A study on the clinical efficacy of Yi Jin Jing intervention in old age sarcopenia

注册号:

Registration number:

ITMCTR2024000259

最近更新日期:

Date of Last Refreshed on:

2024-08-19

注册时间:

Date of Registration:

2024-08-19

注册号状态:

Registration Status:

预注册

Prospective registration

注册题目:

易筋经干预老年肌少症的临床疗效研究

Public title:

A study on the clinical efficacy of Yi Jin Jing intervention in old age sarcopenia

注册题目简写:

English Acronym:

研究课题的正式科学名称:

老年肌少症中医康复技术社区示范应用及设备研发

Scientific title:

Community Demonstration Application of Chinese Medicine Rehabilitation Technology for Older Adults with sarcopenia and Research and Development of Equipment

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:

郭长胜

研究负责人:

冯晓东

Applicant:

Changsheng Guo

Study leader:

Xiaodong Feng

申请注册联系人电话:

Applicant telephone:

+8615946291635

研究负责人电话:

Study leader's telephone:

+8615303828605

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:

gcs0811@163.com

研究负责人电子邮件:

Study leader's E-mail:

fxd0502@163.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:

河南省郑州市人民路19号

研究负责人通讯地址:

河南省郑州市人民路19号

Applicant address:

19 Renmin Road, Zhengzhou City, Henan Province, China

Study leader's address:

19 Renmin Road, Zhengzhou City, Henan Province, 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:

河南中医药大学第一附属医院

Applicant's institution:

The First Affiliated Hospital of Henan University of Chinese Medicine

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:

2024HL-296-01

伦理委员会批件附件:

Approved file of Ethical Committee:

View

批准本研究的伦理委员会名称:

河南中医药大学第一附属医院伦理委员会

Name of the ethic committee:

the Ethics Committee of the First Affiliated Hospital of Henan University of Chinese Medicine

伦理委员会批准日期:

Date of approved by ethic committee:

2024/6/18 0:00:00

伦理委员会联系人:

王春芳

Contact Name of the ethic committee:

Chunfang Wang

伦理委员会联系地址:

河南省郑州市人民路19号

Contact Address of the ethic committee:

19 Renmin Road, Zhengzhou City, Henan Province, China

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 371 6628 5929

伦理委员会联系人邮箱:

Contact email of the ethic committee:

1464620147@qq.com

研究实施负责(组长)单位:

河南中医药大学第一附属医院

Primary sponsor:

The First Affiliated Hospital of Henan University of Chinese Medicine

研究实施负责(组长)单位地址:

河南省郑州市人民路19号

Primary sponsor's address:

19 Renmin Road, Zhengzhou City, Henan Province, China

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

河南省

市(区县):

Country:

China

Province:

Henan Province

City:

单位(医院):

河南中医药大学第一附属医院

具体地址:

河南省郑州市人民路19号

Institution
hospital:

The First Affiliated Hospital of Henan University of Chinese Medicine

Address:

19 Renmin Road, Zhengzhou City, Henan Province, China

经费或物资来源:

申请单位匹配

Source(s) of funding:

The application unit matches

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:

整群随机分组

Cluster randomization

研究所处阶段:

Study phase:

探索性研究/预试验

Pilot clinical trial

研究目的:

明确易筋经对老年肌少症患者的临床疗效,获得易筋经干预老年肌少症的高级别循证证据。

Objectives of Study:

To clarify the clinical efficacy of Yi Jin Jing in elderly patients with sarcopenia and to obtain high-level evidence-based evidence of Yi Jin Jing intervention in sarcopenia in the elderly.

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符合上述肌少症诊断标准; ②年龄≥60 岁; ③最近三个月未从事有规律的运动锻炼(每周至少 3 次,每次至少 20 分钟的规律性锻炼); ④自愿参加本研究,签署知情同意书;

Inclusion criteria

① met the above diagnostic criteria for sarcopenia; ② aged ≥60 years; ③not engaged in regular exercise in the last three months (at least 3 times per week, at least 20 minutes of regular exercise each time); ④ voluntarily participated in this study by signing an informed consent form;

排除标准:

①有肌肉骨骼系统疾病及其他运动系统禁忌症者; ②视听力、理解障碍、文盲等不能配合测试者; ③合并痴呆、躁狂症、精神疾病史者; ④其他功能障碍导致功能评估无法配合者; ⑤正在参加影响本研究结果的其他研究试验者;

Exclusion criteria:

① Those with musculoskeletal system diseases and other contraindications to the exercise system; ② Those who are unable to cooperate with the test due to visual-hearing, comprehension disorders, illiteracy, etc; ③ Those with a history of combined dementia, mania, or mental illness; ④ Those who cannot cooperate with the functional assessment due to other functional disorders; ⑤ Those who are participating in other research trials that affect the results of this study;

研究实施时间:

Study execute time:

From 2023-11-01

To      2027-07-31

征募观察对象时间:

Recruiting time:

From 2024-11-01

To      2025-04-30

干预措施:

Interventions:

组别:

健康宣教组

样本量:

325

Group:

Health Promotion Group

Sample size:

干预措施:

对受试者进行健康宣教。由临床医师对研究对象进行肌少症相关知识的健康教育,包括肌少症的病因、发病机制、临床表现、对老年人的危害及防治措施。

干预措施代码:

Intervention:

Health education for subjects. Health education on knowledge related to sarcopenia, including the etiology, pathogenesis, clinical manifestations, hazards to the elderly, and preventive measures of sarcopenia, was provided to the study subjects by clinicians.

Intervention code:

组别:

抗阻训练组

样本量:

325

Group:

Resistance training group

Sample size:

干预措施:

采用弹力带作为抗阻训练工具,选择简单易操作以全身大肌群为主的训练动 作(具体方案由资深物理治疗师制定并指导训练)。根据受试者初始肌力,渐进 提高阻力负荷。训练动作包括弹力带站姿后抬腿(臀部肌群);弹力带深蹲(大 腿、臀部肌群);弹力带弯举(肱二头肌);弹力带站姿前平举(三角肌);弹 力带直臂硬拉(背阔肌);弹力带坐姿划船(背部肌群)6 个动作。由工作 10 年以上资深物理治疗师进行引导,3 次/周,每次 40 分钟(5 分钟热身,30 分钟 训练,5 分钟整理),共 12 周。

干预措施代码:

Intervention:

Adopt elastic bands as resistance training tools, and choose simple and easy to operate training activities focusing on large muscle groups of the whole body. (The specific program will be developed and instructed by a senior physiotherapist). According to the initial muscle strength of the subject, the resistance load was gradually increased. The resistance load is gradually increased according to the subject's initial muscle strength. The train

Intervention code:

组别:

易筋经运动组

样本量:

325

Group:

Yi Jin Jing exercise group

Sample size:

干预措施:

以国家体育总局健康气功管理中心颁布的《健康气功易筋经》为参考,由 10 年以上教学经验的易筋经教练教学引导,动作包括韦陀献杵势、摘星换斗势、 倒拽九牛尾势、出爪亮翅势、九鬼拔马刀势、三盘落地势、青龙探爪势、卧虎扑 食势、打躬势、掉尾势。每次集中练习 40 分钟,包括 5 分钟热身,30 分钟易筋 经运动和 5 分钟整理。每周练习 3 次(以研究一结果为准),持续 12 周。

干预措施代码:

Intervention:

Using the "Health Qigong Yi Jin Jing" issued by the Health Qigong Management Center of the General Administration of Sport of China as a reference, it is taught by The movements are guided by the instructor of Yi Jin Jing who has more than 10 years of teaching experience, and include the Weiduo Xian Pestle Posture, the Plucking Star for Dipper Posture, The movements include the Weituo Offering the Pestle, Picking the Star and Changing the Dipper,

Intervention code:

样本总量 Total sample size : 975

研究实施地点:

Countries of recruitment
and research settings:

国家:

中国

省(直辖市):

河南省

市(区县):

Country:

China

Province:

henan

City:

单位(医院):

郑州经开区潮河社区卫生服务中心

单位级别:

一级

Institution/hospital:

Zhengzhou Jingkai District Chaohe Community Health Service Center

Level of the institution:

Primary

国家:

中国

省(直辖市):

河南省

市(区县):

Country:

China

Province:

henan

City:

单位(医院):

郑州市郑东新区润泽路社区卫生服务中心

单位级别:

一级

Institution/hospital:

Zhengzhou Zhengdong New District Runze Road Community Health Center

Level of the institution:

Primary

国家:

中国

省(直辖市):

河南省

市(区县):

Country:

China

Province:

henan

City:

单位(医院):

新乡市红旗区文化街社区卫生服务中心

单位级别:

一级

Institution/hospital:

Xinxiang Hongqi District Culture Street Community Health Service Center

Level of the institution:

Primary

国家:

中国

省(直辖市):

河南省

市(区县):

Country:

China

Province:

henan

City:

单位(医院):

新乡市牧野区花园社区卫生服务中心

单位级别:

一级

Institution/hospital:

Xinxiang Muye District Garden Community Health Service Center

Level of the institution:

Primary

国家:

中国

省(直辖市):

河南省

市(区县):

Country:

China

Province:

henan

City:

单位(医院):

郑州市金水区南阳新村社区卫生服务中心

单位级别:

一级

Institution/hospital:

Zhengzhou Jinshui District Nanyang Xincun Community Health Service Center

Level of the institution:

Primary

国家:

中国

省(直辖市):

河南省

市(区县):

Country:

China

Province:

henan

City:

单位(医院):

郑州市福华街社区卫生服务中心

单位级别:

一级

Institution/hospital:

Zhengzhou Fuhua Street Community Health Center

Level of the institution:

Primary

国家:

中国

省(直辖市):

河南省

市(区县):

Country:

China

Province:

henan

City:

单位(医院):

新乡高新区红旗小区社区卫生服务中心

单位级别:

一级

Institution/hospital:

Xinxiang High-tech Zone Hongqi District Community Health Service Center

Level of the institution:

Primary

国家:

中国

省(直辖市):

河南省

市(区县):

Country:

China

Province:

henan

City:

单位(医院):

郑州市南关社区卫生服务中心

单位级别:

一级

Institution/hospital:

Zhengzhou Nanguan Community Health Center

Level of the institution:

Primary

国家:

中国

省(直辖市):

河南省

市(区县):

Country:

China

Province:

henan

City:

单位(医院):

郑州市文化路社区卫生服务中心

单位级别:

一级

Institution/hospital:

Zhengzhou Culture Road Community Health Service Center

Level of the institution:

Primary

国家:

中国

省(直辖市):

河南省

市(区县):

Country:

China

Province:

henan

City:

单位(医院):

郑州市管城回族区二里岗社区卫生服务中心

单位级别:

一级

Institution/hospital:

Erligang Community Health Service Center, Guancheng Huizu District, Zhengzhou, China

Level of the institution:

Primary

国家:

中国

省(直辖市):

河南省

市(区县):

Country:

China

Province:

henan

City:

单位(医院):

河南中医药大学第一附属医院医养中心

单位级别:

一级

Institution/hospital:

The First Affiliated Hospital of Henan University of Traditional Chinese Medicine Medical Care Center

Level of the institution:

Primary

国家:

中国

省(直辖市):

河南省

市(区县):

Country:

China

Province:

henan

City:

单位(医院):

中牟县雁鸣湖中心卫生院

单位级别:

一级

Institution/hospital:

Zhongmou County Yanming Lake Center Health Center

Level of the institution:

Primary

国家:

中国

省(直辖市):

河南省

市(区县):

Country:

China

Province:

Henan

City:

单位(医院):

郑州市国基路沙门社区卫生服务中心

单位级别:

一级

Institution/hospital:

Zhengzhou West Navigation Road Community Health Service Center

Level of the institution:

Primary

国家:

中国

省(直辖市):

河南省

市(区县):

Country:

中国

Province:

henan

City:

单位(医院):

河南瑞阳养老集团

单位级别:

一级

Institution/hospital:

Henan Ruiyang Pension Group

Level of the institution:

Primary

国家:

中国

省(直辖市):

河南省

市(区县):

Country:

China

Province:

henan

City:

单位(医院):

郑州市航海西路社区卫生服务中心

单位级别:

一级

Institution/hospital:

Zhengzhou West Navigation Road Community Health Service Center

Level of the institution:

Primary

国家:

中国

省(直辖市):

河南省

市(区县):

Country:

China

Province:

henan

City:

单位(医院):

新乡市牧野区钓鱼台社区卫生服务中心

单位级别:

一级

Institution/hospital:

Xinxiang Muye District Diaoyutai Community Health Service Center

Level of the institution:

Primary

国家:

中国

省(直辖市):

河南省

市(区县):

Country:

China

Province:

henan

City:

单位(医院):

郑州人民医院北林路社区卫生服务中心

单位级别:

一级

Institution/hospital:

Zhengzhou People's Hospital Beilin Road Community Health Service Center

Level of the institution:

Primary

国家:

中国

省(直辖市):

河南省

市(区县):

Zhengzhou

Country:

China

Province:

henan

City:

Zhengzhou

单位(医院):

新乡市红旗区隆祥华恩城居家养老服务中心

单位级别:

一级

Institution/hospital:

Xinxiang Hongqi District Longxiang Huancheng Home Pension Service Center

Level of the institution:

Primary

测量指标:

Outcomes:

指标中文名:

简易体能状况量表

指标类型:

主要指标

Outcome:

short physical performance battery

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

肌少症评估表

指标类型:

次要指标

Outcome:

SARC-CalF

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

日常生活活动能力量表

指标类型:

次要指标

Outcome:

Barthl Index

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

Tinetti 平衡与步态量表

指标类型:

次要指标

Outcome:

Tinetti Balance and Gait Scale

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

肌肉大小

指标类型:

次要指标

Outcome:

muscle size

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:

(strength of one's) grip

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

腿力

指标类型:

次要指标

Outcome:

leg strength

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

Morse 跌倒风险评估量表

指标类型:

次要指标

Outcome:

Morse Falls Risk Assessment Scale

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

生活质量量表

指标类型:

次要指标

Outcome:

SarQoL

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:

血液

组织:

Sample Name:

blood

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
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):

以社区医院(18家社区医院)为群组,进行群组随机化。采用简单随机系统将纳入的18家社区医院为群组单元对象按1:1:1比例随机分为易筋经组、抗阻训练组和等待治疗组,每组包含3个群组单元。由于易筋经运动和抗阻训练无法对受试者、研究者设盲,因此对研究结果评估者、统计分析者设盲,待研究结果统计分析完成后揭盲。

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

Cluster randomization was performed using community hospitals (18 community hospitals) as a cluster. A simple randomization system was used to randomly divide the included 18 community hospitals as cluster unit subjects into Yi Jin Jing group, resistance training group, and waiting for treatment group in a 1:1:1 ratio, with each group containing 3 cluster units. Since the Yi Jin Jing exercise and resistance training could not be blinded to the subjects and researchers, the evaluators of the study results and the statistical analyzers were blinded, and the blinding was uncovered after the statistical analysis of the study results was completed.

盲法:

Blinding:

是否共享原始数据:

IPD sharing:

Yes

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):

在中国临床试验注册平台Resman (http://www.medresman.org.cn/login.aspx)

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

Resman, http://www.medresman.org.cn/login.aspx

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:

病历记录表(CRF)

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

Case Record Form, CRF

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):

ITMCTR BJ-ICP:07032215-5 Tip: IE8 is recommended Use the system with widescreen display resolution above