Functional fitness and fall risk in older adults practitioners or non-practitioners of Tai Chi


Submitted: 14 January 2023
Accepted: 27 April 2023
Published: 18 May 2023
Abstract Views: 612
PDF: 366
HTML: 6
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

Tai chi is a fundamental tool that has a significant influence on balance, motor function and fear of falling among older adults. The objective of the study was to verify functional fitness and fall risk in older adults (OA) practitioners and non-practitioners of Tai Chi. An ex-post-facto study was carried out in practicing and non-practicing OA of Tai chi. The sample selection was non-probabilistic (convenience). Thirty-one adults with an age range of 65 to 80 years were studied. Two study groups were formed: Group practicing Tai Chi [GPT (n= 15 subjects)] and Group not practicing Tai Chi [GNPT (n= 16 subjects)]. Age, weight, height, waist circumference were assessed. Body mass index (BMI) and fat mass (FM) were calculated. Five functional fitness tests were assessed: biceps curl (30sec), Chair stand (30sec), agility (sec), 2min walk (#rep) and 6min-1 walk (m). Fall risk was measured using a 13-item scale. The GPT showed better performance in all five functional fitness tests (biceps curl, Chair stand, agility, 2min gait and 6min walk) compared to the GPT. The effect size (ES: ~0.20 to 0.48) and Cohen's d (~ 0.39 to 1.10) between both groups were medium to large. There were also differences between the mean values in fall risk between both groups (GNPT: 2.1±1.7points and GNPT: 4.7±1.9points, p<0.05). This study demonstrated that the group of OA practicing Tai Chi presented better levels of functional fitness and less risk of falling in relation to their counterparts who did not practice Tai Chi. These results suggest including this type of old-time exercise in physical activity programs that promote functional fitness wellness and fall prevention among OA


Podsiadlo D, Richardson S. The timed "Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991. Feb;39(2):142-148. PMID: 1991946. DOI: https://doi.org/10.1111/j.1532-5415.1991.tb01616.x

Singh DK, Pillai SG, Tan ST, Tai CC, Shahar S. Association between physiological falls risk and physical performance tests among community-dwelling older adults. Clin Interv Aging. 2015 Aug 13;10:1319-26. PMID: 26316727; PMCID: PMC4541555. DOI: https://doi.org/10.2147/CIA.S79398

Zhao Y, Chung PK. Differences in Functional Fitness Among Older Adults With and Without Risk of Falling. Asian Nurs Res (Korean Soc Nurs Sci). 2016 Mar;10(1):51-5. Epub 2016 Jan 21. PMID: 27021835 DOI: https://doi.org/10.1016/j.anr.2015.10.007

Ho HH, Fang IY, Yu YC, Huang YP, Kuo IL, Wang LT, Tsai MC, Chang SH, Hsueh MC. Is functional fitness performance a useful predictor of risk of falls among community-dwelling older adults? Arch Public Health. 2021 Jun 18;79(1):108. PMID: 34144712; PMCID: PMC8212534 DOI: https://doi.org/10.1186/s13690-021-00608-1

Lu J, Guo QQ, Wang Y, Zuo ZX, Li YY. The Evolutionary Stage of Cognitive Frailty and Its Changing Characteristics in Old Adults. J Nutr Health Aging. 2021;25(4):467-478. PMID: 33786564. DOI: https://doi.org/10.1007/s12603-020-1560-8

Mortazavi H, Tabatabaeichehr M, Golestani A, Armat MR, Yousefi MR. The Effect of Tai Chi Exercise on the Risk and Fear of Falling in Older Adults: a Randomized Clinical Trial. Mater Sociomed. 2018 Mar;30(1):38-42. PMID: 29670476; PMCID: PMC5857038. DOI: https://doi.org/10.5455/msm.2018.30.38-42

Burns ER, Stevens JA, Lee R. The direct costs of fatal and non-fatal falls among older adults - United States. J Safety Res. 2016 Sep;58:99-103. Epub 2016 May 28. PMID: 27620939; PMCID: PMC6823838 DOI: https://doi.org/10.1016/j.jsr.2016.05.001

Speechley M. Unintentional falls in older adults: a methodological historical review. Can J Aging. 2011 Mar;30(1):21-32. Epub 2011 Mar 1. PMID: 21356155. DOI: https://doi.org/10.1017/S0714980810000735

Bretan O. Plantar cutaneous sensitivity as a risk for falls in the elderly. Rev Assoc Med Bras (1992). 2012 Mar-Apr;58(2):132. English, Portuguese. PMID: 22569603 DOI: https://doi.org/10.1016/S2255-4823(12)70169-8

Goodwin VA, Abbott RA, Whear R, et al. Multiple component interventions for preventing falls and fall-related injuries among older people: systematic review and meta-analysis. BMC Geriatr. 2014;14:15. Published 2014 Feb 5. DOI: https://doi.org/10.1186/1471-2318-14-15

Garber CE, Blissmer B, Deschenes MR, Franklin BA, Lamonte MJ, Lee IM, Nieman DC, Swain DP; American College of Sports Medicine. American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc. 2011 Jul;43(7):1334-59. PMID: 21694556. DOI: https://doi.org/10.1249/MSS.0b013e318213fefb

Papalia GF, Papalia R, Diaz Balzani LA, Torre G, Zampogna B, Vasta S, Fossati C, Alifano AM, Denaro V. The Effects of Physical Exercise on Balance and Prevention of Falls in Older People: A Systematic Review and Meta-Analysis. J Clin Med. 2020 Aug 11;9(8):2595. PMID: 32796528; PMCID: PMC7466089. DOI: https://doi.org/10.3390/jcm9082595

Taggart HM. Effects of Tai Chi exercise on balance, functional mobility, and fear of falling among older women. Appl Nurs Res. 2002 Nov;15(4):235-42. PMID: 12444582. DOI: https://doi.org/10.1053/apnr.2002.35975

Song QH, Shen GQ, Xu RM, Zhang QH, Ma M, Guo YH, Zhao XP, Han YB. Effect of Tai Chi exercise on the physical and mental health of the elder patients suffered from anxiety disorder. Int J Physiol Pathophysiol Pharmacol. 2014 Mar 13;6(1):55-60. PMID: 24665359; PMCID: PMC3961102.

Huang ZG, Feng YH, Li YH, Lv CS. Systematic review and meta-analysis: Tai Chi for preventing falls in older adults. BMJ Open. 2017 Feb 6;7(2):e013661. PMID: 28167744; PMCID: PMC5293999. DOI: https://doi.org/10.1136/bmjopen-2016-013661

Huston P, McFarlane B. Health benefits of tai chi: What is the evidence? Can Fam Physician. 2016 Nov;62(11):881-890. PMID: 28661865; PMCID: PMC9844554.

Wayne P, Fuerst M. The Harvard medical school guide to Tai Chi: 12 weeks to a healthy body, strong heart & sharp mind. Colorado: Shambhala. 2013.

Rubenstein LZ, Vivrette R, Harker JO, Stevens JA, Kramer BJ. Validating an evidence-based, self-rated fall risk questionnaire (FRQ) for older adults. J Safety Res. 2011 Dec;42(6):493-9. Epub 2011 Nov 17. PMID: 22152267. DOI: https://doi.org/10.1016/j.jsr.2011.08.006

Ross W.D, Marfell-Jones M.J. Kinanthropometry. Physiological Testing of Elite Athlete; Human Kinetics: Champaign, IL, USA, 1991; pp.223-308

Cossio Bolaños M, Vidal-Espinoza R, Campos LFCC, Sulla-Torres J, Urra Albornoz C, Gatica-Mandiola P, Gómez-Campos R. Validez de ecuaciones y propuesta de valores referenciales para estimar la masa grasa de adultos mayores [Development of equations based on Body Mass Index to estimate fat mass in older people]. Rev Med Chil. 2020 Sep;148(9):1246-1253. Spanish. PMID: 33399699. DOI: https://doi.org/10.4067/S0034-98872020000901246

Rikli RE, Jones CJ. Senior fitness test manual (2nd ed.). Champaign, IL: Human Kinetics. 2013.

Cohen J. Statistical Power Analysis for the Behavioral Sciences (2nd ed.). Routledge. 1988.

Tsang WW, Wong VS, Fu SN, Hui-Chan CW. Tai Chi improves standing balance control under reduced or conflicting sensory conditions. Arch Phys Med Rehabil. 2004 Jan;85(1):129-37. PMID: 14970980. DOI: https://doi.org/10.1016/j.apmr.2003.02.002

Bubela D, Sacharko L, Chan J, Brady M. Balance and Functional Outcomes for Older Community-Dwelling Adults Who Practice Tai Chi and Those Who Do Not: A Comparative Study. J Geriatr Phys Ther. 2019 Oct/Dec;42(4):209-215. PMID: 29135600. DOI: https://doi.org/10.1519/JPT.0000000000000153

Wayne PM, Gow BJ, Hou F, Ma Y, Hausdorff JM, Lo J, Rist PM, Peng CK, Lipsitz LA, Novak V, Manor B. Tai Chi training's effect on lower extremity muscle co-contraction during single- and dual-task gait: Cross-sectional and randomized trial studies. PLoS One. 2021 Jan 22;16(1):e0242963. PMID: 33481829; PMCID: PMC7822271. DOI: https://doi.org/10.1371/journal.pone.0242963

Penn IW, Sung WH, Lin CH, Chuang E, Chuang TY, Lin PH. Effects of individualized Tai-Chi on balance and lower-limb strength in older adults. BMC Geriatr. 2019 Aug 27;19(1):235. PMID: 31455225; PMCID: PMC6712673. DOI: https://doi.org/10.1186/s12877-019-1250-8

Chen KM, Lin JN, Lin HS, Wu HC, Chen WT, Li CH, Kai Lo S. The effects of a Simplified Tai-Chi Exercise Program (STEP) on the physical health of older adults living in long-term care facilities: a single group design with multiple time points. Int J Nurs Stud. 2008 Apr;45(4):501-7. Epub 2007 Jan 11. PMID: 17222413. DOI: https://doi.org/10.1016/j.ijnurstu.2006.11.008

Lan C, Chen SY, Lai JS, Wong AM. Tai chi chuan in medicine and health promotion. Evid Based Complement Alternat Med. 2013;2013:502131. Epub 2013 Sep 12. PMID: 24159346; PMCID: PMC3789446. DOI: https://doi.org/10.1155/2013/502131

Wang Y, Luo B, Wu X, Li X, Liao S. Comparison of the effects of Tai Chi and general aerobic exercise on weight, blood pressure and glycemic control among older persons with depressive symptoms: a randomized trial. BMC Geriatr. 2022 May 7;22(1):401. PMID: 35525971; PMCID: PMC9077840. DOI: https://doi.org/10.1186/s12877-022-03084-6

Manton KG. A longitudinal study of functional change and mortality in the United States. J Gerontol. 1988 Sep;43(5):S153-61. PMID: 2971088. DOI: https://doi.org/10.1093/geronj/43.5.S153

Pirrie M, Saini G, Angeles R, Marzanek F, Parascandalo J, Agarwal G. Risk of falls and fear of falling in older adults residing in public housing in Ontario, Canada: findings from a multisite observational study. BMC Geriatr. 2020 Jan 9;20(1):11. PMID: 31918674; PMCID: PMC6953160. DOI: https://doi.org/10.1186/s12877-019-1399-1

Friedman SM, Munoz B, West SK, Rubin GS, Fried LP. Falls and fear of falling: which comes first? A longitudinal prediction model suggests strategies for primary and secondary prevention. J Am Geriatr Soc. 2002 Aug;50(8):1329-35. PMID: 12164987. DOI: https://doi.org/10.1046/j.1532-5415.2002.50352.x

Lo OY, Conboy LA, Rukhadze A, Georgetti C, Gagnon MM, Manor B, Lachman ME, Lipsitz LA, Wayne PM. In the Eyes of Those Who Were Randomized: Perceptions of Disadvantaged Older Adults in a Tai Chi Trial. Gerontologist. 2020 May 15;60(4):672-682. PMID: 30544227; PMCID: PMC7228436. DOI: https://doi.org/10.1093/geront/gny165

Kienle GS, Werthmann PG, Grotejohann B, Kaier K, Steinbrenner I, Voigt-Radloff S, Huber R. A multi-centre, parallel-group, randomised controlled trial to assess the efficacy and safety of eurythmy therapy and tai chi in comparison with standard care in chronically ill elderly patients with increased risk of falling (ENTAiER): a trial protocol. BMC Geriatr. 2020 Mar 17;20(1):108. PMID: 32183768; PMCID: PMC7076928. DOI: https://doi.org/10.1186/s12877-020-1503-6

Gómez-Campos , R., Vidal-Espinoza, R., Vega-Novoa, S., Silva Ramos de Lázari , M., Urzua-Alul, L., Portugal, M. R., De la Torre Choque, C., & Cossio-Bolaños, M. (2023). Functional fitness and fall risk in older adults practitioners or non-practitioners of Tai Chi. European Journal of Translational Myology, 33(2). https://doi.org/10.4081/ejtm.2023.11155

Downloads

Download data is not yet available.

Citations