Effect of a multicomponent exercise program and cognitive stimulation (VIVIFRAIL-COGN) on falls in frail community older persons with high risk of falls: study protocol for a randomized multicenter control trial
Cognitive function; Falls; Fractures
| Autores: | , , , , , |
|---|---|
| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2022 |
| País: | España |
| Institución: | Departament de Salut de la Generalitat de Catalunya (DS) |
| Repositorio: | Scientia. Dipòsit d'Informació Digital del Departament de Salut |
| OAI Identifier: | oai:scientiasalut.gencat.cat:11351/8263 |
| Acceso en línea: | https://hdl.handle.net/11351/8263 |
| Access Level: | acceso abierto |
| Palabra clave: | Exercici terapèutic per a persones grans Cognició en les persones grans Caigudes (Accidents) en la vellesa NAMED GROUPS::Persons::Age Groups::Adult::Aged::Frail Elderly ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Therapeutics::Patient Care::Continuity of Patient Care::Aftercare::Rehabilitation::Exercise Therapy PSYCHIATRY AND PSYCHOLOGY::Psychological Phenomena::Mental Processes::Cognition DENOMINACIONES DE GRUPOS::personas::Grupos de Edad::adulto::anciano::personas mayores frágiles TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::terapéutica::asistencia al paciente::continuidad de la atención al paciente::asistencia del convaleciente::rehabilitación::tratamiento por actividad física PSIQUIATRÍA Y PSICOLOGÍA::fenómenos psicológicos::procesos mentales::cognición |
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Effect of a multicomponent exercise program and cognitive stimulation (VIVIFRAIL-COGN) on falls in frail community older persons with high risk of falls: study protocol for a randomized multicenter control trial |
| title |
Effect of a multicomponent exercise program and cognitive stimulation (VIVIFRAIL-COGN) on falls in frail community older persons with high risk of falls: study protocol for a randomized multicenter control trial |
| spellingShingle |
Effect of a multicomponent exercise program and cognitive stimulation (VIVIFRAIL-COGN) on falls in frail community older persons with high risk of falls: study protocol for a randomized multicenter control trial Sánchez Sánchez, Juan Luis Exercici terapèutic per a persones grans Cognició en les persones grans Caigudes (Accidents) en la vellesa NAMED GROUPS::Persons::Age Groups::Adult::Aged::Frail Elderly ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Therapeutics::Patient Care::Continuity of Patient Care::Aftercare::Rehabilitation::Exercise Therapy PSYCHIATRY AND PSYCHOLOGY::Psychological Phenomena::Mental Processes::Cognition DENOMINACIONES DE GRUPOS::personas::Grupos de Edad::adulto::anciano::personas mayores frágiles TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::terapéutica::asistencia al paciente::continuidad de la atención al paciente::asistencia del convaleciente::rehabilitación::tratamiento por actividad física PSIQUIATRÍA Y PSICOLOGÍA::fenómenos psicológicos::procesos mentales::cognición |
| title_short |
Effect of a multicomponent exercise program and cognitive stimulation (VIVIFRAIL-COGN) on falls in frail community older persons with high risk of falls: study protocol for a randomized multicenter control trial |
| title_full |
Effect of a multicomponent exercise program and cognitive stimulation (VIVIFRAIL-COGN) on falls in frail community older persons with high risk of falls: study protocol for a randomized multicenter control trial |
| title_fullStr |
Effect of a multicomponent exercise program and cognitive stimulation (VIVIFRAIL-COGN) on falls in frail community older persons with high risk of falls: study protocol for a randomized multicenter control trial |
| title_full_unstemmed |
Effect of a multicomponent exercise program and cognitive stimulation (VIVIFRAIL-COGN) on falls in frail community older persons with high risk of falls: study protocol for a randomized multicenter control trial |
| title_sort |
Effect of a multicomponent exercise program and cognitive stimulation (VIVIFRAIL-COGN) on falls in frail community older persons with high risk of falls: study protocol for a randomized multicenter control trial |
| dc.creator.none.fl_str_mv |
Sánchez Sánchez, Juan Luis Udina Argilaga, Cristina Medina Rincón, Almudena Esbrí Víctor, Mariano Bartolomé Martín, Irene Moral-Cuesta, Debora |
| author |
Sánchez Sánchez, Juan Luis |
| author_facet |
Sánchez Sánchez, Juan Luis Udina Argilaga, Cristina Medina Rincón, Almudena Esbrí Víctor, Mariano Bartolomé Martín, Irene Moral-Cuesta, Debora |
| author_role |
author |
| author2 |
Udina Argilaga, Cristina Medina Rincón, Almudena Esbrí Víctor, Mariano Bartolomé Martín, Irene Moral-Cuesta, Debora |
| author2_role |
author author author author author |
| dc.contributor.none.fl_str_mv |
Institut Català de la Salut [Sánchez-Sánchez JL] MOVE IT Research Group, Department of Physical Education, Faculty of Education Sciences, University of Cadiz, Cadiz, Spain. Health Sciences Department, Universidad Pública de Navarra (UPNA), Pamplona, Spain. Insitut de Viellissement, CHU Toulouse, Gerontopole de Toulouse, Toulouse, France. [Udina C, Medina-Rincón A] Parc Sanitari Pere Virgili, Barcelona, Spain. Grup de Recerca en Envelliment, Fragilitat i Transicions, Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. [Esbrí-Victor M] Geriatrics Department, Complejo Hospitalario Universitario de Albacete (CHUA), Albacete, Spain. [Bartolomé-Martín I] Geriatrics Department, Hospital Universitario de Guadalajara (HUG), Guadalajara, Spain. [Moral-Cuesta D] Geriatrics Department, Hospital Universitario de Navarra (HUN), Pamplona, Spain Vall d'Hebron Barcelona Hospital Campus |
| dc.subject.none.fl_str_mv |
Exercici terapèutic per a persones grans Cognició en les persones grans Caigudes (Accidents) en la vellesa NAMED GROUPS::Persons::Age Groups::Adult::Aged::Frail Elderly ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Therapeutics::Patient Care::Continuity of Patient Care::Aftercare::Rehabilitation::Exercise Therapy PSYCHIATRY AND PSYCHOLOGY::Psychological Phenomena::Mental Processes::Cognition DENOMINACIONES DE GRUPOS::personas::Grupos de Edad::adulto::anciano::personas mayores frágiles TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::terapéutica::asistencia al paciente::continuidad de la atención al paciente::asistencia del convaleciente::rehabilitación::tratamiento por actividad física PSIQUIATRÍA Y PSICOLOGÍA::fenómenos psicológicos::procesos mentales::cognición |
| topic |
Exercici terapèutic per a persones grans Cognició en les persones grans Caigudes (Accidents) en la vellesa NAMED GROUPS::Persons::Age Groups::Adult::Aged::Frail Elderly ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Therapeutics::Patient Care::Continuity of Patient Care::Aftercare::Rehabilitation::Exercise Therapy PSYCHIATRY AND PSYCHOLOGY::Psychological Phenomena::Mental Processes::Cognition DENOMINACIONES DE GRUPOS::personas::Grupos de Edad::adulto::anciano::personas mayores frágiles TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::terapéutica::asistencia al paciente::continuidad de la atención al paciente::asistencia del convaleciente::rehabilitación::tratamiento por actividad física PSIQUIATRÍA Y PSICOLOGÍA::fenómenos psicológicos::procesos mentales::cognición |
| description |
Cognitive function; Falls; Fractures |
| publishDate |
2022 |
| dc.date.none.fl_str_mv |
2022 2022 2022 |
| dc.type.none.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
| format |
article |
| status_str |
publishedVersion |
| dc.identifier.none.fl_str_mv |
https://hdl.handle.net/11351/8263 |
| url |
https://hdl.handle.net/11351/8263 |
| dc.language.none.fl_str_mv |
Inglés |
| language_invalid_str_mv |
Inglés |
| dc.relation.none.fl_str_mv |
BMC Geriatrics;22 https://doi.org/10.1186/s12877-022-03214-0 |
| dc.rights.none.fl_str_mv |
Attribution 4.0 International http://creativecommons.org/licenses/by/4.0/ info:eu-repo/semantics/openAccess |
| rights_invalid_str_mv |
Attribution 4.0 International http://creativecommons.org/licenses/by/4.0/ |
| eu_rights_str_mv |
openAccess |
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application/pdf |
| dc.publisher.none.fl_str_mv |
BMC |
| publisher.none.fl_str_mv |
BMC |
| dc.source.none.fl_str_mv |
Scientia reponame:Scientia. Dipòsit d'Informació Digital del Departament de Salut instname:Departament de Salut de la Generalitat de Catalunya (DS) |
| instname_str |
Departament de Salut de la Generalitat de Catalunya (DS) |
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Scientia. Dipòsit d'Informació Digital del Departament de Salut |
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Scientia. Dipòsit d'Informació Digital del Departament de Salut |
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1869407451706556416 |
| spelling |
Effect of a multicomponent exercise program and cognitive stimulation (VIVIFRAIL-COGN) on falls in frail community older persons with high risk of falls: study protocol for a randomized multicenter control trialSánchez Sánchez, Juan LuisUdina Argilaga, CristinaMedina Rincón, AlmudenaEsbrí Víctor, MarianoBartolomé Martín, IreneMoral-Cuesta, DeboraExercici terapèutic per a persones gransCognició en les persones gransCaigudes (Accidents) en la vellesaNAMED GROUPS::Persons::Age Groups::Adult::Aged::Frail ElderlyANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Therapeutics::Patient Care::Continuity of Patient Care::Aftercare::Rehabilitation::Exercise TherapyPSYCHIATRY AND PSYCHOLOGY::Psychological Phenomena::Mental Processes::CognitionDENOMINACIONES DE GRUPOS::personas::Grupos de Edad::adulto::anciano::personas mayores frágilesTÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::terapéutica::asistencia al paciente::continuidad de la atención al paciente::asistencia del convaleciente::rehabilitación::tratamiento por actividad físicaPSIQUIATRÍA Y PSICOLOGÍA::fenómenos psicológicos::procesos mentales::cogniciónCognitive function; Falls; FracturesFunción cognitiva; Caídas; FracturasFunció cognitiva; Caigudes; FracturesBackground Falls represent important drivers of intrinsic capacity losses, functional limitations and reduced quality of life in the growing older adult’s population, especially among those presenting with frailty. Despite exercise- and cognitive training-based interventions have shown effectiveness for reducing fall rates, evidence around their putative cumulative effects on falls and fall-related complications (such as fractures, reduced quality of life and functional limitations) in frail individuals remains scarce. The main aim of this study is to explore the effectiveness program combining an individualized exercise program and an executive function-based cognitive training (VIVIFRAIL-COGN) compared to usual care in the prevention of falls and fall-related outcomes over a 1-year follow-up. Methods This study is designed as a four-center randomized clinical trial with a 12-week intervention period and an additional 1-year follow-up. Three hundred twenty frail or pre-frail (≥ 1 criteria of the Frailty Phenotype) older adults (≥ 75 years) with high risk of falling (defined by fall history and gait performance) will be recruited in the Falls Units of the participating centers. They will be randomized in a 1:1 ratio to the intervention group (IG) or the control group (CG). The IG will participate in a home-based intervention combining the individualized Vivifrail multicomponent (aerobic, resistance, gait and balance and flexibility) exercise program and a personalized executive function-based cognitive training (VIVIFRAIL-COGN). The CG group will receive usual care delivered in the Falls Units, including the Otago Exercise Program. Primary outcome will be the incidence of falls (event rate/year) and will be ascertained by self-report during three visits (at baseline, and 6 and 12 weeks) and telephone-based contacts at 6, 9 and 12 months after randomization. Secondarily, effects on measures of physical and cognitive function, quality of life, nutritional, muscle quality and psychological status will be evaluated. Discussion This trial will provide new evidence about the effectiveness of an individualized multidomain intervention by studying the effect of additive effects of cognitive training and physical exercise to prevent falls in older frail persons with high risk of falling. Compared to usual care, the combined intervention is expected to show additive effects in the reduction of the incidence of falls and associated adverse outcomes.The present study is funded by a grant from the Spanish Ministry of Science and Innovation and the Instituto de Salud Carlos III (PI20/01546). Funder Agencies do not play any role in the conducting of the study. Instituto de Salud Carlos III,PI20/01546,Alvaro Casas-HerreroBMCInstitut Català de la Salut[Sánchez-Sánchez JL] MOVE IT Research Group, Department of Physical Education, Faculty of Education Sciences, University of Cadiz, Cadiz, Spain. Health Sciences Department, Universidad Pública de Navarra (UPNA), Pamplona, Spain. Insitut de Viellissement, CHU Toulouse, Gerontopole de Toulouse, Toulouse, France. [Udina C, Medina-Rincón A] Parc Sanitari Pere Virgili, Barcelona, Spain. Grup de Recerca en Envelliment, Fragilitat i Transicions, Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. [Esbrí-Victor M] Geriatrics Department, Complejo Hospitalario Universitario de Albacete (CHUA), Albacete, Spain. [Bartolomé-Martín I] Geriatrics Department, Hospital Universitario de Guadalajara (HUG), Guadalajara, Spain. [Moral-Cuesta D] Geriatrics Department, Hospital Universitario de Navarra (HUN), Pamplona, SpainVall d'Hebron Barcelona Hospital Campus202220222022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/11351/8263Scientiareponame:Scientia. Dipòsit d'Informació Digital del Departament de Salutinstname:Departament de Salut de la Generalitat de Catalunya (DS)InglésBMC Geriatrics;22https://doi.org/10.1186/s12877-022-03214-0Attribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:scientiasalut.gencat.cat:11351/82632026-06-12T09:38:37Z |
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15,81155 |