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To investigate the efficacy of a 12-week Functional Power Training (FPT) program in pre-frail and frail community-dwelling older adults in Singapore for the management of physical frailty. The proposed study will provide information on the benefits of FPT on physical performances of older adults and help to shape future exercise recommendations to slow or reverse the onset and severity of physical frailty.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Function power training | Experimental | 12-week structured FPT program, conducted by a certified trainer from a community service provider. Sessions were held twice weekly at the respective community senior activity centers, each lasting 60 minutes in duration. |
|
| Usual care | Active Comparator | Participants either continued the usual exercise program provided by their respective community senior activity centers or their personal exercise routine. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Functional Power Training | Other | The exercise intervention encompassed high-velocity movement, balance, and mobility exercises with the use of body weight and resistance bands as resistance. Participants were instructed to move rapidly during the concentric phase and slowly during the eccentric phase when performing the dynamic exercises. |
| Measure | Description | Time Frame |
|---|---|---|
| Change of Frail status at 12 and 24 weeks | Cardiovascular Health Study (CHS) Frailty status which characterizes frailty based on five components: unintentional weight loss, weakness, slowness, exhaustion and low physical activity. 1 point for each category. Robust: 0 point, Pre-Frail: 1-2 points , Frail: 3-5 points. | baseline, 12 weeks, 24 weeks |
| Change of hand grip strength at 12 and 24 weeks | Hand grip strength (kg) | baseline, 12 weeks, 24 weeks |
| Change of knee extensor strength at 12 and 24 weeks | Knee extensor strength (kg) | baseline, 12 weeks, 24 weeks |
| Change of Timed up and go (TUG) at 12 and 24 weeks | Timed up and go (TUG) (seconds) | baseline, 12 weeks, 24 weeks |
| Change of SPPB at 12 and 24 weeks | Short Physical Performance Battery (SPPB) consist of:
| baseline, 12 weeks, 24 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Exercise adherence | Exercise journals | baseline, 12 weeks, 24 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Shiou-Liang Wee, PhD | Geriatric Education & Research Institute | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Geriatric Education & Research Institute | Singapore | Singapore |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33742266 | Derived | Tou NX, Wee SL, Seah WT, Ng DHM, Pang BWJ, Lau LK, Ng TP. Effectiveness of Community-Delivered Functional Power Training Program for Frail and Pre-frail Community-Dwelling Older Adults: a Randomized Controlled Study. Prev Sci. 2021 Nov;22(8):1048-1059. doi: 10.1007/s11121-021-01221-y. Epub 2021 Mar 19. |
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| ID | Term |
|---|---|
| D000073496 | Frailty |
| D018908 | Muscle Weakness |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009135 | Muscular Diseases |
| D009140 | Musculoskeletal Diseases |
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|
| Usual care | Other | Participants either continued the usual exercise program provided by their respective community senior activity centers or their personal exercise routine. |
|
| D020879 | Neuromuscular Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |