Physical Activity, Posture and Body Composition in Ontogeny

Physical Activity Clinical Trial

Official title:

The Impact of Targeted Physical Activity on Body Composition, Posture and Physical Fitness of People of Different Ages

Clinical Trial Details — Status: Active, not recruiting

Administrative data

• NCT number: NCT06419829
• Other study ID #: AChwalWUHSS
• Status: Active, not recruiting
• Start date: January 15, 2023
• Est. completion date: December 31, 2029

Study information

• Verified date: May 2024
• Source: Wroclaw University of Health and Sport Sciences
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

The main aim of the research is to assess the impact of various forms of physical activity on body composition and posture. The basis of the research is the assessment of the current condition of people of different ages and the development of individualized physioprophylaxis programs for body posture and body weight abnormalities. In the senior group, the task of physioprophylactic programs is to prevent the loss of muscle mass, prevent falls and improve the quality of life.

Description:

The research is focused on three age groups: research in the progressive period of ontogenesis from 3 to 18 years of age, people in adulthood, and people in senior age, i.e. postmenopausal women and men over 65 years of age. The research is conducted in three stages

• in the first stage: assessment of the current condition, i.e. body weight and composition, assessment of body posture, physical fitness (including age-appropriate tests), assessment of physical activity (IPAQ test, PAQ-C and PAQ-A test). ). In the second stage: development and implementation of physioprophylactic programs aimed at preventing overweight or obesity, body posture abnormalities, and reduced physical fitness. Physioprophylactic projects based on medical training are adapted to age and gender and the assessment of the current condition. The duration of the training project is 12 weeks, classes will be held twice a week for 60 minutes for adults, twice a week for 45 minutes for children over 7 years of age and twice a week for 30 minutes for preschool children. Physioprophylactic classes will complement school classes for the group under 18 years of age. The third part of the research project is the assessment of changes in body weight, body posture and physical fitness.

The practical part will be complemented by meetings and lectures for the respondents and their parents (in the case of children) regarding the importance of physical activity, diet and physical fitness in the quality of life and its importance in various periods of ontogenetic development.

The study of a given group will be completed with a follow-up study 6 months after the end of the research project The ongoing research project will allow the development of physioprophylactic programs with elements of medical training to counteract lifestyle diseases.

Recruitment information / eligibility

• Status: Active, not recruiting
• Enrollment: 1000
• Est. completion date: December 31, 2029
• Est. primary completion date: December 31, 2028
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: N/A to 90 Years

Eligibility

Inclusion Criteria:

• Informed written consent to participate in research and physical activity project of the examined person or his/her parent or legal guardian

• There are no health contraindications to physical activity

• no contraindications to the use of the bioelectrical impedance method (pacemaker, active cancer, pregnancy, metal elements in the body)

Exclusion Criteria:

• Remaining under the care of the Awad Postway correction clinic active therapeutic process of weight reduction

• being under the care of a cardiology clinic due to heart and/or circulatory system diseases - high blood pressure

• Condition after injuries to the spine,

• Orthopedic equipment - orthoses, prostheses, splints, crutches, walking aids

• lack of contact with the patient, impaired cognitive functions, inability to understand instructions when working in a group

• Diseases of the central nervous system

• Parkinson's disease, advanced senile dementia

Related Conditions & MeSH terms

• Pediatric Obesity
• Physical Activity
• Postural Balance

Intervention

Other:
• psychoprophylactic program aimed at normalizing body weight through medical training
Based on the assessment of body weight and composition, a 12-week physiophylactic program will be carried out, adapted to the age and gender of the subjects. The program will be carried out twice a week for 30 to 60 minutes (depending on the group). The basis of the program will be the implementation of exercises that reduce fat mass, increase the flexibility and productivity of muscle mass. The classes will be conducted as part of medical training with a training load increasing to at least 85% of HR Max. The project will include theoretical classes for parents, children and seniors on eating habits, a proper age-appropriate diet, diet changes depending on the subject's health condition and physical activity, and the impact of diet on the process of puberty, adulthood and aging.
• psychoprophylactic program aimed at improving body posture
Based on the body posture assessment, a 12-week physiotherapy program will be carried out, adapted to the age and gender of the subjects. The program will be carried out twice a week for 30 to 60 minutes (depending on the group). The basis of the program will be the implementation of exercises that strengthen the muscle corset, reducing asymmetrical positioning, habitual and during the implementation of professional tasks. The classes will be conducted using medical training and resistance exercises. The project will include theoretical classes for parents on sitting habits, the importance of physical activity in a child's development, the selection of footwear...
• psychoprophylactic program aimed at improving physical fitness
Based on the assessment of physical fitness, a 12-week physiotherapy program will be carried out, adapted to the age and gender of the participants. The program will be carried out twice a week for 30 to 60 minutes (depending on the group). The basis of the program will be the implementation of exercises aimed at improving physical fitness, with particular emphasis on impaired motor skills. The classes will be conducted using functional training, resistance and stretching exercises, strengthening all muscle groups. In the case of children, special attention will be paid to the strength of the upper limbs, in the case of seniors, balance and coordination exercises will be introduced to improve time and space orientation. In all groups, the main goal is to improve functional fitness The project will include theoretical classes for parents, children and seniors on the importance of physical activity in the quality of life, in the process of maturation and aging.

Diagnostic Test:
• Body composition assessment
Body composition assessment will be carried out using the BIA method on an eight-electrode body composition analyzer from TAnita. They will be marked: total mass, Total fat mass (FM) and segmental fat mass for five body segments: right leg (RL FM), Left leg (LL FM), right arm (RA FM), Left Arm (LA FM) trunk (TR FM). total fat-free mass (FFM) and segmental for five body segments: right leg (RL FFM), Left leg (LL FFM), right arm (RA FFM), Left Arm (LA FMM) trunk (TR FMM). Predicted total and segmental muscle mass (PMM) for five body segments: right leg (RL PMM), Left leg (LL PMM), right arm (RA PMM), Left Arm (LA PMM) trunk (TR PMM). Total water content (TBW) including intracellular water (ICW) and extracellular water (ECW)
• assessment of body posture using the Kasperczyk method
The Kasperczyk method was used to assess body posture, including physiotherapeutic assessment in both standing and sitting positions. The symmetry of the head, shoulders, spine curvatures, knee joints and foot positioning were assessed. The symmetry of the head position was examined in all three planes and in all movements, i.e. flexion - extension, right turn - left turn, rotation and combined movements. The lateral curvatures of the spine (scoliosis) and their physiological curvatures, their deepening or shallowing in all sections of the spine, as well as the mobility of the spine in all physiological planes of movement were assessed. The position of the shoulder and hip girdle was assessed, as well as the position of the upper limbs at the level of the knees and feet. The mobility of the lower and upper limbs was examined.
• Assessment of physical fitness
It depends on the age of the person being examined. In the case of children, the EUROFIT physical fitness test is carried out with modifications for age and gender. For the senior group, the Rikli and Jones test is used
• Balance assessment
Balance assessment using the Zebris platform Static measurement - with eyes open and closed, assessing the load on the limbs during standing expressed in %, Balance analysis measurement - with eyes open and closed, test in a standing position, barefoot. The measurement duration is 30 seconds and the break between measurements is 30-60 seconds. Deflections of the center of gravity in the frontal and sagittal planes Length of the center of gravity swing path CoP - SPL [cm]. Inside the calculated ellipse lies 95% of the CoP location measurement data: amplitude, amplitude height, ellipse area (orientation of the direction of the ellipse's longitudinal axis relative to the platform's longitudinal axis, indicating clockwise rotation).

Locations

Country	Name	City	State
Poland	Faculty of Physiotherapy, Department of Human Biology	Wroclaw	Dolnoslaskie

Sponsors (1)

Lead Sponsor	Collaborator
Wroclaw University of Health and Sport Sciences

Country where clinical trial is conducted

Poland, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	A physioprophylactic program for children aimed at normalizing body weight, improving physical fitness and correcting body posture	The result of the project will be the development of physioprophylactic programs based on medical training aimed at normalizing body weight, improving and correcting body posture and improving physical fitness. The programs will be adapted to the problems diagnosed in control tests and the age and gender of the examined children and adolescents Their final effectiveness will be assessed during follow-up tests performed immediately after the end of the 12-week program and follow-up tests after 6 months.	01.2027-12.2027
Primary	Physiophylaxis in adulthood	The result of the preliminary tests will be an estimate of the scale of occurrence of body weight abnormalities and body posture abnormalities, which are not monitored during this period. An important cognitive element will also be the assessment of the physical fitness of adults, taking into account their age, gender, body weight, forms of work undertaken, and exposure to stress.; Their final effectiveness will be assessed during follow-up tests performed immediately after the end of the 12-week program and follow-up tests after 6 months.	01.2026-06.2027
Primary	Physiophylaxis in seniors	The result of the preliminary tests will be an estimate of the scale of occurrence of body weight abnormalities and body posture abnormalities, which are not monitored during this period. The physioprophylactic programs carried out will enable the development of standardized training programs aimed at improving the elderly's physical fitness, preventing falls, and maintaining the functionality and independence of older people. An important cognitive element will also be the assessment of the physical fitness of seniors, taking into account their age, gender, body weight, previously undertaken forms of work, exposure to stress, and quality of life.; Their final effectiveness will be assessed during follow-up tests performed immediately after the end of the 12-week program and follow-up tests after 6 months.	01.2028-12.2028