Journal of Korean Academic Society of Home Health Care Nursing (가정간호학회지)

Korean Academic Society of Home Health Care Nursing (한국가정간호학회)
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Effect of the Tai Chi Exercise Program on Physical Function, Cognitive Function, and Quality of Life among Older Adults in the Community: A Preliminary Study

타이치운동 프로그램이 지역사회 거주 노인의 신체기능, 인지기능 및 삶의 질에 미치는 효과: 인지기능을 중심으로-예비조사 연구

  • Received : 2023.08.23
  • Accepted : 2023.10.15
  • Published : 2023.12.31
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Abstract

Purpose: To assess the feasibility, safety, and preliminary estimates of effectiveness of Tai Chi on the functional outcomes of older adults in the community. Methods: This was a mixed-method study that employed a single-group repeated measure design and in-depth interviews. Nine older adults were recruited from the community were recruited to participate in a Tai Chi program, conducted twice weekly for 6 months. Research outcomes included physical function, cognitive function, and quality of life, measured at intervals of 3 and 6 months. Findings: Tai Chi exercises were gradually conducted based on the health status of the older adults. All participants actively participated in the program with an average attendance of 90%. Consequently, the participants showed significant improvements in mobility and their memory recall ability at both 3 and 6 months. Additionally, the results of the Stroop test exhibited improvement 3 months after the commencement of the study program. Quality of life of the participants improved according to the mild cognitive impairment questionnaire, but it did not show significant improvement in health-related quality of life. Conclusion: The Tai Chi exercise program was a safe and, feasible program to improve the physical function, cognitive function, quality of life among the older adults in the community.

Keywords

Acknowledgement

The authors would like to thank all the participants and all staff at Tai Chi for Health Education and Research Center.

References

  1. Ministry of health and Welfare. Health and welfare statistical year book 2021[Internet]. 2021 Dec[cited 2022 May 22] p.42. Available from: http://www.mohw.go.kr/upload/viewer/skin/doc.html?fn=1644827056243_20220214172418.hwp&rs=/upload/viewer/result/202208/
  2. Kim SH, & Han SH. Prevalence of dementia among the South Korean population. The Journal of Korean Diabetes. 2012;13(3):124-128. https://doi.org/10.4093/jkd.2012.13.3.124
  3. Winblad B, Palmer K, Kivipelto M, Jelic V, Fratiglioni L, Wahlund LO et al. Mild cognitive impairment-beyond controversies, towards a consensus: Report of the International Working Group on Mild Cognitive Impairment. Journal of internal medicine. 2004;256(3):240-246. https://doi.org/10.1111/j.1365-2796.2004.01380.x
  4. Zelinski EM, Gilewski MJ. A 10-item Rasch modeled memory self-efficacy scale. Aging & mental health. 2004; 8(4):293-306. https://doi.org/10.1080/13607860410001709665
  5. Gallagher D, Fischer CE, Iaboni A. Neuropsychiatric symptoms in mild cognitive impairment: an update on prevalence, mechanisms, and clinical significance. The Canadian Journal of Psychiatry. 2017;62(3):161-9. https://doi.org/10.1177/0706743716648296
  6. Brenowitz WD, Kukull WA, Beresford SA, Monsell SE, Williams EC. Social relationships and risk of incident mild cognitive impairment in US Alzheimer's disease centers. Alzheimer disease and associated disorders. 2014;28(3): 253-260. https://doi.org/10.1097/WAD.0000000000000020
  7. Arsland D, Engedal KA, Nygaard HA, Louhija J, Ulstein I, Holm M. Cholinesterase inhibitors in Norway-effectiveness and side effects in clinical practice. Tidsskrift for den Norske Laegeforening: Tidsskrift for Praktisk Medicin, ny Raekke. 2003;123(11):1500-1503.
  8. Thomas E, Battaglia G, Patti A, Brusa J, Leonardi V, Palma A, Bellafiore M. Physical activity programs for balance and fall prevention in elderly: A systematic review. Medicine. 2019;98(27):e16218 https://doi.org/10.1097/MD.0000000000016218
  9. Nagamatsu LS, Handy TC, Hsu CL, Voss M, Liu-Ambrose T. Resistance training promotes cognitive and functional brain plasticity in seniors with probable mild cognitive impairment. Archives of internal medicine. 2012;172(8):666-668. https://doi.org/10.1001/archinternmed.2012.379
  10. Guiney H, Lucas SJ, Cotter JD, Machado L. Evidence cerebral blood-flow regulation mediates exercise-cognition links in healthy young adults. Neuropsychology. 2015;29(1): 1-9. https://doi.org/10.1037/neu0000124
  11. Cotman CW, Berchtold, NC. Exercise: a behavioral intervention to enhance brain health and plasticity. Trends in neurosciences. 2012;25(6):295-301. https://doi.org/10.1016/S0166-2236(02)02143-4
  12. Rambod M, Ghodsbin F, Moradi A. The association between body mass index and comorbidity, quality of life, and cognitive function in the elderly population. International Journal of community based Nursing and Midwifery. 2020;8(1):45-54.  https://doi.org/10.30476/IJCBNM.2019.81677.0
  13. People's Sport Publishing Company. Tai chi chuanencyclopedia. People's Sport Publishing Company. 1992;457-465.
  14. Lelard T, Doutrellot PL, David P, Ahmaidi S. Effects of a 12-week Tai Chi Chuan program versus a balance training program on postural control and walking ability in older people. Archives of Physical Medicine and Rehabilitation, 2010;91(1):9-14. https://doi.org/10.1016/j.apmr.2009.09.014
  15. Li JX, Xu DQ, Hong Y. Effects of 16-week Tai Chi intervention on postural stability and proprioception of knee and ankle in older people. Age and Ageing. 2008;37(5):575-578. https://doi.org/10.1093/ageing/afn109
  16. Chang JY, Tsai PF, Beck C, Hagen JL, Huff DC, Anand KJ, et al. The Effect of Tai Chi on Cognition In Elders with Cognitive Impairment. Medsurg Nursing. 2011;20(2):63-70.
  17. Chang, YK, Nien, YH, Tsai, CL, & Etnier, JL. Physical activity and cognition in older adults: The potential of Tai Chi Chuan. Journal of Aging and Physical Activity. 2010; 18(4):451-472.
  18. Shan-Shan Wu, Dong-Keun Kang, Hong-Qing Ji, Jung-Jun Park. Effect of Tai Chi Exercise on Cognitive Function and Functional Fitness in Elderly Women With Dementia. Exercise Science. 2015;24(2):169-175. https://doi.org/10.15857/ksep.2015.24.2.169
  19. Wayne PM, Walsh JN, Taylor-Piliae RE, Wells RE, Papp KV, Donovan NJ, et al. Effect of Tai Chi on cognitive performance in older adults: Systematic review and meta- Analysis. Journal of the American Geriatrics Society. 2014 Jan;62(1):25-39. https://doi.org/10.1111/jgs.12611
  20. Yang J, Zhang L, Tang Q, Wang F, Li Y, Peng H. & Wang, S. Tai Chi is effective in delaying cognitive decline in older adults with mild cognitive impairment: evidence from a systematic review and meta-analysis. Evidence-Based Complementary and Alternative Medicine. 2020;e3620534: 1-11. https://doi.org/10.1155/2020/3620534
  21. Cheng ST, Chow PK, Song YQ, Edwin CS, Chan AC, Lee TM. Mental and physical activities delay cognitive decline in older persons with dementia. The American Journal of Geriatric Psychiatry. 2014;22(1):63-74. https://doi.org/10.1016/j.jagp.2013.01.060
  22. Song R, Park M, Jung M, Kim, H, Lee, H. Effect of a Tai Chi-Based Exercise Program on Cognitive Function Among Older Adults With Dementia. Innovation in Aging. 2020;4(1): 186-187. https://doi.org/10.1093/geroni/igaa057.604
  23. Birkett MA, Day SJ. Internal pilot studies for estimating sample size. Statistics in medicine. 1994;13(23-24):2455-2463. https://doi.org/10.1002/sim.4780132309
  24. Kim YJ, Kim CS, Park IH. Effects of aquatic exercise program on pain, flexibility, grip strength, self-care activities and helplessness in patients having osteoarthritis. Journal of Muscle and Joint Health, 2004;11(2):127-135.
  25. Kim HL, So HY, Song, RY. Effects of Tai Chi exercise on physical fitness, bone mineral density, and fracture risk in institutionalized elderly.Journal of Korean Academy of Fundamentals of Nursing. 2010;17(3):334-342.
  26. Shumway-Cook A, Brauer S, Woollacott M. Predicting the probability for falls in community-dwelling older adults using the Timed Up & Go Test. Physical therapy. 2000;80(9): 896-903. https://doi.org/10.1093/ptj/80.9.896
  27. Nasreddine ZS, Phillips NA, Bedirian V, Charbonneau S, Whitehead V, Collin I. The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. Journal of the American Geriatrics Society. 2005;53(4): 695-699. https://doi.org/10.1111/j.1532-5415.2005.53221.x
  28. Kang Y, Park J, Yu K, Lee B. A Reliability, Validity, and Normative Study of the Korean-Montreal Cognitive Assessment(K-MoCA) as an Instrument for Screening of Vascular Cognitive Impairment(VCI). Korean Journal of Clinical Psychology. 2009;28(2):549-562. https://doi.org/10.15842/kjcp.2009.28.2.013
  29. Lee SH, Kang Y, Song M, Kim GH, Jeong JH. A Comparison of the Performance between the 60-and 120-Second Conditions of the Korean-Color Word Stroop Test: Color Reading (K-CWST: CR). Dementia and Neurocognitive Disorders. 2021;20(4):62-69. https://doi.org/10.12779/dnd.2021.20.4.62
  30. Ware JE, Kosinski M, Keller SD. A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Medical care. 1996;34(3):220-233. https://doi.org/10.1097/00005650-199603000-00003
  31. Dean K, Jenkinson C, Wilcock G, Walker Z. The development and validation of a patient-reported quality of life measure for people with mild cognitive impairment. International psychogeriatrics, 2014;26(3):487-497. https://doi.org/10.1017/S1041610213002251
  32. Song R, Gang M, Park M, Park M, Jang M, Hwang I, et al. Validity and reliability of K-MCQ to assess quality of life of older adults with mild cognitive impairment. Journal of Korean Gerontological Nursing. 2021;23(2):164-175. https://doi.org/10.17079/jkgn.2021.23.2.164
  33. Dehaene H, De Neve J, Rosseel Y. A Wilcoxon-Mann- Whitney test for latent variables. Frontiers in Psychology. 2021;12:754898. https://doi.org/10.3389/fpsyg.2021.754898
  34. Huckans M, Hutson L, Twamley E, Jak A, Kaye J, Storzbach D. Efficacy of cognitive rehabilitation therapies for mild cognitive impairment (MCI) in older adults: working toward a theoretical model and evidence-based interventions. Neuropsychology Review. 2013;23(1):63-80. https://doi.org/10.1007/s11065-013-9230-9
  35. Bherer L, Erickson K, Liu-Ambrose T. Physical exercise and brain functions in older adults. Journal of Aging Research. 2013;e197326. https://doi.org/10.1155/2013/197326
  36. Mitchell WK, Williams J, Atherton P, Larvin M, Lund J, Narici M. Sarcopenia, dynapenia, and the impact of advancing age on human skeletal muscle size and strength; A quantitative review. Frontiers in Physiology. 2012;3:260. https://doi.org/10.3389/fphys.2012.00260