AzTrials
AzTrials

FrailtyISHANCT06270979

Intrinsic Capacity and Functional Ability Monitoring With an Integrated Data Eco-System for Healthy Ageing.

An observational study of Frailty, run by Prof. Ivan Bautmans.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

In this study, 120 older adults (aged 65 years or older) either patients undergoing rehabilitation or older nursing home residents will be provided with an Eforto® device and the eco-System for Healthy Ageing (ISHA) mobile application to self-monitor intrinsic capacity for 4 months (if needed with assistance by an… Read more about this study

Who is it for?
Ages 65 years and olderHealthy volunteers can take part
Conditions the study is for
Frailty
What is being tested?
ISHA
Type of treatment
Medical device
How many people
120 participants
Where
No sites listed yet
Study dates
1 Apr 2024to 1 Apr 2025
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 65 years and older
  • All sexes
  • Healthy volunteers accepted
  • Older adult

Study population: Patients undergoing rehabilitation and nursing home residents, all aged 65 years or older.

Who may be able to join

  • Aged 65 years or older.
  • Patients living independently at home and undergoing rehabilitation, or older persons living in the residential care community (in a nursing home or in assisted housing).
  • Being able to operate the basic functions of a smartphone (if needed with assistance by an informal caregiver): using a smartphone at least for calls, and minimum 1 other application.
  • Understanding Dutch.
  • Exclusion Criteria: Being unable to participate in the assessments due to:
  • Being unable to perform the physical (self)tests (e.g., unable to stand up or walk);
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  • Being unable to understand the test instructions;
  • Functional disability of the dominant upper extremity (paresis/paralysis, tremor or recent surgery);
  • Patients undergoing neurological rehabilitation.

Who cannot join

None listed.

Trial locations and contacts

No sites are listed yet.

Ivan Bautmans, Prof. Dr. contact

+32 (0)2 477 42 07

Ivan.Bautmans@vub.be

About this study

Official title: Feasibility and Usability of Intrinsic Capacity Monitoring With an Integrated Data Eco-System for Healthy Ageing, and Its Association With Health Outcomes in Older Patients Undergoing Rehabilitation and in Older Nursing Home Residents.

In this study, 120 older adults (aged 65 years or older) either patients undergoing rehabilitation or older nursing home residents will be provided with an Eforto® device and the eco-System for Healthy Ageing (ISHA) mobile application to self-monitor intrinsic capacity for 4 months (if needed with assistance by an (in)formal caregiver). Preferably, the participants will use their own smartphone because mitigating smartphone-use-related issues.

The aims of the study are:

  1. to evaluate the usability and feasibility of self-monitoring intrinsic capacity by using the ISHA system in rehabilitation and nursing home settings.
  2. to investigate if changes and variability in intrinsic capacity as measured with ISHA are related to changes in functional ability and quality of life.
  3. to explore individual trajectories of intrinsic capacity with the ISHA system.
Read the detailed description

Investigational device:

The ISHA digital eco-system (class IIa investigational medical device).

ISHA consists of 3 components:

  1. An Eforto® device: a handheld grip work (GW) hardware device, composed of a rubber bulb, to be compressed by the user and plastic enclosure that holds the electronic components such as a pressure sensor, battery, and connectivity. A mouthpiece can be attached for respiratory capacity monitoring. The Eforto® system was developed based on approximatively 20 years of scientific research on handgrip muscle fatigability performed by the Frailty in Ageing research department (see https://fria.research.vub.be/) and in collaboration with top-level international partners. The Eforto® system allows self-assessment of muscle fatigability and self-perceived fatigue in older adults and functions as a monitoring tool for intrinsic capacity. It is a small device, easy to use, and suitable for home measurements as well as hospital settings. When used correctly, the measurements cause no discomfort and can be performed repeatedly. The Eforto® device connects to a smartphone application that provides verbal test instructions to the participant. The app will guide the participant during the test and automatically provide motivational cues via audio. The test results are aggregated and stored in a cloud platform where the researcher can manage subjects, access the test data and export it for further analysis.
  2. Mobile application that ensures connectivity and collection of data from the Eforto® device and by which multiple guided tests for the locomotor (maximal grip strength, respiratory muscle strength, muscle fatigue resistance test \& self-perceived fatigue questionnaire), sensory (hearing test (signal to noise technology) \& vision test (rotating E test), cognitive (orientation test, object naming from description, animal naming \& 10-words immediate and delayed recall), and psychological (resilience questionnaire) domains of intrinsic capacity can be completed. The app allows offline data collection and to synchronize with the third component, the remote monitoring platform. It serves as an interactive guidance and can be used by the subject/patient at home or assisted by a (formal or informal) caregiver.
  3. The remote monitoring platform serves mainly as a dashboard for monitoring the older end-users. Its main purpose is to centralize and monitor the collected data.

Procedures:

The study will be approved by the institutional review board's and all participants will sign informed consent.

After informed consent is given, the eligibility assessment and T0 (baseline) measurements will take place. These measurements will be re-assessed after 2 months and 4 months.

During this test moments the participant will be asked to perform the ISHA-tests (intrinsic domains: vitality, locomotor, sensory, cognitive and psychological). Other tests that will be assessed are: anthropometry (body weight \& height and waist \& hip circumference), health status (medical history, Center for Epidemiologic Studies Depression scale (CES-D), Mini Mental State Examination (MMSE), fall incidents, hospital admissions, Mini Nutritional Assessment (MNA) and orthostatic test), Frailty (Fried Criteria), functional dependency tests (Montreal Cognitive Assessment (MOCA), basic activity of daily living (ADL) (Katz), instrumental ADL (Lawton) and Short Physical Performance Test (SPPB)), questionnaires (Sarcopenia Quality of life questionnaire (SarQol), Eq-5D-5L, International Physical Activity Questionnaire (IPAQ), health-economic questionnaire and general health questions) and technical problem/ usability, feasibility and expectations questionnaires. In the context of eligible check, the smartphone experiences and personal data e.g. sex, birth day date, living situation will be asked.

After an individual information session with training on the ISHA test battery and instructions for ISHA use in self-test mode, the participant will be instructed to perform the ISHA measurements for 4 months at their home (if needed with assistance by an (in)formal caregiver). Preferentially, the healthcare professional (occupational therapist, physical therapist, study nurse) will install the ISHA application on the smartphone of the participant. If during the individual information session, the participant is unable to correctly operate the ISHA tool, the healthcare professional will explore together with the participant whether a (informal or formal) caregiver could aid, and eventually the participant will be re-invited together with his/her informal caregiver for another information/training session. If correct use of the ISHA system by the participant and/or assistance by a caregiver is impossible, the participant will be excluded for further participation in the study.

The self-test measurements will be continued for 4 months or until withdrawal of the participant. The self-tests will be performed:

  • weekly on 2 consecutive days per week for vitality capacity;
  • once every two weeks for locomotor capacity, and
  • once every month for sensory, cognitive, and psychological capacity.

The application will give a reminder to the participant every time he/she needs to do the ISHA measurements.

During the study, participants will be contacted every month by a researcher to register any changes in health situation as well as technical issues encountered during the self-testing.

Conditions
Frailty
Being tested
ISHA
Keywords
Self-monitoring, Intrinsic capacity, Prevention
Medical subject headings
Frailty

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • ISHADevice

    Participants will be provided with an Eforto® device and ISHA mobile application to self-monitor intrinsic capacity for 4 months (if needed with assistance by an (in)formal caregiver).

Study groups in NCT06270979
Study groupRoleWhat they receive
Leiehome vzwParticipant recruitment entails including persons aged 65 years or older living in an assisted housing or a nursing home.
Receives: Device: ISHA
University Hospital Antwerp/University of AntwerpParticipant recruitment entails including persons aged 65 years or older undergoing rehabilitation at University Hospital Antwerp.
Receives: Device: ISHA

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Potential technical problems of the ISHA system

    A checklist of potential technical problems (12 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 1

  2. Potential technical problems of the ISHA system

    A checklist of potential technical problems (12 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 2

  3. Potential technical problems of the ISHA system

    A checklist of potential technical problems (12 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 3

  4. Potential technical problems of the ISHA system

    A checklist of potential technical problems (12 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 4

  5. Potential technical problems of the ISHA system

    A checklist of potential technical problems (12 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 5

  6. Potential technical problems of the ISHA system

    A checklist of potential technical problems (12 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 6

  7. Potential technical problems of the ISHA system

    A checklist of potential technical problems (12 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 7

  8. Potential technical problems of the ISHA system

    A checklist of potential technical problems (12 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 8

  9. Potential technical problems of the ISHA system

    A checklist of potential technical problems (12 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 9

  10. Potential technical problems of the ISHA system

    A checklist of potential technical problems (12 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 10

  11. Potential technical problems of the ISHA system

    A checklist of potential technical problems (12 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 11

  12. Potential technical problems of the ISHA system

    A checklist of potential technical problems (12 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 12

  13. Potential technical problems of the ISHA system

    A checklist of potential technical problems (12 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 13

  14. Potential technical problems of the ISHA system

    A checklist of potential technical problems (12 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 14

  15. Potential technical problems of the ISHA system

    A checklist of potential technical problems (12 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 15

  16. Potential technical problems of the ISHA system

    A checklist of potential technical problems (12 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 16

  17. Experiences with ISHA (usability, feasibility and acceptability outcome)

    An self-reported questionnaire (19 questions) based on the System Usability Scale (SUS). Options for answer: 1-5. 1 is 'Strongly disagree', 5 is 'Strongly agree'.

    Measured: End of the study (week 16)

Secondary outcomes (48)
  1. The correlation between the changes in intrinsic capacity as measured with ISHA and the changes in functional ability (gait speed; m/s) measured with SPPB

    Mobility is assessed by the SPPB, including gait speed(m/s) via the 4-meter test(s).

    Vitality capacity:

    Maximal grip strength(kPa) Respiratory muscle strength(cmH2O) Muscle fatigue resistance(s) Self-perceived fatigue questionnaire(Question(Q) 1: 1 Not tired, 7 Extremely tired; Q2: 1 No I don't agree, 7 Yes I agree \& MFI: 0 Not fatigue, 5 Fatigue)

    Locomotor capacity:

    Timed up and go(s) 4-meter gait speed(m/s) Balance test(progressive standing: first 2 tests: 0 Impossible, 1 Holding for 10s; last test: 0 Impossible, 1 Holding for >3s-<9s, 2 holding for 10s) 30-second chair stand(n)

    Sensory capacity:

    Hearing test(signal to noise technology) Vision test(rotating E test)

    Cognitive capacity:

    Orientation test(0 Incorrect, 1 Correct) Object naming from description(0 Incorrect, 1 Correct) Verbal fluency(n) 10-words immediate \& delayed recall(0 Incorrect, 1 Correct)

    Psychological capacity:

    Resilience questionnaire(1 Strongly disagree, 5 Strongly agree)

    Measured: Baseline

  2. The correlation between the changes in intrinsic capacity as measured with ISHA and the changes in functional ability (gait speed; m/s) measured with SPPB

    Mobility is assessed by the SPPB, including gait speed(m/s) via the 4-meter test(s).

    Vitality capacity:

    Maximal grip strength(kPa) Respiratory muscle strength(cmH2O) Muscle fatigue resistance(s) Self-perceived fatigue questionnaire(Question(Q) 1: 1 Not tired, 7 Extremely tired; Q2: 1 No I don't agree, 7 Yes I agree \& MFI: 0 Not fatigue, 5 Fatigue)

    Locomotor capacity:

    Timed up and go(s) 4-meter gait speed(m/s) Balance test(progressive standing: first 2 tests: 0 Impossible, 1 Holding for 10s; last test: 0 Impossible, 1 Holding for >3s-<9s, 2 holding for 10s) 30-second chair stand(n)

    Sensory capacity:

    Hearing test(signal to noise technology) Vision test(rotating E test)

    Cognitive capacity:

    Orientation test(0 Incorrect, 1 Correct) Object naming from description(0 Incorrect, 1 Correct) Verbal fluency(n) 10-words immediate \& delayed recall(0 Incorrect, 1 Correct)

    Psychological capacity:

    Resilience questionnaire(1 Strongly disagree, 5 Strongly agree)

    Measured: 2 months

  3. The correlation between the changes in intrinsic capacity as measured with ISHA and the changes in functional ability (gait speed; m/s) measured with SPPB

    Mobility is assessed by the SPPB, including gait speed(m/s) via the 4-meter test(s).

    Vitality capacity:

    Maximal grip strength(kPa) Respiratory muscle strength(cmH2O) Muscle fatigue resistance(s) Self-perceived fatigue questionnaire(Question(Q) 1: 1 Not tired, 7 Extremely tired; Q2: 1 No I don't agree, 7 Yes I agree \& MFI: 0 Not fatigue, 5 Fatigue)

    Locomotor capacity:

    Timed up and go(s) 4-meter gait speed(m/s) Balance test(progressive standing: first 2 tests: 0 Impossible, 1 Holding for 10s; last test: 0 Impossible, 1 Holding for >3s-<9s, 2 holding for 10s) 30-second chair stand(n)

    Sensory capacity:

    Hearing test(signal to noise technology) Vision test(rotating E test)

    Cognitive capacity:

    Orientation test(0 Incorrect, 1 Correct) Object naming from description(0 Incorrect, 1 Correct) Verbal fluency(n) 10-words immediate \& delayed recall(0 Incorrect, 1 Correct)

    Psychological capacity:

    Resilience questionnaire(1 Strongly disagree, 5 Strongly agree)

    Measured: 4 months

  4. The correlation between the variability in intrinsic capacity as measured with ISHA and the changes in functional ability (gait speed; m/s) measured with SPPB

    Mobility is assessed by the SPPB, including gait speed(m/s) via the 4-meter test(s).

    Vitality capacity:

    Maximal grip strength(kPa) Respiratory muscle strength(cmH2O) Muscle fatigue resistance(s) Self-perceived fatigue questionnaire(Question(Q) 1: 1 Not tired, 7 Extremely tired; Q2: 1 No I don't agree, 7 Yes I agree \& MFI: 0 Not fatigue, 5 Fatigue)

    Locomotor capacity:

    Timed up and go(s) 4-meter gait speed(m/s) Balance test(progressive standing: first 2 tests: 0 Impossible, 1 Holding for 10s; last test: 0 Impossible, 1 Holding for >3s-<9s, 2 holding for 10s) 30-second chair stand(n)

    Sensory capacity:

    Hearing test(signal to noise technology) Vision test(rotating E test)

    Cognitive capacity:

    Orientation test(0 Incorrect, 1 Correct) Object naming from description(0 Incorrect, 1 Correct) Verbal fluency(n) 10-words immediate \& delayed recall(0 Incorrect, 1 Correct)

    Psychological capacity:

    Resilience questionnaire(1 Strongly disagree, 5 Strongly agree)

    Measured: Baseline

  5. The correlation between the variability in intrinsic capacity as measured with ISHA and the changes in functional ability (gait speed; m/s) measured with SPPB

    Mobility is assessed by the SPPB, including gait speed(m/s) via the 4-meter test(s).

    Vitality capacity:

    Maximal grip strength(kPa) Respiratory muscle strength(cmH2O) Muscle fatigue resistance(s) Self-perceived fatigue questionnaire(Question(Q) 1: 1 Not tired, 7 Extremely tired; Q2: 1 No I don't agree, 7 Yes I agree \& MFI: 0 Not fatigue, 5 Fatigue)

    Locomotor capacity:

    Timed up and go(s) 4-meter gait speed(m/s) Balance test(progressive standing: first 2 tests: 0 Impossible, 1 Holding for 10s; last test: 0 Impossible, 1 Holding for >3s-<9s, 2 holding for 10s) 30-second chair stand(n)

    Sensory capacity:

    Hearing test(signal to noise technology) Vision test(rotating E test)

    Cognitive capacity:

    Orientation test(0 Incorrect, 1 Correct) Object naming from description(0 Incorrect, 1 Correct) Verbal fluency(n) 10-words immediate \& delayed recall(0 Incorrect, 1 Correct)

    Psychological capacity:

    Resilience questionnaire(1 Strongly disagree, 5 Strongly agree)

    Measured: 2 months

  6. The correlation between the variability in intrinsic capacity as measured with ISHA and the changes in functional ability (gait speed; m/s) measured with SPPB

    Mobility is assessed by the SPPB, including gait speed(m/s) via the 4-meter test(s).

    Vitality capacity:

    Maximal grip strength(kPa) Respiratory muscle strength(cmH2O) Muscle fatigue resistance(s) Self-perceived fatigue questionnaire(Question(Q) 1: 1 Not tired, 7 Extremely tired; Q2: 1 No I don't agree, 7 Yes I agree \& MFI: 0 Not fatigue, 5 Fatigue)

    Locomotor capacity:

    Timed up and go(s) 4-meter gait speed(m/s) Balance test(progressive standing: first 2 tests: 0 Impossible, 1 Holding for 10s; last test: 0 Impossible, 1 Holding for >3s-<9s, 2 holding for 10s) 30-second chair stand(n)

    Sensory capacity:

    Hearing test(signal to noise technology) Vision test(rotating E test)

    Cognitive capacity:

    Orientation test(0 Incorrect, 1 Correct) Object naming from description(0 Incorrect, 1 Correct) Verbal fluency(n) 10-words immediate \& delayed recall(0 Incorrect, 1 Correct)

    Psychological capacity:

    Resilience questionnaire(1 Strongly disagree, 5 Strongly agree)

    Measured: 4 months

  7. The correlation between the changes in intrinsic capacity as measured with ISHA and the changes in functional ability (balance) measured with SPPB

    Mobility is assessed by the SPPB, including balance, measured via the balance test.

    Vitality capacity:

    Maximal grip strength(kPa) Respiratory muscle strength(cmH2O) Muscle fatigue resistance(s) Self-perceived fatigue questionnaire(Question(Q) 1: 1 Not tired, 7 Extremely tired; Q2: 1 No I don't agree, 7 Yes I agree \& MFI: 0 Not fatigue, 5 Fatigue)

    Locomotor capacity:

    Timed up and go(s) 4-meter gait speed(m/s) Balance test(progressive standing: first 2 tests: 0 Impossible, 1 Holding for 10s; last test: 0 Impossible, 1 Holding for >3s-<9s, 2 holding for 10s) 30-second chair stand(n)

    Sensory capacity:

    Hearing test(signal to noise technology) Vision test(rotating E test)

    Cognitive capacity:

    Orientation test(0 Incorrect, 1 Correct) Object naming from description(0 Incorrect, 1 Correct) Verbal fluency(n) 10-words immediate \& delayed recall(0 Incorrect, 1 Correct)

    Psychological capacity:

    Resilience questionnaire(1 Strongly disagree, 5 Strongly agree)

    Measured: Baseline

  8. The correlation between the changes in intrinsic capacity as measured with ISHA and the changes in functional ability (balance) measured with SPPB

    Mobility is assessed by the SPPB, including balance, measured via the balance test.

    Vitality capacity:

    Maximal grip strength(kPa) Respiratory muscle strength(cmH2O) Muscle fatigue resistance(s) Self-perceived fatigue questionnaire(Question(Q) 1: 1 Not tired, 7 Extremely tired; Q2: 1 No I don't agree, 7 Yes I agree \& MFI: 0 Not fatigue, 5 Fatigue)

    Locomotor capacity:

    Timed up and go(s) 4-meter gait speed(m/s) Balance test(progressive standing: first 2 tests: 0 Impossible, 1 Holding for 10s; last test: 0 Impossible, 1 Holding for >3s-<9s, 2 holding for 10s) 30-second chair stand(n)

    Sensory capacity:

    Hearing test(signal to noise technology) Vision test(rotating E test)

    Cognitive capacity:

    Orientation test(0 Incorrect, 1 Correct) Object naming from description(0 Incorrect, 1 Correct) Verbal fluency(n) 10-words immediate \& delayed recall(0 Incorrect, 1 Correct)

    Psychological capacity:

    Resilience questionnaire(1 Strongly disagree, 5 Strongly agree)

    Measured: 2 months

  9. The correlation between the changes in intrinsic capacity as measured with ISHA and the changes in functional ability (balance) measured with SPPB

    Mobility is assessed by the SPPB, including balance, measured via the balance test.

    Vitality capacity:

    Maximal grip strength(kPa) Respiratory muscle strength(cmH2O) Muscle fatigue resistance(s) Self-perceived fatigue questionnaire(Question(Q) 1: 1 Not tired, 7 Extremely tired; Q2: 1 No I don't agree, 7 Yes I agree \& MFI: 0 Not fatigue, 5 Fatigue)

    Locomotor capacity:

    Timed up and go(s) 4-meter gait speed(m/s) Balance test(progressive standing: first 2 tests: 0 Impossible, 1 Holding for 10s; last test: 0 Impossible, 1 Holding for >3s-<9s, 2 holding for 10s) 30-second chair stand(n)

    Sensory capacity:

    Hearing test(signal to noise technology) Vision test(rotating E test)

    Cognitive capacity:

    Orientation test(0 Incorrect, 1 Correct) Object naming from description(0 Incorrect, 1 Correct) Verbal fluency(n) 10-words immediate \& delayed recall(0 Incorrect, 1 Correct)

    Psychological capacity:

    Resilience questionnaire(1 Strongly disagree, 5 Strongly agree)

    Measured: 4 months

  10. The correlation between the variability in intrinsic capacity as measured with ISHA and the changes in functional ability (balance) measured with SPPB

    Mobility is assessed by the SPPB, including balance, measured via the balance test.

    Vitality capacity:

    Maximal grip strength(kPa) Respiratory muscle strength(cmH2O) Muscle fatigue resistance(s) Self-perceived fatigue questionnaire(Question(Q) 1: 1 Not tired, 7 Extremely tired; Q2: 1 No I don't agree, 7 Yes I agree \& MFI: 0 Not fatigue, 5 Fatigue)

    Locomotor capacity:

    Timed up and go(s) 4-meter gait speed(m/s) Balance test(progressive standing: first 2 tests: 0 Impossible, 1 Holding for 10s; last test: 0 Impossible, 1 Holding for >3s-<9s, 2 holding for 10s) 30-second chair stand(n)

    Sensory capacity:

    Hearing test(signal to noise technology) Vision test(rotating E test)

    Cognitive capacity:

    Orientation test(0 Incorrect, 1 Correct) Object naming from description(0 Incorrect, 1 Correct) Verbal fluency(n) 10-words immediate \& delayed recall(0 Incorrect, 1 Correct)

    Psychological capacity:

    Resilience questionnaire(1 Strongly disagree, 5 Strongly agree)

    Measured: Baseline

  11. The correlation between the variability in intrinsic capacity as measured with ISHA and the changes in functional ability (balance) measured with SPPB

    Mobility is assessed by the SPPB, including balance, measured via the balance test.

    Vitality capacity:

    Maximal grip strength(kPa) Respiratory muscle strength(cmH2O) Muscle fatigue resistance(s) Self-perceived fatigue questionnaire(Question(Q) 1: 1 Not tired, 7 Extremely tired; Q2: 1 No I don't agree, 7 Yes I agree \& MFI: 0 Not fatigue, 5 Fatigue)

    Locomotor capacity:

    Timed up and go(s) 4-meter gait speed(m/s) Balance test(progressive standing: first 2 tests: 0 Impossible, 1 Holding for 10s; last test: 0 Impossible, 1 Holding for >3s-<9s, 2 holding for 10s) 30-second chair stand(n)

    Sensory capacity:

    Hearing test(signal to noise technology) Vision test(rotating E test)

    Cognitive capacity:

    Orientation test(0 Incorrect, 1 Correct) Object naming from description(0 Incorrect, 1 Correct) Verbal fluency(n) 10-words immediate \& delayed recall(0 Incorrect, 1 Correct)

    Psychological capacity:

    Resilience questionnaire(1 Strongly disagree, 5 Strongly agree)

    Measured: 2 months

  12. The correlation between the variability in intrinsic capacity as measured with ISHA and the changes in functional ability (balance) measured with SPPB

    Mobility is assessed by the SPPB, including balance, measured via the balance test.

    Vitality capacity:

    Maximal grip strength(kPa) Respiratory muscle strength(cmH2O) Muscle fatigue resistance(s) Self-perceived fatigue questionnaire(Question(Q) 1: 1 Not tired, 7 Extremely tired; Q2: 1 No I don't agree, 7 Yes I agree \& MFI: 0 Not fatigue, 5 Fatigue)

    Locomotor capacity:

    Timed up and go(s) 4-meter gait speed(m/s) Balance test(progressive standing: first 2 tests: 0 Impossible, 1 Holding for 10s; last test: 0 Impossible, 1 Holding for >3s-<9s, 2 holding for 10s) 30-second chair stand(n)

    Sensory capacity:

    Hearing test(signal to noise technology) Vision test(rotating E test)

    Cognitive capacity:

    Orientation test(0 Incorrect, 1 Correct) Object naming from description(0 Incorrect, 1 Correct) Verbal fluency(n) 10-words immediate \& delayed recall(0 Incorrect, 1 Correct)

    Psychological capacity:

    Resilience questionnaire(1 Strongly disagree, 5 Strongly agree)

    Measured: 4 months

  13. The correlation between the changes in intrinsic capacity as measured with ISHA and the changes in functional ability (5-times sit-to stand (s)) measured with SPPB

    Mobility is assessed by the SPPB, including 5-times sit-to stand tests(s).

    Vitality capacity:

    Maximal grip strength(kPa) Respiratory muscle strength(cmH2O) Muscle fatigue resistance(s) Self-perceived fatigue questionnaire(Question(Q) 1: 1 Not tired, 7 Extremely tired; Q2: 1 No I don't agree, 7 Yes I agree \& MFI: 0 Not fatigue, 5 Fatigue)

    Locomotor capacity:

    Timed up and go(s) 4-meter gait speed(m/s) Balance test(progressive standing: first 2 tests: 0 Impossible, 1 Holding for 10s; last test: 0 Impossible, 1 Holding for >3s-<9s, 2 holding for 10s) 30-second chair stand(n)

    Sensory capacity:

    Hearing test(signal to noise technology) Vision test(rotating E test)

    Cognitive capacity:

    Orientation test(0 Incorrect, 1 Correct) Object naming from description(0 Incorrect, 1 Correct) Verbal fluency(n) 10-words immediate \& delayed recall(0 Incorrect, 1 Correct)

    Psychological capacity:

    Resilience questionnaire(1 Strongly disagree, 5 Strongly agree)

    Measured: Baseline

  14. The correlation between the changes in intrinsic capacity as measured with ISHA and the changes in functional ability (5-times sit-to stand (s)) measured with SPPB

    Mobility is assessed by the SPPB, including 5-times sit-to stand tests(s).

    Vitality capacity:

    Maximal grip strength(kPa) Respiratory muscle strength(cmH2O) Muscle fatigue resistance(s) Self-perceived fatigue questionnaire(Question(Q) 1: 1 Not tired, 7 Extremely tired; Q2: 1 No I don't agree, 7 Yes I agree \& MFI: 0 Not fatigue, 5 Fatigue)

    Locomotor capacity:

    Timed up and go(s) 4-meter gait speed(m/s) Balance test(progressive standing: first 2 tests: 0 Impossible, 1 Holding for 10s; last test: 0 Impossible, 1 Holding for >3s-<9s, 2 holding for 10s) 30-second chair stand(n)

    Sensory capacity:

    Hearing test(signal to noise technology) Vision test(rotating E test)

    Cognitive capacity:

    Orientation test(0 Incorrect, 1 Correct) Object naming from description(0 Incorrect, 1 Correct) Verbal fluency(n) 10-words immediate \& delayed recall(0 Incorrect, 1 Correct)

    Psychological capacity:

    Resilience questionnaire(1 Strongly disagree, 5 Strongly agree)

    Measured: 2 months

  15. The correlation between the changes in intrinsic capacity as measured with ISHA and the changes in functional ability (5-times sit-to stand (s)) measured with SPPB

    Mobility is assessed by the SPPB, including 5-times sit-to stand tests(s).

    Vitality capacity:

    Maximal grip strength(kPa) Respiratory muscle strength(cmH2O) Muscle fatigue resistance(s) Self-perceived fatigue questionnaire(Question(Q) 1: 1 Not tired, 7 Extremely tired; Q2: 1 No I don't agree, 7 Yes I agree \& MFI: 0 Not fatigue, 5 Fatigue)

    Locomotor capacity:

    Timed up and go(s) 4-meter gait speed(m/s) Balance test(progressive standing: first 2 tests: 0 Impossible, 1 Holding for 10s; last test: 0 Impossible, 1 Holding for >3s-<9s, 2 holding for 10s) 30-second chair stand(n)

    Sensory capacity:

    Hearing test(signal to noise technology) Vision test(rotating E test)

    Cognitive capacity:

    Orientation test(0 Incorrect, 1 Correct) Object naming from description(0 Incorrect, 1 Correct) Verbal fluency(n) 10-words immediate \& delayed recall(0 Incorrect, 1 Correct)

    Psychological capacity:

    Resilience questionnaire(1 Strongly disagree, 5 Strongly agree)

    Measured: 4 months

  16. The correlation between the variability in intrinsic capacity as measured with ISHA and the changes in functional ability (5-times sit-to stand (s)) measured with SPPB

    Mobility is assessed by the SPPB, including 5-times sit-to stand tests(s).

    Vitality capacity:

    Maximal grip strength(kPa) Respiratory muscle strength(cmH2O) Muscle fatigue resistance(s) Self-perceived fatigue questionnaire(Question(Q) 1: 1 Not tired, 7 Extremely tired; Q2: 1 No I don't agree, 7 Yes I agree \& MFI: 0 Not fatigue, 5 Fatigue)

    Locomotor capacity:

    Timed up and go(s) 4-meter gait speed(m/s) Balance test(progressive standing: first 2 tests: 0 Impossible, 1 Holding for 10s; last test: 0 Impossible, 1 Holding for >3s-<9s, 2 holding for 10s) 30-second chair stand(n)

    Sensory capacity:

    Hearing test(signal to noise technology) Vision test(rotating E test)

    Cognitive capacity:

    Orientation test(0 Incorrect, 1 Correct) Object naming from description(0 Incorrect, 1 Correct) Verbal fluency(n) 10-words immediate \& delayed recall(0 Incorrect, 1 Correct)

    Psychological capacity:

    Resilience questionnaire(1 Strongly disagree, 5 Strongly agree)

    Measured: Baseline

  17. The correlation between the variability in intrinsic capacity as measured with ISHA and the changes in functional ability (5-times sit-to stand (s)) measured with SPPB

    Mobility is assessed by the SPPB, including 5-times sit-to stand tests(s).

    Vitality capacity:

    Maximal grip strength(kPa) Respiratory muscle strength(cmH2O) Muscle fatigue resistance(s) Self-perceived fatigue questionnaire(Question(Q) 1: 1 Not tired, 7 Extremely tired; Q2: 1 No I don't agree, 7 Yes I agree \& MFI: 0 Not fatigue, 5 Fatigue)

    Locomotor capacity:

    Timed up and go(s) 4-meter gait speed(m/s) Balance test(progressive standing: first 2 tests: 0 Impossible, 1 Holding for 10s; last test: 0 Impossible, 1 Holding for >3s-<9s, 2 holding for 10s) 30-second chair stand(n)

    Sensory capacity:

    Hearing test(signal to noise technology) Vision test(rotating E test)

    Cognitive capacity:

    Orientation test(0 Incorrect, 1 Correct) Object naming from description(0 Incorrect, 1 Correct) Verbal fluency(n) 10-words immediate \& delayed recall(0 Incorrect, 1 Correct)

    Psychological capacity:

    Resilience questionnaire(1 Strongly disagree, 5 Strongly agree)

    Measured: 2 months

  18. The correlation between the variability in intrinsic capacity as measured with ISHA and the changes in functional ability (5-times sit-to stand (s)) measured with SPPB

    Mobility is assessed by the SPPB, including 5-times sit-to stand tests(s).

    Vitality capacity:

    Maximal grip strength(kPa) Respiratory muscle strength(cmH2O) Muscle fatigue resistance(s) Self-perceived fatigue questionnaire(Question(Q) 1: 1 Not tired, 7 Extremely tired; Q2: 1 No I don't agree, 7 Yes I agree \& MFI: 0 Not fatigue, 5 Fatigue)

    Locomotor capacity:

    Timed up and go(s) 4-meter gait speed(m/s) Balance test(progressive standing: first 2 tests: 0 Impossible, 1 Holding for 10s; last test: 0 Impossible, 1 Holding for >3s-<9s, 2 holding for 10s) 30-second chair stand(n)

    Sensory capacity:

    Hearing test(signal to noise technology) Vision test(rotating E test)

    Cognitive capacity:

    Orientation test(0 Incorrect, 1 Correct) Object naming from description(0 Incorrect, 1 Correct) Verbal fluency(n) 10-words immediate \& delayed recall(0 Incorrect, 1 Correct)

    Psychological capacity:

    Resilience questionnaire(1 Strongly disagree, 5 Strongly agree)

    Measured: 4 months

  19. The correlation between the changes in intrinsic capacity as measured with ISHA and the changes in functional ability measured with MoCa (0-30/30, the higher the better cognition)

    Cognition will be assessed by the MoCa(0-30/30), a tool covering different domains.

    Vitality capacity:

    Maximal grip strength(kPa) Respiratory muscle strength(cmH2O) Muscle fatigue resistance(s) Self-perceived fatigue questionnaire(Question(Q) 1: 1 Not tired, 7 Extremely tired; Q2: 1 No I don't agree, 7 Yes I agree \& MFI: 0 Not fatigue, 5 Fatigue)

    Locomotor capacity:

    Timed up and go(s) 4-meter gait speed(m/s) Balance test(progressive standing: first 2 tests: 0 Impossible, 1 Holding for 10s; last test: 0 Impossible, 1 Holding for >3s-<9s, 2 holding for 10s) 30-second chair stand(n)

    Sensory capacity:

    Hearing test(signal to noise technology) Vision test(rotating E test)

    Cognitive capacity:

    Orientation test(0 Incorrect, 1 Correct) Object naming from description(0 Incorrect, 1 Correct) Verbal fluency(n) 10-words immediate \& delayed recall(0 Incorrect, 1 Correct)

    Psychological capacity:

    Resilience questionnaire(1 Strongly disagree, 5 Strongly agree)

    Measured: Baseline

  20. The correlation between the changes in intrinsic capacity as measured with ISHA and the changes in functional ability measured with MoCa (0-30/30, the higher the better cognition)

    Cognition will be assessed by the MoCa(0-30/30), a tool covering different domains.

    Vitality capacity:

    Maximal grip strength(kPa) Respiratory muscle strength(cmH2O) Muscle fatigue resistance(s) Self-perceived fatigue questionnaire(Question(Q) 1: 1 Not tired, 7 Extremely tired; Q2: 1 No I don't agree, 7 Yes I agree \& MFI: 0 Not fatigue, 5 Fatigue)

    Locomotor capacity:

    Timed up and go(s) 4-meter gait speed(m/s) Balance test(progressive standing: first 2 tests: 0 Impossible, 1 Holding for 10s; last test: 0 Impossible, 1 Holding for >3s-<9s, 2 holding for 10s) 30-second chair stand(n)

    Sensory capacity:

    Hearing test(signal to noise technology) Vision test(rotating E test)

    Cognitive capacity:

    Orientation test(0 Incorrect, 1 Correct) Object naming from description(0 Incorrect, 1 Correct) Verbal fluency(n) 10-words immediate \& delayed recall(0 Incorrect, 1 Correct)

    Psychological capacity:

    Resilience questionnaire(1 Strongly disagree, 5 Strongly agree)

    Measured: 2 months

  21. The correlation between the changes in intrinsic capacity as measured with ISHA and the changes in functional ability measured with MoCa (0-30/30, the higher the better cognition)

    Cognition will be assessed by the MoCa(0-30/30), a tool covering different domains.

    Vitality capacity:

    Maximal grip strength(kPa) Respiratory muscle strength(cmH2O) Muscle fatigue resistance(s) Self-perceived fatigue questionnaire(Question(Q) 1: 1 Not tired, 7 Extremely tired; Q2: 1 No I don't agree, 7 Yes I agree \& MFI: 0 Not fatigue, 5 Fatigue)

    Locomotor capacity:

    Timed up and go(s) 4-meter gait speed(m/s) Balance test(progressive standing: first 2 tests: 0 Impossible, 1 Holding for 10s; last test: 0 Impossible, 1 Holding for >3s-<9s, 2 holding for 10s) 30-second chair stand(n)

    Sensory capacity:

    Hearing test(signal to noise technology) Vision test(rotating E test)

    Cognitive capacity:

    Orientation test(0 Incorrect, 1 Correct) Object naming from description(0 Incorrect, 1 Correct) Verbal fluency(n) 10-words immediate \& delayed recall(0 Incorrect, 1 Correct)

    Psychological capacity:

    Resilience questionnaire(1 Strongly disagree, 5 Strongly agree)

    Measured: 4 months

  22. The correlation between the variability in intrinsic capacity as measured with ISHA and the changes in functional ability measured with MoCa (0-30/30, the higher the better cognition)

    Cognition will be assessed by the MoCa(0-30/30), a tool covering different domains.

    Vitality capacity:

    Maximal grip strength(kPa) Respiratory muscle strength(cmH2O) Muscle fatigue resistance(s) Self-perceived fatigue questionnaire(Question(Q) 1: 1 Not tired, 7 Extremely tired; Q2: 1 No I don't agree, 7 Yes I agree \& MFI: 0 Not fatigue, 5 Fatigue)

    Locomotor capacity:

    Timed up and go(s) 4-meter gait speed(m/s) Balance test(progressive standing: first 2 tests: 0 Impossible, 1 Holding for 10s; last test: 0 Impossible, 1 Holding for >3s-<9s, 2 holding for 10s) 30-second chair stand(n)

    Sensory capacity:

    Hearing test(signal to noise technology) Vision test(rotating E test)

    Cognitive capacity:

    Orientation test(0 Incorrect, 1 Correct) Object naming from description(0 Incorrect, 1 Correct) Verbal fluency(n) 10-words immediate \& delayed recall(0 Incorrect, 1 Correct)

    Psychological capacity:

    Resilience questionnaire(1 Strongly disagree, 5 Strongly agree)

    Measured: Baseline

  23. The correlation between the variability in intrinsic capacity as measured with ISHA and the changes in functional ability measured with MoCa (0-30/30, the higher the better cognition)

    Cognition will be assessed by the MoCa(0-30/30), a tool covering different domains.

    Vitality capacity:

    Maximal grip strength(kPa) Respiratory muscle strength(cmH2O) Muscle fatigue resistance(s) Self-perceived fatigue questionnaire(Question(Q) 1: 1 Not tired, 7 Extremely tired; Q2: 1 No I don't agree, 7 Yes I agree \& MFI: 0 Not fatigue, 5 Fatigue)

    Locomotor capacity:

    Timed up and go(s) 4-meter gait speed(m/s) Balance test(progressive standing: first 2 tests: 0 Impossible, 1 Holding for 10s; last test: 0 Impossible, 1 Holding for >3s-<9s, 2 holding for 10s) 30-second chair stand(n)

    Sensory capacity:

    Hearing test(signal to noise technology) Vision test(rotating E test)

    Cognitive capacity:

    Orientation test(0 Incorrect, 1 Correct) Object naming from description(0 Incorrect, 1 Correct) Verbal fluency(n) 10-words immediate \& delayed recall(0 Incorrect, 1 Correct)

    Psychological capacity:

    Resilience questionnaire(1 Strongly disagree, 5 Strongly agree)

    Measured: 2 months

  24. The correlation between the variability in intrinsic capacity as measured with ISHA and the changes in functional ability measured with MoCa (0-30/30, the higher the better cognition)

    Cognition will be assessed by the MoCa(0-30/30), a tool covering different domains.

    Vitality capacity:

    Maximal grip strength(kPa) Respiratory muscle strength(cmH2O) Muscle fatigue resistance(s) Self-perceived fatigue questionnaire(Question(Q) 1: 1 Not tired, 7 Extremely tired; Q2: 1 No I don't agree, 7 Yes I agree \& MFI: 0 Not fatigue, 5 Fatigue)

    Locomotor capacity:

    Timed up and go(s) 4-meter gait speed(m/s) Balance test(progressive standing: first 2 tests: 0 Impossible, 1 Holding for 10s; last test: 0 Impossible, 1 Holding for >3s-<9s, 2 holding for 10s) 30-second chair stand(n)

    Sensory capacity:

    Hearing test(signal to noise technology) Vision test(rotating E test)

    Cognitive capacity:

    Orientation test(0 Incorrect, 1 Correct) Object naming from description(0 Incorrect, 1 Correct) Verbal fluency(n) 10-words immediate \& delayed recall(0 Incorrect, 1 Correct)

    Psychological capacity:

    Resilience questionnaire(1 Strongly disagree, 5 Strongly agree)

    Measured: 4 months

  25. The correlation between the changes in intrinsic capacity as measured with ISHA and the changes in functional ability measured with Katz (6-24/24, the higher, more dependent)

    Dependency in basic activities of daily living will be scored on the Katz scale (6-24/24).

    Vitality capacity:

    Maximal grip strength(kPa) Respiratory muscle strength(cmH2O) Muscle fatigue resistance(s) Self-perceived fatigue questionnaire(Question(Q) 1: 1 Not tired, 7 Extremely tired; Q2: 1 No I don't agree, 7 Yes I agree \& MFI: 0 Not fatigue, 5 Fatigue)

    Locomotor capacity:

    Timed up and go(s) 4-meter gait speed(m/s) Balance test(progressive standing: first 2 tests: 0 Impossible, 1 Holding for 10s; last test: 0 Impossible, 1 Holding for >3s-<9s, 2 holding for 10s) 30-second chair stand(n)

    Sensory capacity:

    Hearing test(signal to noise technology) Vision test(rotating E test)

    Cognitive capacity:

    Orientation test(0 Incorrect, 1 Correct) Object naming from description(0 Incorrect, 1 Correct) Verbal fluency(n) 10-words immediate \& delayed recall(0 Incorrect, 1 Correct)

    Psychological capacity:

    Resilience questionnaire(1 Strongly disagree, 5 Strongly agree)

    Measured: Baseline

  26. The correlation between the changes in intrinsic capacity as measured with ISHA and the changes in functional ability measured with Katz (6-24/24, the higher, more dependent)

    Dependency in basic activities of daily living will be scored on the Katz scale (6-24/24).

    Vitality capacity:

    Maximal grip strength(kPa) Respiratory muscle strength(cmH2O) Muscle fatigue resistance(s) Self-perceived fatigue questionnaire(Question(Q) 1: 1 Not tired, 7 Extremely tired; Q2: 1 No I don't agree, 7 Yes I agree \& MFI: 0 Not fatigue, 5 Fatigue)

    Locomotor capacity:

    Timed up and go(s) 4-meter gait speed(m/s) Balance test(progressive standing: first 2 tests: 0 Impossible, 1 Holding for 10s; last test: 0 Impossible, 1 Holding for >3s-<9s, 2 holding for 10s) 30-second chair stand(n)

    Sensory capacity:

    Hearing test(signal to noise technology) Vision test(rotating E test)

    Cognitive capacity:

    Orientation test(0 Incorrect, 1 Correct) Object naming from description(0 Incorrect, 1 Correct) Verbal fluency(n) 10-words immediate \& delayed recall(0 Incorrect, 1 Correct)

    Psychological capacity:

    Resilience questionnaire(1 Strongly disagree, 5 Strongly agree)

    Measured: 2 months

  27. The correlation between the changes in intrinsic capacity as measured with ISHA and the changes in functional ability measured with Katz (6-24/24, the higher, more dependent)

    Dependency in basic activities of daily living will be scored on the Katz scale (6-24/24).

    Vitality capacity:

    Maximal grip strength(kPa) Respiratory muscle strength(cmH2O) Muscle fatigue resistance(s) Self-perceived fatigue questionnaire(Question(Q) 1: 1 Not tired, 7 Extremely tired; Q2: 1 No I don't agree, 7 Yes I agree \& MFI: 0 Not fatigue, 5 Fatigue)

    Locomotor capacity:

    Timed up and go(s) 4-meter gait speed(m/s) Balance test(progressive standing: first 2 tests: 0 Impossible, 1 Holding for 10s; last test: 0 Impossible, 1 Holding for >3s-<9s, 2 holding for 10s) 30-second chair stand(n)

    Sensory capacity:

    Hearing test(signal to noise technology) Vision test(rotating E test)

    Cognitive capacity:

    Orientation test(0 Incorrect, 1 Correct) Object naming from description(0 Incorrect, 1 Correct) Verbal fluency(n) 10-words immediate \& delayed recall(0 Incorrect, 1 Correct)

    Psychological capacity:

    Resilience questionnaire(1 Strongly disagree, 5 Strongly agree)

    Measured: 4 months

  28. The correlation between the variability in intrinsic capacity as measured with ISHA and the changes in functional ability measured with Katz (6-24/24, the higher, more dependent)

    Dependency in basic activities of daily living will be scored on the Katz scale (6-24/24).

    Vitality capacity:

    Maximal grip strength(kPa) Respiratory muscle strength(cmH2O) Muscle fatigue resistance(s) Self-perceived fatigue questionnaire(Question(Q) 1: 1 Not tired, 7 Extremely tired; Q2: 1 No I don't agree, 7 Yes I agree \& MFI: 0 Not fatigue, 5 Fatigue)

    Locomotor capacity:

    Timed up and go(s) 4-meter gait speed(m/s) Balance test(progressive standing: first 2 tests: 0 Impossible, 1 Holding for 10s; last test: 0 Impossible, 1 Holding for >3s-<9s, 2 holding for 10s) 30-second chair stand(n)

    Sensory capacity:

    Hearing test(signal to noise technology) Vision test(rotating E test)

    Cognitive capacity:

    Orientation test(0 Incorrect, 1 Correct) Object naming from description(0 Incorrect, 1 Correct) Verbal fluency(n) 10-words immediate \& delayed recall(0 Incorrect, 1 Correct)

    Psychological capacity:

    Resilience questionnaire(1 Strongly disagree, 5 Strongly agree)

    Measured: Baseline

  29. The correlation between the variability in intrinsic capacity as measured with ISHA and the changes in functional ability measured with Katz (6-24/24, the higher, more dependent)

    Dependency in basic activities of daily living will be scored on the Katz scale (6-24/24).

    Vitality capacity:

    Maximal grip strength(kPa) Respiratory muscle strength(cmH2O) Muscle fatigue resistance(s) Self-perceived fatigue questionnaire(Question(Q) 1: 1 Not tired, 7 Extremely tired; Q2: 1 No I don't agree, 7 Yes I agree \& MFI: 0 Not fatigue, 5 Fatigue)

    Locomotor capacity:

    Timed up and go(s) 4-meter gait speed(m/s) Balance test(progressive standing: first 2 tests: 0 Impossible, 1 Holding for 10s; last test: 0 Impossible, 1 Holding for >3s-<9s, 2 holding for 10s) 30-second chair stand(n)

    Sensory capacity:

    Hearing test(signal to noise technology) Vision test(rotating E test)

    Cognitive capacity:

    Orientation test(0 Incorrect, 1 Correct) Object naming from description(0 Incorrect, 1 Correct) Verbal fluency(n) 10-words immediate \& delayed recall(0 Incorrect, 1 Correct)

    Psychological capacity:

    Resilience questionnaire(1 Strongly disagree, 5 Strongly agree)

    Measured: 2 months

  30. The correlation between the variability in intrinsic capacity as measured with ISHA and the changes in functional ability measured with Katz (6-24/24, the higher, more dependent)

    Dependency in basic activities of daily living will be scored on the Katz scale (6-24/24).

    Vitality capacity:

    Maximal grip strength(kPa) Respiratory muscle strength(cmH2O) Muscle fatigue resistance(s) Self-perceived fatigue questionnaire(Question(Q) 1: 1 Not tired, 7 Extremely tired; Q2: 1 No I don't agree, 7 Yes I agree \& MFI: 0 Not fatigue, 5 Fatigue)

    Locomotor capacity:

    Timed up and go(s) 4-meter gait speed(m/s) Balance test(progressive standing: first 2 tests: 0 Impossible, 1 Holding for 10s; last test: 0 Impossible, 1 Holding for >3s-<9s, 2 holding for 10s) 30-second chair stand(n)

    Sensory capacity:

    Hearing test(signal to noise technology) Vision test(rotating E test)

    Cognitive capacity:

    Orientation test(0 Incorrect, 1 Correct) Object naming from description(0 Incorrect, 1 Correct) Verbal fluency(n) 10-words immediate \& delayed recall(0 Incorrect, 1 Correct)

    Psychological capacity:

    Resilience questionnaire(1 Strongly disagree, 5 Strongly agree)

    Measured: 4 months

  31. The correlation between the changes in intrinsic capacity as measured with ISHA and the changes in functional ability measured with Lawton (9-27/27, the higher, more independent)

    Dependency in instrumental activities of daily living will be scored on Lawton scale (9-27/27).

    Vitality capacity:

    Maximal grip strength(kPa) Respiratory muscle strength(cmH2O) Muscle fatigue resistance(s) Self-perceived fatigue questionnaire(Question(Q) 1: 1 Not tired, 7 Extremely tired; Q2: 1 No I don't agree, 7 Yes I agree \& MFI: 0 Not fatigue, 5 Fatigue)

    Locomotor capacity:

    Timed up and go(s) 4-meter gait speed(m/s) Balance test(progressive standing: first 2 tests: 0 Impossible, 1 Holding for 10s; last test: 0 Impossible, 1 Holding for >3s-<9s, 2 holding for 10s) 30-second chair stand(n)

    Sensory capacity:

    Hearing test(signal to noise technology) Vision test(rotating E test)

    Cognitive capacity:

    Orientation test(0 Incorrect, 1 Correct) Object naming from description(0 Incorrect, 1 Correct) Verbal fluency(n) 10-words immediate \& delayed recall(0 Incorrect, 1 Correct)

    Psychological capacity:

    Resilience questionnaire(1 Strongly disagree, 5 Strongly agree)

    Measured: Baseline

  32. The correlation between the changes in intrinsic capacity as measured with ISHA and the changes in functional ability measured with Lawton (9-27/27, the higher, more independent)

    Dependency in instrumental activities of daily living will be scored on Lawton scale (9-27/27).

    Vitality capacity:

    Maximal grip strength(kPa) Respiratory muscle strength(cmH2O) Muscle fatigue resistance(s) Self-perceived fatigue questionnaire(Question(Q) 1: 1 Not tired, 7 Extremely tired; Q2: 1 No I don't agree, 7 Yes I agree \& MFI: 0 Not fatigue, 5 Fatigue)

    Locomotor capacity:

    Timed up and go(s) 4-meter gait speed(m/s) Balance test(progressive standing: first 2 tests: 0 Impossible, 1 Holding for 10s; last test: 0 Impossible, 1 Holding for >3s-<9s, 2 holding for 10s) 30-second chair stand(n)

    Sensory capacity:

    Hearing test(signal to noise technology) Vision test(rotating E test)

    Cognitive capacity:

    Orientation test(0 Incorrect, 1 Correct) Object naming from description(0 Incorrect, 1 Correct) Verbal fluency(n) 10-words immediate \& delayed recall(0 Incorrect, 1 Correct)

    Psychological capacity:

    Resilience questionnaire(1 Strongly disagree, 5 Strongly agree)

    Measured: 2 months

  33. The correlation between the changes in intrinsic capacity as measured with ISHA and the changes in functional ability measured with Lawton (9-27/27, the higher, more independent)

    Dependency in instrumental activities of daily living will be scored on Lawton scale (9-27/27).

    Vitality capacity:

    Maximal grip strength(kPa) Respiratory muscle strength(cmH2O) Muscle fatigue resistance(s) Self-perceived fatigue questionnaire(Question(Q) 1: 1 Not tired, 7 Extremely tired; Q2: 1 No I don't agree, 7 Yes I agree \& MFI: 0 Not fatigue, 5 Fatigue)

    Locomotor capacity:

    Timed up and go(s) 4-meter gait speed(m/s) Balance test(progressive standing: first 2 tests: 0 Impossible, 1 Holding for 10s; last test: 0 Impossible, 1 Holding for >3s-<9s, 2 holding for 10s) 30-second chair stand(n)

    Sensory capacity:

    Hearing test(signal to noise technology) Vision test(rotating E test)

    Cognitive capacity:

    Orientation test(0 Incorrect, 1 Correct) Object naming from description(0 Incorrect, 1 Correct) Verbal fluency(n) 10-words immediate \& delayed recall(0 Incorrect, 1 Correct)

    Psychological capacity:

    Resilience questionnaire(1 Strongly disagree, 5 Strongly agree)

    Measured: 4 months

  34. The correlation between the variability in intrinsic capacity as measured with ISHA and the changes in functional ability measured with Lawton (9-27/27, the higher, more independent)

    Dependency in instrumental activities of daily living will be scored on Lawton scale (9-27/27).

    Vitality capacity:

    Maximal grip strength(kPa) Respiratory muscle strength(cmH2O) Muscle fatigue resistance(s) Self-perceived fatigue questionnaire(Question(Q) 1: 1 Not tired, 7 Extremely tired; Q2: 1 No I don't agree, 7 Yes I agree \& MFI: 0 Not fatigue, 5 Fatigue)

    Locomotor capacity:

    Timed up and go(s) 4-meter gait speed(m/s) Balance test(progressive standing: first 2 tests: 0 Impossible, 1 Holding for 10s; last test: 0 Impossible, 1 Holding for >3s-<9s, 2 holding for 10s) 30-second chair stand(n)

    Sensory capacity:

    Hearing test(signal to noise technology) Vision test(rotating E test)

    Cognitive capacity:

    Orientation test(0 Incorrect, 1 Correct) Object naming from description(0 Incorrect, 1 Correct) Verbal fluency(n) 10-words immediate \& delayed recall(0 Incorrect, 1 Correct)

    Psychological capacity:

    Resilience questionnaire(1 Strongly disagree, 5 Strongly agree)

    Measured: Baseline

  35. The correlation between the variability in intrinsic capacity as measured with ISHA and the changes in functional ability measured with Lawton (9-27/27, the higher, more independent)

    Dependency in instrumental activities of daily living will be scored on Lawton scale (9-27/27).

    Vitality capacity:

    Maximal grip strength(kPa) Respiratory muscle strength(cmH2O) Muscle fatigue resistance(s) Self-perceived fatigue questionnaire(Question(Q) 1: 1 Not tired, 7 Extremely tired; Q2: 1 No I don't agree, 7 Yes I agree \& MFI: 0 Not fatigue, 5 Fatigue)

    Locomotor capacity:

    Timed up and go(s) 4-meter gait speed(m/s) Balance test(progressive standing: first 2 tests: 0 Impossible, 1 Holding for 10s; last test: 0 Impossible, 1 Holding for >3s-<9s, 2 holding for 10s) 30-second chair stand(n)

    Sensory capacity:

    Hearing test(signal to noise technology) Vision test(rotating E test)

    Cognitive capacity:

    Orientation test(0 Incorrect, 1 Correct) Object naming from description(0 Incorrect, 1 Correct) Verbal fluency(n) 10-words immediate \& delayed recall(0 Incorrect, 1 Correct)

    Psychological capacity:

    Resilience questionnaire(1 Strongly disagree, 5 Strongly agree)

    Measured: 2 months

  36. The correlation between the variability in intrinsic capacity as measured with ISHA and the changes in functional ability measured with Lawton (9-27/27, the higher, more independent)

    Dependency in instrumental activities of daily living will be scored on Lawton scale (9-27/27).

    Vitality capacity:

    Maximal grip strength(kPa) Respiratory muscle strength(cmH2O) Muscle fatigue resistance(s) Self-perceived fatigue questionnaire(Question(Q) 1: 1 Not tired, 7 Extremely tired; Q2: 1 No I don't agree, 7 Yes I agree \& MFI: 0 Not fatigue, 5 Fatigue)

    Locomotor capacity:

    Timed up and go(s) 4-meter gait speed(m/s) Balance test(progressive standing: first 2 tests: 0 Impossible, 1 Holding for 10s; last test: 0 Impossible, 1 Holding for >3s-<9s, 2 holding for 10s) 30-second chair stand(n)

    Sensory capacity:

    Hearing test(signal to noise technology) Vision test(rotating E test)

    Cognitive capacity:

    Orientation test(0 Incorrect, 1 Correct) Object naming from description(0 Incorrect, 1 Correct) Verbal fluency(n) 10-words immediate \& delayed recall(0 Incorrect, 1 Correct)

    Psychological capacity:

    Resilience questionnaire(1 Strongly disagree, 5 Strongly agree)

    Measured: 4 months

  37. The correlation between the changes in intrinsic capacity as measured with ISHA and the changes in quality of life (Qol) measured with SarQol (short form, 14 items: 4-point Likert Scale: 0-100/100, the higher, the better Qol)

    Qol will be scored on SarQol (short form, 14 items: 0-100/100, the higher, the better Qol)

    Vitality capacity:

    Maximal grip strength(kPa) Respiratory muscle strength(cmH2O) Muscle fatigue resistance(s) Self-perceived fatigue questionnaire(Question(Q) 1: 1 Not tired, 7 Extremely tired; Q2: 1 No I don't agree, 7 Yes I agree \& MFI: 0 Not fatigue, 5 Fatigue)

    Locomotor capacity:

    Timed up and go(s) 4-meter gait speed(m/s) Balance test(progressive standing: first 2 tests: 0 Impossible, 1 Holding for 10s; last test: 0 Impossible, 1 Holding for >3s-<9s, 2 holding for 10s) 30-second chair stand(n)

    Sensory capacity:

    Hearing test(signal to noise technology) Vision test(rotating E test)

    Cognitive capacity:

    Orientation test(0 Incorrect, 1 Correct) Object naming from description(0 Incorrect, 1 Correct) Verbal fluency(n) 10-words immediate \& delayed recall(0 Incorrect, 1 Correct)

    Psychological capacity:

    Resilience questionnaire(1 Strongly disagree, 5 Strongly agree)

    Measured: Baseline

  38. The correlation between the changes in intrinsic capacity as measured with ISHA and the changes in Qol measured with SarQol (short form, 14 items: 4-point Likert Scale: 0-100/100, the higher, the better Qol)

    Qol will be scored on SarQol (short form, 14 items: 0-100/100, the higher, the better Qol)

    Vitality capacity:

    Maximal grip strength(kPa) Respiratory muscle strength(cmH2O) Muscle fatigue resistance(s) Self-perceived fatigue questionnaire(Question(Q) 1: 1 Not tired, 7 Extremely tired; Q2: 1 No I don't agree, 7 Yes I agree \& MFI: 0 Not fatigue, 5 Fatigue)

    Locomotor capacity:

    Timed up and go(s) 4-meter gait speed(m/s) Balance test(progressive standing: first 2 tests: 0 Impossible, 1 Holding for 10s; last test: 0 Impossible, 1 Holding for >3s-<9s, 2 holding for 10s) 30-second chair stand(n)

    Sensory capacity:

    Hearing test(signal to noise technology) Vision test(rotating E test)

    Cognitive capacity:

    Orientation test(0 Incorrect, 1 Correct) Object naming from description(0 Incorrect, 1 Correct) Verbal fluency(n) 10-words immediate \& delayed recall(0 Incorrect, 1 Correct)

    Psychological capacity:

    Resilience questionnaire(1 Strongly disagree, 5 Strongly agree)

    Measured: 2 months

  39. The correlation between the changes in intrinsic capacity as measured with ISHA and the changes in Qol measured with SarQol (short form, 14 items: 4-point Likert Scale: 0-100/100, the higher, the better Qol)

    Qol will be scored on SarQol (short form, 14 items: 0-100/100, the higher, the better Qol)

    Vitality capacity:

    Maximal grip strength(kPa) Respiratory muscle strength(cmH2O) Muscle fatigue resistance(s) Self-perceived fatigue questionnaire(Question(Q) 1: 1 Not tired, 7 Extremely tired; Q2: 1 No I don't agree, 7 Yes I agree \& MFI: 0 Not fatigue, 5 Fatigue)

    Locomotor capacity:

    Timed up and go(s) 4-meter gait speed(m/s) Balance test(progressive standing: first 2 tests: 0 Impossible, 1 Holding for 10s; last test: 0 Impossible, 1 Holding for >3s-<9s, 2 holding for 10s) 30-second chair stand(n)

    Sensory capacity:

    Hearing test(signal to noise technology) Vision test(rotating E test)

    Cognitive capacity:

    Orientation test(0 Incorrect, 1 Correct) Object naming from description(0 Incorrect, 1 Correct) Verbal fluency(n) 10-words immediate \& delayed recall(0 Incorrect, 1 Correct)

    Psychological capacity:

    Resilience questionnaire(1 Strongly disagree, 5 Strongly agree)

    Measured: 4 months

  40. The correlation between the variability in intrinsic capacity as measured with ISHA and the changes in Qol measured with SarQol (short form, 14 items: 4-point Likert Scale: 0-100/100, the higher, the better Qol)

    Qol will be scored on SarQol (short form, 14 items: 0-100/100, the higher, the better Qol)

    Vitality capacity:

    Maximal grip strength(kPa) Respiratory muscle strength(cmH2O) Muscle fatigue resistance(s) Self-perceived fatigue questionnaire(Question(Q) 1: 1 Not tired, 7 Extremely tired; Q2: 1 No I don't agree, 7 Yes I agree \& MFI: 0 Not fatigue, 5 Fatigue)

    Locomotor capacity:

    Timed up and go(s) 4-meter gait speed(m/s) Balance test(progressive standing: first 2 tests: 0 Impossible, 1 Holding for 10s; last test: 0 Impossible, 1 Holding for >3s-<9s, 2 holding for 10s) 30-second chair stand(n)

    Sensory capacity:

    Hearing test(signal to noise technology) Vision test(rotating E test)

    Cognitive capacity:

    Orientation test(0 Incorrect, 1 Correct) Object naming from description(0 Incorrect, 1 Correct) Verbal fluency(n) 10-words immediate \& delayed recall(0 Incorrect, 1 Correct)

    Psychological capacity:

    Resilience questionnaire(1 Strongly disagree, 5 Strongly agree)

    Measured: Baseline

  41. The correlation between the variability in intrinsic capacity as measured with ISHA and the changes in Qol measured with SarQol (short form, 14 items: 4-point Likert Scale: 0-100/100, the higher, the better Qol)

    Qol will be scored on SarQol (short form, 14 items: 0-100/100, the higher, the better Qol)

    Vitality capacity:

    Maximal grip strength(kPa) Respiratory muscle strength(cmH2O) Muscle fatigue resistance(s) Self-perceived fatigue questionnaire(Question(Q) 1: 1 Not tired, 7 Extremely tired; Q2: 1 No I don't agree, 7 Yes I agree \& MFI: 0 Not fatigue, 5 Fatigue)

    Locomotor capacity:

    Timed up and go(s) 4-meter gait speed(m/s) Balance test(progressive standing: first 2 tests: 0 Impossible, 1 Holding for 10s; last test: 0 Impossible, 1 Holding for >3s-<9s, 2 holding for 10s) 30-second chair stand(n)

    Sensory capacity:

    Hearing test(signal to noise technology) Vision test(rotating E test)

    Cognitive capacity:

    Orientation test(0 Incorrect, 1 Correct) Object naming from description(0 Incorrect, 1 Correct) Verbal fluency(n) 10-words immediate \& delayed recall(0 Incorrect, 1 Correct)

    Psychological capacity:

    Resilience questionnaire(1 Strongly disagree, 5 Strongly agree)

    Measured: 2 months

  42. The correlation between the variability in intrinsic capacity as measured with ISHA and the changes in Qol measured with SarQol (short form, 14 items: 4-point Likert Scale: 0-100/100, the higher, the better Qol)

    Qol will be scored on SarQol (short form, 14 items: 0-100/100, the higher, the better Qol)

    Vitality capacity:

    Maximal grip strength(kPa) Respiratory muscle strength(cmH2O) Muscle fatigue resistance(s) Self-perceived fatigue questionnaire(Question(Q) 1: 1 Not tired, 7 Extremely tired; Q2: 1 No I don't agree, 7 Yes I agree \& MFI: 0 Not fatigue, 5 Fatigue)

    Locomotor capacity:

    Timed up and go(s) 4-meter gait speed(m/s) Balance test(progressive standing: first 2 tests: 0 Impossible, 1 Holding for 10s; last test: 0 Impossible, 1 Holding for >3s-<9s, 2 holding for 10s) 30-second chair stand(n)

    Sensory capacity:

    Hearing test(signal to noise technology) Vision test(rotating E test)

    Cognitive capacity:

    Orientation test(0 Incorrect, 1 Correct) Object naming from description(0 Incorrect, 1 Correct) Verbal fluency(n) 10-words immediate \& delayed recall(0 Incorrect, 1 Correct)

    Psychological capacity:

    Resilience questionnaire(1 Strongly disagree, 5 Strongly agree)

    Measured: 4 months

  43. The correlation between the changes in intrinsic capacity as measured with ISHA and the changes in Qol measured with Eq-5D-5L (0 no problem, 5 extreme problems + visual analogue scale(VAS) 0-100/100, the higher the better Qol).

    Qol will be scored on Eq-5D-5L(0-35 \& VAS 0 (worst Qol) to 100 (best Qol)).

    Vitality capacity:

    Maximal grip strength(kPa) Respiratory muscle strength(cmH2O) Muscle fatigue resistance(s) Self-perceived fatigue questionnaire(Question(Q) 1: 1 Not tired, 7 Extremely tired; Q2: 1 No I don't agree, 7 Yes I agree \& MFI: 0 Not fatigue, 5 Fatigue)

    Locomotor capacity:

    Timed up and go(s) 4-meter gait speed(m/s) Balance test(progressive standing: first 2 tests: 0 Impossible, 1 Holding for 10s; last test: 0 Impossible, 1 Holding for >3s-<9s, 2 holding for 10s) 30-second chair stand(n)

    Sensory capacity:

    Hearing test(signal to noise technology) Vision test(rotating E test)

    Cognitive capacity:

    Orientation test(0 Incorrect, 1 Correct) Object naming from description(0 Incorrect, 1 Correct) Verbal fluency(n) 10-words immediate \& delayed recall(0 Incorrect, 1 Correct)

    Psychological capacity:

    Resilience questionnaire(1 Strongly disagree, 5 Strongly agree)

    Measured: Baseline

  44. The correlation between the changes in intrinsic capacity as measured with ISHA and the changes in Qol measured with Eq-5D-5L (0 no problem, 5 extreme problems + visual analogue scale(VAS) 0-100/100, the higher the better Qol).

    Qol will be scored on Eq-5D-5L(0-35 \& VAS 0 (worst Qol) to 100 (best Qol)).

    Vitality capacity:

    Maximal grip strength(kPa) Respiratory muscle strength(cmH2O) Muscle fatigue resistance(s) Self-perceived fatigue questionnaire(Question(Q) 1: 1 Not tired, 7 Extremely tired; Q2: 1 No I don't agree, 7 Yes I agree \& MFI: 0 Not fatigue, 5 Fatigue)

    Locomotor capacity:

    Timed up and go(s) 4-meter gait speed(m/s) Balance test(progressive standing: first 2 tests: 0 Impossible, 1 Holding for 10s; last test: 0 Impossible, 1 Holding for >3s-<9s, 2 holding for 10s) 30-second chair stand(n)

    Sensory capacity:

    Hearing test(signal to noise technology) Vision test(rotating E test)

    Cognitive capacity:

    Orientation test(0 Incorrect, 1 Correct) Object naming from description(0 Incorrect, 1 Correct) Verbal fluency(n) 10-words immediate \& delayed recall(0 Incorrect, 1 Correct)

    Psychological capacity:

    Resilience questionnaire(1 Strongly disagree, 5 Strongly agree)

    Measured: 2 months

  45. The correlation between the changes in intrinsic capacity as measured with ISHA and the changes in Qol measured with Eq-5D-5L (0 no problem, 5 extreme problems + visual analogue scale(VAS) 0-100/100, the higher the better Qol).

    Qol will be scored on Eq-5D-5L(0-35 \& VAS 0 (worst Qol) to 100 (best Qol)).

    Vitality capacity:

    Maximal grip strength(kPa) Respiratory muscle strength(cmH2O) Muscle fatigue resistance(s) Self-perceived fatigue questionnaire(Question(Q) 1: 1 Not tired, 7 Extremely tired; Q2: 1 No I don't agree, 7 Yes I agree \& MFI: 0 Not fatigue, 5 Fatigue)

    Locomotor capacity:

    Timed up and go(s) 4-meter gait speed(m/s) Balance test(progressive standing: first 2 tests: 0 Impossible, 1 Holding for 10s; last test: 0 Impossible, 1 Holding for >3s-<9s, 2 holding for 10s) 30-second chair stand(n)

    Sensory capacity:

    Hearing test(signal to noise technology) Vision test(rotating E test)

    Cognitive capacity:

    Orientation test(0 Incorrect, 1 Correct) Object naming from description(0 Incorrect, 1 Correct) Verbal fluency(n) 10-words immediate \& delayed recall(0 Incorrect, 1 Correct)

    Psychological capacity:

    Resilience questionnaire(1 Strongly disagree, 5 Strongly agree)

    Measured: 4 months

  46. The correlation between the variability in intrinsic capacity as measured with ISHA and the changes in Qol measured with Eq-5D-5L (0 no problem, 5 extreme problems + visual analogue scale(VAS) 0-100/100, the higher the better Qol).

    Qol will be scored on Eq-5D-5L(0-35 \& VAS 0 (worst Qol) to 100 (best Qol)).

    Vitality capacity:

    Maximal grip strength(kPa) Respiratory muscle strength(cmH2O) Muscle fatigue resistance(s) Self-perceived fatigue questionnaire(Question(Q) 1: 1 Not tired, 7 Extremely tired; Q2: 1 No I don't agree, 7 Yes I agree \& MFI: 0 Not fatigue, 5 Fatigue)

    Locomotor capacity:

    Timed up and go(s) 4-meter gait speed(m/s) Balance test(progressive standing: first 2 tests: 0 Impossible, 1 Holding for 10s; last test: 0 Impossible, 1 Holding for >3s-<9s, 2 holding for 10s) 30-second chair stand(n)

    Sensory capacity:

    Hearing test(signal to noise technology) Vision test(rotating E test)

    Cognitive capacity:

    Orientation test(0 Incorrect, 1 Correct) Object naming from description(0 Incorrect, 1 Correct) Verbal fluency(n) 10-words immediate \& delayed recall(0 Incorrect, 1 Correct)

    Psychological capacity:

    Resilience questionnaire(1 Strongly disagree, 5 Strongly agree)

    Measured: Baseline

  47. The correlation between the variability in intrinsic capacity as measured with ISHA and the changes in Qol measured with Eq-5D-5L (0 no problem, 5 extreme problems + visual analogue scale(VAS) 0-100/100, the higher the better Qol).

    Qol will be scored on Eq-5D-5L(0-35 \& VAS 0 (worst Qol) to 100 (best Qol)).

    Vitality capacity:

    Maximal grip strength(kPa) Respiratory muscle strength(cmH2O) Muscle fatigue resistance(s) Self-perceived fatigue questionnaire(Question(Q) 1: 1 Not tired, 7 Extremely tired; Q2: 1 No I don't agree, 7 Yes I agree \& MFI: 0 Not fatigue, 5 Fatigue)

    Locomotor capacity:

    Timed up and go(s) 4-meter gait speed(m/s) Balance test(progressive standing: first 2 tests: 0 Impossible, 1 Holding for 10s; last test: 0 Impossible, 1 Holding for >3s-<9s, 2 holding for 10s) 30-second chair stand(n)

    Sensory capacity:

    Hearing test(signal to noise technology) Vision test(rotating E test)

    Cognitive capacity:

    Orientation test(0 Incorrect, 1 Correct) Object naming from description(0 Incorrect, 1 Correct) Verbal fluency(n) 10-words immediate \& delayed recall(0 Incorrect, 1 Correct)

    Psychological capacity:

    Resilience questionnaire(1 Strongly disagree, 5 Strongly agree)

    Measured: 2 months

  48. The correlation between the variability in intrinsic capacity as measured with ISHA and the changes in Qol measured with Eq-5D-5L (0 no problem, 5 extreme problems + visual analogue scale(VAS) 0-100/100, the higher the better Qol).

    Qol will be scored on Eq-5D-5L(0-35 \& VAS 0 (worst Qol) to 100 (best Qol)).

    Vitality capacity:

    Maximal grip strength(kPa) Respiratory muscle strength(cmH2O) Muscle fatigue resistance(s) Self-perceived fatigue questionnaire(Question(Q) 1: 1 Not tired, 7 Extremely tired; Q2: 1 No I don't agree, 7 Yes I agree \& MFI: 0 Not fatigue, 5 Fatigue)

    Locomotor capacity:

    Timed up and go(s) 4-meter gait speed(m/s) Balance test(progressive standing: first 2 tests: 0 Impossible, 1 Holding for 10s; last test: 0 Impossible, 1 Holding for >3s-<9s, 2 holding for 10s) 30-second chair stand(n)

    Sensory capacity:

    Hearing test(signal to noise technology) Vision test(rotating E test)

    Cognitive capacity:

    Orientation test(0 Incorrect, 1 Correct) Object naming from description(0 Incorrect, 1 Correct) Verbal fluency(n) 10-words immediate \& delayed recall(0 Incorrect, 1 Correct)

    Psychological capacity:

    Resilience questionnaire(1 Strongly disagree, 5 Strongly agree)

    Measured: 4 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Feb 2024
  2. Study start1 Apr 2024 (estimated)
  3. Primary completion1 Apr 2025 (estimated)
  4. Study completion1 Apr 2025 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Cross-sectional
Enrolment
120 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06270979
Sponsor's protocol ID
ISHA
Acronym
ISHA
Status last verified
Feb 2024
First submitted
12 Jan 2024
Last updated
21 Feb 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

An observational study of Frailty, run by Prof. Ivan Bautmans.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 0 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 21 Feb 2024. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Ivan Bautmans, Prof. Dr. (+32 (0)2 477 42 07, Ivan.Bautmans@vub.be), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Potential technical problems of the ISHA system (time frame: Week 1). The study lists 17 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Feb 2024.

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