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This study evaluates the effectiveness of the Vivifrail multicomponent physical exercise program among elderly residents with different levels of frailty in long-term care centers. A 12-week intervention will be conducted in randomly assigned experimental and control groups. Outcomes include physical performance, fall risk, grip strength, calf circumference, and ICOPE function.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control Group: Usual Care | Active Comparator | Participants in this group will receive usual care with no structured physical activity program. They will continue their normal daily routines and have access to health education materials unrelated to physical activity. |
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| Intervention Group: Multicomponent Physical Activity Program (Vivifrail) | Experimental | Participants in this arm will receive a 12-week multicomponent physical activity program based on the Vivifrail protocol, designed to improve physical function and reduce frailty in older adults. The intervention includes individualized exercise sessions incorporating strength, balance, flexibility, and endurance training, adjusted according to baseline functional capacity. Sessions are supervised by trained personnel and conducted three times per week in a community or long-term care setting. The program also includes educational components promoting adherence and safe exercise practices. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Multicomponent Physical Exercise Program (Vivifrail) | Behavioral | Vivifrail physical training, 5 times/week, 50-60 minutes/session for 12 weeks |
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| Measure | Description | Time Frame |
|---|---|---|
| SPPB Score change at Weeks 0, 4, 8, 12, 16, 20, 24 | SPPB Score change at Weeks 0, 4, 8, 12, 16, 20, 24 | SPPB Score change at Weeks 0, 4, 8, 12, 16, 20, 24 |
| Fall risk assessment (TUG, gait speed, number of falls) at Weeks 0, 4, 8, 12, 16, 20, 24 | Fall risk assessment (TUG, gait speed, number of falls) at Weeks 0, 4, 8, 12, 16, 20, 24 | Fall risk assessment (TUG, gait speed, number of falls) at Weeks 0, 4, 8, 12, 16, 20, 24 |
| Measure | Description | Time Frame |
|---|---|---|
| ICOPE function assessment at Weeks 0, 12, 24 | ICOPE function assessment at Weeks 0, 12, 24 | ICOPE function assessment at Weeks 0, 12, 24 |
| Grip strength (hand dynamometer) at Weeks 0, 12, 24 | Grip strength (hand dynamometer) at Weeks 0, 12, 24 |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| China Medical University | Taichung | 406040 | Taiwan |
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| ID | Term |
|---|---|
| D000073496 | Frailty |
| D057185 | Sedentary Behavior |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001519 | Behavior |
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| Grip strength (hand dynamometer) at Weeks 0, 12, 24 |