Application of a Nutritional Counseling Program on the Frailty of Older Adults in the Mexican Population
NCT ID: NCT05304429
Last Updated: 2022-03-31
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
NA
80 participants
INTERVENTIONAL
2022-04-29
2022-11-30
Brief Summary
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The intervention will consist of applying nutritional counseling in older adults with frailty syndrome to measure the effect on indicators of this syndrome such as nutritional status, handgrip strength, protein consumption and physical activity.
Detailed Description
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INTERVENTION:
The COM-B system is based on 3 main pillars that appear in the initials of its name, being the C for "capacity", the O for "opportunity" and the M for "motivation". The behavior of the person is attributed to these in such a way that if they have the capacity, motivation and opportunity, the strategies used for behavior change will be more effective.
Based on this theory, the investigators support the intervention of the study in which the capacity of the participants will be developed through nutritional education, motivation through goal setting and self-monitoring, and the opportunity for social support that will be provided through this project at no cost to users of the DIF Zapopan Metropolitan Center for the Elderly.
Regarding the establishment of goals, 10 important behaviors will be worked on to prevent or combat frailty, which promote adequate protein consumption, balance in the distribution of nutrients, avoid prolonged periods of fasting by encouraging the consumption of healthy snacks, decreased consumption of ultra-processed foods, increasing the consumption of plant-based foods and performing strength exercises. The adherence to these behaviors will be self-monitored on a weekly basis through a format (see annex 4) that each person will receive and that is inspired by the strategy used by Beeken and collaborators in the "ten top tis" project where the effectiveness in behavioral modification through goal setting and self-monitoring.
Nutritional education was carried out in group sessions of 40 minutes having a total of 10 workshops which provided practical theoretical tools to each of the behaviors to be monitored, in this way each workshop addressed a specific behavior.
The intervention will be aimed at qualitatively and quantitatively modifying eating habits, emphasizing protein consumption and modifying physical activity habits, limiting sedentary behaviors.
Conditions
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Study Design
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NON_RANDOMIZED
PARALLEL
PREVENTION
NONE
Study Groups
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nutritional counseling group
This group will have nutrition education sessions every fifteen days and will keep track of 10 healthy behaviors through goal setting and self-monitoring.
nutrition education
Educational sessions with topics that will address the management and prevention of frailty syndrome focusing on protein intake and physical activity
nutritional counseling
nutritional counseling system based on the com-b model through three strategies: goal setting, self-monitoring and social support
group without nutritional counseling
This group will have sessions every fifteen days of reading, knitting and other activities unrelated to health.
No interventions assigned to this group
Interventions
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nutrition education
Educational sessions with topics that will address the management and prevention of frailty syndrome focusing on protein intake and physical activity
nutritional counseling
nutritional counseling system based on the com-b model through three strategies: goal setting, self-monitoring and social support
Eligibility Criteria
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Inclusion Criteria
* That they have a normal cognitive function (more than 24 points in the minimental test)
* That they attend weekly the Metropolitan Center for the Elderly (DIF Zapopan)
* Who suffer from frailty or pre-frailty (from 1 to 5 points on the frailty scale)
Exclusion Criteria
* Consumption of food supplements (protein powder or vitamins)
* Senile dementia, cognitive impairment or Alzheimer's
* People who are following a diet or physical activity plan prescribed by a professional
60 Years
85 Years
ALL
Yes
Sponsors
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Instituto Tecnologico y de Estudios Superiores de Monterey
OTHER
Responsible Party
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Mariana Cecilia Orellana Haro
Clinical Proffessor
Central Contacts
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Mariana Cecilia Orellana, master degree
Role: CONTACT
Phone: +52 3313446872
Email: [email protected]
References
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Nykanen I, Rissanen TH, Sulkava R, Hartikainen S. Effects of individual dietary counseling as part of a comprehensive geriatric assessment (CGA) on nutritional status: a population-based intervention study. J Nutr Health Aging. 2014 Jan;18(1):54-8. doi: 10.1007/s12603-013-0342-y.
Andersson J, Hulander E, Rothenberg E, Iversen PO. Effect on Body Weight, Quality of Life and Appetite Following Individualized, Nutritional Counselling to Home-Living Elderly after Rehabilitation - An Open Randomized Trial. J Nutr Health Aging. 2017;21(7):811-818. doi: 10.1007/s12603-016-0825-8.
Faber MJ, Bosscher RJ, Chin A Paw MJ, van Wieringen PC. Effects of exercise programs on falls and mobility in frail and pre-frail older adults: A multicenter randomized controlled trial. Arch Phys Med Rehabil. 2006 Jul;87(7):885-96. doi: 10.1016/j.apmr.2006.04.005.
Gardner B, Jovicic A, Belk C, Kharicha K, Iliffe S, Manthorpe J, Goodman C, Drennan VM, Walters K. Specifying the content of home-based health behaviour change interventions for older people with frailty or at risk of frailty: an exploratory systematic review. BMJ Open. 2017 Feb 9;7(2):e014127. doi: 10.1136/bmjopen-2016-014127.
Fernandez-Barres S, Garcia-Barco M, Basora J, Martinez T, Pedret R, Arija V; Project ATDOM-NUT group. The efficacy of a nutrition education intervention to prevent risk of malnutrition for dependent elderly patients receiving Home Care: A randomized controlled trial. Int J Nurs Stud. 2017 May;70:131-141. doi: 10.1016/j.ijnurstu.2017.02.020. Epub 2017 Feb 23.
Related Links
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findings of the national study of health and aging in Mexico
Other Identifiers
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CMAZGA-APPR.001
Identifier Type: -
Identifier Source: org_study_id