Effects of "Comprehensive Health Promotion and Healthy Lifestyle Development" in Community-dwelling Elderly.
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: combined physical and cognitive training and 1 hour of risk factor prevention and healthy lifestyle development.
- Who it may be relevant to
- Registry conditions: Community Centers. Basic parameters: from 60 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Taiwan
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
The World Health Organization (WHO) defines "Active Aging" as continued engagement in social, economic, cultural, spiritual, and civic activities, emphasizing the importance of participation for older adults. Personal health behaviors and habits influence both longevity and health status in later life, with healthy lifestyle development optimizing aging and enhancing well-being and quality of life. WHO's Integrated Care for Older People (ICOPE) highlights six key indicators of physical and mental function-mobility, cognition, nutrition, vision, hearing, and depression-as critical to promoting active aging. These factors are also used to evaluate aging outcomes. Multidomain interventions are employed to address cognitive decline and dementia. While research supports the benefits of multidomain interventions for cognitive improvement in older adults, consistent findings are lacking. Most interventions focus on exercise and cognitive training, with limited attention to other aging risk factors. Broader, more diverse interventions that actively involve older adults are needed to confirm the effects of these factors on cognitive function. This study aims to evaluate the effects of multidomain interventions-covering exercise, cognitive training, nutrition, chronic disease management, vision and hearing care, fall prevention, psychosocial factors, and sleep-on mobility, cognition, daily functioning, and social participation in community-dwelling older adults
Interventions
- Behavioral combined physical and cognitive training and 1 hour of risk factor prevention and healthy lifestyle development
Dosage: a 2-hour session once a week for 12 weeks. Each multidomain intervention session includes 1 hour of combined physical (balance, strength and aerobic exercises) and cognitive (attention, memory, calculation, visual-spatial ability, processing speed and executive function) training and 1 hour of risk factor prevention (nutrition, chronic disease management, oral health, fall prevention and transportation safety, psychosocial factors and sleep) and healthy lifestyle development (Discussion
Primary outcome measures
- Change scores of Montreal Cognitive Assessment (MoCA) [Time frame: baseline, after the intervention 12 weeks]
- Change scores of Timed up and go (TUG) [Time frame: baseline, after the intervention 12 weeks]
- Change scores of Grip strength (GS) [Time frame: baseline, after the intervention 12 weeks]
- Change scores of Outcome Measure of Health-Promotion Program for Community-Dwelling Elderly [Time frame: baseline, after the intervention 12 weeks]
- Change scores of the Acting Aging Scale [Time frame: baseline, after the intervention 12 weeks]
Eligibility criteria
Inclusion criteria
- Age ≥ 60 years old
- Mini-Mental State Examination (MMSE) score > 20 (Folstein et al., 1975), able to follow instructions and participate in activities
- With self-reported or caregiver-reported memory or cognitive-related problems
- No diagnosis of any type of dementia
Exclusion criteria
- Unstable medical condition that would prevent safe participation in exercise training (e.g., myocardial infarction, heart failure, recent cardiac surgery, severe asthma, concomitant neurological disorders, or joint deformities)
- Participation in other studies
- Inability to provide informed consent
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Prevention
Study locations
Taiwan · 1 center
- Chang Gung Memotial Hospital — Taoyuan
Identifiers
NCT: NCT06632899 · 202400825B0