Obesity is a major health problem in the USA, especially in minority populations over the age of 60 years, and the aging process can cause adverse effects on physical function. Previous research has shown that Tai Chi, resistance training (RT), and diet result in overall health improvements. However, the combination of these specific interventions has yet to be translated to obese older women in an urban setting. The purpose of this study was to examine a combined intervention on the primary outcomes of physical function and body composition. Using a nonrandomized design, 26 obese women (65.2 ± 8.1 years) completed a 12-week intervention; participants were assigned to an intervention (EXD) group or a control (CON) group. The EXD group (n = 17) participated in Tai Chi, RT, and a dietary session. The CON group (n = 9) was asked to continue their normal lifestyle. Timed up and go (TUG) time was reduced by 0.64 ± 2.1 seconds (P = 0.04) in the EXD group while the CON group saw a borderline significant increase of 0.71 sec (P = 0.051). The combined intervention helped improve performance on TUG time, but there were no significant increases in other body composition or function measures.
Objective: To examine the effect of a Tai Chi, resistance training, and behaviorally-based diet education intervention on dietary quality as well as resilience and physical resilience in obese older women. Design: Community health outreach with a quasi-experimental design. Setting: An urban senior center in Rhode Island. Participants: Thirty-three women, 85% were minorities, with mean age of 65±8.2 years and BMI of 37.3±4.6 kg/m2, were enrolled in the study at baseline however only 17 women in the intervention (EXD) group and 9 women in the wait-list control (CON) group completed the study. Measurement: Dietary quality and nutrition risk were measured using the Dietary Screening Tool (DST), resilience was measured by the Resilience Scale, and physical resilience was examined using the Physical Resilience Scale. Intervention: Participants in the EXD group engaged in 12 weeks of Tai Chi, resistance training, and behaviorally-based diet education. The diet education was based off of the modified Dietary Approaches to Stop Hypertension (DASH) diet and led by a Registered Dietitian. Results: There was no change in dietary quality by group or time. However the EXD group had significantly higher dietary quality compared to the control group (p=0.025) at post intervention, although there was no difference in nutrition risk category. There was no change seen in overall resilience, however the EXD group improved physical resilience (p=0.048). Conclusion: A community health outreach that involved Tai Chi, resistance training, and behaviorally-based diet education may promote higher dietary quality as well as improve physical resilience in obese older women.
Interven'on• The EXD group (n=16; 5 dropouts) engaged in three 45 min Tai Chi sessions and two 45min trainings sessions respec?vely per week.• A registered die??an conducted the behaviorally based diet sessions for 45 min once a week.• The CON group (n=9; 1 missing data) wsa asked to maintain a normal lifestyle.
Further ResearchFuture research should plan to examine the long-term effects of these interven?ons on RBANS score changes or over all cogni?ve changes with a similar test.Effect of an exercise and dietary interven'on on the cogni've func'on on obese older women
PurposeThe Purpose of this study was to examine the effect of a combined Tai Chi, resistance training, and dietary interven?on on cogni?ve func?on in older obese women.
HypothesisIt is hypothesized that a combined Tai Chi, resistance training and dietary interven?on will show posi?ve effects on cogni?ve func?on in older obese women.
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