Exercise and Nutrition Intervention for Frail Older Patients
NCT ID: NCT05831982
Last Updated: 2024-01-31
Study Results
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Basic Information
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COMPLETED
NA
119 participants
INTERVENTIONAL
2021-11-01
2023-09-30
Brief Summary
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Detailed Description
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This research project will address this serious individual and societal challenge by testing and evaluating a person-centered complex intervention with emphasis on the patients´ own focus and goals. To increase the probability of developing a successful intervention with the patient in focus we have completed two qualitative studies with patients and health professionals. The primary results from these studies indicate that the pedagogical approach of the involved healthcare professional is important for establishing a good relation. Patients had a desire of being more active, but after four week only a minority had their own expectations fulfilled. Furthermore, the patients expressed that social relations had the potential of increasing adherence to training sessions. Furthermore, a citizen's panel has been established, and possible elements important for the intervention were discussed on behalf of their own experiences with the healthcare system. The results of these qualitative studies and the latest evidence contributed to the development of the current intervention study.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Intervention (A)
Intervention focusing on strength training and nutritional optimization.
Person-centered strength training and nutrition intervention
Focus on high intensity strength training and nutrition intervention with focus on energy and protein intake. Focus on social relations
Control (B)
Usual care. Physiotherapy (type of training decided by the physiotherapist) without nutritional intervention.
Standard training
Training as usual when discharged with a rehabilitation plan.
Interventions
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Person-centered strength training and nutrition intervention
Focus on high intensity strength training and nutrition intervention with focus on energy and protein intake. Focus on social relations
Standard training
Training as usual when discharged with a rehabilitation plan.
Eligibility Criteria
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Inclusion Criteria
* Acutely admitted with a medical focus at Aalborg University Hospital, South.
* Living in Aalborg Municipality (except 9230 Svenstrup, 9240 Nibe, 9293 Kongerslev, 9381 Sulsted, and 9382 Tylstrup)
* Able to walk (assistance is ok) before admission.
* Speak and understand Danish.
Exclusion Criteria
* Dementia or other cognitive impairments.
* Terminal ill.
65 Years
ALL
No
Sponsors
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Aalborg University Hospital
OTHER
Responsible Party
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Laurine Nilsson
Physiotherapist, PhD student
Principal Investigators
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Laurine Nilsson, PhD stud.
Role: PRINCIPAL_INVESTIGATOR
Aalborg University Hospital
Jane Andreasen, Assoc. prof.
Role: STUDY_CHAIR
Aalborg University Hospital and Aalborg Municipality
Mette Holst
Role: STUDY_CHAIR
Aalborg University Hospital and Aalborg University
Morten Villumsen
Role: STUDY_CHAIR
Aarhus Municipality, Denmark
Locations
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Aalborg Municipality
Aalborg, , Denmark
Countries
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References
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Craig P, Dieppe P, Macintyre S, Michie S, Nazareth I, Petticrew M; Medical Research Council Guidance. Developing and evaluating complex interventions: the new Medical Research Council guidance. BMJ. 2008 Sep 29;337:a1655. doi: 10.1136/bmj.a1655.
Rossi PG, Carnavale BF, Farche ACS, Ansai JH, de Andrade LP, Takahashi ACM. Effects of physical exercise on the cognition of older adults with frailty syndrome: A systematic review and meta-analysis of randomized trials. Arch Gerontol Geriatr. 2021 Mar-Apr;93:104322. doi: 10.1016/j.archger.2020.104322. Epub 2020 Dec 10.
Dedeyne L, Deschodt M, Verschueren S, Tournoy J, Gielen E. Effects of multi-domain interventions in (pre)frail elderly on frailty, functional, and cognitive status: a systematic review. Clin Interv Aging. 2017 May 24;12:873-896. doi: 10.2147/CIA.S130794. eCollection 2017.
Andreasen J, Aadahl M, Sorensen EE, Eriksen HH, Lund H, Overvad K. Associations and predictions of readmission or death in acutely admitted older medical patients using self-reported frailty and functional measures. A Danish cohort study. Arch Gerontol Geriatr. 2018 May-Jun;76:65-72. doi: 10.1016/j.archger.2018.01.013. Epub 2018 Feb 13.
Nilsson L, Holst M, Villumsen M, Andreasen J. Maintenance of own health after acute hospitalization - older people's experiences and perspectives on physical activity and nutrition. Physiother Theory Pract. 2024 Jan 2;40(1):100-109. doi: 10.1080/09593985.2022.2122912. Epub 2022 Oct 3.
Rasmussen RL, Holst M, Nielsen L, Villumsen M, Andreasen J. The perspectives of health professionals in Denmark on physical exercise and nutritional interventions for acutely admitted frail older people during and after hospitalisation. Health Soc Care Community. 2020 Nov;28(6):2140-2149. doi: 10.1111/hsc.13025. Epub 2020 Jun 1.
Baert V, Gorus E, Mets T, Geerts C, Bautmans I. Motivators and barriers for physical activity in the oldest old: a systematic review. Ageing Res Rev. 2011 Sep;10(4):464-74. doi: 10.1016/j.arr.2011.04.001. Epub 2011 May 5.
Other Identifiers
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2021-215
Identifier Type: -
Identifier Source: org_study_id
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