2.50
Hdl Handle:
http://hdl.handle.net/10755/158157
Type:
Presentation
Title:
Benefits of Tai Chi for Sedentary Mexican-American Women
Abstract:
Benefits of Tai Chi for Sedentary Mexican-American Women
Conference Sponsor:Western Institute of Nursing
Conference Year:2005
Author:Cromwell, Sandra, PhD, RN
P.I. Institution Name:The University of Arizona College of Nursing
Title:Associate Professor
Increasing physical activity (PA) is one of the most critical health care goals in Healthy People 2010.Older Mexican-American (MA) women are one of the most sedentary American groups. This is due, in part, to lack of encouragement for PA that is culturally acceptable to these women. Tai Chi is attractive to older MA women because of its dance like characteristics. Yet little is known of the benefits on physical abilities for this group. Purpose: This study (part of a larger study) evaluated the effects of Tai Chi Chun on strength, balance, flexibility and mobility of older (>55) sedentary MA women. Conceptual Basis: In order to perform everyday activities of daily living (ADL/IADL), older women need to maintain their strength, balance, flexibility and mobility (SBFM). Loss of these abilities results in dependency on others; and, potentially, the loss of the ability to remain independently in their homes. Various forms of PA are known to assist in maintaining or regaining SBFM functions. Self-Efficacy Theory (Bandura, 1996) supported a motivational intervention to encourage frequent practice of Tai Chi Chun between classes during the course. Methods: Subjects were sedentary, lived independently in the community and volunteered at local churches to participate in a 1 year study. Following human subjects consent, they were divided into 2 groups (Intervention and Comparison). This paper reports only initial Intervention subject findings (N=32) during a 10 week course. Physical strength, balance, flexibility and mobility were measured prior to, during, and at the end of a 10 week Tai Chi Chun course. Six measurements occurred. Measures: Upper body strength was measured with the Wall Push-up test and a hand held dynamometer; lower body strength was measured using the Chair Raises test. Balance was measured using the One-Leg Stand test. Shoulder flexibility was measured using goniometric methods. Lower body flexibility was measured using the Sit and Reach test. Mobility was measured using the Timed-Up-and-Go test. Attendance was taken and subjects returned between class practice calendars weekly. Results: Changes in each SBFM from baseline to course completion were evaluated using T tests. Plots of mean change across time were also created. Improvements in all SBFM were seen. Frequency of class attendance and frequency of between-class practice were both associated with greater improvements in SBFM. The adequacy of the improvements for maintaining independent functioning were evaluated by comparing study data to clinical norms for older adults, and to findings from studies of frail elders. Some subject's initial levels matched frail elder study findings, and all subjects attained levels greater than those found in frail elder studies by the end of the course. Discussion: It is critical that older sedentary adults be encouraged and supported to engage in PA that is appealing to them. This is the only way they can be expected to continue with the activity. It is also necessary to have evidence that a particular form of PA is producing health benefits. This study demonstrated that Tai Chi Chun improves SFFM for older sedentary MA women after a relatively brief period of time (10 weeks). This PA is relatively easy to teach, requires no special equipment and little space. Classes could be offered in all community locations where nurses encounter MA elders. Tracking of changes over time can also be used to motivate continuation long term by participants.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleBenefits of Tai Chi for Sedentary Mexican-American Womenen_GB
dc.identifier.urihttp://hdl.handle.net/10755/158157-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Benefits of Tai Chi for Sedentary Mexican-American Women</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Western Institute of Nursing</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Cromwell, Sandra, PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">The University of Arizona College of Nursing</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">cromwell@nursing.arizona.edu</td></tr><tr><td colspan="2" class="item-abstract">Increasing physical activity (PA) is one of the most critical health care goals in Healthy People 2010.Older Mexican-American (MA) women are one of the most sedentary American groups. This is due, in part, to lack of encouragement for PA that is culturally acceptable to these women. Tai Chi is attractive to older MA women because of its dance like characteristics. Yet little is known of the benefits on physical abilities for this group. Purpose: This study (part of a larger study) evaluated the effects of Tai Chi Chun on strength, balance, flexibility and mobility of older (&gt;55) sedentary MA women. Conceptual Basis: In order to perform everyday activities of daily living (ADL/IADL), older women need to maintain their strength, balance, flexibility and mobility (SBFM). Loss of these abilities results in dependency on others; and, potentially, the loss of the ability to remain independently in their homes. Various forms of PA are known to assist in maintaining or regaining SBFM functions. Self-Efficacy Theory (Bandura, 1996) supported a motivational intervention to encourage frequent practice of Tai Chi Chun between classes during the course. Methods: Subjects were sedentary, lived independently in the community and volunteered at local churches to participate in a 1 year study. Following human subjects consent, they were divided into 2 groups (Intervention and Comparison). This paper reports only initial Intervention subject findings (N=32) during a 10 week course. Physical strength, balance, flexibility and mobility were measured prior to, during, and at the end of a 10 week Tai Chi Chun course. Six measurements occurred. Measures: Upper body strength was measured with the Wall Push-up test and a hand held dynamometer; lower body strength was measured using the Chair Raises test. Balance was measured using the One-Leg Stand test. Shoulder flexibility was measured using goniometric methods. Lower body flexibility was measured using the Sit and Reach test. Mobility was measured using the Timed-Up-and-Go test. Attendance was taken and subjects returned between class practice calendars weekly. Results: Changes in each SBFM from baseline to course completion were evaluated using T tests. Plots of mean change across time were also created. Improvements in all SBFM were seen. Frequency of class attendance and frequency of between-class practice were both associated with greater improvements in SBFM. The adequacy of the improvements for maintaining independent functioning were evaluated by comparing study data to clinical norms for older adults, and to findings from studies of frail elders. Some subject's initial levels matched frail elder study findings, and all subjects attained levels greater than those found in frail elder studies by the end of the course. Discussion: It is critical that older sedentary adults be encouraged and supported to engage in PA that is appealing to them. This is the only way they can be expected to continue with the activity. It is also necessary to have evidence that a particular form of PA is producing health benefits. This study demonstrated that Tai Chi Chun improves SFFM for older sedentary MA women after a relatively brief period of time (10 weeks). This PA is relatively easy to teach, requires no special equipment and little space. Classes could be offered in all community locations where nurses encounter MA elders. Tracking of changes over time can also be used to motivate continuation long term by participants.</td></tr></table>en_GB
dc.date.available2011-10-26T20:33:57Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T20:33:57Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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