Systematic review and meta-analysis: Tai Chi for preventing falls in older adults

Huang, Zhiguan; Feng, Yadong; Li, Yuhe; Lv, Changsheng

doi:10.1136/bmjopen-2016-013661

Cited by 141 publications

(144 citation statements)

References 31 publications

(72 reference statements)

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“…We identified five guidelines and six systematic reviews [5,[14][15][16][17][18] that addressed fall interventions in the outpatient setting, and three guidelines and three systematic [15,19,20] reviews related to fall interventions in the inpatient setting (some overlap exists). An overview of these guidelines and their level of evidence can be found in Supplementary Tables 1 and 2.…”

Section: Fall Interventionsmentioning

confidence: 99%

“…Exercise is the second most commonly recommended intervention from the guidelines. Group and homebased exercise training incorporating balance, gait, and strength training [5] and Tai Chi [14] have been found to be effective in preventing falls. Exercise activity/programs should be titrated according to the person's current functional level and abilities [22].…”

Section: Interventions -Outpatientmentioning

confidence: 99%

“…is associated with a decreased risk of injurious falls [16]. Implementing multifactorial interventions [14,24], and patient education as part of multifactorial intervention should also been included.…”

Section: Interventions -Inpatientmentioning

confidence: 99%

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Falls in older patients with cancer: Nursing and Allied Health Group of International Society of Geriatric Oncology review paper

Sattar

Kenis²,

Haase

et al. 2020

Journal of Geriatric Oncology

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Background: Falls are a major health issue in older adults and are of greater concern among those with cancer due to effects of cancer and its treatments. This paper provides an overview of current literature on fall screening/ assessment and interventions and a succinct summary of recommendations for oncology nurses to support this vulnerable population. Methods: A comprehensive search for literature reviews on falls was conducted in Medline and CINAHL. A comprehensive Internet search was also performed for known guidelines on fall prevention and/or management published within the past 10 years. Search results were compared, contrasted, and summarized to develop clinical recommendations for nurses working with older adults with cancer. Levels of evidence were reported based on the Oxford Centre for Evidence-based Medicine. Results: Six guidelines and 17 systematic reviews were identified. Having a history of falls was the most commonly identified fall risk factor/predictor. Multifactorial intervention and exercise appear to be the most commonly recommended. No fall assessment tools were consistently recommended as a reliable means of identifying those at risk for falls. Conclusion: Assessing older patients for falls and fall risks is an important first step to identify those who may require further follow-up and intervention. Oncology nurses play a key role in optimizing health outcomes of older adults with cancer-through the use of evidence-based information, such as presented in this publication-and have the capacity to help reduce fall risks during and after treatment through information provision, advocacy, support, and promotion of physical activity.

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Section: Fall Interventionsmentioning

confidence: 99%

Section: Interventions -Outpatientmentioning

confidence: 99%

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Falls in older patients with cancer: Nursing and Allied Health Group of International Society of Geriatric Oncology review paper

Sattar

Kenis²,

Haase

et al. 2020

Journal of Geriatric Oncology

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“…In the last decade, several studies of various effects of Tai Chi exercise have been published. Systematic reviews have concluded that there is convincing evidence for the positive effects of Tai Chi on fall prevention (Huang, Feng, Li, & Lv, ), depressive symptoms (Chi, Jordan‐Marsh, Guo, Xie, & Bai, ) and cognitive performance (Wayne et al., ) among older people. Tendencies to improve physical performance by Tai Chi exercise was found in chronic conditions such as heart failure and chronic obstructive pulmonary disease (Chen, Hunt, Campbell, Peill, & Reid, ).…”

Section: Introductionmentioning

confidence: 99%

A mixed methods study of Tai Chi exercise for patients with chronic heart failure aged 70 years and older

2018

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Aims and objectivesThis study aimed to evaluate Tai Chi group training among patients with chronic heart failure (CHF) aged 70 years and older.BackgroundPhysical activity is recommended for CHF treatment. Tai Chi is found to be beneficial to different patient groups, although few studies focus on older patients with CHF.DesignA mixed methods study. Participants were randomly assigned to Tai Chi training twice a week for 16 weeks (N = 25) or control (N = 20). Quantitative data were collected at baseline, at the end of the training period and 6 months after training, assessing self‐rated fatigue and quality of life, natriuretic peptides and physical performance. Individual qualitative interviews were conducted with participants (N = 10) in the Tai Chi training group.ResultsNo statistical differences between the Tai Chi training group and the control group in quality of life or natriuretic peptides was found. After 16 weeks, the training group tended to rate more reduced activity and the control group rated more mental fatigue. Participants in the training group rated increased general fatigue at follow‐up compared with baseline. Qualitative interviews showed that Tai Chi training was experienced as a new, feasible and meaningful activity. The importance of the leader and the group was emphasized. Improvements in balance were mentioned and there was no physical discomfort.ConclusionTai Chi was experienced as a feasible and meaningful form of physical exercise for patients with CHF aged over 70 years despite lack of achieved health improvement. Further investigations, using feasibility and meaningfulness as outcome variables seems to be useful.

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“…Physical activity or exercise (one domain of physical activity) intervention programs have been shown to delay age-related balance or cognitive decline (Chase et al, 2016;Zou et al, 2017a;Gheysen et al, 2018;Zhang et al, 2018). Tai Chi (TC) has been recognized to promote both fall-related balance ability and cognitive function in the aging population (Wayne et al, 2014;Huang et al, 2017). TC Is a mind-body exercise with special features that have shown to be effective for improving balance and cognition together.…”

Section: Introductionmentioning

confidence: 99%

Correlation Between Cognition and Balance Among Middle-Aged and Older Adults Observed Through a Tai Chi Intervention Program

et al. 2020

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Background: Age-associated decline in cognition and balance may cause severe ability loss for daily living activities among middle-aged and older adults. The relationship between cognition and balance in this aging population remains to be explored.Objective: The present study Is exploratory in nature and aimed to examine the relationship between balance (both static and dynamic components) and global cognitive function among middle-aged and older adults through Tai Chi (TC) practice as a research avenue.Methods: A short-term (12 weeks) intervention of TC was conducted among middleaged and older adults in the community setting. Global cognitive function (using the Chinese version of the Montreal Cognitive Assessment score (MoCA) and balance (i.e., one leg standing test score; Timed Up and Go Test score, TUGT) of all participants were assessed before and after the intervention. Age, body mass index (BMI), sex, and physical fitness variables (Chair Stand Test, CST; the 6-Meter Walk Test, 6MWT) were also collected as confounding factors.Results: Significant moderator effects of baseline CST on the association between the dichotomized baseline MoCA score and the baseline left leg balance score (p = 0.0247), the baseline right leg balance score (p = 0.0140) and the baseline TUGT score (p = 0.0346) were found. Change score of left score balance (p = 0.0192) and change score of TUGT (p = 0.0162) were found to be significantly associated with change score of cognitive function. Conclusion: Cognitive function and balance are interrelated in middle-aged and older adults. The association between global cognitive function and balance Is moderated by Frontiers in Psychology | www.frontiersin.org 1 April 2020 | Volume 11 | Article 668 Xiao et al. Relationship Between Cognition and Balance strength of lower limbs. The change scores of cognitive function and balance introduced by TC training were found to be positively correlated. Future research Is warranted to further confirm the cause-effect relationship of cognitive function and balance and its influencing factors among middle-aged and older adults utilizing intervention studies with larger sample sizes.

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Systematic review and meta-analysis: Tai Chi for preventing falls in older adults

Cited by 141 publications

References 31 publications

Falls in older patients with cancer: Nursing and Allied Health Group of International Society of Geriatric Oncology review paper

Falls in older patients with cancer: Nursing and Allied Health Group of International Society of Geriatric Oncology review paper

A mixed methods study of Tai Chi exercise for patients with chronic heart failure aged 70 years and older

Correlation Between Cognition and Balance Among Middle-Aged and Older Adults Observed Through a Tai Chi Intervention Program

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