Tai chi or health education for older adults with hypertension: effects on mental health and psychological resilience to COVID-19

Kohn, Jaden R.; Lobo, Judith D.; Troyer, Emily A.; Wilson, Kathleen; Ang, Gavrila; Walker, Amanda L.; Pruitt, Christopher M.; Pung, Meredith A.; Redwine, Laura; Hong, Suzi

doi:10.1080/13607863.2022.2053836

Cited by 4 publications

(4 citation statements)

References 46 publications

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“…In the sensitivity analysis, we will subtract the resting metabolic rate of 1 MET from the original Tai Chi intensity due to the presence of resting metabolism in humans to calculate the intensity of the marginalised Tai Chi dose 34 35. If the study only reported Tai Chi practice frequency on a weekly or monthly basis, then we will refer to the previous study to assume the duration of each Tai Chi practice session to 60 min with an assumption of 45 min tested in the sensitivity analysis18 34 and convert the practice frequency into hours per week or month. Civen that Tai Chi is a moderate-intensity exercise, if only the average duration of Tai Chi exercises is reported, then we will assume that the intensity is the average of the moderate-intensity exercise, which is 4.5 METs 36 37.…”

Section: Methods and Analysismentioning

confidence: 99%

“…Tai Chi has been proven to improve mood (ie, State Trait Anxiety Inventory and Perceived Stress Scale 14) 16. These features of Tai Chi allow it to be applied to patients with COVID-19 with positive effects 17 18. In a COVID-19 case report as early as May 2020, a woman in her late 40s was recommended by doctors to practise ‘Tai Chi’ as a rehabilitation therapy 19.…”

Section: Introductionmentioning

confidence: 99%

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Relationship between Tai Chi and clinical outcomes in elderly patients with COVID-19: a protocol for systematic review and dose–response meta-analysis

Yang

Wang

et al. 2022

BMJ Open

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IntroductionCOVID-19 has posed a serious threat to people worldwide, especially the older adults, since its discovery. Tai Chi as a traditional Chinese exercisethat belongs to traditional Chinese medicine has proven its effectiveness against COVID-19. However, no high-quality evidence is found on the dose–response relationships between Tai Chi and clinical outcomes in patients with COVID-19. This study will evaluate and determine the clinical evidence of Tai Chi as a treatment in elderly patients with COVID-19.Methods and analysisThe following electronic bibliographical databases including PubMed, EMBASE, Web of Science, Cochrane Library, China National Knowledge Infrastructure, VIP Database and Wanfang Database will be screened from their inception date to 30 June 2022. All eligible randomised controlled trials or controlled clinical trials related to Tai Chi for elderly patients with COVID-19 will be included. The primary outcomes are forced expiratory volume in 1 s (FEV1), forced vital capacity (FVC) and FEV1/FVC ratio (FEV1%). The secondary outcomes are the time of main symptoms disappearance, length of hospital stay, serum levels of interleukin (IL)-6, IL-1b and tumour necrosis factor-α, and adverse event rate. Two independent reviewers will select the studies, extract the data, and analyse them on EndNote V.X9.0 and Stata V.12.1. The robust error meta-regression model will be used to establish the dose–response relationships between Tai Chi and clinical outcomes. The heterogeneity and variability will be analysed by I2and τ2statistics. Risk of bias, subgroup analysis and sensitivity analysis will also be performed. The quality of evidence will be assessed by the Grading of Recommendations Assessment, Development and Evaluation, and the risk of bias will be evaluated by using the Physiotherapy Evidence Database Scale.Ethics and disseminationThis study will review published data; thus, obtaining ethical approval and consent is unnecessary. The results will be disseminated through peer-reviewed publications.PROSPERO registration numberCRD42022327694.

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Section: Methods and Analysismentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Relationship between Tai Chi and clinical outcomes in elderly patients with COVID-19: a protocol for systematic review and dose–response meta-analysis

Yang

Wang

et al. 2022

BMJ Open

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“…In relation to mental well-being and quality of life Kohn et al (2022) compared a 12-week community and face-to-face Tai Chi intervention (EG) and health education (CG) to improve health and well-being in older adults with hypertension (72.6 6 7.9 years; 72% women) and promote psychological resilience during the COVID-19. Regarding the participants' mental health, their research assessed both groups' self-reported depressive symptoms, anxiety, sleep disturbances, gratitude and resilience.…”

Section: In Relation To Lifestyle Change and Exercise Trendsmentioning

confidence: 99%

Regular practice of Kung Fu and Taekwondo improve Chilean adults’ health and quality of life during the COVID-19

Hsu

2023

WWOP

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Purpose This study aims to investigate the impact of regular Kung Fu and Taekwondo practice on the health and quality of life among elderly individuals in the Maule region, Chile. Design/methodology/approach The authors designed a 12-week Kung Fu and Taekwondo workshop with activities suitable for their age. Through semistructured interviews (at the beginning and the end of the workshop), along with periodic monitoring of vital signs and cardiovascular components, the authors observed an improvement in participants’ physical (strength, speed of reaction and flexibility) and psychological conditions (self-esteem and resilience), quality of life (relationships with family and friends and ability to deal with stressful events in working life) and health (waist circumference, percentage of oxygen saturation in blood, blood pressure, among other values). Findings From these results, the authors affirm that this workshop improves health and physical condition and helps the participants develop the coping capacity to deal with stressful situations and complicated interpersonal relationships. In this sense, the authors conclude that Kung Fu and Taekwondo as regular sports activities can benefit senior citizens’ aging process. Originality/value This research is based on an original study project.

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“…systemic corticosteroids). Comprehensive inclusion and exclusion criteria for HAPI-CHI have also been described elsewhere (Kohn et al, 2020(Kohn et al, , 2023a(Kohn et al, , 2023b.…”

Section: Participantsmentioning

confidence: 99%

Post-traumatic stress in older, community-dwelling adults with hypertension during the COVID-19 pandemic: An investigation of pre-pandemic sociodemographic, health, and vascular and inflammatory biomarker predictors

Troyer,

Kohn,

Castillo

et al. 2023

J Health Psychol

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COVID-19 pandemic-related traumatic stress (PRTS) symptoms are reported in various populations, but risk factors in older adults with chronic medical conditions, remain understudied. We therefore examined correlates and pre-pandemic predictors of PRTS in older adults with hypertension during COVID-19. Participants in California, aged 61–92 years ( n = 95), participated in a pre-pandemic healthy aging trial and later completed a COVID-19 assessment (May to September 2020). Those experiencing ⩾1 PRTS symptom ( n = 40), and those without PRTS symptoms ( n = 55), were compared. The PRTS+ group had poorer mental and general health and greater impairment in instrumental activities of daily living. Pre-pandemic biomarkers of vascular inflammation did not predict increased odds of PRTS; however, greater pre-pandemic anxiety and female gender did predict PRTS during COVID-19. Our findings highlight PRTS as a threat to healthy aging in older adults with hypertension; targeted approaches are needed to mitigate this burden, particularly for females and those with pre-existing anxiety.

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Tai chi or health education for older adults with hypertension: effects on mental health and psychological resilience to COVID-19

Cited by 4 publications

References 46 publications

Relationship between Tai Chi and clinical outcomes in elderly patients with COVID-19: a protocol for systematic review and dose–response meta-analysis

Relationship between Tai Chi and clinical outcomes in elderly patients with COVID-19: a protocol for systematic review and dose–response meta-analysis

Regular practice of Kung Fu and Taekwondo improve Chilean adults’ health and quality of life during the COVID-19

Post-traumatic stress in older, community-dwelling adults with hypertension during the COVID-19 pandemic: An investigation of pre-pandemic sociodemographic, health, and vascular and inflammatory biomarker predictors

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