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FrailtyNCT05920577

Effects of Exergames and Resistance Training

A study testing exergames and resistance training and Resistance training in people with Frailty and Sacropenia, run by Hong Kong Metropolitan University at 1 site in Hong Kong.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Frailty is a common geriatric condition with significantly increased vulnerability to stress and susceptibility of negative health-related outcomes. Sacropenia and impaired cognitive function are two major contributors to frailty. Read more about this study

Who is it for?
Ages 60 to 90 years
Conditions the study is for
Frailty, Sacropenia, Cognition
What is being tested?
exergames and resistance training and Resistance training
Could I receive a placebo?
No, everyone receives an active treatment
How many people
30 participants
Where
1 siteHong Kong
Study dates
1 Apr 2024to 30 May 2025
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 60 to 90 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • living in a nursing home
  • fulfilled 1, 2 or 3 Fried Criteria of frailty
  • score ≥7 of 10 on the Chinese version of the Abbreviated Mental Test
  • able to follow the instructions of assessment and intervention

Who cannot join

  • involved in any drug or other clinical trials
  • having any additional medical conditions (such as epilepsy)
  • unable to walk independently without the use of walking aids
  • having any other conditions that will hinder the assessment and intervention (e.g.,visual/audio impairment could not be corrected by glasses/hearing aids etc).

Trial locations and contacts

1 site in 1 country.

Hong Kong1 site
  • Jockey club Institute of Health

    Ho Man Tin

Other trials in Hong Kong

About this study

Official title: Effects of the Combined Use of Exergaming and Resistance Training in Improving the Frailty of Nursing Home Residents: A Pilot Randomised Controlled Trial

Frailty is a common geriatric condition with significantly increased vulnerability to stress and susceptibility of negative health-related outcomes. Sacropenia and impaired cognitive function are two major contributors to frailty. This study aims to evaluate the effects of the combined use of exergaming and resistance training in improving the frailty of nursing home residents.

Read the detailed description

Frailty is a common geriatric condition with significantly increased vulnerability to stress and susceptibility of negative health-related outcomes. The prevalence rates of frailty varies across countries, and the pooled estimates of prevalence rates of 52.3% and 40.2% of frailty and prefrailty were reported among nursing home residents respectively. Previous studies also revealed that frailty is predictive for various adverse health outcomes.

Sacropenia is a major etiologic risk factor to frailty. It refers to an age-related generalised muscle disorder featuring with loss of muscle mass and function5. Talar et al systematically reviewed and meta-analysed 25 randomised controlled trials (RCTs) using resistance training among 2,267 older people (age >65 years) with pre-sarcopenia, sarcopenia, pre-frailty or frailty. It was revealed that, compared to control, resistance training with at least 8 weeks intervention period had small to large effects in improving handgrip strength, lower-limb strength, agility, gait speed, postural stability, functional performance, fat mass and muscle [Effect size (ES) = 0.29 - 0.93, p <0.001 to = 0.007].

Cognitive impairment is another major risk factor for declined frailty status among prefrail older people. Non-frail older people are known to have better performance on cognitive status, including processing speed, executive function, attention and working memory, immediate memory and delayed memory (g = 0.320 to 0.64), than frail older people. Ample research evidence suggested that cognition predicts the incidence of frailty.

Exergaming is a fast growing research trend in gerontechnology and several commercial exergaming consoles, such as the Xbox system (including Xbox One and Xbox 360) and Nintendo Will (Wii Sports and Wii Fit), are available. Ogawa et al systematically reviewed 7 clinical trials (5 RCTs and 2 uncontrolled studies) and revealed that exergaming could improve cognitive functions, including executive function, process speed and reaction time, of older people. Moreover, a recent RCT revealed that, compared with the combined use of exercise (resistance, aerobic and balance training), a 12 week Kinect-based exergaming could better improve the global cognition [F(1, 44) = 5.277, p = 0.026] as measured by the Montreal Cognitive Assessment of community-frail older people. The Kinect-based group (n = 25) also demonstrated significant improvement in verbal (p < 0.05) and working (p < 0.05) memory post-intervention but the combined exercise group (n = 21) did not.

Given that sacropenia and impaired cognitive function are 2 major contributors to frailty; and exergaming and resistance training are effective treatments in improving the cognitive function and sacropenia of older people respectively, this study aims to evaluate the effects of the combined use of exergaming and resistance training in improving the frailty of nursing home residents.

Being tested
exergames and resistance training, Resistance training
Keywords
Nursing home residents, Frailty, Sacropenia
Medical subject headings
Frailty

What participants receive

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

  • exergames and resistance trainingOther

    In each session, the participants will receive 40 minutes of combined use of exergaming and resistance training. The participants will practice the exergames using the gaming system Nintendo Switch (Nintendo Co., Ltd, Kyoto, Japan). The gaming software "Nintendo Switch Sports" will be adopted in which arrays of exergames are available to strengthen both the upper and lower extremity muscle and improve the balance ability of participants. The exergaming programme will consist of both upper (badminton game and tennis game) and lower (soccer game) extremity games. For week 1 and 2, the participants will first practice 1-minute warm up exercise (stretching exercises) and then the 3 exergames. For week 3 to 12, the participants will receive the same warm up exercise and exergames as if week 1 and 2 but there will be an addition of light cuff weight for resistance training.

  • Resistance trainingOther

    The resistance training programme consists of 2 parts, the upper limb and lower limb resistance exercises. For the upper limb resistance exercises, the participants will first practice 5-minute warm up of upper limb using ergometer and then undergo 2 resistance exercises, including handgrip and elbow flexion. For the lower limb exercise, the participants will also first practice 5-minute warm up of lower limb using ergometer and then undergo 3 resistance exercises, including squatting, single-leg standing and knee extension.

Study groups in NCT05920577
Study groupRoleWhat they receive
Exergames and resistance training groupExperimentalParticipants will receive exergaming and resistance training programme over a period of 12 weeks
Receives: Other: exergames and resistance training
Resistance training groupActive comparatorParticipants will receive resistance training programme over a period of 12 weeks
Receives: Other: Resistance training

What is being measured

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

  1. Muscle quantity, higher score means better muscle quantity

    Will be assessed using a bioelectrical impedance measurement

    Measured: T1: baseline (before the study begins)

  2. Change from baseline muscle quantity at 6 weeks, higher score means better muscle quantity

    Will be assessed using a bioelectrical impedance measurement

    Measured: T2: mid-intervention (week 6)

  3. Change from baseline muscle quantity at 12 weeks, higher score means better muscle quantity

    Will be assessed using a bioelectrical impedance measurement

    Measured: T3: post-intervention (week 12)

  4. Change from baseline muscle quantity at 16 weeks, higher score means better muscle quantity

    Will be assssed using a bioelectrical impedance measurement

    Measured: T4: 1 month follow up (week 16)

  5. Change from baseline muscle quantity at 24 weeks, higher score means better muscle quantity

    Will be assssed using a bioelectrical impedance measurement

    Measured: T5: 3 months follow up (week 24)

  6. Muscle strength, higher score means better muscle strength

    Will be assessed using a handheld dynamometer

    Measured: T1: baseline (before the study begins)

  7. Change from baseline muscle strength at 6 weeks, higher score means better muscle strength

    Will be assessed using a handheld dynamometer

    Measured: T2: mid-intervention (week 6)

  8. Change from baseline muscle strength at 12 weeks, higher score means better muscle strength

    Will be assessed using a handheld dynamometer

    Measured: T3: post-intervention (week 12)

  9. Change from baseline muscle strength at 16 weeks, higher score means better muscle strength

    Will be assessed using a handheld dynamometer

    Measured: T4: 1 month follow up (week 16)

  10. Change from baseline muscle strength at 24 weeks, higher score means better muscle strength

    Will be assessed using a handheld dynamometer

    Measured: T5: 3 months follow up (week 24)

  11. Lower Extremity functions, score ranged from 0-12, higher scores mean better lower extremity functions

    Will be assessed using the Short Physical Performance Battery

    Measured: T1: baseline (before the study begins)

  12. Change from baseline lower extremity functions at 6 weeks, score ranged from 0-12, higher scores mean better lower extremity functions

    Will be assessed using the Short Physical Performance Battery

    Measured: T2: mid-intervention (week 6)

  13. Change from baseline lower extremity functions at 12 weeks, score ranged from 0-12, higher scores mean better lower extremity functions

    Will be assessed using the Short Physical Performance Battery

    Measured: T3: post-intervention (week 12)

  14. Change from baseline lower extremity functions at 16 weeks, score ranged from 0-12, higher scores mean better lower extremity functions

    Will be assessed using the Short Physical Performance Battery

    Measured: T4: 1 month follow up (week 16)

  15. Change from baseline lower extremity functions at 24 weeks, score ranged from 0-12, higher scores mean better lower extremity functions

    Will be assessed using the Short Physical Performance Battery

    Measured: T5: 3 months follow up (week 24)

Secondary outcomes (20)
  1. Cognitive function, higher score means better cognitive function, score ranged from 0 - 30, higher scores mean better cognition

    Will be assessed using the Montreal Cognitive Assessment (HK version)

    Measured: T1: baseline (before the study begins)

  2. Change from baseline cognitive function at 6 weeks, higher score means better cognitive function, score ranged from 0 - 30, higher scores mean better cognition

    Will be assessed using the Montreal Cognitive Assessment (HK version)

    Measured: T2: mid-intervention (week 6)

  3. Change from baseline cognitive function at 12 weeks, higher score means better cognitive function, score ranged from 0 - 30, higher scores mean better cognition

    Will be assessed using the Montreal Cognitive Assessment (HK version)

    Measured: T3: post-intervention (week 12)

  4. Change from baseline cognitive function at 16 weeks, higher score means better cognitive function, score ranged from 0 - 30, higher scores mean better cognition

    Will be assessed using the Montreal Cognitive Assessment (HK version)

    Measured: T4: 1 month follow up (week 16)

  5. Change from baseline cognitive function at 24 weeks, higher score means better cognitive function, score ranged from 0 - 30, higher scores mean better cognition

    Will be assessed using the Montreal Cognitive Assessment (HK version)

    Measured: T5: 3 months follow up (week 24)

  6. Mobility, longer time means worse functional mobility

    Will be assessed using the Timed Up and Go Test

    Measured: T1: baseline (before the study begins)

  7. Change from baseline mobility at 6 weeks, longer time means worse functional mobility

    Will be assessed using the Timed Up and Go Test

    Measured: T2: mid-intervention (week 6)

  8. Change from baseline mobility at 12 weeks, longer time means worse functional mobility

    Will be assessed using the Timed Up and Go Test

    Measured: T3: post-intervention (week 12)

  9. Change from baseline mobility at 16 weeks, longer time means worse functional mobility

    Will be assessed using the Timed Up and Go Test

    Measured: T4: 1 month follow up (week 16)

  10. Change from baseline mobility at 24 weeks, longer time means worse functional mobility

    Will be assessed using the Timed Up and Go Test

    Measured: T5: 3 months follow up (week 24)

  11. Frailty, score range 0 to 9, higher score means higher level of frailty

    Will be assessed using the Chinese version of Clinical Frailty Scale (CFS-C)

    Measured: T1: baseline (before the study begins)

  12. Change from baseline frailty at 6 weeks, score range 0 to 9, higher score means higher level of frailty

    Will be assessed using the Chinese version of Clinical Frailty Scale (CFS-C)

    Measured: T2: mid-intervention (week 6)

  13. Change from baseline frailty at 12 weeks, score range 0 to 9, higher score means higher level of frailty

    Will be assessed using the Chinese version of Clinical Frailty Scale (CFS-C)

    Measured: T3: post-intervention (week 12)

  14. Change from baseline frailty at 16 weeks, score range 0 to 9, higher score means higher level of frailty

    Will be assessed using the Chinese version of Clinical Frailty Scale (CFS-C)

    Measured: T4: 1 month follow up (week 16)

  15. Change from baseline frailty at 24 weeks, score range 0 to 9, higher score means higher level of frailty

    Will be assessed using the Chinese version of Clinical Frailty Scale (CFS-C)

    Measured: T5: 3 months follow up (week 24)

  16. Sarcopenia, score ranged from 0 to 20, lower score means lower risk

    Will be assessed using the Strength, Assistance with walking, Rise from a chair, Climb stairs and (Calf) Falls(SARC-Calf)

    Measured: T1: baseline (before the study begins)

  17. Change from baseline sarcopenia at 6 weeks, score ranged from 0 to 20, lower score means lower risk

    Will be assessed using the Strength, Assistance with walking, Rise from a chair, Climb stairs and (Calf) Falls (SARC-Calf)

    Measured: T2: mid-intervention (week 6)

  18. Change from baseline sarcopenia at 12 weeks, score ranged from 0 to 20, lower score means lower risk

    Will be assessed using the Strength, Assistance with walking, Rise from a chair, Climb stairs and (Calf) Falls(SARC-Calf)

    Measured: T3: post-intervention (week 12)

  19. Change from baseline sarcopenia at 16 weeks, score ranged from 0 to 20, lower score means lower risk

    Will be assessed using the Strength, Assistance with walking, Rise from a chair, Climb stairs and (Calf) Falls (SARC-Calf)

    Measured: T4: 1 month follow up (week 16)

  20. Change from baseline sarcopenia at 24 weeks, score ranged from 0 to 20, lower score means lower risk

    Will be assessed using the Strength, Assistance with walking, Rise from a chair, Climb stairs and (Calf) Falls (SARC-Calf)

    Measured: T5: 3 month follow up (week 16)

Timeline

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

  1. First posted27 Jun 2023
  2. Study start1 Apr 2024
  3. Primary completion31 Dec 2024
  4. Study completion30 May 2025

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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
This pilot randomised controlled trial will conduct in a nursing home starting from Aug 2023 in Hong Kong
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
30 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05920577
Sponsor's protocol ID
Frailty_2023
Status last verified
Sep 2025
First submitted
17 Jun 2023
Last updated
18 Sep 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided: The datasets of the study will only be available from the corresponding author on reasonable request after the findings being published in peer-reviewed journal.

Questions about this trial

What is this clinical trial studying?

A study testing exergames and resistance training and Resistance training in people with Frailty and Sacropenia, run by Hong Kong Metropolitan University at 1 site in Hong Kong.

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 4 inclusion and 4 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: finished, as of the sponsor's last update on 18 Sep 2025. 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 Hong Kong. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Muscle quantity, higher score means better muscle quantity (time frame: T1: baseline (before the study begins)). The study lists 15 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 18 Sep 2025.

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