Nordic walking training and nutritional supplementation in pre-frail older Indians: an open-labelled experimental pre-test and post-test pilot study to develop intervention model
| dc.contributor.author | Chatterjee, Prasun | |
| dc.contributor.author | Kumar, Prakash | |
| dc.contributor.author | Kandel, Ramesh | |
| dc.contributor.author | Madan, Ruchika | |
| dc.contributor.author | Tyagi, Meenakshi | |
| dc.contributor.author | Kumar, Deepa A | |
| dc.contributor.author | Khan, Maroof A | |
| dc.contributor.author | Desai, Gaurav | |
| dc.contributor.author | Chaudhary, Preeti | |
| dc.contributor.author | Gupta, Shyama | |
| dc.contributor.author | Grover, Kanika | |
| dc.contributor.author | Dey, Aparajit B | |
| dc.date.accessioned | 2018-10-01T03:22:33Z | |
| dc.date.issued | 2018-09-14 | |
| dc.date.updated | 2018-10-01T03:22:33Z | |
| dc.description.abstract | Abstract Background Identifying and treating people in a pre-frail state may be an effective way to prevent or delay frailty and preserve their functional capacity. This study aimed to assess the efficacy of, and compliance with, a 12 week individualized nutritional supplementation (INS) and Nordic walking (NW) program in pre-frail older Indians. The primary measure is physical performance, as indicated by Fried’s Frailty scale. Other measures include: cognition, as indicated by the Hindi Mental Status Examination; mood, by the Geriatric Depression Scale; and nutritional status, by the Mini Nutritional Assessment. Methods This is an open-labeled experimental pre-test and post-test study, which took place from October 2012 to December 2014. The study was approved by Institute Ethics committee (IEC/NP-350/2012/RP-26/2012) at the All India Institute of Medical Sciences (AIIMS), New Delhi. Participants were sixty-six pre-frail elderly, who were randomly allocated into three subgroups, namely: A (NW only), B (INS only), and C (NW and INS). One-way ANOVA was used to statistically assess differences in baseline characteristics for quantitative variables, with the Chi-Square/Fischer exact test utilized for qualitative variables. Paired t-tests were used to assess pre and post intervention difference within the group for quantitative variables, with McNemar’s Chi-Square test used for qualitative variables. Kruskal Wallis test was used to assess significant intervention effects among the groups. A p-value < 0.05 was considered as statistically significant. Results There was significant effect of intervention in gait speed in group A (p = 0.001) and C (p = 0.002), but not in group B (p = 0.926). While there was no significant change in grip strength in Group A (p = 0.488) and B (p = 0.852), a statistically significant increase was observed in group C (p = 0.013). Mood significantly improved in group B (p = 0.025) and C (p = 0.021). No significant difference was noted in cognitive status across groups. Following the interventions, a total of 18.18% of pre-frail participants were classified as non-frail. Conclusions Combining NW and INS provides a simple, pragmatic intervention with efficacy in the management of functionally vulnerable older adults, and allows their maintained independence. Future studies should replicate this readily applicable intervention in a larger cohort with a longer follow-up period. Trial registration Clinical Trial Registry-India CTRI/2016/05/006937 [Registered on: 16/05/2016]; Trial was Registered Retrospectively. | |
| dc.identifier.citation | BMC Geriatrics. 2018 Sep 14;18(1):212 | |
| dc.identifier.uri | https://doi.org/10.1186/s12877-018-0890-4 | |
| dc.identifier.uri | http://hdl.handle.net/1993/33478 | |
| dc.language.rfc3066 | en | |
| dc.rights | open access | en_US |
| dc.rights.holder | The Author(s). | |
| dc.title | Nordic walking training and nutritional supplementation in pre-frail older Indians: an open-labelled experimental pre-test and post-test pilot study to develop intervention model | |
| dc.type | Journal Article |