UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000062705
Receipt number R000071797
Scientific Title Construction and application of a smart aging exercise promotion system in community parks
Date of disclosure of the study information 2026/08/27
Last modified on 2026/08/27 02:34:39

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Basic information

Public title

Individualized Prescription Using Outdoor Fitness Equipment: A Two-Phase Intervention Study in Older Adults

Acronym

OFE-Intervention

Scientific Title

Construction and application of a smart aging exercise promotion system in community parks

Scientific Title:Acronym

SmartAging-Park

Region

Asia(except Japan)


Condition

Condition

Healthy older adults; community-dwelling older adults aged 65 years and above

Classification by specialty

Geriatrics

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

This study aimed to examine the effects of a two-phase community park outdoor fitness equipment (OFE) intervention on physical function and the sustainability of physical activity behaviour among community-dwelling older adults. Phase 1 investigated the effects of a 12-week structured supervised OFE exercise program on body composition and physical function. Phase 2 evaluated whether individualized exercise prescription provided following program completion could promote continued autonomous OFE engagement and produce superior physical function outcomes compared with a control group.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Physical function assessed by grip strength (kg), 5 Times Sit-to-Stand (seconds), 3m Timed Up and Go (seconds), 3m walking speed (m/s), and 6m walking speed (m/s), measured at baseline, post-intervention (12 weeks), and 6-week follow-up (18 weeks).

Key secondary outcomes

Body composition including Body Fat Percentage (%), Body Mass Index (kg/m2), and Appendicular Skeletal Muscle Mass Index (kg), measured via Bioelectric Impedance Analysis at baseline, 12 weeks, and 18 weeks.
Autonomous practice frequency during Phase 2 (6-week follow-up), assessed by park visit frequency (number of visits) and mean session duration (minutes) recorded via an electronic key fob-based clock-in system.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

No treatment

Stratification

YES

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

YES

Concealment

Numbered container method


Intervention

No. of arms

2

Purpose of intervention

Prevention

Type of intervention

Behavior,custom

Interventions/Control_1

Phase 1 (Weeks 1-12): All participants received a 12-week structured supervised OFE exercise program, delivered twice weekly. Each session lasted approximately 90 minutes, incorporating muscular strength, cardiorespiratory endurance, balance, and flexibility training using outdoor fitness equipment. Phase 2 (Weeks 13-18): The experimental group (EG) received an individualized exercise prescription based on their Phase 1 post-intervention physical function assessment results, targeting areas of relative weakness in upper limb strength, lower limb strength, or balance.

Interventions/Control_2

Phase 1 (Weeks 1-12): Same as the experimental group. Phase 2 (Weeks 13-18): The control group (CG) had ongoing unsupervised access to the outdoor exercise park without receiving any individualized exercise prescription.

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


Not applicable

Gender

Male and Female

Key inclusion criteria

Aged 65 years or older and community-dwelling (not residing in institutional settings such as nursing homes)
Capable of independent ambulation without the assistance of others or the use of mobility aids
Completion of the Physical Activity Readiness Questionnaire (PAR-Q+) with no major medical conditions, use of antidepressant medications, or diagnosis of Alzheimer's disease
Not concurrently enrolled in any other structured exercise programs during the study period

Key exclusion criteria

Residing in institutional settings (e.g., nursing homes)
Requiring mobility aids or assistance from others for ambulation
Diagnosed with major medical conditions, currently using antidepressant medications, or diagnosed with Alzheimer's disease (unless medical clearance obtained)
Concurrently enrolled in other structured physical activity programs

Target sample size

48


Research contact person

Name of lead principal investigator

1st name Shao-Hsi
Middle name
Last name Chang

Organization

National Taiwan Normal University

Division name

Department of Physical Education and Sports Sciences

Zip code

106

Address

162, Heping East Road Section 1, Taipei, Taiwan

TEL

+886-2-2369-1966

Email

t08016@ntnu.edu.tw


Public contact

Name of contact person

1st name Yi-Chien
Middle name
Last name Yu

Organization

Tunghai University

Division name

Department of Physical Education

Zip code

407224

Address

No. 1727, Sec. 4, Taiwan Boulevard, Xitun District, Taichung City, Taiwan (R.O.C.)

TEL

04-23590121

Homepage URL

https://resume.thu.edu.tw/portfolio/main/yichien/B00

Email

yichien@thu.edu.tw


Sponsor or person

Institute

National Taiwan Normal University, Department of Physical Education and Sports Sciences

Institute

Department

Personal name



Funding Source

Organization

National Science and Technology Council, Taiwan

Organization

Division

Category of Funding Organization

Government offices of other countries

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Research Ethics Center, National Taiwan Normal University

Address

162, Heping East Road Section 1, Taipei, Taiwan

Tel

+886-2-7749-1903

Email

ntnurec@ntnu.edu.tw


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



Other administrative information

Date of disclosure of the study information

2026 Year 08 Month 27 Day


Related information

URL releasing protocol

Not applicable

Publication of results

Unpublished


Result

URL related to results and publications

Not applicable

Number of participants that the trial has enrolled

43

Results

Phase 1 (n=39): Significant improvements in grip strength, 3m TUG, and 3m walking speed (p<.05). No significant changes in 5 Times Sit-to-Stand and 6m walking speed (p>.05). Body fat percentage and BMI increased significantly (p<.01). Phase 2 (EG: n=18, CG: n=18): EG demonstrated significantly greater appendicular muscle mass (p=.015), lower limb muscle strength by 5 Times Sit-to-Stand (p=.020), and longer mean autonomous practice duration (p=.032) compared with CG.

Results date posted

2026 Year 08 Month 27 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

A total of 39 participants completed Phase 1 assessments (mean age: 70.4 +/- 4.7 years; 84.6% women). Educational level ranged from primary school to college or above. Fall history in the preceding year was reported by 43.6% of participants. For Phase 2, 36 participants completed follow-up assessments (EG: n=18, CG: n=18). No statistically significant between-group differences were observed at baseline for any sociodemographic variable (all p>.05).

Participant flow

50 older adults were screened. 43 enrolled following the introductory session. Phase 1: 4 participants withdrew (3 due to personal reasons, 1 sustained a fall at home before post-testing), yielding 39 participants for analysis (attrition rate: 9.30%). 2 participants were excluded from body composition assessments due to implanted cardiac stents (n=37 for body composition; n=39 for all other measures). Phase 2: 3 additional participants withdrew due to COVID-19 diagnosis or accidental injury, leaving 36 participants (EG: n=18, CG: n=18). Body composition data available for 33 participants (EG: n=16, CG: n=17).

Adverse events

One participant sustained a fall at home the day before post-testing and was unable to complete Phase 1 post-intervention assessment. No intervention-related adverse events or injuries occurred during the structured exercise sessions. No sessions were cancelled due to inclement weather or excessive heat during the intervention period.

Outcome measures

Primary outcomes: Physical function assessed by grip strength (kg), 5 Times Sit-to-Stand (seconds), 3m Timed Up and Go (seconds), 3m walking speed (m/s), and 6m walking speed (m/s), measured at baseline, post-intervention (12 weeks), and 6-week follow-up (18 weeks). Secondary outcomes: (1) Body composition including Body Fat Percentage (%), Body Mass Index (kg/m2), and Appendicular Skeletal Muscle Mass Index (kg), measured via Bioelectric Impedance Analysis at baseline, 12 weeks, and 18 weeks. (2) Autonomous practice frequency during Phase 2, assessed by park visit frequency (number of visits) and mean session duration (minutes) recorded via an electronic key fob-based clock-in system.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2020 Year 12 Month 29 Day

Date of IRB

2021 Year 01 Month 18 Day

Anticipated trial start date

2022 Year 05 Month 01 Day

Last follow-up date

2022 Year 11 Month 30 Day

Date of closure to data entry

2022 Year 11 Month 30 Day

Date trial data considered complete

2022 Year 11 Month 30 Day

Date analysis concluded

2024 Year 06 Month 30 Day


Other

Other related information

This trial was retrospectively registered. Data collection was completed in 2022. The study was conducted at Sanmin Park, Sanchong District, New Taipei City, Taiwan. IRB approval was obtained from the Research Ethics Center of National Taiwan Normal University (REC number: 202012HM028, approval date: January 18, 2021).


Management information

Registered date

2026 Year 08 Month 27 Day

Last modified on

2026 Year 08 Month 27 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000071797