Normative Values of Functional Fitness in Elderly Population

Functional Fitness Clinical Trial

Official title:

Normative Values of Functional Fitness in Elderly Population

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05098496
• Other study ID #: RiphahIU Ayesha Akbar
• Status: Completed
• Start date: April 1, 2021
• Est. completion date: December 1, 2021

Study information

• Verified date: April 2022
• Source: Riphah International University
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

Frailty is a multidimensional concept that influences several domains , such as body mass decline, gait ,mobility, balance ,muscle strength ,motor processing ,cognition, nutrition endurance, and physical activity, and its directly related to adverse consequences such as falls ,disability the need for long term care , hospitalization and even mortality. As the elderly have twice as many disabilities and four times as many physical limitations as people less than 60 years of age. There is a need to focus on this demographic shift and Aging population Pakistan increasing double in 2050 hence is has become a new challenge. So, Effective approaches is needed to help older people maintain a healthy and active life. The main objective is to determine reference values of senior fitness test SFT for elderly population. The Senior Fitness Test is a battery of tests for the assessment of the functional fitness of older persons. This test will assess the physiological capacity for carrying out normal daily activities independently and safely without the appearance of fatigue. For this study cross sectional survey will conduct and will use non probability convenience sampling technique , sample size will be 500 both male and female and conducted from Heaven old age homes and Dar ul Khilafa old age home, Lahore. Inclusion criteria includes subject 60 and above , living Subjects 60 years and above, living independently (not community dwelling, hospitals, nurse homes etc ), perform ADLS. Exclusion criteria includes if not willing to participate, any medical contraindication, unable to speech ,functional disability .All the analysis will be carried out on SPSS v -25.

Description:

According to the world health organization WHO, the proportion of older people above 60 is growing more rapidly than any other age group. Within this group not everyone reach old age successfully. Although the common rule is that increasing age is related to decreasing well-being and increasing levels of frailty. It is also true that individual with same chronological age can vary in health and functional status . Functional fitness is a way to help people perform daily tasks with ease. It includes exercises that mimic the movements of daily activities. Walking, squatting, bending, pushing, and pulling are examples. Three key elements of functional fitness for seniors are balance, mobility, and strength. Improving these three aspects of physical fitness helps seniors: Maintain a healthy body weight, Reduce the risk of falling, Make activities of daily living easier, Boost emotional health. The discovery of effective interventions to prevent or delay disability in older persons is a public health priority. The geriatric assessment designed to manage frail older people requiring medical care, is responsible for early diagnosis , assessment, treatment, and planning while addressing a person's medical, psychological, social, and functional capabilities.

The purpose of study to highlights age-related differences in physical abilities and the risk for the loss of independence in later life. High walkability of the living environment provides opportunities for physical activity in old age, but among those with physical limitations especially, awareness of environmental facilitators may be needed to promote physical activity. The main objective of this research will be to provide normative values of functional fitness in 60 and above seniors citizens of Pakistan .Research results will enable preparing an effective intervention strategy for maintaining mobility and functional independence of elderly people.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 500
• Est. completion date: December 1, 2021
• Est. primary completion date: November 1, 2021
• Accepts healthy volunteers: No
• Gender: All
• Age group: 60 Years to 80 Years

Eligibility

Inclusion Criteria:

1. Subjects 60 years and above,living independently (not community dwelling, hospitals, nurse homes etc ), moving and performing daily activities independently

2. No medical contraindications to participate in physical fitness tests, with no problems in terms of verbal communication, no physical and cognitive restrictions

Exclusion Criteria:

1. If Participants have any medical contraindications for physical activity programs and to hold medical insurance.

2. Cormobidites ,disability, any cardiac or pulmonary dysfunction (COPD, exercise related exertion etc).

3. Physical condition hindering anthropometric examination (such as immobile patients, contraindication to lifting or amputation of both lower extremities).

Related Conditions & MeSH terms

• Elderly Care
• Functional Fitness

Locations

Country	Name	City	State
Pakistan	Riphah Rehabilitation Clinic	Lahore	Punjab

Sponsors (1)

Lead Sponsor	Collaborator
Riphah International University

Country where clinical trial is conducted

Pakistan, 

References & Publications (5)

Chen B, Shin S. Bibliometric Analysis on Research Trend of Accidental Falls in Older Adults by Using Citespace-Focused on Web of Science Core Collection (2010-2020). Int J Environ Res Public Health. 2021 Feb 9;18(4). pii: 1663. doi: 10.3390/ijerph18041663. — View Citation

Clark PG, Blissmer BJ, Greene GW, Lees FD, Riebe DA, Stamm KE. Maintaining exercise and healthful eating in older adults: the SENIOR project II: study design and methodology. Contemp Clin Trials. 2011 Jan;32(1):129-39. doi: 10.1016/j.cct.2010.10.002. Epub 2010 Oct 16. — View Citation

Naz L, Ghimire U, Zainab A. Behavioral factors associated with utilization of healthcare services among elderly in Pakistan: evidence from a nationally representative survey. BMC Geriatr. 2021 Jan 12;21(1):42. doi: 10.1186/s12877-021-02005-3. — View Citation

Ortega FB, Cadenas-Sanchez C, Lee DC, Ruiz JR, Blair SN, Sui X. Fitness and Fatness as Health Markers through the Lifespan: An Overview of Current Knowledge. Prog Prev Med (N Y). 2018 Apr 2;3(2):e0013. doi: 10.1097/pp9.0000000000000013. eCollection 2018 Apr. — View Citation

Sabzwari SR, Iqbal R, Fatmi Z, Azam I. Factors associated with geriatric morbidity and impairment in a megacity of Pakistan. PLoS One. 2019 Jun 27;14(6):e0218872. doi: 10.1371/journal.pone.0218872. eCollection 2019. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Senior Fitness Test	Functional fitness will be assessed by using the SFT battery includes; 30-Second Chair Stand Test - lower body strength, Arm Curl Test - upper body strength assessment, Chair Sit and-Reach Test - assessment of the flexibility of the lower body, Back Scratch Test - assessment of the flexibility of the upper body, 8-Foot Up-and-Go Test - agility and dynamic balance assessment, 6 - Minute Walk Test - aerobic endurance rating	Day 1