Circuit-Based ExerciseSSENCT06358170
Effects of Circuit Training Combine With Square-Stepping Exercise, Strength Training and Balance Training on Senior Fitness and Fall Risk in Elderly in the Community
A study testing Circuit Training Combine with Square-Stepping Exercise in people with Circuit-Based Exercise and Exercise Test, run by Hsin-ching, Tsai at 1 site in Taiwan.
Trial summary
According to the cause of death statistics compiled by the Ministry of Health and Welfare in 2022, among the causes of death among the elderly, falls ranked second among the causes of death from accidental injuries over the age of 65. Read more about this study
- Who is it for?
- Ages 60 years and olderHealthy volunteers can take part
- Conditions the study is for
- Circuit-Based Exercise, Exercise Test, Community Health Nursing
- What is being tested?
- Circuit Training Combine with Square-Stepping Exercise
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 126 participants
- Where
- 1 siteTaiwan
- Study dates
- 1 Mar 2024to 1 Jul 2024
- 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 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Aged 60 years or older.
- Determine no exercise risk via ACSM's PAR-Q+ (The Physical Activity Readiness Questionnaire for everyone).
- SPPB (Short Physical Performance Battery) score of 10 or above indicates normal mobility.
- Will not participate in other physical exercise programs after starting this program.
Who cannot join
- Those who are unable to complete the assessment process (due to hearing, vision, etc.) or participate due to limited mobility problems.
- Those whose cognitive function cannot cooperate with the assessment process.
- Those whose attendance rate is less than 80%.
Trial locations and contacts
1 site in 1 country.
Taiwan1 site, 1 recruiting
- Recruiting
National Yang Ming Chiao Tung University
Taipei, 112
Wei Tzu Lo, 02-2823-9753 ext. 66378
About this study
According to the cause of death statistics compiled by the Ministry of Health and Welfare in 2022, among the causes of death among the elderly, falls ranked second among the causes of death from accidental injuries over the age of 65. Exercise has been proven to prevent falls in many studies, especially Square-Stepping Exercise can not only train strength and balance, but also improve cognitive function and reduce the fear of falling in the elderly. Therefore, this study will use Square-Stepping Exercise as the core and circuit training as the structure to design a set of exercise training that combines muscle strength and balance and is easy to implement in the community. The purpose of the study is to determine whether exercise training that combines circuit training with block stepping, muscle strength, and balance exercises can reduce the risk of falls among elderly people in the community (primary results: muscle strength, flexibility, cardiorespiratory endurance, balance; secondary results: cognitive function, Fear of falling, fall rate). This study will collect participant in the community, and subjects will be randomly assigned to the experimental group and the control group on a community basis. The experimental group will receive 12 weeks of exercise training, while the control group will follow their usual lifestyle, with 48 people in each group. The experimental design is exercise intervention for 12 weeks, twice a week, 90 minutes each time (30 minutes of main exercise). The exercise is designed into two stages according to the difficulty of Square-Stepping Exercise. The training of muscle strength and dynamic/static balance will also gradually increase in difficulty over the weeks. The research look forward to seeing the effects of multi-component exercise on physical fitness, cognitive function, fear of falling and fall rate.
Read the detailed description
With the improvement of medical and sanitation, the average life expectancy of human beings around the world has gradually increased, which has led to the trend of an aging society. Therefore, the health issues of the elderly have received more attention. Aging should cause impairment of human body functions, including significant decline in sensory systems (vision, hearing, vestibular, proprioception, etc.), muscle strength, muscle endurance, balance, and gait functions, which may increase accidental falls or injuries. risks. According to the cause of death statistics compiled by the Ministry of Health and Welfare in 2022, among the causes of death among the elderly, falls ranked second among the causes of death from accidental injuries over the age of 65. According to the literature, it was found that most of the causes of falls among the elderly are related to internal factors (including decreased muscle strength, balance, and cognitive function), and exercise has been proven to prevent falls in many studies, especially Square-Stepping Exercise can not only train strength and balance, but also improve cognitive function and reduce the fear of falling in the elderly. It is an intervention method that is easy to implement in the community. Compared with traditional resistance training, circuit training is shorter duration and lower intensity, which may increase compliance with training assistance. Also, can make up for shortcomings of Square-Stepping Exercise. Training takes turns, resulting in long waiting times for a class. In experiments on exercise intervention, it was found that multicomponent exercise combined with a variety of exercises is more effective in preventing falls than a single type of exercise. Therefore, this study will use Square-Stepping Exercise as the core and circuit training as the structure to design a set of exercise training that combines muscle strength and balance and is easy to implement in the community. The purpose of the study is to determine whether exercise training that combines circuit training with block stepping, muscle strength, and balance exercises can reduce the risk of falls among elderly people in the community (primary results: muscle strength, flexibility, cardiorespiratory endurance, balance; secondary results: cognitive function, Fear of falling, fall rate). This study will collect participant in the community, and subjects will be randomly assigned to the experimental group and the control group on a community basis. The experimental group will receive 12 weeks of exercise training, while the control group will follow their usual lifestyle, with 48 people in each group. The experimental design is exercise intervention for 12 weeks, twice a week, 90 minutes each time (30 minutes of main exercise). The exercise is designed into two stages according to the difficulty of Square-Stepping Exercise. The training of muscle strength and dynamic/static balance will also gradually increase in difficulty over the weeks. The research data were analyzed using IBM SPSS, and we look forward to seeing the effects of multi-component exercise on physical fitness, cognitive function, fear of falling and fall rate.
Keywords: community, elderly people, falls, fall prevention, Square-Stepping Exercise, circuit training, exercise training, physical fitness, cognitive function, fear of falling
- Being tested
- Circuit Training Combine with Square-Stepping Exercise
- Keywords
- community, elderly people, falls, fall prevention, Square-Stepping Exercise, circuit training, exercise training, physical fitness, cognitive function, fear of falling
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Circuit Training Combine with Square-Stepping ExerciseBehavioural
Circuit Training Combine with Square-Stepping Exercise
| Study group | Role | What they receive |
|---|---|---|
| SSE | Experimental | A Circuit Training Combine with Square-Stepping Exercise, Strength training and balance training. The intervention time and frequency of this study were 12 weeks, 2 times a week, 24 times in total, 1.5 hours each time (30 minutes of main exercise). Receives: Behavioral: Circuit Training Combine with Square-Stepping Exercise |
| Control | No intervention | No intervention (daily routine) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Senior Fitness - upper body muscle strength (Arm Curl Test)
As the arm is lowered through the full range of motion, gradually return to the starting position. The arm must be fully bent and then fully straightened at the elbow. Repeat this action as many times as possible within 30 seconds.
Measured: 30 seconds
Senior Fitness - lower body muscle strength (Chair Stand Test )
From the sitting position, the subject stands completely up, then completely back down, and this is repeated for 30 seconds. Count the total number of complete chair stands (up and down equals one stand).
Measured: 30 seconds
Senior Fitness - upper body flexibility (Back Scratch Test)
Place one hand behind the head and back over the shoulder, and reach as far as possible down the middle of your back, your palm touching your body and the fingers directed downwards. Place the other arm behind your back, palm facing outward and fingers upward and reach up as far as possible attempting to touch or overlap the middle fingers of both hands. An assistant is required to direct the subject so that the fingers are aligned, and to measure the distance between the tips of the middle fingers. If the fingertips touch then the score is zero. If they do not touch, measure the distance between the finger tips (a negative score), if they overlap, measure by how much (a positive score).
Measured: 5 seconds
Senior Fitness - lower body flexibility (Chair Sit and Reach Test)
The subject should sit on the edge a chair (placed against a wall for safety). One foot must remain flat on the floor. The other leg is extended forward with the knee straight, heel on the floor, and ankle bent at 90°. Place one hand on top of the other with tips of the middle fingers even. Keep the knee straight, and hold the reach for 2 seconds. The distance is measured between the tip of the fingertips and the toes. If the fingertips touch the toes then the score is zero. If they do not touch their toes, measure the distance between the fingers and the toes (a negative score), if they overlap, measure by how much (a positive score). Perform two trials.
Measured: 5 seconds
Senior Fitness - cardio respiratory endurance ( 2 Minute Step in Place Test)
The subject stands up straight next to the wall while a mark is placed on the wall at the level corresponding to midway between the patella (knee cap) and illiac crest (top of the hip bone). The subject then marches in place for two minutes, lifting the knees to the height of the mark on the wall. Stop after two minutes of stepping.
Measured: 2 minutes
Senior Fitness - dynamic balance (8-Foot Up and Go Test)
Place the chair next to a wall (for safety) and the marker 8 feet in front of the chair. Clear the path between the chair and the marker. The subject starts fully seated, hands resting on the knees and feet flat on the ground. On the command, "Go," timing is started and the subject stands and walks (no running) as quickly as possible (and safely) to and around the cone, returning to the chair to sit down. Timing stops as they sit down. Perform two trials.
Measured: 10 seconds
Senior Fitness - static balance (Single-Leg Balance with Eyes Open)
Performed with eyes open and hands on the hips. Stands on one leg unassisted; time begins when opposite foot leaves the ground; time stops immediately when opposite foot touches the ground and/or when hands leave the hips. 30 seconds is the best time, if it exceeds 30 seconds, it will be scored as 30 seconds.
Measured: 30 seconds
Secondary outcomes (3)
cognitive function
The Saint Louis University Mental Status Examination (SLUMS)
Measured: 7 minutes
Fear of falling
The Falls Efficacy Scale-International (FES-I)
Measured: 2 minutes
fall rate
Number of falls and trips in the past 12 weeks
Measured: 30 seconds
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Apr 2024
- Study start1 Mar 2024
- Primary completion1 Jul 2024 (estimated)
- Study completion1 Jul 2024 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Circuit-Based ExerciseStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- None (open label)
- Enrolment
- 126 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Hsin-ching, Tsai
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor-investigator, Hsin-ching, Tsai, National Yang Ming Chiao Tung University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06358170
- Sponsor's protocol ID
- NYCU112169AF
- Acronym
- SSE
- Status last verified
- Apr 2024
- First submitted
- 24 Mar 2024
- Last updated
- 10 Apr 2024
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Study at a glance
From the registry record, last updated by the sponsor on 10 Apr 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of Circuit Training Combine With Square-Stepping Exercise, Strength Training and Balance Training on Senior Fitness and Fall Risk in Elderly in the Community
- ClinicalTrials.gov ID
- NCT06358170
- Acronym / sponsor ID
- SSE / NYCU112169AF
- Keywords
- community, elderly people, falls, fall prevention, Square-Stepping Exercise, circuit training, exercise training, physical fitness
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 126 participants (estimated)
- Lead sponsor
- Hsin-ching, TsaiUniversity, hospital or other
- Study start
- 1 Mar 2024 (actual)
- Primary completion
- 1 Jul 2024 (estimated)
- Study completion
- 1 Jul 2024 (estimated)
- First posted
- 10 Apr 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
According to the cause of death statistics compiled by the Ministry of Health and Welfare in 2022, among the causes of death among the elderly, falls ranked second among the causes of death from accidental injuries over the age of 65. Exercise has been proven to prevent falls in many studies, especially Square-Stepping Exercise can not only train strength and balance, but also improve cognitive function and reduce the fear of falling in the elderly. Therefore, this study will use Square-Stepping Exercise as the core and circuit training as the structure to design a set of exercise training that combines muscle strength and balance and is easy to implement in the community. The purpose of the study is to determine whether exercise training that combines circuit training with block stepping, muscle strength, and balance exercises can reduce the risk of falls among elderly people in the community (primary results: muscle strength, flexibility, cardiorespiratory endurance, balance; secondary results: cognitive function, Fear of falling, fall rate). This study will collect participant in the community, and subjects will be randomly assigned to the experimental group and the control group on a community basis. The experimental group will receive 12 weeks of exercise training, while the control group will follow their usual lifestyle, with 48 people in each group. The experimental design is exercise intervention for 12 weeks, twice a week, 90 minutes each time (30 minutes of main exercise). The exercise is designed into two stages according to the difficulty of Square-Stepping Exercise. The training of muscle strength and dynamic/static balance will also gradually increase in difficulty over the weeks. The research look forward to seeing the effects of multi-component exercise on physical fitness, cognitive function, fear of falling and fall rate.
Detailed description
With the improvement of medical and sanitation, the average life expectancy of human beings around the world has gradually increased, which has led to the trend of an aging society. Therefore, the health issues of the elderly have received more attention. Aging should cause impairment of human body functions, including significant decline in sensory systems (vision, hearing, vestibular, proprioception, etc.), muscle strength, muscle endurance, balance, and gait functions, which may increase accidental falls or injuries. risks. According to the cause of death statistics compiled by the Ministry of Health and Welfare in 2022, among the causes of death among the elderly, falls ranked second among the causes of death from accidental injuries over the age of 65. According to the literature, it was found that most of the causes of falls among the elderly are related to internal factors (including decreased muscle strength, balance, and cognitive function), and exercise has been proven to prevent falls in many studies, especially Square-Stepping Exercise can not only train strength and balance, but also improve cognitive function and reduce the fear of falling in the elderly. It is an intervention method that is easy to implement in the community. Compared with traditional resistance training, circuit training is shorter duration and lower intensity, which may increase compliance with training assistance. Also, can make up for shortcomings of Square-Stepping Exercise. Training takes turns, resulting in long waiting times for a class. In experiments on exercise intervention, it was found that multicomponent exercise combined with a variety of exercises is more effective in preventing falls than a single type of exercise. Therefore, this study will use Square-Stepping Exercise as the core and circuit training as the structure to design a set of exercise training that combines muscle strength and balance and is easy to implement in the community. The purpose of the study is to determine whether exercise training that combines circuit training with block stepping, muscle strength, and balance exercises can reduce the risk of falls among elderly people in the community (primary results: muscle strength, flexibility, cardiorespiratory endurance, balance; secondary results: cognitive function, Fear of falling, fall rate). This study will collect participant in the community, and subjects will be randomly assigned to the experimental group and the control group on a community basis. The experimental group will receive 12 weeks of exercise training, while the control group will follow their usual lifestyle, with 48 people in each group. The experimental design is exercise intervention for 12 weeks, twice a week, 90 minutes each time (30 minutes of main exercise). The exercise is designed into two stages according to the difficulty of Square-Stepping Exercise. The training of muscle strength and dynamic/static balance will also gradually increase in difficulty over the weeks. The research data were analyzed using IBM SPSS, and we look forward to seeing the effects of multi-component exercise on physical fitness, cognitive function, fear of falling and fall rate.
Keywords: community, elderly people, falls, fall prevention, Square-Stepping Exercise, circuit training, exercise training, physical fitness, cognitive function, fear of falling
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| SSE | Experimental | Behavioral: Circuit Training Combine with Square-Stepping ExerciseA Circuit Training Combine with Square-Stepping Exercise, Strength training and balance training. The intervention time and frequency of this study were 12 weeks, 2 times a week, 24 times in total, 1.5 hours each time (30 minutes of main exercise). |
| Control | No intervention | –No intervention (daily routine) |
Who may qualify
- Ages
- 60 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Aged 60 years or older.
- Determine no exercise risk via ACSM's PAR-Q+ (The Physical Activity Readiness Questionnaire for everyone).
- SPPB (Short Physical Performance Battery) score of 10 or above indicates normal mobility.
- Will not participate in other physical exercise programs after starting this program.
Key exclusion criteria (3 listed)
- Those who are unable to complete the assessment process (due to hearing, vision, etc.) or participate due to limited mobility problems.
- Those whose cognitive function cannot cooperate with the assessment process.
- Those whose attendance rate is less than 80%.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Circuit Training Combine with Square-Stepping ExerciseCircuit Training Combine with Square-Stepping Exercise | Behavioural | SSE |
Primary outcome
Senior Fitness - upper body muscle strength (Arm Curl Test)
Time frame: 30 seconds
As the arm is lowered through the full range of motion, gradually return to the starting position. The arm must be fully bent and then fully straightened at the elbow. Repeat this action as many times as possible within 30 seconds.
Senior Fitness - lower body muscle strength (Chair Stand Test )
Time frame: 30 seconds
From the sitting position, the subject stands completely up, then completely back down, and this is repeated for 30 seconds. Count the total number of complete chair stands (up and down equals one stand).
Senior Fitness - upper body flexibility (Back Scratch Test)
Time frame: 5 seconds
Place one hand behind the head and back over the shoulder, and reach as far as possible down the middle of your back, your palm touching your body and the fingers directed downwards. Place the other arm behind your back, palm facing outward and fingers upward and reach up as far as possible attempting to touch or overlap the middle fingers of both hands. An assistant is required to direct the subject so that the fingers are aligned, and to measure the distance between the tips of the middle fingers. If the fingertips touch then the score is zero. If they do not touch, measure the distance between the finger tips (a negative score), if they overlap, measure by how much (a positive score).
Senior Fitness - lower body flexibility (Chair Sit and Reach Test)
Time frame: 5 seconds
The subject should sit on the edge a chair (placed against a wall for safety). One foot must remain flat on the floor. The other leg is extended forward with the knee straight, heel on the floor, and ankle bent at 90°. Place one hand on top of the other with tips of the middle fingers even. Keep the knee straight, and hold the reach for 2 seconds. The distance is measured between the tip of the fingertips and the toes. If the fingertips touch the toes then the score is zero. If they do not touch their toes, measure the distance between the fingers and the toes (a negative score), if they overlap, measure by how much (a positive score). Perform two trials.
Senior Fitness - cardio respiratory endurance ( 2 Minute Step in Place Test)
Time frame: 2 minutes
The subject stands up straight next to the wall while a mark is placed on the wall at the level corresponding to midway between the patella (knee cap) and illiac crest (top of the hip bone). The subject then marches in place for two minutes, lifting the knees to the height of the mark on the wall. Stop after two minutes of stepping.
Senior Fitness - dynamic balance (8-Foot Up and Go Test)
Time frame: 10 seconds
Place the chair next to a wall (for safety) and the marker 8 feet in front of the chair. Clear the path between the chair and the marker. The subject starts fully seated, hands resting on the knees and feet flat on the ground. On the command, "Go," timing is started and the subject stands and walks (no running) as quickly as possible (and safely) to and around the cone, returning to the chair to sit down. Timing stops as they sit down. Perform two trials.
Senior Fitness - static balance (Single-Leg Balance with Eyes Open)
Time frame: 30 seconds
Performed with eyes open and hands on the hips. Stands on one leg unassisted; time begins when opposite foot leaves the ground; time stops immediately when opposite foot touches the ground and/or when hands leave the hips. 30 seconds is the best time, if it exceeds 30 seconds, it will be scored as 30 seconds.
3 secondary outcomes
cognitive function
Time frame: 7 minutes
Fear of falling
Time frame: 2 minutes
fall rate
Time frame: 30 seconds
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Apr 2024.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Circuit Training Combine with Square-Stepping Exercise in people with Circuit-Based Exercise and Exercise Test, run by Hsin-ching, Tsai at 1 site in Taiwan.
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 3 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 10 Apr 2024. 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 Taiwan. 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 Wei Tzu Lo (02-2823-9753 ext. 66378, weitzu@nycu.edu.tw), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Senior Fitness - upper body muscle strength (Arm Curl Test) (time frame: 30 seconds). The study lists 7 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 10 Apr 2024.