Effects of Mindfulness-Based Tai Chi Chuan on Physical Performance and Cognitive Function among Cognitive Frailty Older Adults: A Six-Month Follow-Up of a Randomized Controlled Trial.
Study Goal
The researchers aimed to assess the effectiveness of mindfulness-based Tai Chi Chuan (MTCC) on physical performance and cognitive function in older adults with cognitive frailty.
Results Summary
The study found that MTCC significantly improved cognitive function and physical performance, with Group 3 (MTCC intervention) showing lower frailty prevalence and better outcomes compared to the other groups. The cognitive frailty rate also differed significantly among groups at the 6-month follow-up.
Population
Older adults aged 65+ with cognitive frailty (pre-frailty or frailty) and no dementia, able to walk more than 10 m unaided.
Effective Dosage
Not specified
Duration
6-month intervention, with follow-up 6 months post-intervention.
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
mindfulness-based Tai Chi Chuan (MTCC) | decrease | cognitive frailty (CF) | cognitive frailty older adults | - | seems to be effectively reverse | #1 |
mindfulness-based Tai Chi Chuan (MTCC) | increase | cognitive function | cognitive frailty older adults | - | improving | #2 |
mindfulness-based Tai Chi Chuan (MTCC) | increase | physical function | cognitive frailty older adults | - | improving | #3 |
mindfulness-based Tai Chi Chuan (MTCC) | decrease, increase, increase | frailty prevalence, cognitive function, physical performance | Group 3 participants at follow-up period | - | A lower prevalence of frailty and better cognitive function and physical performance were found | #4 |
mindfulness-based Tai Chi Chuan (MTCC) | increase | cognitive function (MMES), physical performance (SPPB, TUG, 30-second Chair test) | study participants | - | Improvements in the cognitive function (MMES), physical performance (SPPB, TUG, 30-second Chair test) were significantly difference | #5 |
mindfulness-based Tai Chi Chuan (MTCC) | decrease | rate of cognitive frailty (CF) | study participants at 6-month follow-up | - | The rate of CF was significantly different among groups at 6-month follow-up period | #6 |
OBJECTIVE: To assess the effectiveness of a mindfulness-based Tai Chi Chuan on physical performance and cognitive function among cognitive frailty older adults. DESIGN: A single-blind,three-arm randomized controlled trial. SETTING: Three communities in Daqing, China. PARTICIPANTS: The study sample comprised 93 men and women aged 65 years or older who were able to walk more than 10 m without helping tools, scored 0.5 on Clinical Dementia Rating (CDR) and absence of concurrent dementia, identified pre-frailty (scored 1-2 on Fried Frailty Criteria) and frailty older adults (scored 3-5 on Fried Frailty Criteria). INTERVENTION: Subjects were randomly allocated to three groups: Group1, which received mindfulness intervention (formal and informal mindfulness practices); Group 2, which received Tai-Chi Chuan intervention; Group 3, which received MTCC intervention. MEASUREMENTS: The primary outcomes was cognitive frailty rate(measured by Fried Frailty Criteria and Clinical Dementia Rating-CDR) , the secondary outcome were cognitive function (measured by Min-Mental State Examination-MMES) and physical level (measured by Short physical performance battery- SPPB, Timed up and Go test-TUG and the 30-second Chair test). They were all assessed at Time 1-baseline, Time 2-after the end of 6-month intervention and the follow up (Time 3-half year after the end of 6-month intervention). RESULTS: The baseline characteristics did not differ among the groups.Improvements in the cognitive function (MMES), physical performance (SPPB, TUG, 30-second Chair test) were significantly difference between time-group interaction (p<.05). The rate of CF was significantly different among groups at 6-month follow-up period (χ2=6.37, p<.05). A lower prevalence of frailty and better cognitive function and physical performance were found in the Group 3 compared with other two groups at the follow-up period (p<.05). CONCLUSIONS: MTCC seems to be effectively reverse CF, improving the cognitive and physical function among older adults, suggesting that MTCC is a preferably intervention option in community older adults with cognitive frailty.