Personalized multicomponent exercise programs using smartphone technology among older people: protocol for a randomized controlled trial
| Autor: | David Ben-Sira, Esther Argov, Ziv Yekutieli, Keren Tchelet, Moshe Ayalon, Yihya Amar, Jeremy M. Jacobs, Yael Netz |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Technology Artificial intelligence medicine.medical_treatment Remote assessment Exercise prescription law.invention Study Protocol Physical medicine and rehabilitation Randomized controlled trial law Intervention (counseling) medicine Humans Prospective Studies Exercise Balance (ability) Aged Randomized Controlled Trials as Topic Protocol (science) Rehabilitation business.industry RC952-954.6 Flexibility (personality) Exercise Therapy Motor fitness Geriatrics Sample size determination Smartphone Geriatrics and Gerontology business Individualized program |
| Zdroj: | BMC Geriatrics BMC Geriatrics, Vol 21, Iss 1, Pp 1-11 (2021) |
| ISSN: | 1471-2318 |
| Popis: | Background Optimal application of the recently updated World Health Organization (WHO) guidelines for exercise in advanced age necessitates an accurate adjustment for the age-related increasing variability in biological age and fitness levels, alongside detailed recommendations across a range of motor fitness components, including balance, strength, and flexibility. We previously developed and validated a novel tool, designed to both remotely assess these fitness components, and subsequently deliver a personalized exercise program via smartphone. We describe the design of a prospective randomized control trial, comparing the effectiveness of the remotely delivered personalized multicomponent exercise program to either WHO exercise guidelines or no intervention. Methods Participants (n = 300) are community dwelling, healthy, functionally independent, cognitively intact volunteers aged ≥65 at low risk for serious fall injuries, assigned using permuted block randomization (age/gender) to intervention, active-control, or control group. The intervention is an 8-week program including individually tailored exercises for upper/lower body, flexibility, strength, and balance (dynamic, static, vestibular); active-controls receive exercising counselling according to WHO guidelines; controls receive no guidance. Primary outcome is participant fitness level, operationalized as 42 digital markers generated from 10 motor fitness measures (balance, strength, flexibility); measured at baseline, mid-trial (4-weeks), trial-end (8-weeks), and follow-up (12-weeks). Target sample size is 300 participants to provide 99% power for moderate and high effect sizes (Cohen’s f = 0.25, 0.40 respectively). Discussion The study will help understand the value of individualized motor fitness assessment used to generate personalized multicomponent exercise programs, delivered remotely among older adults. Trial registration ClinicalTrials.gov Identifier: NCT04181983 |
| Databáze: | OpenAIRE |
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