Shi Ya, Stanmore Emma, McGarrigle Lisa, Todd Chris
Faculty of Biology, School of Health Sciences, Medicine & Health, University of Manchester, Manchester, United Kingdom.
School of Nursing & School of Public Health, Yangzhou University, Yangzhou, Jiangsu province, China.
PLoS One. 2025 Jan 3;20(1):e0303481. doi: 10.1371/journal.pone.0303481. eCollection 2025.
Despite the comparatively high prevalence of possible sarcopenia among young-old adults in the community, there is currently no available and effective social media-based intervention to increase the awareness and change the behavior of the target population to prevent sarcopenia. Using co-design methodology, we developed a multicomponent intervention strategy of health education and exercise for sarcopenia prevention utilizing the TikTok platform.
The primary purpose of this study is to examine the feasibility and acceptability of the social media-based intervention to enhance muscle function in community-dwelling young-old adults with possible sarcopenia.
This protocol outlines the entire research procedure for a prospective single-arm pre-post feasibility study employing a mixed-method design, which will be conducted between May 2024 and September 2024. Thirty-five older adults aged 60-69 years with possible sarcopenia will be recruited from two communities in Changsha, China. Using the TikTok platform, participants will be required to view a total of seven health education videos in the first week, and each video lasts four to six minutes. Then, participants will receive six-week multi-component exercise through TikTok, with at least three sessions/week, 30 minutes/session, and moderate intensity. Data collection will be conducted in baseline, week 1, 4, 7, 10 and 13. The primary outcomes will include evaluating recruitment capability, data collection procedure, outcome measurement, intervention procedures' acceptability, researchers' ability to manage and implement the study, among others. The secondary outcome is to compare standard measures for muscle function (e.g. handgrip strength, skeletal muscle mass, physical performance), body composition (e.g. body fat, body mass index, bone mineral), and other measures (e.g. perceived knowledge, personal motivation, behavioral skills). Finally, all participants will be offered a semi-structured interview to assess their in-depth experiences with the intervention and research process.
This study will be the first social-media based multicomponent intervention program for community young-old adults with possible sarcopenia to improve their muscle function, awareness and behavior of preventing sarcopenia. Findings will generate new evidence regarding the use of social media in health education for improving awareness of sarcopenia prevention, as well as the feasibility of using social media to influence participants' behavioral changes through exercise. This may help researchers identify ways to optimize acceptability and efficacy of the SHEEP intervention for the targeted population.
ISRCTN registry, ISRCTN17269170, Registered 14 September 2023.
尽管社区中年轻老年人中可能存在肌肉减少症的患病率相对较高，但目前尚无基于社交媒体的有效干预措施来提高目标人群对肌肉减少症的认识并改变其行为以预防肌肉减少症。我们采用协同设计方法，利用TikTok平台开发了一种用于预防肌肉减少症的健康教育和运动多组分干预策略。
本研究的主要目的是检验基于社交媒体的干预措施对改善社区中可能患有肌肉减少症的年轻老年人肌肉功能的可行性和可接受性。
本方案概述了一项前瞻性单臂前后可行性研究的整个研究程序，采用混合方法设计，将于2024年5月至2024年9月进行。将从中国长沙的两个社区招募35名年龄在60-69岁之间可能患有肌肉减少症的老年人。使用TikTok平台，参与者将在第一周总共观看七个健康教育视频，每个视频持续四到六分钟。然后，参与者将通过TikTok接受为期六周的多组分运动，每周至少三次，每次30分钟，强度适中。数据收集将在基线、第1、4、7、10和13周进行。主要结果将包括评估招募能力、数据收集程序、结果测量、干预程序的可接受性、研究人员管理和实施研究 的能力等。次要结果是比较肌肉功能的标准测量指标（如握力、骨骼肌质量、身体表现）、身体成分（如体脂、体重指数、骨矿物质）和其他指标（如感知知识、个人动机、行为技能）。最后，将对所有参与者进行半结构化访谈，以评估他们对干预和研究过程的深入体验。
本研究将是首个针对社区中可能患有肌肉减少症的年轻老年人的基于社交媒体的多组分干预计划，以改善他们的肌肉功能、对预防肌肉减少症的认识和行为。研究结果将为在健康教育中使用社交媒体提高对预防肌肉减少症的认识以及利用社交媒体通过运动影响参与者行为改变的可行性提供新的证据。这可能有助于研究人员确定优化针对目标人群的SHEEP干预措施的可接受性和有效性的方法。
ISRCTN注册库，ISRCTN17269170，20
