foods, the ability of retirement home residents to alter diet, how and why to spread protein intake through the day, how much protein is in their usual choices, and easy-to-consume protein-rich snacks.
|
YMCA's
n=11 Participants
YMCA's of Cambridge and Kitchener-Waterloo, site 4
Strength and Balance Training \& Nutrition Education: Exercise:A kinesiologist-led twice-weekly program. Prior to attending the program, each attendee gets a 1:1 session with the kinesiologist to decide exercise starting levels. Group exercises start with a warm-up stepping game. Participants then perform 2 sets of 8 repetitions of each exercise, gradually progressing to an intensity of 3-8 repetitions maximum. Exercises include one each of a push, pull, squat, reach/press, lunge/step-up, lift and carry movement. After, there is a 10-minute group discussion to prompt making exercise routine at home. Nutrition:Two dietitian-led interactive group seminars to promote strategies to increase protein intake and sampling of protein-rich snacks and protein supplements. Seminar topics consider the cost to prepare high protein foods, the ability of retirement home residents to alter diet, how and why to spread protein intake through the day, how much protein is in their usual choices, and easy-to-consume protein-rich snacks.
|
|---|---|---|---|---|
|
Body Weight
|
63.96 Baseline body weight in Kg
Standard Deviation 12.27
|
77.09 Baseline body weight in Kg
Standard Deviation 10.39
|
64.76 Baseline body weight in Kg
Standard Deviation 7.63
|
66.66 Baseline body weight in Kg
Standard Deviation 12.80
|
SECONDARY outcome
Timeframe: Mean change from follow up (study visit 4) and baselinePopulation: 10-meter walk test protocol. (m/s)
Fried Frailty Index Components: walking speed via the 10-meter walk test protocol.
Outcome measures
| Measure |
Arbour Trails
n=9 Participants
Retirement/assisted living home and independent living, Guelph, site 1
Strength and Balance Training \& Nutrition Education: Exercise:A kinesiologist-led twice-weekly program. Prior to attending the program, each attendee gets a 1:1 session with the kinesiologist to decide exercise starting levels. Group exercises start with a warm-up stepping game. Participants then perform 2 sets of 8 repetitions of each exercise, gradually progressing to an intensity of 3-8 repetitions maximum. Exercises include one each of a push, pull, squat, reach/press, lunge/step-up, lift and carry movement. After, there is a 10-minute group discussion to prompt making exercise routine at home. Nutrition:Two dietitian-led interactive group seminars to promote strategies to increase protein intake and sampling of protein-rich snacks and protein supplements. Seminar topics consider the cost to prepare high protein foods, the ability of retirement home residents to alter diet, how and why to spread protein intake through the day, how much protein is in their usual choices, and easy-to-consume protein-rich snacks.
|
City of Lakes Family Health Team
n=15 Participants
Sudbury, site 2 Strength and Balance Training \& Nutrition Education: Exercise:A kinesiologist-led twice-weekly program. Prior to attending the program, each attendee gets a 1:1 session with the kinesiologist to decide exercise starting levels. Group exercises start with a warm-up stepping game. Participants then perform 2 sets of 8 repetitions of each exercise, gradually progressing to an intensity of 3-8 repetitions maximum. Exercises include one each of a push, pull, squat, reach/press, lunge/step-up, lift and carry movement. After, there is a 10-minute group discussion to prompt making exercise routine at home. Nutrition:Two dietitian-led interactive group seminars to promote strategies to increase protein intake and sampling of protein-rich snacks and protein supplements. Seminar topics consider the cost to prepare high protein foods, the ability of retirement home residents to alter diet, how and why to spread protein intake through the day, how much protein is in their usual choices, and easy-to-consume protein-rich snacks.
|
Village of Winston Park
n=9 Participants
Retirement/assisted living home and independent living, Kitchener, site 3
Strength and Balance Training \& Nutrition Education: Exercise:A kinesiologist-led twice-weekly program. Prior to attending the program, each attendee gets a 1:1 session with the kinesiologist to decide exercise starting levels. Group exercises start with a warm-up stepping game. Participants then perform 2 sets of 8 repetitions of each exercise, gradually progressing to an intensity of 3-8 repetitions maximum. Exercises include one each of a push, pull, squat, reach/press, lunge/step-up, lift and carry movement. After, there is a 10-minute group discussion to prompt making exercise routine at home. Nutrition:Two dietitian-led interactive group seminars to promote strategies to increase protein intake and sampling of protein-rich snacks and protein supplements. Seminar topics consider the cost to prepare high protein foods, the ability of retirement home residents to alter diet, how and why to spread protein intake through the day, how much protein is in their usual choices, and easy-to-consume protein-rich snacks.
|
YMCA's
n=11 Participants
YMCA's of Cambridge and Kitchener-Waterloo, site 4
Strength and Balance Training \& Nutrition Education: Exercise:A kinesiologist-led twice-weekly program. Prior to attending the program, each attendee gets a 1:1 session with the kinesiologist to decide exercise starting levels. Group exercises start with a warm-up stepping game. Participants then perform 2 sets of 8 repetitions of each exercise, gradually progressing to an intensity of 3-8 repetitions maximum. Exercises include one each of a push, pull, squat, reach/press, lunge/step-up, lift and carry movement. After, there is a 10-minute group discussion to prompt making exercise routine at home. Nutrition:Two dietitian-led interactive group seminars to promote strategies to increase protein intake and sampling of protein-rich snacks and protein supplements. Seminar topics consider the cost to prepare high protein foods, the ability of retirement home residents to alter diet, how and why to spread protein intake through the day, how much protein is in their usual choices, and easy-to-consume protein-rich snacks.
|
|---|---|---|---|---|
|
10 Meter Walk Test
|
0.08 Change in gait speed (meters/second)
Standard Deviation 0.17
|
0.16 Change in gait speed (meters/second)
Standard Deviation 0.24
|
0.31 Change in gait speed (meters/second)
Standard Deviation 0.36
|
0.16 Change in gait speed (meters/second)
Standard Deviation 0.23
|
SECONDARY outcome
Timeframe: Mean change from follow up (study visit 4) and baselinePopulation: Grip strength in Kg
Fried Frailty Index Components: weakness via the Jamar hand-held dynamometer
Outcome measures
| Measure |
Arbour Trails
n=9 Participants
Retirement/assisted living home and independent living, Guelph, site 1
Strength and Balance Training \& Nutrition Education: Exercise:A kinesiologist-led twice-weekly program. Prior to attending the program, each attendee gets a 1:1 session with the kinesiologist to decide exercise starting levels. Group exercises start with a warm-up stepping game. Participants then perform 2 sets of 8 repetitions of each exercise, gradually progressing to an intensity of 3-8 repetitions maximum. Exercises include one each of a push, pull, squat, reach/press, lunge/step-up, lift and carry movement. After, there is a 10-minute group discussion to prompt making exercise routine at home. Nutrition:Two dietitian-led interactive group seminars to promote strategies to increase protein intake and sampling of protein-rich snacks and protein supplements. Seminar topics consider the cost to prepare high protein foods, the ability of retirement home residents to alter diet, how and why to spread protein intake through the day, how much protein is in their usual choices, and easy-to-consume protein-rich snacks.
|
City of Lakes Family Health Team
n=12 Participants
Sudbury, site 2 Strength and Balance Training \& Nutrition Education: Exercise:A kinesiologist-led twice-weekly program. Prior to attending the program, each attendee gets a 1:1 session with the kinesiologist to decide exercise starting levels. Group exercises start with a warm-up stepping game. Participants then perform 2 sets of 8 repetitions of each exercise, gradually progressing to an intensity of 3-8 repetitions maximum. Exercises include one each of a push, pull, squat, reach/press, lunge/step-up, lift and carry movement. After, there is a 10-minute group discussion to prompt making exercise routine at home. Nutrition:Two dietitian-led interactive group seminars to promote strategies to increase protein intake and sampling of protein-rich snacks and protein supplements. Seminar topics consider the cost to prepare high protein foods, the ability of retirement home residents to alter diet, how and why to spread protein intake through the day, how much protein is in their usual choices, and easy-to-consume protein-rich snacks.
|
Village of Winston Park
n=9 Participants
Retirement/assisted living home and independent living, Kitchener, site 3
Strength and Balance Training \& Nutrition Education: Exercise:A kinesiologist-led twice-weekly program. Prior to attending the program, each attendee gets a 1:1 session with the kinesiologist to decide exercise starting levels. Group exercises start with a warm-up stepping game. Participants then perform 2 sets of 8 repetitions of each exercise, gradually progressing to an intensity of 3-8 repetitions maximum. Exercises include one each of a push, pull, squat, reach/press, lunge/step-up, lift and carry movement. After, there is a 10-minute group discussion to prompt making exercise routine at home. Nutrition:Two dietitian-led interactive group seminars to promote strategies to increase protein intake and sampling of protein-rich snacks and protein supplements. Seminar topics consider the cost to prepare high protein foods, the ability of retirement home residents to alter diet, how and why to spread protein intake through the day, how much protein is in their usual choices, and easy-to-consume protein-rich snacks.
|
YMCA's
n=11 Participants
YMCA's of Cambridge and Kitchener-Waterloo, site 4
Strength and Balance Training \& Nutrition Education: Exercise:A kinesiologist-led twice-weekly program. Prior to attending the program, each attendee gets a 1:1 session with the kinesiologist to decide exercise starting levels. Group exercises start with a warm-up stepping game. Participants then perform 2 sets of 8 repetitions of each exercise, gradually progressing to an intensity of 3-8 repetitions maximum. Exercises include one each of a push, pull, squat, reach/press, lunge/step-up, lift and carry movement. After, there is a 10-minute group discussion to prompt making exercise routine at home. Nutrition:Two dietitian-led interactive group seminars to promote strategies to increase protein intake and sampling of protein-rich snacks and protein supplements. Seminar topics consider the cost to prepare high protein foods, the ability of retirement home residents to alter diet, how and why to spread protein intake through the day, how much protein is in their usual choices, and easy-to-consume protein-rich snacks.
|
|---|---|---|---|---|
|
Grip Strength
|
0.17 Change in Grip Strength (Kg)
Standard Deviation 4.31
|
-1.57 Change in Grip Strength (Kg)
Standard Deviation 6.24
|
0.89 Change in Grip Strength (Kg)
Standard Deviation 0.33
|
0.86 Change in Grip Strength (Kg)
Standard Deviation 6.26
|
SECONDARY outcome
Timeframe: Mean change from follow up (study visit 4) and baselinePopulation: Number of chair stands within 30 seconds
We will use a chair with a straight back without arm rests (seat 17" high), and a stopwatch. This will assess leg strength and endurance.
Outcome measures
| Measure |
Arbour Trails
n=9 Participants
Retirement/assisted living home and independent living, Guelph, site 1
Strength and Balance Training \& Nutrition Education: Exercise:A kinesiologist-led twice-weekly program. Prior to attending the program, each attendee gets a 1:1 session with the kinesiologist to decide exercise starting levels. Group exercises start with a warm-up stepping game. Participants then perform 2 sets of 8 repetitions of each exercise, gradually progressing to an intensity of 3-8 repetitions maximum. Exercises include one each of a push, pull, squat, reach/press, lunge/step-up, lift and carry movement. After, there is a 10-minute group discussion to prompt making exercise routine at home. Nutrition:Two dietitian-led interactive group seminars to promote strategies to increase protein intake and sampling of protein-rich snacks and protein supplements. Seminar topics consider the cost to prepare high protein foods, the ability of retirement home residents to alter diet, how and why to spread protein intake through the day, how much protein is in their usual choices, and easy-to-consume protein-rich snacks.
|
City of Lakes Family Health Team
n=12 Participants
Sudbury, site 2 Strength and Balance Training \& Nutrition Education: Exercise:A kinesiologist-led twice-weekly program. Prior to attending the program, each attendee gets a 1:1 session with the kinesiologist to decide exercise starting levels. Group exercises start with a warm-up stepping game. Participants then perform 2 sets of 8 repetitions of each exercise, gradually progressing to an intensity of 3-8 repetitions maximum. Exercises include one each of a push, pull, squat, reach/press, lunge/step-up, lift and carry movement. After, there is a 10-minute group discussion to prompt making exercise routine at home. Nutrition:Two dietitian-led interactive group seminars to promote strategies to increase protein intake and sampling of protein-rich snacks and protein supplements. Seminar topics consider the cost to prepare high protein foods, the ability of retirement home residents to alter diet, how and why to spread protein intake through the day, how much protein is in their usual choices, and easy-to-consume protein-rich snacks.
|
Village of Winston Park
n=9 Participants
Retirement/assisted living home and independent living, Kitchener, site 3
Strength and Balance Training \& Nutrition Education: Exercise:A kinesiologist-led twice-weekly program. Prior to attending the program, each attendee gets a 1:1 session with the kinesiologist to decide exercise starting levels. Group exercises start with a warm-up stepping game. Participants then perform 2 sets of 8 repetitions of each exercise, gradually progressing to an intensity of 3-8 repetitions maximum. Exercises include one each of a push, pull, squat, reach/press, lunge/step-up, lift and carry movement. After, there is a 10-minute group discussion to prompt making exercise routine at home. Nutrition:Two dietitian-led interactive group seminars to promote strategies to increase protein intake and sampling of protein-rich snacks and protein supplements. Seminar topics consider the cost to prepare high protein foods, the ability of retirement home residents to alter diet, how and why to spread protein intake through the day, how much protein is in their usual choices, and easy-to-consume protein-rich snacks.
|
YMCA's
n=11 Participants
YMCA's of Cambridge and Kitchener-Waterloo, site 4
Strength and Balance Training \& Nutrition Education: Exercise:A kinesiologist-led twice-weekly program. Prior to attending the program, each attendee gets a 1:1 session with the kinesiologist to decide exercise starting levels. Group exercises start with a warm-up stepping game. Participants then perform 2 sets of 8 repetitions of each exercise, gradually progressing to an intensity of 3-8 repetitions maximum. Exercises include one each of a push, pull, squat, reach/press, lunge/step-up, lift and carry movement. After, there is a 10-minute group discussion to prompt making exercise routine at home. Nutrition:Two dietitian-led interactive group seminars to promote strategies to increase protein intake and sampling of protein-rich snacks and protein supplements. Seminar topics consider the cost to prepare high protein foods, the ability of retirement home residents to alter diet, how and why to spread protein intake through the day, how much protein is in their usual choices, and easy-to-consume protein-rich snacks.
|
|---|---|---|---|---|
|
30 Second Chair Stand Test
|
1.33 Change number of sit to stands
Standard Deviation 2.69
|
2.44 Change number of sit to stands
Standard Deviation 2.53
|
2.04 Change number of sit to stands
Standard Deviation 2.45
|
0.64 Change number of sit to stands
Standard Deviation 9.29
|
SECONDARY outcome
Timeframe: Mean change from follow up (study visit 4) and baselinePopulation: The Four Square Step Test is used to assess dynamic stability and the ability of the subject to step over low objects forward, sideways, and backward. For older adults \> 15 seconds indicates increased risk of falls
The Four Square Step Test is used to assess dynamic stability and the ability of the subject to step over low objects forward, sideways, and backward. For older adults \> 15 seconds indicates increased risk of falls
Outcome measures
| Measure |
Arbour Trails
n=9 Participants
Retirement/assisted living home and independent living, Guelph, site 1
Strength and Balance Training \& Nutrition Education: Exercise:A kinesiologist-led twice-weekly program. Prior to attending the program, each attendee gets a 1:1 session with the kinesiologist to decide exercise starting levels. Group exercises start with a warm-up stepping game. Participants then perform 2 sets of 8 repetitions of each exercise, gradually progressing to an intensity of 3-8 repetitions maximum. Exercises include one each of a push, pull, squat, reach/press, lunge/step-up, lift and carry movement. After, there is a 10-minute group discussion to prompt making exercise routine at home. Nutrition:Two dietitian-led interactive group seminars to promote strategies to increase protein intake and sampling of protein-rich snacks and protein supplements. Seminar topics consider the cost to prepare high protein foods, the ability of retirement home residents to alter diet, how and why to spread protein intake through the day, how much protein is in their usual choices, and easy-to-consume protein-rich snacks.
|
City of Lakes Family Health Team
n=12 Participants
Sudbury, site 2 Strength and Balance Training \& Nutrition Education: Exercise:A kinesiologist-led twice-weekly program. Prior to attending the program, each attendee gets a 1:1 session with the kinesiologist to decide exercise starting levels. Group exercises start with a warm-up stepping game. Participants then perform 2 sets of 8 repetitions of each exercise, gradually progressing to an intensity of 3-8 repetitions maximum. Exercises include one each of a push, pull, squat, reach/press, lunge/step-up, lift and carry movement. After, there is a 10-minute group discussion to prompt making exercise routine at home. Nutrition:Two dietitian-led interactive group seminars to promote strategies to increase protein intake and sampling of protein-rich snacks and protein supplements. Seminar topics consider the cost to prepare high protein foods, the ability of retirement home residents to alter diet, how and why to spread protein intake through the day, how much protein is in their usual choices, and easy-to-consume protein-rich snacks.
|
Village of Winston Park
n=9 Participants
Retirement/assisted living home and independent living, Kitchener, site 3
Strength and Balance Training \& Nutrition Education: Exercise:A kinesiologist-led twice-weekly program. Prior to attending the program, each attendee gets a 1:1 session with the kinesiologist to decide exercise starting levels. Group exercises start with a warm-up stepping game. Participants then perform 2 sets of 8 repetitions of each exercise, gradually progressing to an intensity of 3-8 repetitions maximum. Exercises include one each of a push, pull, squat, reach/press, lunge/step-up, lift and carry movement. After, there is a 10-minute group discussion to prompt making exercise routine at home. Nutrition:Two dietitian-led interactive group seminars to promote strategies to increase protein intake and sampling of protein-rich snacks and protein supplements. Seminar topics consider the cost to prepare high protein foods, the ability of retirement home residents to alter diet, how and why to spread protein intake through the day, how much protein is in their usual choices, and easy-to-consume protein-rich snacks.
|
YMCA's
n=11 Participants
YMCA's of Cambridge and Kitchener-Waterloo, site 4
Strength and Balance Training \& Nutrition Education: Exercise:A kinesiologist-led twice-weekly program. Prior to attending the program, each attendee gets a 1:1 session with the kinesiologist to decide exercise starting levels. Group exercises start with a warm-up stepping game. Participants then perform 2 sets of 8 repetitions of each exercise, gradually progressing to an intensity of 3-8 repetitions maximum. Exercises include one each of a push, pull, squat, reach/press, lunge/step-up, lift and carry movement. After, there is a 10-minute group discussion to prompt making exercise routine at home. Nutrition:Two dietitian-led interactive group seminars to promote strategies to increase protein intake and sampling of protein-rich snacks and protein supplements. Seminar topics consider the cost to prepare high protein foods, the ability of retirement home residents to alter diet, how and why to spread protein intake through the day, how much protein is in their usual choices, and easy-to-consume protein-rich snacks.
|
|---|---|---|---|---|
|
4 Square Step Test
|
-5.14 seconds
Standard Deviation 6.48
|
6.54 seconds
Standard Deviation 6.15
|
5.39 seconds
Standard Deviation 6.54
|
-1.86 seconds
Standard Deviation 3.03
|
SECONDARY outcome
Timeframe: Mean change from follow up (study visit 4) and baselinePopulation: Higher score is better
The EuroQol 5 dimension version 5-level (EQ-5D-5L) measures quality of life using 5 dimensions, on a 5 point scale, where a higher point is considered better. The scores on the subscales are given weights and summed to convert the scores to one index score. The range of possible scores for the EQ-5D-5L index is from -0.573 to 1. A higher score is better.
Outcome measures
| Measure |
Arbour Trails
n=9 Participants
Retirement/assisted living home and independent living, Guelph, site 1
Strength and Balance Training \& Nutrition Education: Exercise:A kinesiologist-led twice-weekly program. Prior to attending the program, each attendee gets a 1:1 session with the kinesiologist to decide exercise starting levels. Group exercises start with a warm-up stepping game. Participants then perform 2 sets of 8 repetitions of each exercise, gradually progressing to an intensity of 3-8 repetitions maximum. Exercises include one each of a push, pull, squat, reach/press, lunge/step-up, lift and carry movement. After, there is a 10-minute group discussion to prompt making exercise routine at home. Nutrition:Two dietitian-led interactive group seminars to promote strategies to increase protein intake and sampling of protein-rich snacks and protein supplements. Seminar topics consider the cost to prepare high protein foods, the ability of retirement home residents to alter diet, how and why to spread protein intake through the day, how much protein is in their usual choices, and easy-to-consume protein-rich snacks.
|
City of Lakes Family Health Team
n=15 Participants
Sudbury, site 2 Strength and Balance Training \& Nutrition Education: Exercise:A kinesiologist-led twice-weekly program. Prior to attending the program, each attendee gets a 1:1 session with the kinesiologist to decide exercise starting levels. Group exercises start with a warm-up stepping game. Participants then perform 2 sets of 8 repetitions of each exercise, gradually progressing to an intensity of 3-8 repetitions maximum. Exercises include one each of a push, pull, squat, reach/press, lunge/step-up, lift and carry movement. After, there is a 10-minute group discussion to prompt making exercise routine at home. Nutrition:Two dietitian-led interactive group seminars to promote strategies to increase protein intake and sampling of protein-rich snacks and protein supplements. Seminar topics consider the cost to prepare high protein foods, the ability of retirement home residents to alter diet, how and why to spread protein intake through the day, how much protein is in their usual choices, and easy-to-consume protein-rich snacks.
|
Village of Winston Park
n=9 Participants
Retirement/assisted living home and independent living, Kitchener, site 3
Strength and Balance Training \& Nutrition Education: Exercise:A kinesiologist-led twice-weekly program. Prior to attending the program, each attendee gets a 1:1 session with the kinesiologist to decide exercise starting levels. Group exercises start with a warm-up stepping game. Participants then perform 2 sets of 8 repetitions of each exercise, gradually progressing to an intensity of 3-8 repetitions maximum. Exercises include one each of a push, pull, squat, reach/press, lunge/step-up, lift and carry movement. After, there is a 10-minute group discussion to prompt making exercise routine at home. Nutrition:Two dietitian-led interactive group seminars to promote strategies to increase protein intake and sampling of protein-rich snacks and protein supplements. Seminar topics consider the cost to prepare high protein foods, the ability of retirement home residents to alter diet, how and why to spread protein intake through the day, how much protein is in their usual choices, and easy-to-consume protein-rich snacks.
|
YMCA's
n=11 Participants
YMCA's of Cambridge and Kitchener-Waterloo, site 4
Strength and Balance Training \& Nutrition Education: Exercise:A kinesiologist-led twice-weekly program. Prior to attending the program, each attendee gets a 1:1 session with the kinesiologist to decide exercise starting levels. Group exercises start with a warm-up stepping game. Participants then perform 2 sets of 8 repetitions of each exercise, gradually progressing to an intensity of 3-8 repetitions maximum. Exercises include one each of a push, pull, squat, reach/press, lunge/step-up, lift and carry movement. After, there is a 10-minute group discussion to prompt making exercise routine at home. Nutrition:Two dietitian-led interactive group seminars to promote strategies to increase protein intake and sampling of protein-rich snacks and protein supplements. Seminar topics consider the cost to prepare high protein foods, the ability of retirement home residents to alter diet, how and why to spread protein intake through the day, how much protein is in their usual choices, and easy-to-consume protein-rich snacks.
|
|---|---|---|---|---|
|
EuroQol 5 Dimension Version 5-level (EQ-5D-5L)
|
0.04 change in score on a scale
Standard Deviation 0.08
|
0.06 change in score on a scale
Standard Deviation 0.08
|
0.25 change in score on a scale
Standard Deviation 0.33
|
0.06 change in score on a scale
Standard Deviation 0.07
|
SECONDARY outcome
Timeframe: Mean change from follow up (study visit 4) and baselinePopulation: For protein intake at baseline, we only collected baseline measures for 40 individuals. Specific site data is not available
We will use the Automated Self-Administered 24-Hour (ASA24®) Dietary Assessment Tool to conduct interviewer administered diet recalls for 2 weekdays and 1 weekend day. Nutrient analysis is automated and will be used to quantify and compare protein and energy intakes at baseline and follow-up only. There is no scale to this section
Outcome measures
| Measure |
Arbour Trails
n=40 Participants
Retirement/assisted living home and independent living, Guelph, site 1
Strength and Balance Training \& Nutrition Education: Exercise:A kinesiologist-led twice-weekly program. Prior to attending the program, each attendee gets a 1:1 session with the kinesiologist to decide exercise starting levels. Group exercises start with a warm-up stepping game. Participants then perform 2 sets of 8 repetitions of each exercise, gradually progressing to an intensity of 3-8 repetitions maximum. Exercises include one each of a push, pull, squat, reach/press, lunge/step-up, lift and carry movement. After, there is a 10-minute group discussion to prompt making exercise routine at home. Nutrition:Two dietitian-led interactive group seminars to promote strategies to increase protein intake and sampling of protein-rich snacks and protein supplements. Seminar topics consider the cost to prepare high protein foods, the ability of retirement home residents to alter diet, how and why to spread protein intake through the day, how much protein is in their usual choices, and easy-to-consume protein-rich snacks.
|
City of Lakes Family Health Team
n=40 Participants
Sudbury, site 2 Strength and Balance Training \& Nutrition Education: Exercise:A kinesiologist-led twice-weekly program. Prior to attending the program, each attendee gets a 1:1 session with the kinesiologist to decide exercise starting levels. Group exercises start with a warm-up stepping game. Participants then perform 2 sets of 8 repetitions of each exercise, gradually progressing to an intensity of 3-8 repetitions maximum. Exercises include one each of a push, pull, squat, reach/press, lunge/step-up, lift and carry movement. After, there is a 10-minute group discussion to prompt making exercise routine at home. Nutrition:Two dietitian-led interactive group seminars to promote strategies to increase protein intake and sampling of protein-rich snacks and protein supplements. Seminar topics consider the cost to prepare high protein foods, the ability of retirement home residents to alter diet, how and why to spread protein intake through the day, how much protein is in their usual choices, and easy-to-consume protein-rich snacks.
|
Village of Winston Park
Retirement/assisted living home and independent living, Kitchener, site 3
Strength and Balance Training \& Nutrition Education: Exercise:A kinesiologist-led twice-weekly program. Prior to attending the program, each attendee gets a 1:1 session with the kinesiologist to decide exercise starting levels. Group exercises start with a warm-up stepping game. Participants then perform 2 sets of 8 repetitions of each exercise, gradually progressing to an intensity of 3-8 repetitions maximum. Exercises include one each of a push, pull, squat, reach/press, lunge/step-up, lift and carry movement. After, there is a 10-minute group discussion to prompt making exercise routine at home. Nutrition:Two dietitian-led interactive group seminars to promote strategies to increase protein intake and sampling of protein-rich snacks and protein supplements. Seminar topics consider the cost to prepare high protein foods, the ability of retirement home residents to alter diet, how and why to spread protein intake through the day, how much protein is in their usual choices, and easy-to-consume protein-rich snacks.
|
YMCA's
YMCA's of Cambridge and Kitchener-Waterloo, site 4
Strength and Balance Training \& Nutrition Education: Exercise:A kinesiologist-led twice-weekly program. Prior to attending the program, each attendee gets a 1:1 session with the kinesiologist to decide exercise starting levels. Group exercises start with a warm-up stepping game. Participants then perform 2 sets of 8 repetitions of each exercise, gradually progressing to an intensity of 3-8 repetitions maximum. Exercises include one each of a push, pull, squat, reach/press, lunge/step-up, lift and carry movement. After, there is a 10-minute group discussion to prompt making exercise routine at home. Nutrition:Two dietitian-led interactive group seminars to promote strategies to increase protein intake and sampling of protein-rich snacks and protein supplements. Seminar topics consider the cost to prepare high protein foods, the ability of retirement home residents to alter diet, how and why to spread protein intake through the day, how much protein is in their usual choices, and easy-to-consume protein-rich snacks.
|
|---|---|---|---|---|
|
Automated Self-Administered 24-Hour (ASA24®) Dietary Assessment Tool
|
69.46 protein in grams/day
Interval 69.46 to 22.29
|
70.88 protein in grams/day
Interval 54.8 to 77.0
|
—
|
—
|
SECONDARY outcome
Timeframe: Study visit 1, 2, 3 and 4We will ask participants to report adverse events and falls, using Health Canada definitions. We will report serious and non-serious adverse events (total and attributable to intervention). There is no scale to this section
Outcome measures
| Measure |
Arbour Trails
n=9 Participants
Retirement/assisted living home and independent living, Guelph, site 1
Strength and Balance Training \& Nutrition Education: Exercise:A kinesiologist-led twice-weekly program. Prior to attending the program, each attendee gets a 1:1 session with the kinesiologist to decide exercise starting levels. Group exercises start with a warm-up stepping game. Participants then perform 2 sets of 8 repetitions of each exercise, gradually progressing to an intensity of 3-8 repetitions maximum. Exercises include one each of a push, pull, squat, reach/press, lunge/step-up, lift and carry movement. After, there is a 10-minute group discussion to prompt making exercise routine at home. Nutrition:Two dietitian-led interactive group seminars to promote strategies to increase protein intake and sampling of protein-rich snacks and protein supplements. Seminar topics consider the cost to prepare high protein foods, the ability of retirement home residents to alter diet, how and why to spread protein intake through the day, how much protein is in their usual choices, and easy-to-consume protein-rich snacks.
|
City of Lakes Family Health Team
n=15 Participants
Sudbury, site 2 Strength and Balance Training \& Nutrition Education: Exercise:A kinesiologist-led twice-weekly program. Prior to attending the program, each attendee gets a 1:1 session with the kinesiologist to decide exercise starting levels. Group exercises start with a warm-up stepping game. Participants then perform 2 sets of 8 repetitions of each exercise, gradually progressing to an intensity of 3-8 repetitions maximum. Exercises include one each of a push, pull, squat, reach/press, lunge/step-up, lift and carry movement. After, there is a 10-minute group discussion to prompt making exercise routine at home. Nutrition:Two dietitian-led interactive group seminars to promote strategies to increase protein intake and sampling of protein-rich snacks and protein supplements. Seminar topics consider the cost to prepare high protein foods, the ability of retirement home residents to alter diet, how and why to spread protein intake through the day, how much protein is in their usual choices, and easy-to-consume protein-rich snacks.
|
Village of Winston Park
n=9 Participants
Retirement/assisted living home and independent living, Kitchener, site 3
Strength and Balance Training \& Nutrition Education: Exercise:A kinesiologist-led twice-weekly program. Prior to attending the program, each attendee gets a 1:1 session with the kinesiologist to decide exercise starting levels. Group exercises start with a warm-up stepping game. Participants then perform 2 sets of 8 repetitions of each exercise, gradually progressing to an intensity of 3-8 repetitions maximum. Exercises include one each of a push, pull, squat, reach/press, lunge/step-up, lift and carry movement. After, there is a 10-minute group discussion to prompt making exercise routine at home. Nutrition:Two dietitian-led interactive group seminars to promote strategies to increase protein intake and sampling of protein-rich snacks and protein supplements. Seminar topics consider the cost to prepare high protein foods, the ability of retirement home residents to alter diet, how and why to spread protein intake through the day, how much protein is in their usual choices, and easy-to-consume protein-rich snacks.
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YMCA's
n=11 Participants
YMCA's of Cambridge and Kitchener-Waterloo, site 4
Strength and Balance Training \& Nutrition Education: Exercise:A kinesiologist-led twice-weekly program. Prior to attending the program, each attendee gets a 1:1 session with the kinesiologist to decide exercise starting levels. Group exercises start with a warm-up stepping game. Participants then perform 2 sets of 8 repetitions of each exercise, gradually progressing to an intensity of 3-8 repetitions maximum. Exercises include one each of a push, pull, squat, reach/press, lunge/step-up, lift and carry movement. After, there is a 10-minute group discussion to prompt making exercise routine at home. Nutrition:Two dietitian-led interactive group seminars to promote strategies to increase protein intake and sampling of protein-rich snacks and protein supplements. Seminar topics consider the cost to prepare high protein foods, the ability of retirement home residents to alter diet, how and why to spread protein intake through the day, how much protein is in their usual choices, and easy-to-consume protein-rich snacks.
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|---|---|---|---|---|
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Number of Participants With Adverse Events
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1 participants
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1 participants
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2 participants
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0 participants
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SECONDARY outcome
Timeframe: study visit 4We used a semi-structured interview guide to conduct exit interviews with each participant and kinesiologist. Interviews and training sessions will be audio-recorded and transcribed verbatim. Two researchers will perform thematic analyses to describe participant and provider experience and satisfaction, adaptations, and learning needs. There is no scale to this section.
Outcome measures
Outcome data not reported
Adverse Events
Intervention
Serious events: 1 serious events
Other events: 0 other events
Deaths: 0 deaths
Control
Serious events: 2 serious events
Other events: 3 other events
Deaths: 0 deaths
Serious adverse events
| Measure |
Intervention
n=44 participants at risk
There were two minor adverse events possibly related to the intervention and one serious adverse event related to the intervention. One participant reported groin strain while exercising but was subsequently diagnosed with hip osteoarthritis. After one-week of rest, this individual returned with a modified exercise program. The second participant had a history of right Achilles tendinitis and complained of ankle pain during the "heel drop" (i.e., impact) movement. Although all lower body exercises were ceased, after one week they withdrew from the study. One participant sustained an inferior pubic ramus fracture after a fall during the "stepping-up" movement; although this participant did not withdraw from the study, we terminated all exercises with this individual.
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Control
n=44 participants at risk
There were three minor and two serious adverse events not related to the intervention. One participant slipped in the living room and fractured the metatarsal bones of their left foot. Another participant fell while attempting to sit on an unlocked walker and sustained a right inferior and superior pubic ramus fracture; this participant withdrew from the study. Two participants reported to the emergency room: one with high blood pressure and the other after experiencing a transient ischemic attack. The last participant was at home when they experienced a seizure due to unknown causes and was admitted to the hospital for observation. The participants that experienced the pubic ramus fractures and the seizure were categorized as serious adverse events as a result of being hospitalized.
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|---|---|---|
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Musculoskeletal and connective tissue disorders
Intervention
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2.3%
1/44 • Number of events 1 • Over 6 months
Adverse events are unfavourable or unintended occurrence in the health or well-being of a research participant; these events may or may not be related to the intervention. We reported two types of adverse events: 1) serious adverse events defined by Health Canada as "events that result in death, hospitalization, or disability", or 2) minor adverse events. We classified each adverse event as either "not related", "related", or "possibly related" to the intervention.
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4.5%
2/44 • Number of events 2 • Over 6 months
Adverse events are unfavourable or unintended occurrence in the health or well-being of a research participant; these events may or may not be related to the intervention. We reported two types of adverse events: 1) serious adverse events defined by Health Canada as "events that result in death, hospitalization, or disability", or 2) minor adverse events. We classified each adverse event as either "not related", "related", or "possibly related" to the intervention.
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Other adverse events
| Measure |
Intervention
n=44 participants at risk
There were two minor adverse events possibly related to the intervention and one serious adverse event related to the intervention. One participant reported groin strain while exercising but was subsequently diagnosed with hip osteoarthritis. After one-week of rest, this individual returned with a modified exercise program. The second participant had a history of right Achilles tendinitis and complained of ankle pain during the "heel drop" (i.e., impact) movement. Although all lower body exercises were ceased, after one week they withdrew from the study. One participant sustained an inferior pubic ramus fracture after a fall during the "stepping-up" movement; although this participant did not withdraw from the study, we terminated all exercises with this individual.
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Control
n=44 participants at risk
There were three minor and two serious adverse events not related to the intervention. One participant slipped in the living room and fractured the metatarsal bones of their left foot. Another participant fell while attempting to sit on an unlocked walker and sustained a right inferior and superior pubic ramus fracture; this participant withdrew from the study. Two participants reported to the emergency room: one with high blood pressure and the other after experiencing a transient ischemic attack. The last participant was at home when they experienced a seizure due to unknown causes and was admitted to the hospital for observation. The participants that experienced the pubic ramus fractures and the seizure were categorized as serious adverse events as a result of being hospitalized.
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|---|---|---|
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Cardiac disorders
Cardio
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0.00%
0/44 • Over 6 months
Adverse events are unfavourable or unintended occurrence in the health or well-being of a research participant; these events may or may not be related to the intervention. We reported two types of adverse events: 1) serious adverse events defined by Health Canada as "events that result in death, hospitalization, or disability", or 2) minor adverse events. We classified each adverse event as either "not related", "related", or "possibly related" to the intervention.
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6.8%
3/44 • Number of events 3 • Over 6 months
Adverse events are unfavourable or unintended occurrence in the health or well-being of a research participant; these events may or may not be related to the intervention. We reported two types of adverse events: 1) serious adverse events defined by Health Canada as "events that result in death, hospitalization, or disability", or 2) minor adverse events. We classified each adverse event as either "not related", "related", or "possibly related" to the intervention.
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Additional Information
The MoveStrong program for promoting balance and functional strength training and adequate protein i
University of Waterloo
Phone: 519-888-4567
Email: [email protected]
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place