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Health-related quality of life in frail institutionalized elderly: effects of a cognition-action intervention and Tai Chi
Deschamps A, Onifade C, Decamps A, Bourdel-Marchasson I
Journal of Aging and Physical Activity 2009 Apr;17(2):236-248
clinical trial
6/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: No; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

No previous studies have explored the effects of mind-body approaches on health-related quality of life (HRQoL) in the frail elderly. Cognition and action are an inseparable whole during functioning. Thus, a new intervention-based approach using familiarity-based movements and a nonjudgmental approach of "cognition-action" was proposed and was tested with Tai Chi on HRQoL in frail institutionalized elderly. Fifty-two participants (58% women) age 65 to 94 took part in a 24-wk Tai Chi (TC) intervention 4 days/wk or a cognition-action (CA) exercise program of 30 min twice a week. Changes in Mini Mental State score, physical (PCS) and mental component (MCS) summaries (SF12); Falls Efficacy Scale (FES); and exercise self-efficacy were explored. PCS improved from 33.6 +/- 6.7 to 51 +/- 4.8 in the TC group and from 30.6 +/- 9.9 to 45.1 +/- 10.2 in the CA group (p < 0.001). MCS of SF-12 (p < 0.001), FES (p < 0.001), and exercise self-efficacy (p < 0.01) were enhanced significantly in both groups. Adapted CA programs and Tai Chi were both efficient in improving HRQoL of frail elderly.

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