Digital Pathway to Healthy Aging: Sarcopenia-Frailty Integrated Training
NCT ID: NCT07345832
Last Updated: 2026-01-21
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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NOT_YET_RECRUITING
NA
200 participants
INTERVENTIONAL
2026-02-28
2027-06-30
Brief Summary
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Detailed Description
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The World Health Organisation's Decade of Healthy Ageing and the Integrated Care for Older People (ICOPE) framework provide a practice anchor to maintain intrinsic capacity through person-centred assessment, individualised goal-setting, and continuous follow-up. Within this paradigm, sarcopenia and frailty management apply ICOPE via protocol-driven critical pathways (Sum et al., 2022)-structured decision support that links risk assessment to tailored prescriptions and follow-up-can standardise quality while enabling precise personalisation across diverse home settings.
Digital health interventions have expanded their capabilities to include remote exercise prescription, microlearning, reminders, and tele-coaching, with evidence of benefits for physical activity, fitness, body composition, and patient-reported outcomes (De Santis et al., 2023). Utilising a user-friendly digital tool to streamline functional assessments and develop personalised health plans is a promising approach.
A digital platform-enabled intervention, grounded in the WHO ICOPE framework and a protocol-driven critical pathway, is proposed to identify care needs among community-dwelling older adults. This tool will allow healthcare providers to accurately assess individual needs and tailor interventions in exercise and nutrition, ensuring a focused, effective approach to combating sarcopenia and frailty in older adults.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
PREVENTION
SINGLE
Study Groups
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Digital Pathway to Healthy Aging: Sarcopenia-Frailty Integrated Training program
This digital program will address sarcopenia and frailty with a 12-week integrated intervention based on integrated exercise, nutrition, and fall-prevention.
Digital Pathway to Healthy Aging: Sarcopenia-Frailty Integrated Training program (D-Path-HA: S-FIT)
This digital program will address sarcopenia and frailty with a 12-week integrated intervention based on integrated exercise, nutrition, and fall-prevention. The intervention will be delivered by registered nurses, social workers, and health coach captains. Guided by the critical pathway and empowerment cycle framework, including a (1) Personalised Health Prescription Phase, (2) 12-Week Empowerment and Social Activity Phase, including six bi-weekly, in-person sessions empowerment workshop; scenario-based health message broadcast; case meeting.
Waitlist Control
The control group will receive general education on nutrition and physical activity guidelines for older adults, and the same pathway intervention will be applied to the control group after all data collection
Waitlist Control
The control group will receive general education on nutrition and physical activity guidelines for older adults, and the same pathway intervention will be applied to the control group after all data collection.
Interventions
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Digital Pathway to Healthy Aging: Sarcopenia-Frailty Integrated Training program (D-Path-HA: S-FIT)
This digital program will address sarcopenia and frailty with a 12-week integrated intervention based on integrated exercise, nutrition, and fall-prevention. The intervention will be delivered by registered nurses, social workers, and health coach captains. Guided by the critical pathway and empowerment cycle framework, including a (1) Personalised Health Prescription Phase, (2) 12-Week Empowerment and Social Activity Phase, including six bi-weekly, in-person sessions empowerment workshop; scenario-based health message broadcast; case meeting.
Waitlist Control
The control group will receive general education on nutrition and physical activity guidelines for older adults, and the same pathway intervention will be applied to the control group after all data collection.
Eligibility Criteria
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Inclusion Criteria
* Pseudo-Sarcopenia/Sarcopenia: SARC-CaIF ≥ 11, AND (Grip Strength on dominant hand (male \<28 kg, female \<18 kg), OR Chair Stand Test (5 times) ≥ 12 seconds, OR Short Physical Performance Battery Score ≤ 9; OR relative appendicular skeletal mass/ height (Men: \<7 kg/m2; women: \<5.7 kg/m2) ); AND/OR Prefrail/ frail based on the Edmonton Frail Scale Score ≥ 6.
* consent to participate
Exclusion Criteria
* engaging in other ongoing physical activity and nutrition programs
60 Years
ALL
No
Sponsors
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The University of Hong Kong
OTHER
Responsible Party
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Prof. Yu, Doris Sau Fung
Professor
Principal Investigators
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Doris Sau Fung YU, PhD
Role: PRINCIPAL_INVESTIGATOR
The University of Hong Kong
Locations
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The University of Hong Kong
Hong Kong, , Hong Kong
Countries
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Central Contacts
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Facility Contacts
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References
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Yang Y, Pan N, Luo J, Liu Y, Ossowski Z. Exercise and Nutrition for Sarcopenia: A Systematic Review and Meta-Analysis with Subgroup Analysis by Population Characteristics. Nutrients. 2025 Jul 17;17(14):2342. doi: 10.3390/nu17142342.
Wu S, Nan J, Chang J, Jiang D, Cao Z, Zhou S, Feng H, Xiao LD. Adherence to exercise intervention for community-dwelling older adults with sarcopenia: a systematic review and meta-analysis. Age Ageing. 2025 Mar 28;54(4):afaf094. doi: 10.1093/ageing/afaf094.
Wang Z, Xu X, Gao S, Wu C, Song Q, Shi Z, Su J, Zang J. Effects of Internet-Based Nutrition and Exercise Interventions on the Prevention and Treatment of Sarcopenia in the Elderly. Nutrients. 2022 Jun 14;14(12):2458. doi: 10.3390/nu14122458.
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Sum G, Lau LK, Jabbar KA, Lun P, George PP, Munro YL, Ding YY. The World Health Organization (WHO) Integrated Care for Older People (ICOPE) Framework: A Narrative Review on Its Adoption Worldwide and Lessons Learnt. Int J Environ Res Public Health. 2022 Dec 22;20(1):154. doi: 10.3390/ijerph20010154.
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Pek K, Tan CN, Yew S, Yeo A, Lim JP, Chew J, Lim WS. Letter to the Editor: COVID-19 Pandemic Control Measures: Impact on Social Frailty and Health Outcomes in Non-Frail Community-Dwelling Older Adults. J Nutr Health Aging. 2021;25(6):816-818. doi: 10.1007/s12603-021-1635-1. No abstract available.
Park SH, Lee H. Effectiveness of Combined Exercise and Nutrition Interventions in Preventing and Improving Sarcopenia in Frail or Healthy Older Adults: A Systematic Review. Res Gerontol Nurs. 2023 Nov-Dec;16(6):312-320. doi: 10.3928/19404921-20230817-03. Epub 2023 Aug 25.
Meza-Valderrama D, Sanchez-Rodriguez D, Pena YC, Ramirez-Fuentes C, Munoz-Redondo E, Morgado-Perez A, Ortiz-Agurto N, Finis-Gallardo P, Marco E. Resistance Training and Nutritional Supplementation in Older Adults with Sarcopenia after Acute Disease: A Feasibility Study. Nutrients. 2024 Sep 10;16(18):3053. doi: 10.3390/nu16183053.
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Other Identifiers
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D-Path-HA: S-FIT
Identifier Type: -
Identifier Source: org_study_id
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