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NCT07863037

Effect of Elastic Resistance Training on Handgrip Strength in Older Adults With Sarcopenia

Sponsor: Dr. Soetomo General Hospital

View on ClinicalTrials.gov

Summary

Sarcopenia is an age-related condition characterized by loss of muscle strength and muscle mass, which may contribute to reduced physical function and independence in older adults. Resistance exercise is recommended as an important component of sarcopenia management. Elastic resistance training is a simple and practical form of resistance exercise that can be performed with minimal equipment and may be suitable for older adults living in long-term care facilities. This randomized controlled trial evaluated whether adding elastic resistance training to routine physical exercise improves handgrip strength in older adults with sarcopenia. Participants were assigned to either routine physical exercise combined with elastic resistance training or routine physical exercise alone for 8 weeks. The primary outcome was change in handgrip strength. Secondary outcomes included physical performance, mobility, gait speed, and body composition.

Official title: The Effect of Adjunct Elastic Resistance Training to Routine Exercise on Handgrip Strength in Older Adults With Sarcopenia at Griya Wreda Jambangan, Surabaya

Key Details

Gender

All

Age Range

60 Years - Any

Study Type

INTERVENTIONAL

Enrollment

Start Date

2026-05-19

Completion Date

2026-07-18

Last Updated

2026-10-13

Healthy Volunteers

Conditions

Sarcopenia

Interventions

BEHAVIORAL

Elastic Resistance Training

Participants performed progressive elastic resistance training in addition to routine physical exercise for 8 weeks. Training was performed 2-3 sessions per week, with exercise volume progressively increased from 1-3 sets to 3 sets of 8-15 repetitions. Exercise intensity was guided using the OMNI-Resistance Exercise Scale, progressing from moderate intensity (OMNI-RES 5-7) toward higher intensity as tolerated. Rest intervals between sets were approximately 60-120 seconds

BEHAVIORAL

Routine Physical Exercise

Participants continued the routine physical exercise program provided at the long-term care facility for 8 weeks. The program consisted of non-progressive group exercise sessions performed approximately 2-3 times per week for 30-45 minutes per session

Inclusion Criteria: * Adults aged 60 years or older residing at Griya Wreda Jambangan, Surabaya. * Diagnosed with sarcopenia according to the Asian Working Group for Sarcopenia (AWGS) 2019 criteria. * Able to ambulate independently, with or without a walking aid, with a Barthel Index score of at least 60. * Adequate visual and hearing function. * No cognitive impairment that would interfere with understanding and following instructions, defined as a MoCA-INA score of at least 26. * Body mass index of 18.5-24.9 kg/m² according to the Asia-Pacific classification. * Willing to participate in the study and provide written informed consent. Exclusion Criteria: * Cardiorespiratory disease that may impair physical performance during exercise, including New York Heart Association class III-IV heart failure, chronic obstructive pulmonary disease, acute myocardial infarction, unstable angina, uncontrolled arrhythmia, aneurysm, severe aortic stenosis, acute endocarditis or pericarditis, persistent asthma, or acute/severe respiratory failure. * Blood pressure ≥180/100 mmHg. * Uncontrolled postural hypotension. * Acute thromboembolism, including deep vein thrombosis. * Fracture within the previous 3 months, or a fracture older than 3 months that has not united or would interfere with the intervention. * Infectious disease affecting general condition or ability to participate in exercise. * Musculoskeletal disorder, including lower-extremity muscle or joint pain with Wong-Baker FACES Pain Rating Scale score ≥4 accompanied by swelling, redness, or local warmth. * Chronic disease impairing mobility or handgrip function, including ambulatory impairment due to stroke, uncontrolled diabetes, balance disorders due to intracranial or extracranial conditions such as benign paroxysmal positional vertigo, other neurologic disorders affecting balance, arthritis, finger contracture, or finger amputation. * Participation in another specialized physical exercise program other than the routine conventional exercise program at the long-term care facility within the previous 3 months.

Locations (1)

UPTD Griya Wreda Jambangan Surabaya

Surabaya, East Java, Indonesia