Effects of Mindfulness-Based Tai Chi Chuan on Physical Performance and Cognitive Function among Cognitive Frailty Older Adults: A Six-Month Follow-Up of a Randomized Controlled Trial
Effects of Mindfulness-Based Tai Chi Chuan on Physical Performance and Cognitive Function among Cognitive Frailty Older Adults: A Six-Month Follow-Up of a Randomized Controlled Trial
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DOI：
10.14283/jpad.2021.40
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发表时间：
2021-07-05
影响因子：
6.4
通讯作者：
Xue, Y.
中科院分区：
文献类型：
--
作者：
Jiayuan, Z.;Xiang-Zi, J.;Xue, Y.
背景目标：评估基于正念的太极拳对认知脆弱老年人的身体表现和认知功能的有效性。设计：单盲、三组随机对照试验。设置三个社区在大庆，中国。参与者研究样本包括93名年龄在65岁或以上的男性和女性，他们能够在没有帮助工具的情况下行走超过10米，临床痴呆评分（CDR）为0.5，没有并发痴呆，确定了虚弱前（Fried虚弱标准评分为1-2）和虚弱老年人（Fried虚弱标准评分为3-5）。干预受试者被随机分配到三组：组1，接受正念干预（正式和非正式的正念练习）;组2，接受太极拳干预;组3，接受MTCC干预。主要结果是认知虚弱率（用Fried Frailty Criteria和Clinical Dementia Rating-CDR测量），次要结果是认知功能（用Min-Mental State Examination-MMES测量）和身体水平（用Short Physical Performance Battery-SPPB，Timed up and Go test-TUG和30秒椅子测试测量）。分别在时间1基线、时间2干预6个月后和随访（时间3干预6个月后半年）时进行评估。结果各组基线特征无差异。认知功能（MMES）、体能（SPPB、TUG、30秒椅子测试）的改善在时间组交互作用之间有显著差异（p
Background The Objective: To assess the effectiveness of a mindfulness-based Tai Chi Chuan on physical performance and cognitive function among cognitive frailty older adults. Design A single-blind,three-arm randomized controlled trial. Setting Three communities in Daqing, China. Participants The study sample comprised 93 men and women aged 65 years or older who were able to walk more than 10 m without helping tools, scored 0.5 on Clinical Dementia Rating (CDR) and absence of concurrent dementia, identified pre-frailty (scored 1-2 on Fried Frailty Criteria) and frailty older adults (scored 3-5 on Fried Frailty Criteria). Intervention Subjects were randomly allocated to three groups: Group1, which received mindfulness intervention (formal and informal mindfulness practices); Group 2, which received Tai-Chi Chuan intervention; Group 3, which received MTCC intervention. Measurements The primary outcomes was cognitive frailty rate(measured by Fried Frailty Criteria and Clinical Dementia Rating-CDR), the secondary outcome were cognitive function (measured by Min-Mental State Examination-MMES) and physical level (measured by Short physical performance battery-SPPB, Timed up and Go test-TUG and the 30-second Chair test). They were all assessed at Time 1-baseline, Time 2-after the end of 6-month intervention and the follow up (Time 3-half year after the end of 6-month intervention). Results The baseline characteristics did not differ among the groups. Improvements in the cognitive function (MMES), physical performance (SPPB, TUG, 30-second Chair test) were significantly difference between time-group interaction (p