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SarcopeniaSPRINTTNCT02582138

Multicomponent Intervention for Physical Frailty and Sarcopenia

A study testing Multicomponent intervention (MCI) and Healthy Aging Lifestyle Education (HALE) in people with Sarcopenia, run by Catholic University of the Sacred Heart at 1 site in Italy.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The SPRINTT study will evaluate the efficacy of a multicomponent intervention programme (physical activity, nutritional counselling/dietary intervention, and information and communications technology intervention) compared with a healthy aging lifestyle education programme on mobility disability, in non-disabled older… Read more about this study

Who is it for?
Ages 70 years and olderHealthy volunteers can take part
Conditions the study is for
Sarcopenia
What is being tested?
Multicomponent intervention (MCI) and Healthy Aging Lifestyle Education (HALE)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,500 participants
Where
1 siteItaly
Study dates
Jan 2016to Dec 2018
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 70 years and older
  • All sexes
  • Healthy volunteers accepted
  • Older adult

Who may be able to join

  • Short Physical Performance Battery (SPPB) score between 3 (included) and 9 (included);
  • Able to complete the 400-m walk test within 15 min without sitting down, help from another person, use of a walker, or stopping for more than 1 minute at a time;
  • Presence of low muscle mass based on Dual Energy X-Ray Absorptiometry (DXA) scan, according to the Foundation for the National Institutes of Health Sarcopenia Project (FNIH) criteria:
  • Body mass index-adjusted appendicular lean mass (aLM; i.e., the sum of lean mass from both arms and legs): <0.789 in men, and <0.512 in women OR
  • aLM <19.75 kg in men and <15.02 kg in women
  • Willingness to be randomised to either intervention group and to follow the study protocol.

Who cannot join

  • General
  • Unable or unwilling to provide informed consent or accept randomisation to either study group.
  • Plans to relocate out of the study area within the next 2 years or plans to be out of the study area for more than 6 consecutive weeks in the next year;
  • Residence in long-term care;
  • Household member enrolled in the study.
  • Clinical conditions:
Show all 32Show fewer
  • Current diagnosis of schizophrenia, other psychotic or bipolar disorder;
  • Consumption of more than 14 alcoholic drinks per week;
  • Difficulty communicating with the study personnel due to speech, language, or (non-corrected) hearing problems;
  • Mini Mental State Examination lower than 24/30;
  • Severe osteoarthritis (e.g., awaiting joint replacement) that would interfere with the ability to participate fully in either study arm;
  • Cancer requiring treatment in the past 3 years, except for non-melanoma skin cancers or cancers that have an excellent prognosis (e.g., early stage breast or prostate cancer);
  • Lung disease requiring regular use of supplemental oxygen;
  • Inflammatory conditions requiring regular use of oral or parenteral corticosteroid agents;
  • Severe cardiovascular disease (including New York Heart Association class III or IV congestive heart failure, clinically significant valvular disease, history of cardiac arrest, presence of an implantable defibrillator, or uncontrolled angina)
  • Upper and/or lower extremity amputation;
  • Peripheral arterial disease Lériche-Fontaine 3 or 4;
  • Parkinson's disease or other progressive neurological disorder;
  • Renal disease requiring dialysis;
  • Chest pain, severe shortness of breath, or occurrence of other safety concerns during the baseline 400-metre walk test;
  • Current participation in a structured exercise programme, physical therapy or cardiopulmonary rehabilitation;
  • Current enrolment in another randomised clinical trial involving lifestyle, nutrition, or pharmaceutical interventions;
  • Other medical, psychiatric, or behavioural factors that in the judgment of the principal investigator may interfere with the study participation or the ability to autonomously follow either the multicomponent or the healthy aging lifestyle education programmes;
  • Other illness of such severity that life expectancy is expected to be less than 12 months;
  • Clinical judgment concerning safety or non-compliance.
  • Temporary exclusion criteria
  • Uncontrolled hypertension (systolic blood pressure >200 mm Hg, or diastolic blood pressure >110 mm Hg);
  • Uncontrolled diabetes with recent weight loss, diabetic coma, or frequent hypoglycaemia;
  • Hip fracture, hip or knee replacement, or spinal surgery in the past 6 months
  • Serious cardiac conduction disorder (e.g., third-degree heart block), uncontrolled arrhythmia, new Q waves within the past 6 months or ST-segment depression (>3 mm) on the electrocardiogram;
  • Myocardial infarction, major heart surgery (i.e., valve replacement or coronary bypass graft), stroke, deep vein thrombosis, or pulmonary embolism in the past 6 months;
  • Use of growth hormone, oestrogens, progesterone, or testosterone supplementation in the past 3 months.

Trial locations and contacts

1 site in 1 country.

Emanuele Marzetti, MD, PhD contact

+39 06 3015 ext. 5559

emarzetti@live.com

Italy1 site, 1 recruiting
  • Catholic University of the Sacred Heart

    Rome, Rome, 00168

    Emanuele Marzetti, MD, PhD, +39 0630155559, emarzetti@live.com

    Riccardo Calvani, PhD, +39 0630155559, riccardo.calvani@gmail.com

    Recruiting

Other trials in Italy

About this study

Official title: Sarcopenia and Physical fRailty IN Older People: Multi-componenT Treatment Strategies (SPRINTT)

The SPRINTT study will evaluate the efficacy of a multicomponent intervention programme (physical activity, nutritional counselling/dietary intervention, and information and communications technology intervention) compared with a healthy aging lifestyle education programme on mobility disability, in non-disabled older people with physical frailty and sarcopenia.

Read the detailed description

As the life expectancy in European countries continues to increase, the maintenance of physical independence in older persons has become a major public health priority. The ability to ambulate without assistance is crucial for independent living and it is often the first ability to be lost in the process leading to disability. Older people who have impaired walking function need more assistance and are more likely to be placed in nursing homes, have a higher risk of morbidity, mortality and hospitalisation, and experience a reduced quality of life. The ultimate goals of the Sarcopenia and Physical fRailty IN older people: multicomponenT Treatment strategies (SPRINTT) project are to offer efficient treatment options, based on a multicomponent intervention including physical activity, nutrition and information and communications technology, to physically frail, sarcopenic older persons and to improve their quality of life. The result will directly contribute to the long-term sustainability and efficiency of health- and social-care systems. The conceptualisation of physical frailty and sarcopenia (PF\&S) as proposed in SPRINTT will promote significant advancements over the traditional approaches by enabling the precise operationalisation of the condition, a clear identification of the affected population and the rapid translation of findings to the clinical arena.

Conditions
Sarcopenia
Being tested
Multicomponent intervention (MCI), Healthy Aging Lifestyle Education (HALE)
Keywords
physical frailty, sarcopenia, exercise, nutrition, information and communications technology
Medical subject headings
Sarcopenia, Motor Activity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Multicomponent intervention (MCI)Other

    The multicomponent intervention will include physical activity (PA), nutrition and information and communications technology (ICT). The PA will be of moderate intensity and will include aerobic, strength, flexibility, and balance training. Walking will be the primary mode of PA .

    The nutritional intervention will combine individual nutritional assessment and personalised dietary recommendations to achieve:

    • a daily total energy intake of 25-30 kcal/kg body weight;
    • an average protein daily intake between 1.0 and 1.2 g/Kg/body weight.

    The ICT component will involve the use of an ad hoc technological device to record actimetry data to support the elaboration of a personalised training programme.

  • Healthy Aging Lifestyle Education (HALE)Other

    The healthy aging lifestyle education programme will be based on a workshop series. Participants will receive information on a variety of topics of relevance to older adults (e.g., recommended preventive services and screenings at different ages). The programme will also include a short instructor-led programme (5-10 minutes) of upper extremity stretching exercises or some relaxation techniques that will be performed at the end of each workshop.

Study groups in NCT02582138
Study groupRoleWhat they receive
Multicomponent intervention (MCI)ExperimentalThe multicomponent intervention will include a physical activity programme, a nutritional intervention and an information and communications intervention.
Receives: Other: Multicomponent intervention (MCI)
Healthy Aging Lifestyle Education (HALE)Active comparatorThe health aging lifestyle education programme will be based on workshops. Participants will receive information on a variety of topics of relevance to older persons (e.g., recommended preventive services and screenings at different ages). The programme will also include a short instructor-led programme (5-10 minutes) of upper extremity stretching exercises or some relaxation techniques that will be performed at the end of each workshop.
Receives: Other: Healthy Aging Lifestyle Education (HALE)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Incident of major mobility disability

    Incident inability to complete the 400-metre walk test (incidence of major mobility disability)

    Measured: 36 months

Secondary outcomes (22)
  1. Changes in lower extremity physical performance

    Changes in short physical performance battery (SPPB) summary score

    Measured: 36 months

  2. Changes in upper extremity muscle strength

    Changes in handgrip strength test performance (kg)

    Measured: 36 months

  3. Changes in functional status (activities of daily living)

    Changes in Activities of Daily Living (ADL) score computed through a modified version of the Pepper Assessment Tool for Disability (PAT-D)

    Measured: 36 months

  4. Changes in functional status (instrumental activities of daily living)

    Changes in Instrumental Activities of Daily Living (IADL) score computed through a modified version of the Pepper Assessment Tool for Disability (PAT-D)

    Measured: 36 months

  5. Changes in crude appendicular lean mass

    Changes in crude in appendicular lean mass (kg) by Dual Energy X-Ray Absorptiometry

    Measured: 36 months

  6. Changes in body mass index-adjusted appendicular lean mass

    Changes in body mass index-adjusted appendicular lean mass (adimensional) by Dual Energy X-Ray Absorptiometry

    Measured: 36 months

  7. Persistent mobility disability

    Inability to complete the 400-metre walk test at two consecutive semiannual visits

    Measured: 36 months

  8. Changes in body weight

    Changes in body weight (kg)

    Measured: 36 months

  9. Changes in body mass index

    Changes in body mass index (kg/m^2)

    Measured: 36 months

  10. Changes in mid-arm circumference

    Changes in mid-arm circumference (cm)

    Measured: 36 months

  11. Changes in waist circumference

    Changes in waist circumference (cm)

    Measured: 36 months

  12. Changes in hip circumference

    Changes in hip circumference (cm)

    Measured: 36 months

  13. Changes in calf circumference

    Changes in calf circumference (cm)

    Measured: 36 months

  14. Changes in nutritional status

    Changes in Mini Nutritional Assessment-Short Form (MNA-SF) score

    Measured: 36 months

  15. Changes in cognitive function

    Changes in Mini Mental State Examination (MMSE) score

    Measured: 36 months

  16. Changes in mood

    Changes in 11-item Center for Epidemiological Studies - Depression (CES-D) scale score

    Measured: 36 months

  17. Incidence of self-reported falls

    Number of falls assessed by questionnaires

    Measured: 36 months

  18. Incidence of injurious falls

    Number of injurious falls assessed by questionnaires

    Measured: 36 months

  19. Changes in quality of life

    Changes in EuroQoL-5D (EQ5D) score

    Measured: 36 months

  20. Changes in the use of healthcare services

    Health economics questionnaire

    Measured: 36 months

  21. All-cause mortality

    Mortality rate

    Measured: 36 months

  22. Cost effectiveness

    Cost effectiveness analysis

    Measured: 36 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Oct 2015 (estimated)
  2. Study startJan 2016
  3. Primary completionDec 2018 (estimated)
  4. Study completionDec 2018 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
1,500 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02582138
Sponsor's protocol ID
115621
Other IDs
IMI-JU-09-2013-02
Acronym
SPRINTT
Status last verified
Feb 2017
First submitted
8 Oct 2015
Last updated
2 Feb 2017
Results posted
No
Data monitoring committee
Yes
Individual data sharing
Undecided

Publications

  • Coelho-Junior HJ, Alvarez-Bustos A, Rodriguez-Manas L, Landi F, Marzetti E. Comparison of muscle strength and power in the short physical performance battery for predicting negative outcomes in older adults with mobility limitations. J Nutr Health Aging. 2025 Sep;29(9):100631. doi: 10.1016/j.jnha.2025.100631. Epub 2025 Jul 15.

    PubMed 40669418
  • Levati E, Zazzara MB, Iurlaro A, Marzetti E, Calvani R, Pahor M, Picca A, Tosato M, Landi F, Bernabei R, Onder G. Lifestyle interventions and medication burden in older adults: insights from the Lifestyle Intervention and Independence for Elders (LIFE) and the Sarcopenia and Physical fRailty iN older people: multi-componenT Treatment strategies (SPRINTT) trials. Eur Geriatr Med. 2025 Oct;16(5):1591-1598. doi: 10.1007/s41999-025-01266-0. Epub 2025 Jul 15.

    PubMed 40665144
  • Alvarez-Bustos A, Coelho-Junior HJ, Calvani R, Rodriguez-Manas L, Tosato M, Cesari M, Cherubini A, Cruz-Jentoft AJ, Jonsson PV, Lattanzio F, Maggio M, Roller-Wirnsberger R, Ryznarova I, Schols AMWJ, Sieber CC, Sinclair AJ, Skalska A, Strandberg T, Tchalla A, Topinkova E, Vellas B, von Haehling S, Landi F, Marzetti E; SPRINTT consortium. Adherence to Physical Activity and Incident Mobility Disability in Older Adults With Mobility Limitations. J Cachexia Sarcopenia Muscle. 2025 Jun;16(3):e13870. doi: 10.1002/jcsm.13870.

    PubMed 40532064
  • Kerminen H, Jyvakorpi S, Urtamo A, Huhtala H, Ohman H, Calvani R, Marzetti E, Pitkala K, Strandberg T. Performance of the SARC-F, SARC-CalF, and calf circumference for sarcopenia case finding in community-dwelling older adults. Eur Geriatr Med. 2024 Dec;15(6):1817-1826. doi: 10.1007/s41999-024-01060-4. Epub 2024 Sep 19.

    PubMed 39300055
  • Bernabei R, Landi F, Calvani R, Cesari M, Del Signore S, Anker SD, Bejuit R, Bordes P, Cherubini A, Cruz-Jentoft AJ, Di Bari M, Friede T, Gorostiaga Ayestaran C, Goyeau H, Jonsson PV, Kashiwa M, Lattanzio F, Maggio M, Mariotti L, Miller RR, Rodriguez-Manas L, Roller-Wirnsberger R, Ryznarova I, Scholpp J, Schols AMWJ, Sieber CC, Sinclair AJ, Skalska A, Strandberg T, Tchalla A, Topinkova E, Tosato M, Vellas B, von Haehling S, Pahor M, Roubenoff R, Marzetti E; SPRINTT consortium. Multicomponent intervention to prevent mobility disability in frail older adults: randomised controlled trial (SPRINTT project). BMJ. 2022 May 11;377:e068788. doi: 10.1136/bmj-2021-068788.

    PubMed 35545258

Questions about this trial

What is this clinical trial studying?

A study testing Multicomponent intervention (MCI) and Healthy Aging Lifestyle Education (HALE) in people with Sarcopenia, run by Catholic University of the Sacred Heart at 1 site in Italy.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 32 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 2 Feb 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Italy. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Emanuele Marzetti, MD, PhD (+39 06 3015 ext. 5559, emarzetti@live.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Incident of major mobility disability (time frame: 36 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02582138, which also lists 5 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Feb 2017.

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SPRINTT Clinical Trial NCT02582138 | AzTrials