Evidence map›Paper›PMID 31997543›Full record

Trial reportJournal of cachexia, sarcopenia and muscle2020

Comprehensive geriatric intervention in community-dwelling older adults: a cluster-randomized controlled trial.

Yuya Watanabe, Yosuke Yamada, Tsukasa Yoshida, Keiichi Yokoyama, Motoko Miyake, Emi Yamagata, Minoru Yamada, Yasuko Yoshinaka, Misaka Kimura, for Kyoto-Kameoka Study Group

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of cachexia, sarcopenia and muscle, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
3.0field-weighted citation impact, top 8% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 45 citations in OpenAlex.

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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

10 authors at 6 institutions in 2 countries.

Yuya WatanabeFaculty of Health and Sports Science, Doshisha University, Kyoto, Japan.ORCID 0000-0003-3970-1202
Yosuke YamadaLaboratory of Applied Health Sciences, Kyoto Prefectural University of Medicine, Kyoto, Japan.ORCID 0000-0002-4284-6317
Tsukasa YoshidaLaboratory of Applied Health Sciences, Kyoto Prefectural University of Medicine, Kyoto, Japan.ORCID 0000-0003-2304-6872
Keiichi YokoyamaNon-profit Organization Genki-up AGE Project, Kameoka, Japan.
Motoko MiyakeDepartment of Health and Sports Sciences, Kyoto Gakuen University, Kameoka, Japan.
Emi YamagataFaculty of Nursing, Doshisha Women's College of Liberal Arts, Kyotanabe, Japan.
Minoru YamadaGraduate School of Comprehensive Human Sciences, University of Tsukuba, Tokyo, Japan.
Yasuko YoshinakaNon-profit Organization Genki-up AGE Project, Kameoka, Japan.
Misaka KimuraLaboratory of Applied Health Sciences, Kyoto Prefectural University of Medicine, Kyoto, Japan.
for Kyoto-Kameoka Study Group
Kyoto Prefectural University of Medicine · JPClinical Research Organization · BDDoshisha University · JPDoshisha Women's College of Liberal Arts · JPKyoto University of Advanced Science · JPUniversity of Tsukuba · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn longevity societies, one of the most serious social issues is sarcopenia and/or frailty. Preventing them is important for maintaining independence and quality of life in the older population. This study investigated the effect of a self-monitoring comprehensive geriatric intervention programme (CGIP) on physical function and muscle size in community-dwelling older adults. We compared the effects of a CGIP using weekly class-styled (CS) sessions and a home-based (HB) programme.

methodsThe 526 participants were randomized into one of two groups (CS 251, HB 275) based on their residential districts. We conducted a 12 week CGIP, which consisted of low-load resistance exercise, physical activity increments, oral function improvements, and a nutritional guide. All participants were encouraged to attend two 90 min lectures that included instructions on the CGIP. They were provided with exercise materials (triaxial-accelerometers/pedometers, ankle weights, and elastic bands) and diary logs. The CS group attended 90 min weekly sessions and independently executed the programme on other days, whereas the HB group only received instructions on how to execute the programme. Physical functions, such as knee extension strength (KES), normal and maximum walking speed, the timed up-and-go test, and anterior thigh muscle thickness (MT), were measured and analysed using intention-to-treat analysis before and after the 12 week intervention.

resultsOf the 526 participants identified, 517 (CS 243 age 74.0 ± 5.4 women 57.2%, HB 274 age 74.0 ± 5.6 women 58.8%) were enrolled. Nine (CS 8, HB 1) were excluded from the analysis because they did not participate in the pre-intervention measurements. Both interventions significantly improved KES (CS 18.5%, HB 10.6%), normal walking speed (CS 3.7%, HB 2.8%), and MT (CS 3.2%, HB 3.5%). Greater improvement of KES was observed in the CS group (P = 0.003). Maximum walking speed (CS 4.7%, HB 1.8%; P = 0.001) and timed up-and-go (CS -4.7%, HB -0.2%; P < 0.001) significantly improved in the CS group only.

conclusionsThe intervention was effective in preventing sarcopenia and/or frailty. Most physical functions and MT improved after both interventions. The HB intervention is cost-effective and may help prevent sarcopenia and/or frailty in the large older population.

Indexed as

AgedFemaleGeriatric AssessmentHumansIndependent LivingMaleBehavioural change programmeLow-load resistance exercisePhysical functionSelf-monitoring intervention

Identifiers

PMID31997543
PMCPMC7015250
OpenAlexW3004355468

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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 OpenQuestion graph.