A comparison of two Tai Chi interventions tailored for different health outcomes
| Autor: | Ken Zaborowski, Yin Wu, Cindy Senk, Beth A. Taylor, Susan S. Glenney, Crystal L. Park, Ming-Hui Chen, Matt McGowan, Kirsten Benson, Richard H. Fortinsky, Linda S. Pescatello, Patrick P. Coll, Slyvia DiBiasi |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Complementary and Manual Therapy
Male Balance Functional training medicine.medical_specialty Activities of daily living Psychological intervention Diastole law.invention 03 medical and health sciences Other systems of medicine 0302 clinical medicine Randomized controlled trial law Outcome Assessment Health Care Medicine Humans 030212 general & internal medicine Exercise Postural Balance Balance (ability) Aged Advanced and Specialized Nursing Complimentary medicine business.industry Exercise Therapy Blood pressure Complementary and alternative medicine Older adults Physical therapy Female Tai Ji business Body mass index 030217 neurology & neurosurgery RZ201-999 |
| Zdroj: | Complementary Therapies in Medicine, Vol 59, Iss, Pp 102731-(2021) |
| ISSN: | 0965-2299 |
| Popis: | Objectives We compared the health benefits of two different Tai Chi interventions tailored for improving blood pressure (BP) (PRESSURE) or balance (BALANCE). Design randomized controlled trial. Setting Community dwelling older adults (≥60yr) practiced Tai Chi at the fitness center of a continuous care community. Interventions We tailored PRESSURE to emphasize breathing techniques and mental relaxation and BALANCE to emphasize movement principles that challenged balance. Subjects were randomized to PRESSURE (n = 12), BALANCE (n = 13), or CONTROL (n = 10). Tai Chi was practiced 3 sessions/wk, 60 min/session for 12 wk. CONTROL performed normal daily activities. Main outcome measures We compared the change in cardiometabolic health, balance, and functional fitness between groups with ANCOVA using baseline values, age, and body mass index as covariates. Results Subjects were physically active, Tai Chi naive (97.1 %), white, mostly female (82.9 %), and older (78.9 ± 5.7 yr) with resting systolic BP (SBP) of 126.5 ± 14.4 mmHg and diastolic BP of 69.3 ± 8.4 mmHg. PRESSURE significantly improved Chair Sit-to-Stand Test (CSTS) (1.0 ± 1.8 vs.−0.6 ± 0.8times/30s,p = 0.03) versus CONTROL, and gait speed (12.8±43.3 vs.−24.1±22.4cm/sec, p = 0.02) versus BALANCE. Meanwhile, BALANCE significantly improved Single Leg Stance Test (5.4±18.0 vs.−8.2±10.3 s, p = 0.049) and CSTS (1.0±1.7 vs.−0.6±0.8times/30s, p = 0.03), and tended to lower SBP (-4.2±16.0 vs. 3.5±8.3mmHg, p = 0.052) versus CONTROL. Conclusion Within 3 months, Tai Chi improved several health outcomes independent of the type of practice among physically active, Tai Chi naive older adults. Therefore, healthcare and exercise professionals may recommend Tai Chi to physically active older adults without specifying the type of practice. |
| Databáze: | OpenAIRE |
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