N/A
N=21
Exercise Snacking to Improve Strength and STability: ESISST Pilot Study
Acceptability of an Exercise Intervention
Bottom Line
View on ClinicalTrials.gov: NCT05439252 ↗Enrolled (actual)
21
Serious AEs
0.0%
Results posted
Oct 2024
Primary outcome: Primary: Acceptability of the Intervention — 4.6 score on a scale
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Exercise Snacking (Behavioral)
- Age
- Older Adult · 65+ yrs
- Sex
- All
- Sponsor
- University of Bath
- Primary completion
- Jan 2023
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Acceptability of the Intervention |
— | — |
| SECONDARY Attitudes to Exercise |
4.0; 4.3 | — |
| SECONDARY Self-confidence for Exercise |
70.1; 66.3 | — |
| SECONDARY Psychological Need Satisfaction for Exercise |
5; 5 | — |
| SECONDARY Current Mental Health |
3.5; 3.7 | — |
| SECONDARY Patient Anxiety |
2; 1.6 | — |
| SECONDARY General Health |
48.5; 46.1; 47.5; 51.3 | — |
| SECONDARY Patient Vitality |
30.8; 32.4 | — |
| SECONDARY Patient Life Satisfaction |
29; 27.7 | — |
| SECONDARY Patient Quality of Life |
82.5; 79.4 | — |
| SECONDARY Cognitive Assessment |
3.9; 3.6 | — |
| SECONDARY Cognitive Assessment |
3.9; 3.6 | — |
| SECONDARY Physical Function Assessments |
12.6; 10.8 | — |
| SECONDARY Physical Function Assessments |
12.6; 10.8 | — |
| SECONDARY Physical Function Assessments |
12.6; 10.8 | — |
| SECONDARY Physical Function Assessments |
12.6; 10.8 | — |
| SECONDARY Physical Function Assessments |
12.6; 10.8 | — |
Summary
As we age, muscles can become progressively weaker to the point that tasks of daily living cannot be carried out safely. However, regular resistance exercise training has been shown to maintain and even increase muscle strength in older adults. Previous research has identified a homebased, non-loaded, lower limb only, 'exercise snacking' model that does not require exercise equipment or supervision as a viable alternative exercise strategy to traditional resistance exercise, with potential to improve leg muscle strength in healthy older adults. This approach has been shown to be feasible and acceptable to general healthy older adult population, however this approach to exercise focussed on improving strength has not been considered in a clinical population.
This research seeks to investigate the acceptability of 28 days of homebased exercise snacking in outpatients with attending the memory clinic at the Research Institute for Care of the Elderly (RICE) Centre in Bath, UK, with diagnosis limited to mild cognitive impairment only. This study will improve understanding of how zero-cost exercise strategies to potentially improve muscle function and delay frailty could be incorporated in daily routines of older adults.
Eligibility Criteria
Inclusion Criteria
- Aged >65 years
- Have attended the Memory Clinic at the RICE Centre in Bath
- Mini-mental state examination (MMSE) score of ≥20
- Short Physical Performance Battery (SPPB) score 3-8 and not scoring 0 on any component of the test
- Capability to safely perform the exercise snacking movements, assessed by a researcher during screening, and be able to have someone present in the home who could call for help if required during all exercise snacks.
- Not regularly engaging in recreational sports or structured exercise (once a week or more).
- Have a foreseeable clear period of 28 consecutive days in which to perform the exercise snacking protocol (i.e. no planned holidays or hospitalisation)
Exclusion Criteria
- Co-morbidity preventing participation (e.g. severe breathlessness, pain, psychosis, Parkinson's, Dementia with Lewy Bodies, or other severe neurological disease)
- Individuals with a history of bone, joint or neuromuscular problems or a current musculoskeletal injury ascertained through preliminary screening that would prevent exercise snacking or be made worse by performing exercise snacking.
- Individuals with contraindications to exercise including chest pain, dizziness, or loss of consciousness, or who have been instructed by their doctor to only do physical activity recommended by them.
Data sourced from ClinicalTrials.gov (NCT05439252). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.