The general objective of this clinical trial is to assess the physical fitness and gut microbiota of older adults, thereby highlighting the importance of focusing on health maintenance. By making use of available resources and fostering collaboration among the elements involved in the study, more specific objectives can be defined: 1. To determine the state of the gut flora in older adults through the analysis of the intestinal microbiota. 2. To identify changes in the intestinal microbiota resulting from the intake of probiotics in older adults. 3. To evaluate the effects of the intestinal microbiota in older adults participating in a training programme. 4. To assess the physical fitness and perceived quality of life in older adults who engage in sport activities supported by technology. Participants will: * Perform physical tests such as the 6-Minute Walk Test (6MWT), the Timed Up and Go (TUG), and the Sit-to-Stand test. * Complete wellbeing questionnaires to assess their perceived quality of life and health status. * Complete dietary habit questionnaires. * Provide stool samples for microbiota analysis. * Take part in exercise interventions or placebo exercise sessions, depending on their assigned group.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
DOUBLE
Enrollment
90
A daily oral capsule containing 1 x 10⁹ CFU of Lactiplantibacillus plantarum CECT 7481 (32.5 mg), microcrystalline cellulose (304.1 mg), and magnesium stearate (3.4 mg). Administered once daily before the main meal for 6 weeks. Used to evaluate its effects on gut microbiota and physical health in older adults.
A daily oral capsule identical in appearance to the probiotic capsule, containing maltodextrin instead of Lactiplantibacillus plantarum. Administered once daily before the main meal for 6 weeks. Used to control for placebo effects in the assessment of probiotic efficacy.
A 12-week supervised physical activity program conducted at municipal sports centers. Participants engage in moderate-intensity exercise at least 2 times per week. Designed to assess the impact of physical activity on gut microbiota, physical condition, and quality of life in older adults.
Change in gut microbiota composition
Assessment of gut microbiota diversity and composition using 16S rRNA sequencing of stool samples. Alpha and beta diversity indices will be calculated to evaluate changes over time and between groups.
Time frame: Baseline, Week 12, Week 18
Change in quality of life scores
The Short Form Health Survey - 12 items (SF-12) is a validated, self-reported instrument used to assess health-related quality of life. It generates two composite scores: * Physical Component Summary (PCS-12) * Mental Component Summary (MCS-12) Score range: Norm-based scoring with a mean of 50 and a standard deviation of 10 in the general population. Interpretation: * Scores above 50 indicate better-than-average health-related quality of life. * Scores below 50 indicate worse-than-average health-related quality of life
Time frame: Baseline, Week 12, Week 18
Change in gastrointestinal symptom scores
Measured using the GSRS (Gastrointestinal Symptom Rating Scale), which includes 15 items grouped into five symptom clusters. Score range: 1 to 7 Interpretation: Higher scores reflect greater severity of gastrointestinal symptoms.
Time frame: Baseline, Week 12, Week 18
Change in 6-minute walk test distance
Distance walked in meters during the 6-minute walk test to assess cardiorespiratory fitness. Unit of measure: meters
Time frame: Baseline, Week 12, Week 18
Change in handgrip strength
Measured using a hand dynamometer to assess upper body strength. Unit of measure: kilograms
Time frame: Baseline, Week 12, Week 18
Change in body fat percentage
Measured using bioimpedance analysis to assess body composition. Unit of measure: percent (%)
Time frame: Baseline, Week 12, Week 18
Change in balance performance
Measured using a pressure platform during a 30-second Romberg test. The outcome includes center of pressure displacement and bilateral weight distribution to assess balance and fall risk. Unit of measure: Sway Index
Time frame: Baseline, Week 12, Week 18
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