Evidence map›Paper›PMID 35766913›Full record

Trial reportHealth promotion and chronic disease prevention in Canada : research, policy and practice2022

Encouraging older adults with pre-frailty and frailty to "MoveStrong": an analysis of secondary outcomes for a pilot randomized controlled trial.

Isabel B Rodrigues, Justin B Wagler, Heather Keller, Lehana Thabane, Zachary J Weston, Sharon E Straus, Alexandra Papaioannou, Marina Mourtzakis, Jamie Milligan, Wanrudee Isaranuwatchai and 7 more

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Health promotion and chronic disease prevention in Canada : research, policy and practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04037436 (A Model for Delivering Strength Training and Nutrition Education for Older Adults), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04037436 nacompletednot on this map

A Model for Delivering Strength Training and Nutrition Education for Older Adults (MoveStrong): A Pilot Randomized Controlled Trial

TypeinterventionalSponsorUniversity of WaterlooRan2019 to 2020Enrolled44ConditionsChronic Disease, Frail, Diabetes Mellitus, CancerArmsStrength and Balance Training & Nutrition Education, Usual Care
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Review
  7. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Isabel B RodriguesDepartment of Kinesiology and Health Sciences, University of Waterloo, Waterloo, Ontario, Canada.
Justin B WaglerDepartment of Kinesiology and Health Sciences, University of Waterloo, Waterloo, Ontario, Canada.
Heather KellerDepartment of Kinesiology and Health Sciences, University of Waterloo, Waterloo, Ontario, Canada.
Lehana ThabaneDepartment of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Ontario, Canada.
Zachary J WestonWaterloo Wellington Local Health Integration Network, Waterloo, Ontario, Canada.
Sharon E StrausCLEAR Health Economics, Knowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, Toronto, Ontario, Canada.
Alexandra PapaioannouDepartment of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Ontario, Canada.
Marina MourtzakisDepartment of Kinesiology and Health Sciences, University of Waterloo, Waterloo, Ontario, Canada.
Jamie MilliganDepartment of Family Medicine, McMaster University, Hamilton, Ontario, Canada.
Wanrudee IsaranuwatchaiCLEAR Health Economics, Knowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, Toronto, Ontario, Canada.
Desmond LoongCLEAR Health Economics, Knowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, Toronto, Ontario, Canada.
Ravi JainCanadian Osteoporosis Patient Network, Osteoporosis Canada, Toronto, Ontario, Canada.
Larry FunnellCanadian Osteoporosis Patient Network, Osteoporosis Canada, Toronto, Ontario, Canada.
Angela M CheungDepartment of Medicine, University Health Network, University of Toronto, Toronto, Ontario, Canada.
Sheila BrienCanadian Osteoporosis Patient Network, Osteoporosis Canada, Toronto, Ontario, Canada.
Maureen C AsheDepartment of Family Practice, University of British Columbia, Vancouver, British Columbia, Canada.
Lora M GiangregorioDepartment of Kinesiology and Health Sciences, University of Waterloo, Waterloo, Ontario, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis 8-week pilot stepped-wedge randomized controlled trial evaluated the MoveStrong program for teaching adults who have frailty/pre-frailty about balance and functional strength training and sufficient protein intake to prevent falls and improve mobility.

methodsWe recruited individuals aged 60 years and over, with a FRAIL scale score of 1 or higher and at least one chronic condition, who were not currently strength training. The program included 16 exercise physiologist-led hour-long group sessions and two dietitian-led hour-long nutrition sessions. We analyzed secondary outcomes-weight, gait speed, grip strength, physical capacity (fatigue levels), sit-to-stand functioning, dynamic balance, health-related quality of life (HRQoL), physical activity levels and protein intake-using a paired t test and a generalized estimating equation (GEE).

resultsOf 44 participants (mean [SD] age 79 [9.82] years), 35 were pre-frail and 9 were frail. At follow-up, participants had significantly improved grip strength (1.63 kg, 95% CI: 0.62 to 2.63); sit-to-stand functioning (2 sit-to-stands, 95% CI: 1 to 3); and dynamic balance (1.68 s, 95% CI: 0.47 to 2.89). There were no significant improvements in gait speed, HRQoL index scores, self-rated health, physical activity levels (aerobic activity and strength training) or protein intake. GEE analysis revealed an interaction between exposure to MoveStrong and gait speed, sit-to-stand functioning, dynamic balance and HRQoL index scores. The total cost to administer the program and purchase equipment was CAD 14 700, equivalent to CAD 377 per participant.

conclusionExploratory analyses suggest MoveStrong exercises may improve gait speed, sit-to-stand functioning, dynamic balance and HRQoL index scores in older individuals who are frail and pre-frail.

Indexed as

FrailtyAgedExerciseExercise TherapyHumansMiddle AgedPilot ProjectsQuality of Lifebalancecomplex interventionexerciseFRAIL scorefunctional strengthnutritionprotein intakeRCT

Identifiers

PMID35766913
PMCPMC9388057

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.