运动对肌少症老年人肠道微生物群的影响:随机对照试验的研究方案

注册号:

Registration number:

ITMCTR2025000036

最近更新日期:

Date of Last Refreshed on:

2025-01-07

注册时间:

Date of Registration:

2025-01-07

注册号状态:

Registration Status:

预注册

Prospective registration

注册题目:

运动对肌少症老年人肠道微生物群的影响:随机对照试验的研究方案

Public title:

The effects of exercise on gut microbiota in older people with sarcopenia: a study protocol for a randomized controlled trial

注册题目简写:

English Acronym:

研究课题的正式科学名称:

八段锦联合抗阻运动对中国社区肌少症老年人的临床效果研究

Scientific title:

A study on the clinical effects of Baduanjin combined with resistance exercise on older adults with sarcopenia in Chinese community

研究课题的正式科学名称简写:

Scientific title acronym:

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

任衍青

研究负责人:

陈楠

Applicant:

Ren Yanqing

Study leader:

Chen Nan

申请注册联系人电话:

Applicant telephone:

+86 198 6272 7323

研究负责人电话:

Study leader's telephone:

+86 181 0184 3311

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

renyanqing321@163.com

研究负责人电子邮件:

Study leader's E-mail:

chennanreha@126.com

申请单位网址(自愿提供):

Study leader's website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website
(voluntary supply):

申请注册联系人通讯地址:

中国上海,上海健康医学院附属崇明医院康复科

研究负责人通讯地址:

中国上海,上海健康医学院附属崇明医院康复科

Applicant address:

Department of Rehabilitation Chongming Hospital Affiliated to Shanghai University of Medicine and Health Sciences Shanghai China

Study leader's address:

Department of Rehabilitation Chongming Hospital Affiliated to Shanghai University of Medicine and Health Sciences Shanghai China

申请注册联系人邮政编码:

Applicant postcode:

研究负责人邮政编码:

Study leader's postcode:

申请人所在单位:

上海体育学院

Applicant's institution:

Shanghai University of Sport

是否获伦理委员会批准:

Approved by ethic committee:

伦理委员会批件文号:

Approved No. of ethic committee:

CMEC-2024-KT-81

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件

批准本研究的伦理委员会名称:

上海健康医学院附属崇明医院伦理委员会

Name of the ethic committee:

Ethics Committee of Chongming Hospital Affiliated to Shanghai Health Medical College

伦理委员会批准日期:

Date of approved by ethic committee:

2024/12/3 0:00:00

伦理委员会联系人:

李冬

Contact Name of the ethic committee:

Li Dong

伦理委员会联系地址:

上海市崇明区城桥镇南门路25号

Contact Address of the ethic committee:

25 Nanmen Road Chengqiao Town Chongming District Shanghai

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 21 6969 9328

伦理委员会联系人邮箱:

Contact email of the ethic committee:

gcp_cm@163.com

研究实施负责(组长)单位:

上海健康医学院附属崇明医院

Primary sponsor:

Chongming Hospital Affiliated to Shanghai Health Medical College

研究实施负责(组长)单位地址:

上海市崇明区城桥镇南门路25号

Primary sponsor's address:

25 Nanmen Road Chengqiao Town Chongming District Shanghai

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

上海

市(区县):

Country:

China

Province:

Shanghai

City:

单位(医院):

上海健康医学院附属崇明医院

具体地址:

崇明区城桥镇南门路25号

Institution
hospital:

Chongming Hospital Affiliated to Shanghai Health Medical College

Address:

25 Nanmen Road Chengqiao Town Chongming District

经费或物资来源:

自筹

Source(s) of funding:

self-finance

研究疾病:

肌少症

研究疾病代码:

Target disease:

sarcopenia

Target disease code:

研究类型:

Study type:

干预性研究

Interventional study

研究设计:

Study design:

随机平行对照

randomized controlled trial(parallel group design)

研究所处阶段:

Study phase:

其它

Others

研究目的:

(1) 评估八段锦联合抗阻运动对患有肌少症的老年人的肌肉质量、肌肉力量、体能表现和肠道微生物群的影响;以及 (2) 探索运动通过肠道-肌肉轴改善肌少症的内在机制。

Objectives of Study:

(1) to assess the impact of Baduanjin Combined Resistance Exercise on muscle mass muscle strength physical performance and gut microbiota in old people with sarcopenia; and (2) to explore the underlying mechanisms by which exercise improves sarcopenia via the gut-muscle axis.

药物成份或治疗方案详述:

Description for medicine or protocol of treatment in detail:

纳入标准:

(1)年龄≥ 60 岁的人。 (2)根据亚洲肌少症工作组2019年标准(AWGS 2019)[1]诊断为肌少症的个体: 1)使用生物电阻抗分析法(BIA)测量附着骨骼肌质量指数(ASMI),男性小于 7.0 kg/m2,女性小于 5.7 kg/m2;以及 2)男性手握力(HGS)小于 28 千克,女性小于 18 千克;以及/或 3)6 米步速(GS)小于 1 米/秒。 (3)没有定期锻炼习惯的人(定期锻炼的定义是每周≥3 天进行≥20 分钟的剧烈运动,或每周≥5 天进行≥30 分钟的中等强度运动)。 (4)自愿参加并签署知情同意书的个人。

Inclusion criteria

(1)Individuals aged ≥ 60 years. (2)Individuals diagnosed with sarcopenia according to the Asian Working Group for Sarcopenia 2019 criteria (AWGS 2019): 1)Appendicular skeletal muscle mass index (ASMI) measured using bioelectrical impedance analysis (BIA) is < 7.0 kg/ m2 for men and < 5.7 kg/m2 for women; and 2)Handgrip strength (HGS) is < 28 kg for men and < 18 kg for women; and/ or 3)6-m gait speed (GS) is < 1 m/s. (3)Individuals without regular exercise habits (regular exercise is defined as engaging in ≥ 20 minutes of vigorous physical activity on ≥3 days per week or ≥ 30 minutes of moderate-intensity physical activity on ≥5 days per week). (4)Individuals who participated voluntarily and provided a signed informed consent form.

排除标准:

(1) 有绝对运动禁忌症的人,如深静脉血栓或凝血功能障碍。 (2)有认知或感官障碍,妨碍与研究人员有效沟通的人。 (3)患有影响其完成评估或干预能力的疾病的人,包括肌肉骨骼疾病(如骨折)、心血管疾病(如未控制的高血压、血脂异常、恶性肿瘤病史、中风、急性心肌梗塞、心绞痛、室性心动过速)、脑梗塞、恶性肿瘤或残疾。 (4) 患有传染性皮肤病或伤口未愈合或溃烂者。 (5)过去 3 个月内经常服用以下药物的人:抗血小板药物(如阿司匹林、Aggrenox、噻氯匹定、依替巴肽和替罗非班)、镇痛药、抗凝药、降压药或降脂药。 (6)粪便样本采集前 1 个月内接受过可能影响肠道微生物群的干预措施(如抗生素或益生菌)或有炎症性肠病、胃肠道手术或癌症病史者。

Exclusion criteria:

(1) Individuals with absolute contraindications to exercise such as deep vein thrombosis or coagulation disorders. (2) Individuals with cognitive or sensory impairments that prevent effective communication with the researcher. (3) Individuals with medical conditions that interfere with their ability to complete assessments or interventions including musculoskeletal disorders (e.g. fractures) cardiovascular disorders (e.g. uncontrolled hypertension dyslipidemia history of malignancy stroke acute myocardial infarction angina pectoris ventricular tachycardia) cerebral infarctions malignancies or disabilities. (4) Those with infectious skin diseases or unhealed or ulcerated wounds. (5) Persons who have regularly taken the following drugs in the past 3 months: antiplatelet drugs (e.g. aspirin Aggrenox ticlopidine etipaterol and tirofiban) analgesics anticoagulants antihypertensives or lipid-lowering drugs. (6) Individuals who have received interventions that may affect the gut microbiota (e.g. antibiotics or probiotics) or have a history of inflammatory bowel disease gastrointestinal surgery or cancer within 1 month prior to the collection of the faecal sample.

研究实施时间:

Study execute time:

From 2025-01-13

To      2025-09-01

征募观察对象时间:

Recruiting time:

From 2025-01-13

To      2025-09-01

干预措施:

Interventions:

组别:

对照组

样本量:

15

Group:

control group

Sample size:

干预措施:

健康教育,每次60分钟,每月1次,共 12 周

干预措施代码:

Intervention:

Health education, 60 minutes each time, once a month for 12 weeks

Intervention code:

组别:

八段锦联合抗阻运动组

样本量:

15

Group:

Baduanjin Combined Resistance Exercise Group

Sample size:

干预措施:

八段锦与阻力运动相结合,每次 45 分钟,每周 3 次,共 12 周

干预措施代码:

Intervention:

Baduanjin combined with resistance exercise 45 min each time three times a week for 12 weeks

Intervention code:

样本总量 Total sample size : 30

研究实施地点:

Countries of recruitment
and research settings:

国家:

中国

省(直辖市):

上海

市(区县):

Country:

China

Province:

Shanghai

City:

单位(医院):

上海健康医学院附属崇明医院

单位级别:

三级

Institution/hospital:

Chongming Hospital Affiliated to Shanghai Health College

Level of the institution:

Tertiary

测量指标:

Outcomes:

指标中文名:

营养状况

指标类型:

次要指标

Outcome:

Nutritional status

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

肠道菌群变化

指标类型:

主要指标

Outcome:

Changes in the gut microbiota

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

身体功能

指标类型:

次要指标

Outcome:

Physical performance

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

膝关节伸展力量

指标类型:

主要指标

Outcome:

Knee extension strength

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

体力活动

指标类型:

次要指标

Outcome:

Physical activity

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

肌肉质量

指标类型:

次要指标

Outcome:

Muscle mass

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

握力

指标类型:

次要指标

Outcome:

Handgrip strength

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

粪便

组织:

Sample Name:

faeces

Tissue:

人体标本去向

使用后销毁

说明

Fate of sample 

Destruction after use

Note:

征募研究对象情况:

尚未开始

Not yet recruiting

年龄范围:

最小 60
Min age years
最大 80
Max age years

Recruiting status:

Participant age:

性别:

Gender:

男女均可

Both

随机方法(请说明由何人用什么方法产生随机序列):

符合条件的 30 名参与者将被随机分配到两个人数相等的小组中的一个:BDJ-RT 组(15 人)或对照组(15 人)。这一分配将基于一个简单的随机序列,该序列由一名未参与研究的统计学家使用 SPSS 27 版(SPSS, Inc.) 随机过程将按性别和年龄进行分层,以确保各组在主要人口特征方面的平衡。

Randomization Procedure (please state who generates the random number sequence and by what method):

The 30 eligible participants will be randomly assigned to one of two equal-sized groups: the BDJ-RT group (n=15) or the control group (n=15). This allocation will be based on a simple randomization sequence generated by a statistician not involved in the study using SPSS version 27 (SPSS Inc. USA). The randomization process will be stratified by gender and age to ensure balance between the groups in terms of key demographic characteristics.

盲法:

治疗师将根据各组的具体方案进行干预。除治疗师外,所有其他参与者,包括统计人员、评估人员和数据管理人员,都将对组别分配进行盲测。

Blinding:

Therapists will conduct the interventions according to the specific protocols for each group. In addition to the therapist all other participants including statisticians assessors and data managers will be blinded to group assignment.

是否共享原始数据:

IPD sharing:

No

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

试验结束发表相关文章

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

Relevant articles will be published after the experiment

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

电子采集和管理系统(Electronic Data Capture, EDC)

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

The third-party will be incharge of data collection and management.

数据管理委员会:

Data Managemen Committee:

Yes

研究计划书或研究结果报告发表信息
(杂志名称、期、卷、页,时间;或网址):

Publication information of the protocol/research results report
(name of the journal, volume, issue, pages, time; or website):

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