Resistance training done at home and protein supplementation may be the most effective and easiest to implement interventions to reverse frailty and build resilience. However, it is not common practice to offer and support such interventions in primary care. This study provides an opportunity to assess the effectiveness of an optimised intervention with community-dwelling adults aged 65 and over, whose baseline clinical frailty score is not worse than mild (i.e. 5 or less), evaluate improvements in health outcomes and demonstrate how the intervention may be incorporated efficiently in clinical practice. The results are intended to encourage mainstream adoption of practical interventions to reverse clinical frailty and build resilience in primary care. An intervention with ten recommended resistance exercises and dietary guidance on protein consumption has been derived from findings of our systematic review and meta-analysis and optimised through a patient and public involvement (PPI) process and feasibility study.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
169
Home based exercise regime and dietary protein guidance
Beechlawn Medical Centre
Dublin, Ireland
Frailty status
Frailty status as measured by SHARE-frailty instrument measurement
Time frame: 3 months
Clinical frailty status
Clinical frailty status measured by Clinical Frailty Scale 1 to 9, 9 is worse
Time frame: 3 months
Sarcopenia/ muscle mass
Sarcopenia/ muscle mass measured by bioelectrical impedance
Time frame: 3 months
Ease of the intervention
Ease of the intervention measured on a five-point scale: 'very easy', 'somewhat easy', 'neither easy nor hard', 'somewhat hard', or 'very hard'
Time frame: 3 months
Subjective difference to general health
Difference to general health as a result of the exercises measured on a five-point scale: 'much better', 'slightly better', 'about the same', 'slightly worse' or 'much worse'
Time frame: 3 months
Bone mass
Bone mass measured by bioelectrical impedance
Time frame: 3 months
Body fat
measured by bioelectrical impedance
Time frame: 3 months
Biological age
measured by bioelectrical impedance
Time frame: 3 months
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