UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000050507
Receipt number R000057503
Scientific Title Research on clinical characteristics of dynapenia and sarcopenia in the elderlies
Date of disclosure of the study information 2023/03/06
Last modified on 2023/03/06 17:28:21

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Basic information

Public title

Research on clinical characteristics of dynapenia and sarcopenia in the elderlies

Acronym

Research on clinical characteristics of muscle weakness in the elderlies

Scientific Title

Research on clinical characteristics of dynapenia and sarcopenia in the elderlies

Scientific Title:Acronym

Research on clinical characteristics of muscle weakness in the elderlies

Region

Japan


Condition

Condition

dynapenia/sarcopenia

Classification by specialty

Geriatrics

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

There have been reports that dynapenia is closely related to the decline in activities of daily living and death, and it has been suggested that qualitative changes in muscle independent of sarcopenia may be the pathology, but the actual character of dynapenia is still unknown. Our aim in this study to clarify risk factors and extend healthy life expectancy.

Basic objectives2

Others

Basic objectives -Others

The purpose of this study is to clarify the clinical characteristics and risk factors of dynapenia and sarcopenia, and to examine their differences.

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Evaluate whether there is a relationship with physical data such as height, body weight, and blood pressure, blood sample data including hemoglobin, albumin, NT-ProBNP, and HbA1c etc, bone mineral density, and the presence or absence of a history of stroke and bone fracture.

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

65 years-old <=

Age-upper limit

95 years-old >=

Gender

Male and Female

Key inclusion criteria

Elderly patients aged 65 to 95 who receive medical treatment in outclinic or by hospitalization at Muta Hospital

Key exclusion criteria

Patients who have no corresponding data under the age of 65

Target sample size

267


Research contact person

Name of lead principal investigator

1st name Toshihiko
Middle name
Last name Yanase

Organization

Muta Hospital

Division name

Department of Endocrinology and Diabetes Mellitus

Zip code

814-0163

Address

3-9-1, Hoshikuma, Sawara-ku Fukuoka-shi, Fukuoka

TEL

092-801-1011

Email

t-yanase@seiwakai-hp.jp


Public contact

Name of contact person

1st name Toshihiko
Middle name
Last name Yanase

Organization

Muta Hospital

Division name

Department of Endocrinology and Diabetes Mellitus

Zip code

814-0163

Address

3-9-1, Hoshikuma, Sawara-ku Fukuoka-shi, Fukuoka

TEL

092-801-1011

Homepage URL


Email

t-yanase@seiwakai-hp.jp


Sponsor or person

Institute

Muta Hospital

Institute

Department

Personal name



Funding Source

Organization

Muta Hospital

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Muta Hospital

Address

3-9-1, Hoshikuma, Sawara-ku Fukuoka-shi, Fukuoka

Tel

092-865-2211

Email

h-asakawa@seiwakai-muta-hp.or.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

牟田病院(福岡県)


Other administrative information

Date of disclosure of the study information

2023 Year 03 Month 06 Day


Related information

URL releasing protocol


Publication of results

Partially published


Result

URL related to results and publications


Number of participants that the trial has enrolled

267

Results

Common risk factors in dynapenia and sarcopenia groups were diabetes, previous stroke, previous fractures, lower Hb, and lower HDL-C. On the other hand, in patients with dynapenia, BMI was relatively higher than sarcopenia, and lower YAM in the femoral neck or lumbar spine corresponding to osteoporosis was observed only in sarcopenia.

Results date posted

2023 Year 03 Month 06 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

From March 2015 to July 2020, 267 patients aged 65 years or older who visited the internal medicine department of our hospital were included(Age 65-95, BMI 12.9-44.1 kg/m2).

Participant flow

Grip strength, walking speed, and skeletal muscle mass were measured, and based on the 2019 AWGS diagnostic criteria, the subjects were divided into three groups.
Control; normal in muscle strength and physical function regardless of muscle mass
Dynapenia; normal in muscle mass and decrease in muscle grip and/or physical function
Sarcopenia; decrease in muscle mass, and decrease in hand grip and/or physical activity

Adverse events

Nothing

Outcome measures

The physical data of height, BW, BMI, SBP and DBP and the laboratory data including RBC count, Hb, serum blood chemistry, NTProBNP and HbA1c were also measured. Serum blood chemistry includes total protein, albumin, AST, ALT, gamma GTP, chE, BUN, creatinine, eGFR, sodium, potassium, clolide, corrected calcium, uric acid, HDLC, LDLC, and TG.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2021 Year 03 Month 01 Day

Date of IRB

2021 Year 03 Month 01 Day

Anticipated trial start date

2021 Year 05 Month 01 Day

Last follow-up date

2022 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Previously, we have clarified the following:
1. The risk factors for frailty in elderly diabetic patients (old age, low Alb, low HbA1c, etc.) (JDI 9,419,2018).
2. Low levels of the anabolic hormone DHEAS, high levels of the catabolic hormone cortisol, and low levels of the DHEAS/cortisol ratio were found to be proportional to the severity of sarcopenia in elderly diabetic patient(JES3, 801, 2019).


Management information

Registered date

2023 Year 03 Month 06 Day

Last modified on

2023 Year 03 Month 06 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000057503