Acupoint Stimulation and Exercise for Taiwanese Pre-frail Older Adults

This study aims to explore the relationships between frailty, daily physical activity, sleep quality, and Traditional Chinese Medicine (TCM) constitutions among older adults in Taiwan. In the trial phase, a randomized controlled trial will be conducted specifically for pre-frail older adults. Participants will be randomly assigned to either the exercise training group (Vivifrail program) or the integrated group combining exercise with daytime and sleep-improving acupoint stimulation. The study evaluates the combined efficacy of these non-invasive interventions on reducing frailty severity, improving sleep, and enhancing daily physical functions.

Inclusion Criteria: 1. Individuals who are capable of undergoing frailty assessments. 2. Individuals who possess effective communication skills. 3. Aged 50 years or older. 4. Willing to provide written informed consent, keep a 7-day sleep diary, and complete related questionnaires. 5. Identified as pre-frail (frailty score of 1-2 points) according to the frailty phenotype criteria for the clinical trial phase. Exclusion Criteria: 1\. Individuals who are unwilling or unable to wear an actigraph (wrist monitor) or undergo physical measurements.