Chengdu Sport University, Chengdu, China.
Department of Sports and Human Science, Sichuan Sports College, Chengdu, China.
Eur Geriatr Med. 2024 Aug;15(4):1141-1148. doi: 10.1007/s41999-024-00981-4. Epub 2024 May 1.
OBJECTIVE: This study aims to explore the effects of 24 weeks of three-duration Tai-Chi (TC) practice on depression and sleep quality in older women. METHODS: A total of 124 older women were randomly divided into four groups: short-time group (SG, n = 31, mean age: 65.3), medium-time group (MG, n = 30, mean age: 65.7), long-time group (LG, n = 32, mean age: 64.9) and control group (CG, n = 31, mean age: 66.2). The Beck Depression Inventory (BDI) and Pittsburgh Sleep Quality Index (PSQI), and serum levels of tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6) and 5-hydroxytryptamine (5-HT) were measured. RESULTS: 1) Within-group comparisons: Compared with the baseline, the 12th and 24th weeks showed reductions in TNF-α and IL-6 levels and increase in 5-HT level in the SG, MG and LG (p < 0.05). The LG at the 24th week had reduced BDI and PSQI scores (p < 0.05). Compared with the 12th week, the 24th week showed reductions in TNF-α and IL-6 levels (p < 0.01) and increase in 5-HT level (p < 0.05) in the SG, MG, and LG. 2) Between-group comparisons: The SG, MG, and LG had lower TNF-α and IL-6 levels and higher 5-HT level than the CG at 12th and 24th weeks (p < 0.05). At the 24th week, the LG had lower BDI and PSQI scores than the CG and lower TNF-α level than the SG and MG (p < 0.05). The MG had lower TNF-α levels than the SG in the 24th week (p < 0.01). CONCLUSION: These results indicate that older individuals may undertake at least 12 weeks of TC exercise with a duration of 60 min per session to significantly improve depressive mood and sleep quality.
目的:本研究旨在探讨 24 周三种时长太极拳(TC)练习对老年女性抑郁和睡眠质量的影响。
方法:共纳入 124 名老年女性,随机分为四组:短时间组(SG,n=31,平均年龄:65.3)、中时间组(MG,n=30,平均年龄:65.7)、长时间组(LG,n=32,平均年龄:64.9)和对照组(CG,n=31,平均年龄:66.2)。采用贝克抑郁量表(BDI)和匹兹堡睡眠质量指数(PSQI)评估,检测血清肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)和 5-羟色胺(5-HT)水平。
结果:1)组内比较:与基线相比,SG、MG 和 LG 组在第 12 周和第 24 周时 TNF-α 和 IL-6 水平降低,5-HT 水平升高(p<0.05)。LG 组在第 24 周时 BDI 和 PSQI 评分降低(p<0.05)。与第 12 周相比,SG、MG 和 LG 组在第 24 周时 TNF-α 和 IL-6 水平降低(p<0.01),5-HT 水平升高(p<0.05)。2)组间比较:SG、MG 和 LG 组在第 12 周和第 24 周时 TNF-α 和 IL-6 水平低于 CG 组,5-HT 水平高于 CG 组(p<0.05)。在第 24 周时,LG 组的 BDI 和 PSQI 评分低于 CG 组,TNF-α 水平低于 SG 和 MG 组(p<0.05)。MG 组在第 24 周时 TNF-α 水平低于 SG 组(p<0.01)。
结论:这些结果表明,老年个体可能需要至少 12 周、每次 60 分钟的 TC 运动,才能显著改善抑郁情绪和睡眠质量。
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