Evidence supports the fact that multicomponent exercise and β-hydroxy-β-methylbutyrate (HMB) supplementation are, separately, effective in improving old adult's health and palliate functional metabolic diseases in the elderly. However, the true effect of HMB supplementation combined with a tailored exercise program in frail old adults is still unknown. Thus, the aim of the HEAL study is to assess the effects of the combination of a daily multicomponent exercise and resistance training intervention in addition to HMB supplementation on old adults' health.
Evidence supports the fact that multicomponent exercise and β-hydroxy-β-methylbutyrate (HMB) supplementation are, separately, effective in improving old adult's health and palliate functional metabolic diseases in the elderly. However, the true effect of HMB supplementation combined with a tailored exercise program in frail old adults is still unknown. Thus, the aim of the HEAL study is to assess the effects of the combination of a daily multicomponent exercise and resistance training intervention in addition to HMB supplementation on old adults' health. The findings of the HEAL study will help professionals from public health systems to identify cost-effectiveness and innovative actions to improve older people's health and quality of life, and endorse exercise practice in older adults living in nursing homes.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
104
Intervention groups including HMB supplementation (Ex-HMB and NoEx-HMB) will receive a 3 g daily dose of free acid HMB in powder form dissolved freely into 250 mL of water during a 24-week intervention
Intervention groups including exercise (Ex-HMB and Ex-Plac) will complete an individualized multicomponent training program, five days a week during 24 weeks.
Faculty of Sport Sciences
Murcia, San Javier, Spain
Change in physical functional performance based on the Short Physical Performance Battery (SPPB) score
Summary scores range from 0-12 and higher scores denote higher physical performance.
Time frame: Baseline to 25 Weeks
Change in Handgrip strength (kg)
Using a dynamometer
Time frame: Baseline to 25 Weeks
Change in lower-body strength (kg)
Seated leg press one-repetition maximun test
Time frame: Baseline to 25 Weeks
Change in upper-body strength (kg)
Vertical bench press one-repetition maximun test
Time frame: Baseline to 25 Weeks
Change in lower-body strength power output (m/s)
Seated leg press load-velocity profile
Time frame: Baseline to 25 Weeks
Change in upper-body strength power output (m/s)
Vertical bench press load-velocity profile
Time frame: Baseline to 25 Weeks
Change in frailty (score)
Frailty phenotype determination using Fried's criteria
Time frame: Baseline to 25 Weeks
Change in lean body mass (kg)
Change in lean body mass using dual energy x-ray absorptiometry
Time frame: Baseline to Week 25
Change in lipid profile
Plasma total, high-density lipoprotein and low-density lipoprotein cholesterol and triglycerides (all in mg/dL)
Time frame: Baseline to Week 25
Change in glycaemic profile
Plasma glucose, insulin and glycosylated haemoglobin (all in mg/dL)
Time frame: Baseline to Week 25
Change in Thyroid-Stimulating Hormone (mIU/L)
Time frame: Baseline to Week 25
Change in Disability (Lawton index scores)
Disability in instrumental activities of daily living.
Time frame: Baseline to 25 Weeks
Change in Disability (Barthel index scores)
Disability in basic activities of daily living
Time frame: Baseline to 25 Weeks
Change in Comorbidity (score)
When a participant presents two or more geriatric syndromes from a list of selected geriatric syndromes
Time frame: Baseline to 25 Weeks
Change in cognitive function (score)
Using the Mini-Mental State Examination
Time frame: Baseline to 25 Weeks
Change in depression (score)
Using the 15-item Yesavage geriatric depression
Time frame: Baseline to 25 Weeks
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