A virtual randomized clinical trial found that Tai Ji Quan training increased physical activity in older adults with mild cognitive impairment or memory concerns.
Older adults with mild cognitive impairment or memory concerns increased their physical activity by an average of 65 minutes per week 6 months after completing home-based training in Tai Ji Quan compared with a stretching control group.Researchers conducted a virtual randomized clinical trial in cities, suburbs, and rural areas across 25 states; 318 participants aged 65 years or older who had mild cognitive impairment or memory concerns were included in the analysis.
Patients were enrolled between October 2019 and June 2022. The final follow-up took place in May 2023. Patients were randomly assigned standard Tai Ji Quan (n=107), cognitively enhanced Tai Ji Quan (n=105), or stretching (n=106), with each group participating in real-time videoconferencing sessions for 1 hour twice a week for 6 months. Standard Tai Ji Quan included exercises for stability, balance, and sensory integration; the cognitively enhanced version added interactive and reactive cognitive exercises with verbal and nonverbal cues. The primary outcome was self-reported engagement in moderate to vigorous physical activity (MVPA) in minutes per week; secondary outcomes included moderate and vigorous activity, meeting the 150 min/wk MVPA guideline as defined byBoth Tai Ji Quan groups showed increased MVPA compared with the stretching group at follow-up, with a mean difference of 66 min/wk for standard training (95% CI, 25-108 min/wk;< .001) to meet the recommended levels of MVPA than those in the stretching group; those in the cognitively enhanced group were 3.67 times more likely (95% CI, 2.02-6.65;The standard Tai Ji Quan group showed a mean improvement of 5 points from baseline for self-reported confidence in their movement compared with the stretching group (95% CI, 2-8 points;'These findings suggest that Tai Ji Quan may be promoted as an avenue to achieve physical activity guidelines for older adults” with memory problems, the study authors wrot
PHYSICAL ACTIVITY AGING COGNITIVE HEALTH TAIJI QUAN MEMORY CONCERNS
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