A study protocol of Older Person’s Exercise and Nutrition Study (OPEN) - a sit-to-stand activity combined with oral protein supplement – effects on physical function and independence: a cluster randomized clinical trial
Abstract Background Poor nutrition and age per see add to the development of sarcopenia, i.e. loss of muscle mass and strength, which contributes to increased risk of impaired activities of daily living (ADL) and reduced independence. Protein deficiency plays an important role in the development of...
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doaj-fb949927b6ac437dbb4016ece766570f2020-11-25T03:57:03ZengBMCBMC Geriatrics1471-23182018-06-0118111010.1186/s12877-018-0824-1A study protocol of Older Person’s Exercise and Nutrition Study (OPEN) - a sit-to-stand activity combined with oral protein supplement – effects on physical function and independence: a cluster randomized clinical trialHelena Grönstedt0Sofia Vikström1Tommy Cederholm2Erika Franzén3Åke Seiger4Anders Wimo5Gerd Faxén-Irving6Anne-Marie Boström7Stockholms Sjukhem R&D unitStockholms Sjukhem R&D unitDepartment of Public Health and Caring Sciences, Clinical Nutrition and Metabolism, Uppsala UniversityStockholms Sjukhem R&D unitStockholms Sjukhem R&D unitDepartment of Neurobiology, Care Science and Society, Division of neurogeriatrics, Karolinska InstitutetStockholms Sjukhem R&D unitStockholms Sjukhem R&D unitAbstract Background Poor nutrition and age per see add to the development of sarcopenia, i.e. loss of muscle mass and strength, which contributes to increased risk of impaired activities of daily living (ADL) and reduced independence. Protein deficiency plays an important role in the development of sarcopenia. In order to increase the muscle mass protein intake should be combined with physical exercise. A daily physical activity, the sit-to-stand exercise, has been proven to decrease older persons’ dependence in ADL. Our study aims to evaluate the effects of the sit-to-stand exercise in combination with a protein-rich nutritional supplement, on physical function and independence in frail nursing home residents. The resident’s perceptions and experiences of the intervention and the staff’s experiences of supporting the resident to complete the intervention will also be explored. Methods The study is a two-arm cluster-randomized controlled trial which will be performed in nursing homes at two municipalities in Sweden. We will recruit 120 residents, age 75 or older and able to stand up from a seated position. Residents (n = 60) randomized to the intervention group will perform the sit-to-stand exercise at four occasions daily and will be offered a protein-rich oral supplement, twice a day. The intervention period will last for 12 weeks and measures of physical function, nutritional status, quality of life and health economy will be performed at baseline and at 12-weeks follow-up. The primary outcome will be the number of chair rises performed in 30 s. The control group will receive standard care. Data will be analysed by intention-to-treat analysis and with mixed effect models. During the last part of the intervention period individual interviews with the residents, on the topic of feasibility with the OPEN concept will be held. Likewise, focus-group-interviews with staff will be performed. Discussion The residents’ physical and mental health could be expected to improve. Even the work situation for staff could be positively affected. One innovative feature of the OPEN study is the simple intervention consisting of a basic daily activity that can be performed by several nursing home residents with the support of existing staff and available resources. Trial Registration ClinicalTrials.gov Identifier: NCT02702037.http://link.springer.com/article/10.1186/s12877-018-0824-1InterviewMobilityNursing homeNursing staffNutritionOlder person |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Helena Grönstedt Sofia Vikström Tommy Cederholm Erika Franzén Åke Seiger Anders Wimo Gerd Faxén-Irving Anne-Marie Boström |
spellingShingle |
Helena Grönstedt Sofia Vikström Tommy Cederholm Erika Franzén Åke Seiger Anders Wimo Gerd Faxén-Irving Anne-Marie Boström A study protocol of Older Person’s Exercise and Nutrition Study (OPEN) - a sit-to-stand activity combined with oral protein supplement – effects on physical function and independence: a cluster randomized clinical trial BMC Geriatrics Interview Mobility Nursing home Nursing staff Nutrition Older person |
author_facet |
Helena Grönstedt Sofia Vikström Tommy Cederholm Erika Franzén Åke Seiger Anders Wimo Gerd Faxén-Irving Anne-Marie Boström |
author_sort |
Helena Grönstedt |
title |
A study protocol of Older Person’s Exercise and Nutrition Study (OPEN) - a sit-to-stand activity combined with oral protein supplement – effects on physical function and independence: a cluster randomized clinical trial |
title_short |
A study protocol of Older Person’s Exercise and Nutrition Study (OPEN) - a sit-to-stand activity combined with oral protein supplement – effects on physical function and independence: a cluster randomized clinical trial |
title_full |
A study protocol of Older Person’s Exercise and Nutrition Study (OPEN) - a sit-to-stand activity combined with oral protein supplement – effects on physical function and independence: a cluster randomized clinical trial |
title_fullStr |
A study protocol of Older Person’s Exercise and Nutrition Study (OPEN) - a sit-to-stand activity combined with oral protein supplement – effects on physical function and independence: a cluster randomized clinical trial |
title_full_unstemmed |
A study protocol of Older Person’s Exercise and Nutrition Study (OPEN) - a sit-to-stand activity combined with oral protein supplement – effects on physical function and independence: a cluster randomized clinical trial |
title_sort |
study protocol of older person’s exercise and nutrition study (open) - a sit-to-stand activity combined with oral protein supplement – effects on physical function and independence: a cluster randomized clinical trial |
publisher |
BMC |
series |
BMC Geriatrics |
issn |
1471-2318 |
publishDate |
2018-06-01 |
description |
Abstract Background Poor nutrition and age per see add to the development of sarcopenia, i.e. loss of muscle mass and strength, which contributes to increased risk of impaired activities of daily living (ADL) and reduced independence. Protein deficiency plays an important role in the development of sarcopenia. In order to increase the muscle mass protein intake should be combined with physical exercise. A daily physical activity, the sit-to-stand exercise, has been proven to decrease older persons’ dependence in ADL. Our study aims to evaluate the effects of the sit-to-stand exercise in combination with a protein-rich nutritional supplement, on physical function and independence in frail nursing home residents. The resident’s perceptions and experiences of the intervention and the staff’s experiences of supporting the resident to complete the intervention will also be explored. Methods The study is a two-arm cluster-randomized controlled trial which will be performed in nursing homes at two municipalities in Sweden. We will recruit 120 residents, age 75 or older and able to stand up from a seated position. Residents (n = 60) randomized to the intervention group will perform the sit-to-stand exercise at four occasions daily and will be offered a protein-rich oral supplement, twice a day. The intervention period will last for 12 weeks and measures of physical function, nutritional status, quality of life and health economy will be performed at baseline and at 12-weeks follow-up. The primary outcome will be the number of chair rises performed in 30 s. The control group will receive standard care. Data will be analysed by intention-to-treat analysis and with mixed effect models. During the last part of the intervention period individual interviews with the residents, on the topic of feasibility with the OPEN concept will be held. Likewise, focus-group-interviews with staff will be performed. Discussion The residents’ physical and mental health could be expected to improve. Even the work situation for staff could be positively affected. One innovative feature of the OPEN study is the simple intervention consisting of a basic daily activity that can be performed by several nursing home residents with the support of existing staff and available resources. Trial Registration ClinicalTrials.gov Identifier: NCT02702037. |
topic |
Interview Mobility Nursing home Nursing staff Nutrition Older person |
url |
http://link.springer.com/article/10.1186/s12877-018-0824-1 |
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