Randomized Controlled Trial of Community-based Nutritional, Physical and Cognitive Training Intervention Programmes for At Risk Frail Elderly

Inclusion Criteria: 1. Age of 65 years or older 2. Living at home 3. Able to walk without personal assistance and no other physical limitations that can limit participation and adherence, particularly to exercise intervention programme 4. Meet criteria for frailty Operational definition of frailty. The participants are assessed and classified on the level of frailty by the following measures and criteria: 1. Weight loss 2. Slowness 3. Poor balance and weakness assessed by chair stand test 4. Muscle weakness assessed by hand grip and knee extension strength 5. Exhaustion, fatigue or low endurance 6. Low physical activity Exclusion Criteria: 1. Member of household already enrolled 2. Dementia or cognitive impairment, major depression or other psychotic disorders 3. Severe audio-visual impairment 4. Progressive, degenerative neurologic disease like Parkinsonism, fits/ epilepsy, etc 5. Rapidly progressive or terminal illness under palliative care with life expectancy less than 12 months 6. History of alcohol abuse or any other substance abuse 7. Severely affect muscle/joint dysfunction resulting in disability 8. Hospital admission in the past 3 months 9. Regular physical training or physiotherapy or current participation in a vigorous exercise or weight-training program more than once per week 10. Undergoing therapeutic diet incompatible with nutritional supplementation 11. In the opinion of research clinician, the intervention is deemed to be potentially hazardous for the subject, such as serious cardiac and pulmonary disease.