Adaptational outcomes through long-term group dance/movement therapy on the elderly and the influence of their physiological variation on such changes

目的：1.分析长期集体舞/动作疗法(DMT)对老年人的适应效果。2.探讨生理变化对其适应效果的影响。方法：将28名57~73岁健康老年人随机分为3组：DMT组(DMTG组)、步行训练组(Walk组)和静态活动组(Life组)。每组受试者在13周的时间里参加了16次90分钟的活动。2005年，22名使用老年日托中心的体弱受试者(66-95岁)被随机分配到DMTG和对照组(对照组)。大约在进行DMT的同时，控制组参加了正常的日托计划。所有受试者在10周的时间里参加了10次60分钟的活动。在这些实验中，我们评估了晨尿中与应激相关的激素水平，即17-酮类固醇-硫酸盐(KS)和17-羟基皮质类固醇(OH)。关于…的问卷调查更多的压力(2004)和情绪状态(2005)也被评估。结果与讨论：1.抗衰老活动标记物KS水平仅在DMTG(2004)组显著升高，DMTG和Life组的社会应激程度也有所降低，而Walk组的心理应激程度增加。因此，DMT计划被认为是全面改善老年人心身健康的计划。DMTG(2005)组在每一次训练中情绪的改善均好于对照组，而OH水平仅在DMTG组有所增加。因此，OH水平可能反映了DMT长期生理应激的存在。2.在两个实验中，受试者干预前KS水平越低，KS后水平增加越大。我们的发现表明，KS前水平(生理变化)可能因此影响这些活动的有效性。较少

Purpose :1.We analyzed the adaptational effects through long-term group dance/movement therapy (DMT) on the elderly.2.We investigated the impact of physiological variation on those effects.Methods :Twenty-eight healthy subjects (57-73 years old) were randomly allocated to the DMT group (DMTG), walking exercises group (Walk), and static activities group (Life) in 2004. The subjects in each group participated in sixteen 90-minute activity sessions over a 13-week period. Twenty-two frail subjects (66-95 years old) using day-care centers for the elderly were randomly allocated to the DMTG and the control group (Control) in 2005. Around the same time as DMT was carried out, the Control attended normal day-care programs. All subjects participated in ten 60-minute activity sessions over a 10-week period.During these experiments, we evaluated the levels of stress-related hormones, namely 17-ketosteroid-sulfate (KS) and 17-hydroxycorticosteroids (OH), in the morning urine. Questionnaires regard … More ing stress (2004) and emotional state (2005) were also evaluated. A statistical analysis was performed and p<0.05 was considered significant.Results and Discussion :1.The KS levels (the antisenescence activity marker) only significantly increased in the DMTG (2004), the degree of social stress also decreased in the DMTG and Life, however, the degree of psychological stress increased in the Walk. The DMT program was therefore considered to comprehensively improve the psychosomatic health of the elderly. The improvement in the emotion in the DMTG (2005) during each session was better than that in the Control, however, the OH levels increased only in the DMTG. Hence, the OH levels might reflect the presence of long-term physiological stress by DMT.2.The lower the pre-intervention-KS levels were in the subjects, the greater the post-KS levels increased during both experiments. Our findings suggest that the pre-KS levels (physiological variation) might therefore influence the effectiveness of these activities. Less