Fit for 100: Physical activity offered for very aged persons (Fit für 100: Bewegungsangebote für Hochaltrige)

ISRCTN	ISRCTN55213782
DOI	https://doi.org/10.1186/ISRCTN55213782
Protocol serial number	G 24-64-V42A-2534 (01.06.05-31.05.07); G 24-64-V42A-2947 (01.06.07-29.02.08)
Sponsor	Institute of Sport Gerontology (Germany)
Funders	Ministry of Work, Health and Social Affairs of the state North-Rhine Westphalia (Germany) (ref: G 24-64-V42A-2534 [01/06/05-31/05/07]; G 24-64-V42A-2947 [01/06/07-29/02/08]), German Sport University Cologne (Germany), University of Bonn (Germany), Seniors' Agency of North-Rhine Westphalia (Germany), State Sport Federation of North-Rhine Westphalia (Germany)

Submission date: 23/02/2009
Registration date: 16/03/2009
Last edited: 12/03/2010

Recruitment status: No longer recruiting
Overall study status: Completed
Condition category: Other

Prospectively registered

Protocol

Statistical analysis plan

Results

Individual participant data

Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Prof Heinz Mechling
Scientific

German Sport University Cologne
Institute of Sport Gerontology
Am Sportpark Muengersdorf 6
Cologne
50933
Germany

Phone	+49 221 4982 6148
Email	mechling@dshs-koeln.de

Study information

Primary study design	Interventional
Study design	Interventional single-arm multi-centre trial
Secondary study design	Multi-centre
Scientific title	Multi-level development and evaluation of a preventive strength training programme in residential care: an interventional single-arm multi-centre trial
Study acronym	ff100 (fit for 100 [fit für 100])
Study objectives	Introduction There is scientific evidence that preventive physical exercise is effective even in high age. The present study focuses on the application and implementation of this knowledge for very aged people living in residential care. Steps of realisation 1. To conceptualise a scholarly based strength and balance training programme targeting on very old persons endangered by, or actually in, need of care 2. To conduct this programme for the purpose of research and for developing sustainable good practice models. 3. To initiate broad diffusion and establishment of the program in institutions providing geriatric care. Conceptual framework 1. Different levels of issues and interventions are playing roles, when preventive training in residential care is to be developed and implemented: a. Individual-social level b. Organisational-institutional level c. Political-cultural level 2. Consequently, these levels are also considered in the evaluation of the programme. The evaluation is based on the RE-AIM framework (Glasgow, 2002), including the dimensions Reach, Efficacy/effectiveness, Adoption, Implementation and Maintenance (RE-AIM).
Ethics approval(s)	Ethics Committee of the German Sports University Cologne, approved on 12/01/2009.
Health condition(s) or problem(s) studied	Residential geriatric care, frailty, dementia
Intervention	This is a multi-centre study with one year of interventions on multiple levels and four accompanying points of measurement, and a 12 month follow-up. 1. Individual level: Exercises 2 x 60 min training every week over one year, in group sessions (8-12 persons per group). 1.1. The principal part contains ten resistance exercises, covering the main muscle groups 1.2. One to two sets with 10 repetitions (weights can be increased now and then), one minute pauses between sets and exercises 1.3. Sensorimotor and communicative group exercises and games during the opening and closing phases of each group session 1.4. Alternative exercise for persons with no ability to stand 2. Institutional level: Sustainable implementation of training groups: 2.1. Demonstrative and motivating start by instructors belonging to the project 2.2. Training of institutional staff, who stepwise takes over the group 2.3. Supervision and coaching by project staff 2.4. Continuing information of the management and director of the institution, discussion on conditions and possibilities to resume training group after the end of the project 3. Political-cultural level: 3.1. Informing and convincing activities in professional, administrative and governmental contexts (institutionalised meetings and committees, specialised conferences, fairs) 3.2. Public relation activities (press, TV, internet) 3.3. Publication of a manual for implementing new training groups, organisation of a conference 3.4. Establishing an advisory council with renowned experts and public figures Contact for Scientific Queries: Dr Michael Brach University Muenster Institute of Sport Science Horstmarer Landweg 62b 48149 Muenster Germany Tel: +49 251 83-32326 Fax: +49 251 83-32303 Email: michael.brach@wwu.de
Intervention type	Other
Primary outcome measure(s)	Individual level: 1. Continuous documentation (every session) of individual participation and individual dumb bell and ankle weights Institutional level: 2. Number of groups continued without external financial support: 2.1. After the end of the project 2.2. After one year (follow up)
Key secondary outcome measure(s)	1. Individual level: Data collection at four times (in the beginning and every 16 weeks): 1.1. Sensorimotor tests: 1.1.1. Timed soda pop test (turning beverage cans) 1.1.2. Five timed chair stands 1.1.3. Ten-second semi tandem balance stand 1.1.4. Rotational flexibility and shoulder flexibility 1.1.5. Grip strength 1.2. Care related assessment: 1.2.1. Subjective well-being 1.2.2. Mini mental state examination (MMSE) 1.2.3. Barthel index 1.2.4. Instrumental activities of daily living (IADL) 2. Institutional and political-cultural level: Qualitative outcome description after 12 months by quantitative and qualitative analysis of media response and structured interviews with stakeholders
Completion date	31/05/2008

Eligibility

Participant type(s)	Patient
Age group	Senior
Sex	All
Target sample size at registration	108
Key inclusion criteria	Political-cultural level: 1. Different administrative districts must be represented 2. Pre-selection of five regions by the Seniors' Agency of North-Rhine Westphalia Institutional level: 1. Each geriatric residence found in the preselected regions was included in a 3-stage selection and negotiation process 2. Selection criteria focused on general professional quality and readiness for a commitment to the project, in order to raise the probability of gaining sustainable models of good practice Individual level: 1. Participants (men and women above 80 years of age) should be able to stand with assistance and to understand instructions. 2. Group integration of a small number of persons with no ability to stand (alternative exercises) or with orientation disorders (additional assistant) is possible 3. Participation of own volition 4. Doctor's approval
Key exclusion criteria	Institutional level: 1. Rate of educated nurses lower than 55% 2. Less than 60 ambulating residents 3. No staff to guide residents to/from the exercises 4. No staff to take part in the project training 5. Not enough room for regular group exercise Individual level: 1. Residents not able to take part in a group activity 2. Refusal for medical condition
Date of first enrolment	01/06/2005
Date of final enrolment	31/05/2008

Locations

Countries of recruitment

Germany

Study participating centre

German Sport University Cologne

Cologne
50933
Germany

Results and Publications

Individual participant data (IPD) Intention to share	No
IPD sharing plan summary	Not provided at time of registration
IPD sharing plan

Study outputs

Output type	Details	Date created	Date added	Peer reviewed?	Patient-facing?
Study website	Study website	11/11/2025	11/11/2025	No	Yes