A Feasibility Study of a Chinese Qigong Mind-Body Exercise Program for Healthy Aging in Older Community-dwelling Low-income Latino Adults (Preprint)

2021 ◽  
Author(s):  
Zenong Yin ◽  
Cristina E Martinez ◽  
Shiyu Li ◽  
Martha Martinez ◽  
Kezhi Peng ◽  
...  

BACKGROUND Research is sparse in translating the evidence of mind-body exercise to benefit older Latinx with limited access to quality healthy aging program. OBJECTIVE To evaluate the feasibility of Function Improvement Exercises for Older Sedentary Community-Dwelling Latino Residents (FE-SaLiR), a Community Health Worker (CHW)-led, mobile health technology-facilitated Chinese Qigong mind-body exercise program for healthy aging, and to measure its impact on physical and cognitive function and quality of life in older Latinx adults in a 2-phased study. METHODS In phase 1, a working group of seniors, CHWs, and senior center staff guided the design of a culturally tailored program. In phase 2, 49 older Latinx adults participated in a 3-arm controlled study to test the feasibility and preliminary effect of FE-SaLiR over 16 weeks. RESULTS We found favorable results in participant’s recruitment, retention, and fidelity of implementation, and preliminary effect on intervention outcome measures. CONCLUSIONS FE-SaLiR is feasible for promoting healthy aging in older Latinx adults; future research needs to compare its feasibility with low-impact exercise programs for healthy aging. CLINICALTRIAL ClinicalTrials.gov NCT04284137

Author(s):  
Yu-Tzu Wu ◽  
◽  
Linda Clare ◽  
Ian Rees Jones ◽  
Sharon M. Nelis ◽  
...  

Abstract Purpose The aim of this study was to investigate the associations between quality of life and both perceived and objective availability of local green and blue spaces in people with dementia, including potential variation across rural/urban settings and those with/without opportunities to go outdoors. Methods This study was based on 1540 community-dwelling people with dementia in the Improving the experience of Dementia and Enhancing Active Life (IDEAL) programme. Quality of life was measured by the Quality of Life in Alzheimer’s Disease (QoL-AD) scale. A list of 12 types of green and blue spaces was used to measure perceived availability while objective availability was estimated using geographic information system data. Regression modelling was employed to investigate the associations of quality of life with perceived and objective availability of green and blue spaces, adjusting for individual factors and deprivation level. Interaction terms with rural/urban areas or opportunities to go outdoors were fitted to test whether the associations differed across these subgroups. Results Higher QoL-AD scores were associated with higher perceived availability of local green and blue spaces (0.82; 95% CI 0.06, 1.58) but not objective availability. The positive association between perceived availability and quality of life was stronger for urban (1.50; 95% CI 0.52, 2.48) than rural residents but did not differ between participants with and without opportunities to go outdoors. Conclusions Only perceived availability was related to quality of life in people with dementia. Future research may investigate how people with dementia utilise green and blue spaces and improve dementia-friendliness of these spaces.


2015 ◽  
Vol 9 (3) ◽  
pp. 123-132 ◽  
Author(s):  
Elizabeth A. Schlenk ◽  
Joni Vander Bilt ◽  
Wei-Hsuan Lo-Ciganic ◽  
Mini E. Jacob ◽  
Sarah E. Woody ◽  
...  

2018 ◽  
Vol 34 (2) ◽  
pp. 95-103 ◽  
Author(s):  
Flávia Borges-Machado ◽  
Óscar Ribeiro ◽  
Arnaldina Sampaio ◽  
Inês Marques-Aleixo ◽  
Joana Meireles ◽  
...  

This quasi-experimental, nonrandomized study examined the feasibility and impact of a multicomponent (MT) intervention on 7 community-dwelling individuals diagnosed with probable Alzheimer’s disease (AD) at mild to moderate stage. During 6 months, patients with AD and their caregivers were submitted to a biweekly exercise program, including muscle strengthening, aerobics, balance, and postural exercises. The following tests were used: Senior Fitness Test and Incremental Treadmill Test, Disability Assessment for Dementia Scale, Alzheimer Disease Assessment Scale–Cognitive, and Quality of Life–Alzheimer’s. Attendance and retention mean rates were high (86% and 78%, respectively). No adverse events occurred. Results revealed a significant beneficial effect on cardiorespiratory fitness ( P = .028), upper ( P = .018) and lower ( P = .026) body muscle strength, agility ( P = .018), and ability to perform daily activities ( P = .018). Data suggest that a biweekly MT intervention is feasible to conduct in patients with AD. Findings also suggest a potential positive effect on mitigating cognitive decline and in positively influencing quality of life.


2016 ◽  
Vol 17 (3) ◽  
pp. 209-221
Author(s):  
M. D. Thomas ◽  
A. McGrath ◽  
C. E. Skilbeck

Background and aims: The Quality of Life Inventory (QOLI, Frisch, 1994) manual states that in most cases QOLI total scores are invalid when two or more of the 16-domain scores are missing. The current study aimed to investigate this guideline.Methods: Two samples were utilised consisting of 259 community-dwelling adults and 144 adults surveyed 12 months following traumatic brain injury (TBI). First, the domains of the QOLI were regressed against Quality of Life Index (QLI) total scores. Second, a series of Receiver Operator Curve analyses systematically investigated the sensitivity of QOLI scores in detecting depression, as identified by the HADS and DASS.Results: The final model predicting QLI scores comprised seven of the 16-QOLI domains, R2 = .57, and accounted for equivalent variance to the full 16-domain model, R2 = .59. With as few as seven domains, the sensitivity of QOLI scores in identifying participants with depression was very good and equivalent to the complete 16-QOLI domain total score (>76%). Similar results were observed when these analyses were replicated within the sample with TBI.Conclusions: These findings showed the QOLI was more robust to missing domain scores than the current validity guidelines stated in the scale's manual suggest. Future research could determine the core domains of the QOLI in a range of samples including adolescents and specific clinical groups.


2006 ◽  
Vol 155 (6) ◽  
pp. 867-875 ◽  
Author(s):  
Laurence Katznelson ◽  
Mara W Robinson ◽  
Caryn L Coyle ◽  
Hang Lee ◽  
Christina E Farrell

Objective: One of the factors that may promote deterioration in quality of life and body composition in elderly men is the relative decline in serum testosterone levels with aging. In this study, we assessed the effects of modest doses of testosterone and a home-based strengthening program on quality of life and body composition in elderly men with relative testosterone insufficiency. Design: Double-blind, placebo-controlled randomized study (testosterone), and additional randomization to a resistance exercise program or no additional exercise for 12 weeks in men between ages of 65 and 85 years with relative testosterone insufficiency. Methods: Seventy sedentary, community dwelling men were randomized to a 5 mg testoderm transdermal system applied daily vs placebo system, and additionally randomized to a home-based resistance exercise program. Subjects were randomized to Group 1 (testosterone plus exercise), Group 2 (testosterone plus no exercise), Group 3 (placebo plus exercise), and Group 4 (placebo plus no exercise). Endpoints included quality of life (assessed by the short form-36 questionnaire) and body composition (measured by dual x-ray absorptiometry scan). Results: Serum testosterone increased by a mean of 10.0 ± 1.9, 6.6 ± 1.6, 0.52 ± 0.6, and 0.5 ± 0.6 nmol/l in Groups 1, 2, 3, and 4 respectively. There was a significant interaction of testosterone and exercise on quality of life in the domains of physical functioning (P = 0.03), role physical (P = 0.01), general health (P = 0.049), and social functioning (P = 0.04). There were no effects of testosterone or exercise on quality of life alone, nor in body composition parameters. Conclusions: Modest testosterone supplementation to elderly men with relative testosterone insufficiency improved quality of life when accompanied by an exercise program. The combination of testosterone and exercise may be an important strategy in the elderly, though further studies are necessary to determine the long-term impact on body composition and function and for analysis of risk/benefit ratios as well.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 349-349
Author(s):  
Li-Fan Liu

Abstract It has been well documented that socioeconomic factors influence lifestyle behaviors and all the physical and mental status at the individual level do matters for elderly people experiencing healthy aging. This study aimed to explore to what extent the healthy lifestyle including exercise and social participation influence on the health status of the community dwellings and their quality of life in Taiwan. Using a cross-sectional survey design, 1032 adults, aged ≥ 50 years, were interviewed with complete data from four communities in southern Taiwan. The results showed that for older community dwellings adults, doing exercise was significantly associated with feeling less stress, less depress, higher life satisfaction and higher quality of life (p<0.001). Being volunteers was found to be significantly associated with better quality of life (p<0.001). In the aging society, it is necessary to apply multifaceted approaches extending from individual solutions to public policy efforts in promoting healthier lifestyles.


Author(s):  
Michiko Watanabe ◽  
Yugo Shobugawa ◽  
Atsushi Tashiro ◽  
Asami Ota ◽  
Tsubasa Suzuki ◽  
...  

Poor sleep is associated with lifestyle, however, few studies have addressed the association between sleep quality and the neighborhood environment. This study aimed to investigate the associations between living environment factors and sleep quality in older people. Participants were community-dwelling people aged ≥65 years who participated in the 2010 Japanese Gerontological Evaluation Study. The data of 16,650 people (8102 men, 8548 women) were analyzed. Sleep quality (good or poor) was evaluated using a self-administered questionnaire. Multilevel Poisson regression analysis stratified by depressive status (measured by the Geriatric Depression Scale-15 [GDS]) was conducted with sleep quality as the dependent variable and social and physical environmental factors as explanatory variables. The 12,469 non-depressive respondents and 4181 depressive respondents were evaluated. The regression analysis indicated that non-depressive participants slept better if they lived in environments with few hills or steps (prevalence ratio [PR] = 0.75, 95% CI: 0.56–0.9) and with places where they felt free to drop in (PR = 0.51, 95% CI: 0.26–0.98). For depressive participants, these associations were not evident. Living alone, poor self-rated health, low income, and unemployment were associated with poor sleep quality. In addition to support with these individual factors, improving environmental factors at the neighborhood level may improve the sleep quality of community-dwelling older adults.


2017 ◽  
Vol 2 (6) ◽  
pp. 105
Author(s):  
Azliyana Azizan ◽  
Maria Justine ◽  
Noor Amiera Alias

Active participation in exercise may help to improve physical and psychological functions for older people. Regretfully, most of them do not engage in long term exercise due to several barriers. This puts them at high risk of may chronic illness that will limit their activities of daily living. The aim of this study is to determine the effectiveness of the behavioral and exercise program on cardio respiratory fitness among 63 community-dwelling olders. At the end of six months, there is a significant difference for cardio respiratory fitness and exercise engagement. Thus, improved their overall quality of life.


Author(s):  
Ekin Ilke Sen ◽  
Sibel Eyigor ◽  
Merve Dikici Yagli ◽  
Zeynep Alev Ozcete ◽  
Tugba Aydin ◽  
...  

In the prospective, randomized, controlled multicenter study, 100 patients who were clinically diagnosed with sarcopenia were assigned to either a home-based exercise group or a control group. The home-based training program included exercises with gradually increasing intensity comprising posture, stretching and upper- and lower-extremity muscle-strengthening exercises, balance and coordination exercises, and gait training. Before and 3 months after the exercise program, all the patients were evaluated. The 6-min walking test and Berg Balance Scale scores increased significantly after 3 months in the home-based exercise group compared with the controls. There was also a significant decrease in timed up and go test scores and a significant improvement in quality of life in the exercise group compared with the control group. Our findings indicated that a home-based exercise program can have a positive effect on physical function, balance, and quality of life in patients with sarcopenia.


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