Effects of Community-center Based Dietary Intervention on Frailty Prevention and Regression in the Elderly.

Academia Sinica, Taiwan

Status: Terminated

Conditions: Frailty

Treatments: Behavioral: Nutrition activities; Behavioral: Exercise

Study type: Interventional

Funder types: Other

Identifiers

NCT05129163

AS-IRB01-16057

Details and patient eligibility

About

Recent interventional studies have shown that frailty can be improved by modifying dietary quality. In this study, a set of nutrition-centric health promotion activities was developed in accordance with the Taiwanese Daily Food Guide for elderly participants of the community centers to improve their nutrition in everyday practice and examined the efficacy of these activities on slowing down the development or regression of frailty. The study was a cluster-randomized controlled trial. Recruited community centers were randomly assigned into either the control or the intervention group. The intervention period lasted for 3 months. Both the control and intervention groups received weekly one-hour group exercise training. The intervention group had an additional weekly one-hour group nutrition session. The intervention programs included: (a) training on-site staffs to use motivational interview techniques to communicate, to estimate participant's energy requirements, and to learn how to provide proper amounts of foods to individual elderlies, (b) nutrition grouped activities on ①know my plate, ②wholegrains, ③drinking teas with dairy, and nuts, ④novel ways to eat fruit and vegetables, ⑤healthy breakfast ideas. In the first month, participants were intervened with the activities laid out above; in the second month, participants were intervened with qualitative discussions on dietary changes; in the third month, participants were intervened with designed activities that helped break down barriers in order to establish a long-term change in dietary habits. Improvement in nutritional status was the primary outcome. Secondary outcomes included frailty scores, physical performance, and mental health. The measurements were performed at baseline, 3 months, and 6 months.

Enrollment: 219 patients

Sex: All

Ages: 65+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Aged 65 years or older
• Able to walk independently for 14 meters within 1 minute
• Willing to sign the informed consent

Exclusion criteria

• Under dietary control by doctors' instructions
• With mental illness, mental disorders, or unable to communicate
• With severe diseases such as under treatments for cancer

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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219 participants in 2 patient groups, including a placebo group

Exercise

Placebo Comparator group

Description:

The control group received weekly one-hour group exercise training for 3 months.

Treatment:

Behavioral: Exercise

Exercise and nutrition

Experimental group

Description:

The intervention group had weekly one-hour group exercise training the same as the control and an additional weekly one-hour group nutrition session for 3 months.

Treatment:

Behavioral: Nutrition activities

Behavioral: Exercise