Liu Jianghong, Yang Yi, Li Clara, Perez Adriana, Raine Adrian, Shi Haoer, Zou Liye
University of Pennsylvania, Philadelphia, PA 19104, USA.
Department of Psychiatry, Alzheimer's Disease Research Center, Icahn School of Medicine at Mount Sinai, New York, USA.
J Aging Res. 2024 Jan 31;2024:2481518. doi: 10.1155/2024/2481518. eCollection 2024.
Culturally relevant exercises may help improve health and address disparities faced by older immigrants due to language and cultural barriers. Few studies have focused on such exercise interventions among older Chinese immigrants at US daycare centers.
We conducted a 10-week nonrandomized controlled trial in older Chinese immigrants in Philadelphia, US. The intervention group practiced Chinese Qigong (Baduanjin) 5 days a week guided by trained research assistants and video instructions. The control group maintained their usual daily activities. We collected self-report assessments on overall health, sleep, and fatigue and implemented two computerized cognitive tests measuring psychomotor vigilance task (PVT) and memory twice, preintervention and postintervention. Repeated measures general linear model (GLM) and paired samples -tests were used for data analyses.
Eighty-eight older adults (Qigong, = 53; control, = 35) with an average age of 78.13 (SD = 5.05) were included. Groups showed no significant differences at baseline evaluation. After the 10-week exercise, the intervention group showed significant improvements in overall health (=0.032), fatigue ( < 0.001), and cognitive functions including memory (=0.01), response speed (=0.002), and response time (=0.012) on the PVT, as well as marginally significant benefits in sleep (=0.058). Between-group comparisons identified significant group-by-time interactions in health (=0.024), sleep (=0.004), fatigue (=0.004), and memory (=0.004).
We revealed significant positive effects of Qigong in older Chinese immigrants across multiple health domains. Findings highlight the potential of a culturally relevant exercise in addressing health disparities.
与文化相关的锻炼可能有助于改善健康状况,并解决老年移民因语言和文化障碍而面临的差异问题。很少有研究关注美国日托中心的老年华裔移民中的此类锻炼干预措施。
我们在美国费城的老年华裔移民中进行了一项为期10周的非随机对照试验。干预组在经过培训的研究助理和视频指导下,每周5天练习中国气功(八段锦)。对照组维持其日常活动。我们收集了关于总体健康、睡眠和疲劳的自我报告评估,并在干预前和干预后两次实施了两项计算机化认知测试,测量心理运动警觉任务(PVT)和记忆力。重复测量一般线性模型(GLM)和配对样本检验用于数据分析。
纳入了88名平均年龄为78.13岁(标准差=5.05)的老年人(气功组,n = 53;对照组,n = 35)。两组在基线评估时无显著差异。经过10周的锻炼后,干预组在总体健康(P = 0.032)、疲劳(P < 0.001)以及包括记忆力(P = 0.01)、反应速度(P = 0.002)和PVT反应时间(P = 0.012)在内的认知功能方面有显著改善,在睡眠方面也有边缘性显著益处(P = 0.058)。组间比较发现,在健康(P = 0.024)、睡眠(P = 0.004)、疲劳(P = 0.004)和记忆力(P = 0.004)方面存在显著的组×时间交互作用。
我们揭示了气功对老年华裔移民多个健康领域有显著的积极影响。研究结果突出了与文化相关的锻炼在解决健康差异方面的潜力。