1 1974 117 SILVER YOGA EXERCISES IMPROVED PHYSICAL FITNESS OF TRANSITIONAL FRAIL ELDERS. BACKGROUND: PROMOTING THE HEALTH OF TRANSITIONAL FRAIL ELDERS (E.G., THROUGH THERAPEUTIC-BASED YOGA EXERCISES) IS ESSENTIAL TO REDUCE HEALTHCARE EXPENDITURES CAUSED BY CHRONIC HEALTH PROBLEMS. OBJECTIVE: THE PURPOSE OF THIS STUDY WAS TO DETERMINE THE EFFICACY OF 24 WEEKS OF THE SENIOR-TAILORED SILVER YOGA (SY) EXERCISE PROGRAM FOR TRANSITIONAL FRAIL ELDERS. METHODS: A CONVENIENCE SAMPLE OF 69 ELDERS IN ASSISTED LIVING FACILITIES WERE ASSIGNED RANDOMLY TO THE SY GROUP (N = 38) OR TO THE CONTROL GROUP (N = 31) ON THE BASIS OF THE FACILITIES WHERE THEY RESIDED, AND 55 OF THEM COMPLETED THIS QUASI-EXPERIMENTAL PRETEST AND POSTTEST STUDY. INTERVENTION WAS CONDUCTED THREE TIMES PER WEEK, 70 MINUTES PER SESSION, FOR 24 WEEKS. PHYSICAL FITNESS (BODY COMPOSITION, CARDIOVASCULAR-RESPIRATORY FUNCTIONS, BODY FLEXIBILITY, MUSCLE POWER AND ENDURANCE, BALANCE, AND AGILITY) WERE EXAMINED AT BASELINE, AT 12 WEEKS, AND AT THE END OF THE 24TH WEEK OF THE STUDY. RESULTS: AT THE END OF THE STUDY, THE PHYSICAL FITNESS INDICATORS OF PARTICIPANTS IN THE SY GROUP HAD IMPROVED SIGNIFICANTLY, AND THEY HAD BETTER PHYSICAL FITNESS THAN PARTICIPANTS IN THE CONTROL GROUP (ALL P VALUES < .05). DISCUSSION: IT WAS RECOMMENDED THAT THE SY EXERCISES BE INCORPORATED AS AN ACTIVITY PROGRAM IN ASSISTED LIVING FACILITIES TO PROMOTE THE PHYSICAL FITNESS OF TRANSITIONAL FRAIL ELDERS. 2010
2 1226 32 FEASIBILITY AND EFFICACY OF A SHARED YOGA INTERVENTION FOR SLEEP DISTURBANCE IN OLDER ADULTS WITH OSTEOARTHRITIS. THE PURPOSE OF THE CURRENT STUDY WAS TO TEST THE FEASIBILITY AND EFFICACY OF A SHARED YOGA (SY) PROGRAM FOR SLEEP DISTURBANCE IN OLDER ADULTS WITH OSTEOARTHRITIS (OA). PARTICIPANTS (AGES 50 TO 72) WITH INSOMNIA RELATED TO OA WERE RANDOMIZED TO 12 WEEKS OF SY (N = 9) OR INDIVIDUAL YOGA (IY; N = 7). THE SAMPLE WAS 53% MALE AND 41% SELF-IDENTIFIED AS A RACE OTHER THAN WHITE/CAUCASIAN. THE GROUPS DID NOT SIGNIFICANTLY DIFFER IN CLASS ATTENDANCE, HOME PRACTICE, OR CHANGE SCORES ON EFFICACY OUTCOMES. PRE-POST COMPARISONS IN ALL PARTICIPANTS SHOWED STATISTICALLY SIGNIFICANT IMPROVEMENTS ON THE INSOMNIA SEVERITY INDEX AND PATIENT-REPORTED OUTCOMES MEASUREMENT SYSTEM SLEEP DISTURBANCE SCALE. FINDINGS SUPPORT THE OVERALL FEASIBILITY OF THE PROGRAM, BOTH IN THE SHARED AND INDIVIDUAL FORMATS. EFFICACY DATA SUGGEST THAT THIS YOGA PROGRAM MAY IMPROVE SLEEP, BUT GIVEN THE STUDY LIMITATIONS, FURTHER RESEARCH IS NEEDED TO DRAW CONCLUSIONS. [JOURNAL OF GERONTOLOGICAL NURSING, XX(X), XX-XX.]. 2017
3 502 36 COMMUNITY VS. INSTITUTIONAL ELDERS' EVALUATIONS OF AND PREFERENCES FOR YOGA EXERCISES. AIMS: TO EVALUATE AND COMPARE THE APPROPRIATENESS OF THE SILVER YOGA EXERCISE PROGRAMME FOR COMMUNITY AND INSTITUTIONAL ELDERS AND TO DETERMINE THEIR PREFERENCES TOWARDS YOGA EXERCISES. BACKGROUND: YOGA HAS BEEN USED TO PROMOTE THE HEALTH OF ELDERS. THE SILVER YOGA WAS DEVELOPED TO ACCOMMODATE THE PHYSICAL TOLERANCE AND BODY FLEXIBILITY OF ELDERS AND APPLIED TO COMMUNITY AND INSTITUTIONAL ELDERS WITH POSITIVE HEALTH PROMOTION BENEFITS. DESIGN: DESCRIPTIVE DESIGN WITH QUANTITATIVE PROGRAMME EVALUATION AND SEMI-STRUCTURED INTERVIEWS. METHOD: A CONVENIENCE SAMPLE OF 97 PARTICIPANTS (64 COMMUNITY ELDERS; 33 INSTITUTIONAL ELDERS) WAS INTERVIEWED INDIVIDUALLY AFTER SIX MONTHS OF SILVER YOGA EXERCISES. PARTICIPANTS RATED THE LEVEL OF DIFFICULTY, ACCEPTABILITY, FEASIBILITY AND HELPFULNESS OF THE SILVER YOGA PROGRAMME (FOUR PHASES: WARM-UP, HATHA YOGA, RELAXATION AND GUIDED-IMAGERY MEDITATION) AND THE ABDOMINAL BREATHING TECHNIQUE, BASED ON A 10-POINT CANTRIL LADDER SCALE. FURTHER, PARTICIPANTS EXPRESSED THEIR PREFERENCES OF YOGA EXERCISES BASED ON FOUR OPEN-ENDED QUESTIONS. RESULTS: THE PROGRAMME WAS FAIRLY ACCEPTABLE, FEASIBLE AND HELPFUL FOR COMMUNITY AND INSTITUTIONAL ELDERS (MEANS RANGED FROM 8.33-9.70). THE WARM-UP, RELAXATION, GUIDED-IMAGERY MEDITATION AND ABDOMINAL BREATHING ARE FAIRLY EASY TO FOLLOW AND PERFORM (MEANS RANGED FROM 0.20-0.94). HOWEVER, THE POSTURES IN HATHA YOGA PHASE WERE RELATIVELY CHALLENGING BUT STILL MANAGEABLE FOR THE INSTITUTIONAL ELDERS (MEAN = 1.97, SD 2.33). FURTHER, COMMUNITY ELDERS PREFERRED TO PRACTISE YOGA 61-90 MINUTES EVERYDAY IN A GROUP OF 11-20, WHILE THE INSTITUTIONAL ELDERS PREFERRED TO PRACTISE YOGA 31-60 MINUTES THREE TIMES PER WEEK, IN A GROUP OF <10. CONCLUSIONS: THE SILVER YOGA EXERCISE PROGRAMME IS ACCEPTABLE, FEASIBLE, HELPFUL AND MANAGEABLE FOR COMMUNITY AND INSTITUTIONAL ELDERS. HOWEVER, DIFFERENT EXERCISE PROTOCOLS, SUCH AS PRACTICE INTENSITY AND GROUP SIZE, COULD BE APPLIED TO DIFFERENT OLDER POPULATIONS. RELEVANCE TO CLINICAL PRACTICE: THE SILVER YOGA EXERCISE PROGRAMME COULD BE APPLIED TO BOTH COMMUNITY AND INSTITUTIONAL ELDERS TO PROMOTE THEIR HEALTH. 2011
4 1752 43 PILOT-TESTING THE EFFECTS OF A NEWLY-DEVELOPED SILVER YOGA EXERCISE PROGRAM FOR FEMALE SENIORS. THIS STUDY AIMED TO PILOT-TEST THE HEALTH PROMOTION EFFECTS OF A SILVER YOGA EXERCISE PROGRAM FOR FEMALE SENIORS. USING A ONE-GROUP, PRE-POST TEST DESIGN, A CONVENIENCE SAMPLE OF 16 COMMUNITY-DWELLING FEMALE SENIORS WAS RECRUITED. THE SILVER YOGA EXERCISE INTERVENTION WAS ADMINISTERED THREE TIMES A WEEK, 70 MINUTES PER SESSION, FOR FOUR WEEKS. DATA WERE COLLECTED AT BASELINE AND AFTER COMPLETION OF THE FOUR-WEEK INTERVENTION. RESULTS INDICATED THAT PARTICIPANTS' BODY FAT PERCENTAGE AND SYSTOLIC BLOOD PRESSURE DECREASED, BALANCE AND RANGE OF MOTION ON SHOULDER FLEXION AND ABDUCTION IMPROVED, AND SLEEP DISTURBANCE WAS MINIMIZED (ALL P < .05). PRELIMINARY EVIDENCE SUPPORTS THAT THE SILVER YOGA EXERCISE PROGRAM PROVIDES POSITIVE EFFECTS ON THE PROMOTION OF GOOD HEALTH IN FEMALE SENIORS LIVING IN THE COMMUNITIES. 2008
5 1742 72 PHYSICAL FITNESS OF OLDER ADULTS IN SENIOR ACTIVITY CENTRES AFTER 24-WEEK SILVER YOGA EXERCISES. AIMS AND OBJECTIVES: PROMOTING PHYSICAL FITNESS OF YOUNG-OLDER ADULTS IS ESSENTIAL IN REDUCING HEALTHCARE EXPENDITURES WHICH WOULD OCCUR IN THE FUTURE FOR THOSE WITH CHRONIC HEALTH PROBLEMS. THE SILVER YOGA EXERCISE PROGRAMME WAS DEVELOPED TO ACCOMMODATE THE REDUCED BODY FLEXIBILITY EXPERIENCED BY MANY OLDER ADULTS AND WAS CRITICALLY REVIEWED BY EXPERTS AND PILOT-TESTED WITH COMMUNITY-DWELLING OLDER ADULTS. THIS STUDY AIMED TO TEST OLDER ADULTS' PHYSICAL FITNESS AFTER A 24-WEEK SILVER YOGA EXERCISE PROGRAMME AND TO EXAMINE WHETHER THE PROGRAMME COULD BE FURTHER SHORTENED TO FIT SENIOR ACTIVITY CENTRES' PROGRAMME DESIGNS. DESIGN: A QUASI-EXPERIMENTAL, PRE-POST TESTS DESIGN WAS USED: BASELINE, AT 12-WEEK AND AT 24-WEEK PERIODS. METHODS: CONVENIENCE SAMPLES OF 204 SUBJECTS WERE RECRUITED FROM EIGHT SENIOR ACTIVITY CENTRES AND 176 SUBJECTS COMPLETED THE STUDY. SUBJECTS WERE RANDOMLY ASSIGNED INTO THREE GROUPS BASED ON THE CENTRES: (1) EXPERIMENT I: COMPLETE SILVER YOGA WITH STRETCHING AND MEDITATION, (2) EXPERIMENT II: SHORTENED SILVER YOGA WITHOUT THE GUIDED-IMAGERY MEDITATION AND (3) WAIT-LIST CONTROL. THE INTERVENTIONS WERE CONDUCTED THREE TIMES PER WEEK FOR 24 WEEKS. PHYSICAL FITNESS INDICATORS INCLUDED BODY COMPOSITIONS, CARDIOVASCULAR-RESPIRATORY FUNCTIONS, PHYSICAL FUNCTIONS AND THE RANGE OF MOTION. RESULTS: AT THE END OF THE 24-WEEK PERIOD, THE PHYSICAL FITNESS OF SUBJECTS IN EXPERIMENTS I AND II HAD SIGNIFICANTLY IMPROVED WHETHER OR NOT GUIDED-IMAGERY MEDITATION WAS USED AND ALL HAD BETTER PHYSICAL FITNESS THAN SUBJECTS IN THE CONTROL GROUP (ALL P < 0.05). CONCLUSIONS: THE PHYSICAL FITNESS OF OLDER ADULTS IN BOTH THE 70-MINUTE COMPLETE SILVER YOGA GROUP AND THE 55-MINUTE SHORTENED SILVER YOGA GROUP HAD SIGNIFICANTLY IMPROVED AFTER THE INTERVENTIONS. IT WAS RECOMMENDED THAT THE SILVER YOGA PROGRAMME BE SHORTENED BY ELIMINATING THE GUIDED-IMAGERY MEDITATION. RELEVANCE TO CLINICAL PRACTICE: THE SHORTENED SILVER YOGA EXERCISE PROGRAMME IS RECOMMENDED TO BE INCORPORATED AS AN ACTIVITY PROGRAMME IN COMMUNITY-SETTINGS TO PROMOTE THE PHYSICAL FITNESS OF OLDER ADULTS. 2008
6 1082 74 EFFECTS OF YOGA ON SLEEP QUALITY AND DEPRESSION IN ELDERS IN ASSISTED LIVING FACILITIES. BACKGROUND: BEING RELOCATED TO AN ASSISTED LIVING FACILITY CAN RESULT IN SLEEP DISTURBANCES AND DEPRESSION IN ELDERS. THIS MAY BE ATTRIBUTED TO OR WORSENED BY LACK OF REGULAR PHYSICAL ACTIVITY. APPROPRIATE EXERCISE PROGRAMS MAY BE AN IMPORTANT COMPONENT OF QUALITY OF LIFE IN THIS GROUP OF TRANSITIONAL FRAIL ELDERS. PURPOSE: THIS STUDY AIMED TO TEST THE EFFECTS OF A 6-MONTH YOGA EXERCISE PROGRAM IN IMPROVING SLEEP QUALITY AND DECREASING DEPRESSION IN TRANSITIONAL FRAIL ELDERS LIVING IN ASSISTED LIVING FACILITIES. METHODS: A QUASI-EXPERIMENTAL PRETEST-AND-POSTTEST DESIGN WAS USED. A CONVENIENCE SAMPLE OF 69 ELDERLY RESIDENTS OF ASSISTED LIVING FACILITIES WAS DIVIDED RANDOMLY INTO A YOGA EXERCISE (N = 38) AND CONTROL GROUP (N = 31) BASED ON RESIDENCE LOCATION. A TOTAL OF 55 PARTICIPANTS COMPLETED THE STUDY. THE INTERVENTION WAS IMPLEMENTED IN THREE SMALL GROUPS, AND EACH PRACTICE GROUP WAS LED BY TWO PRETRAINED CERTIFIED YOGA INSTRUCTORS THREE TIMES PER WEEK AT 70 MIN PER PRACTICE SESSION FOR 24 WEEKS. THE OUTCOME MEASURES OF SLEEP QUALITY (PITTSBURGH SLEEP QUALITY INDEX) AND DEPRESSION STATE (TAIWANESE DEPRESSION QUESTIONNAIRE) WERE EXAMINED AT BASELINE, AT THE 12TH WEEK, AND AT THE 24TH WEEK OF THE STUDY. RESULTS: AFTER 6 MONTHS OF PERFORMING YOGA EXERCISES, PARTICIPANTS' OVERALL SLEEP QUALITY HAD SIGNIFICANTLY IMPROVED, WHEREAS DEPRESSION, SLEEP DISTURBANCES, AND DAYTIME DYSFUNCTION HAD DECREASED SIGNIFICANTLY (P < .05). IN ADDITION, PARTICIPANTS IN THE INTERVENTION GROUP HAD BETTER RESULTS ON ALL OUTCOME INDICATORS THAN THOSE OF PARTICIPANTS IN THE CONTROL GROUP (P < .05). CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: IT IS RECOMMENDED THAT YOGA EXERCISE BE INCORPORATED AS AN ACTIVITY PROGRAM IN ASSISTED LIVING FACILITIES OR IN OTHER LONG-TERM CARE FACILITIES TO IMPROVE SLEEP QUALITY AND DECREASE DEPRESSION IN INSTITUTIONALIZED ELDERS. 2010
7 2347 59 USING SILVER YOGA EXERCISES TO PROMOTE PHYSICAL AND MENTAL HEALTH OF ELDERS WITH DEMENTIA IN LONG-TERM CARE FACILITIES. BACKGROUND: THIS STUDY AIMED TO TEST THE EFFECTS OF YOGA EXERCISES ON THE PHYSICAL AND MENTAL HEALTH OF ELDERLY PEOPLE WITH DEMENTIA LIVING IN LONG-TERM CARE FACILITIES. METHODS: A QUASI-EXPERIMENTAL, PRETEST-POST-TEST DESIGN WAS USED. A CONVENIENCE SAMPLE OF 68 RESIDENTS IN LONG-TERM CARE FACILITIES IN SOUTHERN TAIWAN, AGED 60 YEARS AND ABOVE WITH MILD TO MODERATE DEMENTIA, WAS SELECTED. AN EXPERIMENTAL GROUP OF 33 ELDERS PARTICIPATED IN A 12-WEEK YOGA TRAINING PROGRAM OF THREE 55-MINUTE SESSIONS A WEEK; A CONTROL GROUP OF 35 ELDERS MAINTAINED THEIR USUAL DAILY ACTIVITIES. DATA WERE COLLECTED BEFORE AND AFTER COMPLETING THE 12-WEEK STUDY. MEASUREMENTS INCLUDED BODY COMPOSITION, CARDIOPULMONARY FUNCTIONS, BODY FLEXIBILITY, MUSCLE STRENGTH AND ENDURANCE, BALANCE, JOINTS MOTION, DEPRESSION, AND PROBLEM BEHAVIORS. RESULTS: THE YOGA-TRAINED PARTICIPANTS HAD BETTER PHYSICAL AND MENTAL HEALTH THAN THOSE WHO DID NOT PARTICIPATE, INCLUDING LOWERED BLOOD PRESSURE, REDUCED RESPIRATION RATE, STRENGTHENED CARDIOPULMONARY FITNESS, ENHANCED BODY FLEXIBILITY, IMPROVED MUSCLE STRENGTH AND ENDURANCE, IMPROVED BALANCE, AND INCREASED JOINTS MOTION (ALL P VALUES < 0.05). IN ADDITION, THE DEPRESSION STATE (P < 0.001) AND PROBLEM BEHAVIORS (P < 0.001) OF THESE DEMENTED ELDERS WERE SIGNIFICANTLY REDUCED. CONCLUSION: YOGA EXERCISE HAS POSITIVE BENEFITS FOR BOTH THE PHYSICAL AND MENTAL HEALTH OF ELDERS WITH DEMENTIA LIVING IN LONG-TERM CARE FACILITIES. IT IS RECOMMENDED THAT YOGA BE INCLUDED AS ONE OF THE ROUTINE ACTIVITIES IN THESE LONG-TERM CARE FACILITIES. 2011
8 1947 37 SAUNA YOGA SUPERIORLY IMPROVES FLEXIBILITY, STRENGTH, AND BALANCE: A TWO-ARMED RANDOMIZED CONTROLLED TRIAL IN HEALTHY OLDER ADULTS. BESIDES STRENGTH AND BALANCE, FLEXIBILITY IS AN IMPORTANT INDICATOR OF HEALTH-RELATED PHYSICAL FITNESS. THUS, THE AIM OF THIS TWO-ARMED RANDOMIZED CONTROLLED PILOT TRIAL WAS TO INVESTIGATE WHETHER SAUNA YOGA AT A MODERATE TEMPERATURE (50 DEGREES C) BENEFICIALLY AFFECTS FLEXIBILITY, STRENGTH, BALANCE, AND QUALITY OF LIFE (QOL) IN HEALTHY ELDERLY COMMUNITY DWELLERS. PARTICIPANTS WERE RANDOMLY ASSIGNED TO AN INTERVENTION GROUP (INT, N = 11, AGE: 68.7 +/- 5.9) OR CONTROL GROUP (CON, N = 12, AGE: 69.3 +/- 4.9), USING THE MINIMIZATION METHOD. AGE, PHYSICAL ACTIVITY, GENDER, AND THE PRIMARY OUTCOME FLEXIBILITY WERE USED AS STRATA FOR GROUP ALLOCATION. BOTH GROUPS COMPLETED SIMILAR EXERCISES IN THE SAUNA OVER EIGHT WEEKS. ONLY THE INT GROUP WAS EXPOSED TO MODERATE TEMPERATURES OF 50 DEGREES C. LARGE AND STATISTICALLY SIGNIFICANT IMPROVEMENT IN FAVOR OF THE SAUNA GROUP (INT) WAS OBSERVED FOR THE CHAIR SIT-AND-REACH TEST (INT: +83%, CON +3%, P = 0.028, NSMALL ER, CYRILLIC(2) = 0.24). THE SHOULDER AND LATERAL SPINE FLEXIBILITY WERE NOT RELEVANTLY AFFECTED. STRENGTH IN THE LOWER EXTREMITIES MERELY SHOWED A TENDENCY TO SIGNIFICANT CHANGES (INT: 16%, CON: 3%, P = 0.061, NSMALL ER, CYRILLIC(2) = 0.181). ADDITIONALLY, BALANCE ABILITIES, WITH EYES CLOSED, IMPROVED (INT: 187%, CON +58%, P = 0.056, NSMALL ER, CYRILLIC(2) = 0.189) IN FAVOR OF THE INT GROUP. QOL ONLY IMPROVED IN FAVOR OF THE INT FOR ENVIRONMENTAL DIMENSION (INT: +7%, CON: 0%, P = 0.034, NSMALL ER, CYRILLIC(2) = 0.227). THESE FIRST BUT PRELIMINARY FINDINGS INDICATE THAT SAUNA YOGA MAY SERVE AS A PROMISING AND FEASIBLE MEANS TO IMPROVE FLEXIBILITY IN ELDERLY PEOPLE. STRENGTH AND BALANCE DO NOT MEANINGFULLY BENEFIT FROM A SAUNA ENVIRONMENT, ALTHOUGH STRENGTH IMPROVED TO A SLIGHTLY HIGHER EXTENT IN THE SAUNA GROUP. FUTURE LARGE-SCALE RESEARCH IS NEEDED TO ELUCIDATE UNDERLYING MECHANISMS AND CORROBORATE THESE FINDINGS. 2019
9 1982 52 SLEEP QUALITY, DEPRESSION STATE, AND HEALTH STATUS OF OLDER ADULTS AFTER SILVER YOGA EXERCISES: CLUSTER RANDOMIZED TRIAL. BACKGROUND: SLEEP DISTURBANCES, DEPRESSION, AND LOW PERCEPTION OF HEALTH STATUS ARE COMMONLY SEEN IN ELDERLY POPULATION; HOWEVER, CLINICIANS TEND TO UNDERESTIMATE OR OVERLOOK THE PRESENCE OF THESE SYMPTOMS AND ASSUME THEM TO BE A PART OF NORMAL AGING. NON-PHARMACOLOGICAL METHODS THAT PROMOTE A MIND-BODY INTERACTION SHOULD BE TESTED TO ENHANCE THE MENTAL HEALTH OF OLDER ADULTS. OBJECTIVE: TO TEST THE EFFECTS OF 6 MONTHS OF SILVER YOGA EXERCISES IN PROMOTING THE MENTAL HEALTH OF OLDER ADULTS IN SENIOR ACTIVITY CENTERS, ESPECIALLY THEIR SLEEP QUALITY, DEPRESSION, AND SELF-PERCEPTION OF HEALTH STATUS. DESIGN: CLUSTER RANDOMIZED TRIAL. SETTINGS: EIGHT SENIOR ACTIVITY CENTERS, SOUTHERN TAIWAN. PARTICIPANTS: A SAMPLE OF 139 PARTICIPANTS WAS RECRUITED, AND 128 OF THEM COMPLETED THE STUDY. INCLUSION CRITERIA: (1) COMMUNITY-DWELLING OLDER ADULTS AGES 60 AND OVER, (2) NO PREVIOUS TRAINING IN YOGA, (3) ABLE TO WALK WITHOUT ASSISTANCE, (4) COGNITIVELY ALERT BASED ON THE SHORT PORTABLE MENTAL STATUS QUESTIONNAIRE (SPMSQ) SCORE OF EIGHT OR HIGHER, AND (5) INDEPENDENT OR MILDLY DEPENDENT IN SELF-CARE BASED ON A BARTHEL INDEX (BI) SCORE OF 91 OR HIGHER. THE MEAN AGE OF THE PARTICIPANTS WAS 69.20 +/- 6.23 YEARS, AND THE AVERAGE NUMBER OF CHRONIC ILLNESS WAS 0.83 +/- 0.90. THE AVERAGE BI SCORE OF THE PARTICIPANTS WAS 99.92 +/- 0.62, AND THE MEAN SPMSQ SCORE WAS 9.90 +/- 0.30. METHODS: PARTICIPANTS WERE RANDOMLY ASSIGNED INTO EITHER THE EXPERIMENTAL (N=62) OR THE CONTROL (N=66) GROUP BASED ON ATTENDANCE AT SELECTED SENIOR ACTIVITY CENTERS. A 70-MIN SILVER YOGA EXERCISE PROGRAM WAS IMPLEMENTED THREE TIMES PER WEEK FOR 6 MONTHS AS THE INTERVENTION FOR THE PARTICIPANTS IN THE EXPERIMENTAL GROUP. RESULTS: MOST OF THE MENTAL HEALTH INDICATORS OF THE PARTICIPANTS IN THE EXPERIMENTAL GROUP HAD SIGNIFICANTLY IMPROVED AFTER THE SILVER YOGA INTERVENTIONS, AND MANY OF THE INDICATORS IMPROVED AFTER 3 MONTHS OF INTERVENTION AND WERE MAINTAINED THROUGHOUT THE 6 MONTHS STUDY. THE MENTAL HEALTH INDICATORS OF THE PARTICIPANTS IN THE EXPERIMENTAL GROUP WERE ALL BETTER THAN THE PARTICIPANTS IN THE CONTROL GROUP (ALL P<.05). CONCLUSIONS: AFTER 6 MONTHS OF SILVER YOGA EXERCISES, THE SLEEP QUALITY, DEPRESSION, AND HEALTH STATUS OF OLDER ADULTS WERE ALL IMPROVED. 2009
10 1249 32 FEASIBILITY STUDY OF A MODIFIED YOGA PROGRAM FOR CHRONIC PAIN AMONG ELDERLY ADULTS IN ASSISTED AND INDEPENDENT LIVING. CONTEXT: YOGA IMPROVES QUALITY OF LIFE IN ELDERS >/=65 YEARS, BUT STUDIES AMONG ELDERS WITH CHRONIC PAIN ARE LIMITED. OBJECTIVE: CONDUCT A FEASIBILITY STUDY OF GENTLE YOGA AMONG ELDERS IN ASSISTED AND INDEPENDENT LIVING. DESIGN: SINGLE ARM PRE/POST CLINICAL TRIAL. SUBJECTS: ADULTS (>/=65 YEARS OF AGE) WITH SELF-IDENTIFIED CHRONIC PAIN (>/=3 ON A 10-POINT SCALE, LASTING FOR >/=3 MONTHS) AND NO CURRENT YOGA PRACTICE. INTERVENTION: TEN WEEKLY 60-MIN GENTLE YOGA CLASSES TAILORED TO ELDERLY ADULTS. OUTCOME MEASURES: AT BASELINE, WEEKS 5, 10 (END OF INTERVENTION), AND 20 (FOLLOW-UP), WE COLLECTED DATA ON FEASIBILITY (ADHERENCE, RETENTION, SAFETY), PAIN, ANXIETY, DEPRESSION, FATIGUE, SLEEP DISTURBANCE, AND PHYSICAL FUNCTION. RESULTS: TWENTY-SIX PARTICIPANTS ENROLLED (88% WOMEN, 77% WHITE, 58% IN ASSISTED LIVING) WITH AVERAGE AGE OF 86.6 +/- 4.4 (MEAN, STD). TWENTY PARTICIPANTS COMPLETED THE INTERVENTION, WITH 90% ADHERING (COMPLETING >/=6 CLASSES). NINE PARTICIPANTS (45% OF COMPLETERS) EXPERIENCED ADVERSE EVENTS, WHICH WERE NON-SERIOUS AND RELATED TO TRANSIENT MUSCULOSKELETAL PAIN. NO ADVERSE EVENTS RESULTED IN STUDY WITHDRAWAL. PARTICIPANTS REPORTED BEING SOMEWHAT LIKELY TO RECOMMEND YOGA TO A FRIEND, AND QUITE A BIT LIKELY TO DO YOGA AGAIN. AT THE END OF THE INTERVENTION, FOUR OF TWENTY PARTICIPANTS REPORTED PRACTICING YOGA OUTSIDE OF CLASS. ANXIETY SIGNIFICANTLY DECREASED FROM 5.80 (SE=0.90) TO 4.44 (SE=0.74) (P = 0.014), BUT THERE WERE NO CHANGES IN OTHER MEASURES. CONCLUSIONS: OUR PILOT 10-WEEK YOGA STUDY WAS GENERALLY SAFE FOR AND SUITABLE TO ASSISTED AND INDEPENDENT LIVING ELDERLY ADULTS. FUTURE STUDIES ARE NEEDED TO EXAMINE OTHER EFFECTS OF YOGA IN ASSISTED/INDEPENDENT LIVING ADULTS WITH CHRONIC PAIN. 2022
11 120 18 A PILOT STUDY OF THE EFFECTS OF CHAIR YOGA AND CHAIR-BASED EXERCISE ON BIOPSYCHOSOCIAL OUTCOMES IN OLDER ADULTS WITH LOWER EXTREMITY OSTEOARTHRITIS. THIS PILOT STUDY EXAMINED WHETHER CHAIR YOGA AND CHAIR-BASED EXERCISE ARE EFFECTIVE IN MANAGING BIOPSYCHOSOCIAL OUTCOMES FOR OLDER ADULTS WITH LOWER EXTREMITY OSTEOARTHRITIS. BOTH INTERVENTIONS IMPROVED PHYSICAL FUNCTION AND MOBILITY OVER TIME, ALTHOUGH NO SIGNIFICANT DIFFERENCES BETWEEN THE 2 INTERVENTIONS WERE IDENTIFIED. 2019
12 2143 42 THE EFFECTS OF M2M AND ADAPTED YOGA ON PHYSICAL AND PSYCHOSOCIAL OUTCOMES IN PEOPLE WITH MULTIPLE SCLEROSIS. OBJECTIVE: TO INVESTIGATE THE EFFECTS OF TWO 12-WEEK EXERCISE TRAINING INTERVENTIONS, MOVEMENT-TO-MUSIC (M2M) AND ADAPTED YOGA (AY), ON PHYSICAL AND PSYCHOSOCIAL OUTCOMES IN PEOPLE WITH MULTIPLE SCLEROSIS (MS). DESIGN: THREE-ARM RANDOMIZED CONTROLLED PROOF-OF-CONCEPT TRIAL. SETTING: A COMMUNITY-BASED FITNESS FACILITY. PARTICIPANTS: PARTICIPANTS (N=81) WITH MS (PATIENT DETERMINED DISEASE STEPS [PDDS] SELF-REPORTED DISEASE STATUS SCORES: 0-6) BETWEEN AGES OF 18 AND 65 YEARS WERE RANDOMIZED TO M2M (N=27), AY (N=26), OR WAITLIST CONTROL (N=28). INTERVENTIONS: BOTH M2M AND AY COMPLETED THREE 60-MINUTE EXERCISE SESSIONS PER WEEK FOR 12 WEEKS. WAITLIST CONTROLS RECEIVED BIWEEKLY NEWSLETTERS VIA MAIL THAT CONTAINED EDUCATIONAL INFORMATION ON LIVING WITH MS. MAIN OUTCOME MEASURES: PRIMARY MEASURES WERE TIMED UP AND GO (TUG, S) TEST, 6-MINUTE WALK TEST (6MWT, M), AND 5 TIMES SIT-TO-STAND TEST (FTSST, S). SECONDARY MEASURES WERE SELF-REPORTED OUTCOMES ASSESSED USING PATIENT-REPORTED OUTCOMES MEASUREMENT INFORMATION SYSTEM FATIGUE AND PAIN INTERFERENCE SHORT FORM 8A. PARTICIPANTS WERE EVALUATED AT BASELINE AND POSTINTERVENTION. PRIMARY ANALYSES WERE PERFORMED USING AN INTENT-TO-TREAT MIXED MODEL ANALYSIS OF COVARIANCE. RESULTS: COMPARISONS ACROSS ALL 3 GROUPS REVEALED SIGNIFICANT GROUP DIFFERENCES IN TUG AND 6MWT. POST HOC ANALYSES INDICATED SIGNIFICANT IMPROVEMENTS IN TUG (LEAST SQUARE MEAN DIFFERENCE [95% CONFIDENCE INTERVAL] = -1.9S [-3.3 TO -0.5], P=.01, D=0.7) AND 6MWT (41.0M [2.2-80.0], P=.04, D=0.6; CONTROLLED FOR PDDS) IN M2M COMPARED TO CONTROLS, WHILE NO SIGNIFICANT DIFFERENCES WERE OBSERVED WHEN COMPARED AY TO CONTROLS. NO SIGNIFICANT GROUP DIFFERENCES WERE FOUND IN FTSST, FATIGUE, AND PAIN INTERFERENCE. CONCLUSIONS: M2M MAY BE A USEFUL AND ENJOYABLE EXERCISE FORM FOR PEOPLE WITH MS IN IMPROVING MOBILITY AND WALKING ENDURANCE AND MERITS LONG-TERM STUDY IN LARGER STUDY POPULATIONS. 2019
13 387 37 BENEFITS OF THAI YOGA ON PHYSICAL MOBILITY AND LOWER LIMB MUSCLE STRENGTH IN OVERWEIGHT/OBESE OLDER WOMEN: A RANDOMIZED CONTROLLED PILOT TRIAL. BACKGROUND AND PURPOSE: ALTHOUGH THAI YOGA (TY) IS REPORTED TO IMPROVE HEALTH-RELATED FITNESS FOR THE ELDERLY, NO STUDY HAS YET CARRIED OUT THE EFFECT OF TY PROGRAM ON PHYSICAL MOBILITY AND LOWER-LIMB MUSCLE STRENGTH IN OVERWEIGHT/OBESE OLDER WOMEN. MATERIALS AND METHODS: IN A RANDOMIZED CONTROLLED PILOT DESIGN, TWENTY-TWO SEDENTARY WOMEN WITH A BMI >/= 23 KG/M(2), AGED 62 +/- 1 YEARS WERE RANDOMLY ASSIGNED TO EITHER A TY GROUP FOR 60 MIN, 3 TIMES A WEEK OR TO A "NO EXERCISE" CONTROL (CON) GROUP. SIT AND REACH (SRT), FUNCTIONAL REACH (FRT) AND 30-S CHAIR STAND (CST-30), 8-FOOT UP AND GO (8UGT), 6-MIN WALK (6MWT)) AND LOWER-LIMB MUSCLE STRENGTH WERE MEASURED AT THE BEGINNING, 4, AND 8 WEEKS. RESULTS: AT WEEK 4, A SIGNIFICANT BETWEEN GROUPS WAS OBTAINED IN CST-30, 8UGT, AND 6MWT. AT WEEK 8, FRT, 8UGT, 6MWT AND KNEE FLEXOR AND EXTENSOR MUSCLE STRENGTH WERE IMPROVED IN THE TY OVER THE CON. SIGNIFICANT IMPROVEMENT WAS FOUND IN ALL VARIABLES WITHIN THE TY, BUT NO CHANGE WAS OBSERVED IN THE CON. CONCLUSION: AN 8-WEEK TY PROGRAM APPEARS TO PROVIDE BENEFICIAL IMPROVEMENTS IN PHYSICAL MOBILITY IN OVERWEIGHT/OBESE OLDER WOMEN. 2021
14 2131 41 THE EFFECTS OF A 6-MONTH MODERATE-INTENSITY HATHA YOGA-BASED TRAINING PROGRAM ON HEALTH-RELATED FITNESS IN MIDDLE-AGED SEDENTARY WOMEN: A RANDOMIZED CONTROLLED STUDY. BACKGROUND: THERE IS PAUCITY OF DATA EXAMINING THE EFFECTIVENESS OF LONG-TERM HATHA YOGA-BASED (HY) PROGRAMS FOCUSED ON THE HEALTH-RELATED FITNESS (H-RF) OF ASYMPTOMATIC, SEDENTARY WOMEN. THE PURPOSE OF THIS STUDY WAS TO EXAMINE THE EFFECTS OF A 6-MONTH HY-BASED TRAINING PROGRAM ON H-RF COMPONENTS IN SEDENTARY MIDDLE-AGED WOMEN. METHODS: EIGHTY SEDENTARY WOMEN WERE RANDOMLY ASSIGNED INTO EITHER THE HY GROUP (HYG) (N.=42) OR THE CONTROL GROUP (CG) (N.=38). THE 6-MONTH HYG PROGRAM INVOLVED A PROGRESSIVE SERIES OF VINYASA FLOW POSES PERFORMED 3 TIMES/WEEK FOR 60 MINUTES (40 MINUTES WITHIN THE EXERCISE ZONE OF 60-75% HRMAX). THE CG PARTICIPANTS DID NOT UNDERGO ANY PHYSICAL TRAINING OR EDUCATION. HEALTH-RELATED FITNESS PARAMETERS INCLUDED MEASURES OF PRE- AND POST-TRAINING: BODY COMPOSITION, MUSCULAR STRENGTH AND MAXIMAL VOLUNTARY ISOMETRIC TORQUES OF ELBOW FLEXORS AND KNEE EXTENSORS, CARDIO-RESPIRATORY FITNESS, LOWER BACK AND HAMSTRING FLEXIBILITY AND A STATIC-DYNAMIC BALANCE. RESULTS: TWO-WAY MIXED DESIGN ANOVA REVEALED SIGNIFICANT MAIN EFFECTS FOR ALL THE INDICATORS OF H-RF. TUKEY POST-HOC TESTS CONFIRMED THAT THE HYG DEMONSTRATED SIGNIFICANT IMPROVEMENTS IN EVERY VARIABLE TESTED. EXAMPLES OF THE BENEFITS ACHIEVED INCLUDE (ALL P<.001): AN AVERAGE LOSS OF 1.03 KG AND A 4.82% DECREASE IN BODY FAT, 14.6% AND 13.1% GAINS IN ISOMETRIC STRENGTH OF THE KNEE EXTENSORS AND ELBOW FLEXORS RESPECTIVELY, AN INCREASE IN RELATIVE VO2MAX OF 6.1% (33.12+/-5.30 TO 35.14+/-4.82 ML/KG/MIN), A 4-CM OR 10.4% INCREASE IN THEIR MSAR, AND AN AVERAGE IMPROVED BALANCE INDEX OF 5.6 MM/S. REVERSELY, THE CG SHOWED NON-SIGNIFICANT CHANGES IN H-RF VARIABLES (ALL P>0.05; PERCENT RANGE FROM -1.4% TO 1.1%). CONCLUSIONS: BY PARTICIPATING IN A MODERATE-INTENSITY 6-MONTH HY-BASED TRAINING PROGRAM, MIDDLE-AGED WOMEN CAN SIGNIFICANTLY IMPROVE THEIR HR-F STATUS. THE APPLICATION OF PROGRESSIVE TARGET HEART RATE GOALS FACILITATED GREATER THAN EXPECTED IMPROVEMENTS IN CARDIO-RESPIRATORY FITNESS AND IMPROVEMENTS IN BODY COMPOSITION. 2020
15 2077 29 THE EFFECT OF CHAIR YOGA IN OLDER ADULTS WITH MODERATE AND SEVERE ALZHEIMER'S DISEASE. USING A QUASI-EXPERIMENTAL SINGLE-GROUP DESIGN, THIS STUDY EXAMINED THE FEASIBILITY OF OLDER ADULTS WITH ALZHEIMER'S DISEASE (AD)-TYPE DEMENTIA TO COMPLETE THE SIT 'N' FIT CHAIR YOGA PROGRAM. PHYSICAL FUNCTION OF PARTICIPANTS WHO COMPLETED THE PROGRAM WAS MEASURED. THE NINE OLDER ADULTS WITH AD (MEAN AGE = 83) PARTICIPATED IN THE 8-WEEK SIT 'N' FIT CHAIR YOGA PROGRAM. TO MEASURE PHYSICAL FUNCTION, THE SIX-MINUTE WALK TEST, THE GAIT SPEED TEST, AND THE BERG BALANCE SCALE WERE ADMINISTERED AT PRE-INTERVENTION, 4 WEEKS, 8 WEEKS, AND 1 MONTH AFTER PROGRAM COMPLETION. ALL PARTICIPANTS COMPLETED THE PROGRAM. POSITIVE CHANGES WERE SEEN ACROSS ALL PHYSICAL MEASURES. FURTHER STUDY, USING A LARGER SAMPLE AND INCLUDING A CONTROL GROUP, IS NEEDED TO FULLY DETERMINE THE EFFECT OF THE SIT 'N' FIT CHAIR YOGA PROGRAM ON OLDER ADULTS WITH MODERATE TO SEVERE AD. 2014
16 2576 43 YOGA FOR FUNCTIONAL FITNESS IN ADULTS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES. BACKGROUND: YOGA IS AN EFFECTIVE INTERVENTION TO IMPROVE FUNCTIONAL FITNESS IN ADULTS WITH AND WITHOUT DISABILITIES, BUT LITTLE RESEARCH EXISTS REGARDING YOGA'S IMPACT ON FUNCTIONAL FITNESS FOR INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES (IDDS). AIMS: THE PURPOSE OF THIS STUDY WAS TO EXAMINE THE BENEFITS OF A GROUP YOGA INTERVENTION ON THE FUNCTIONAL FITNESS OF ADULTS WITH IDDS. METHODS AND MATERIALS: THIS YOGA INTERVENTION INCLUDED 12 SESSIONS OF YOGA OVER 7 WEEKS (60-MIN SESSIONS TWICE A WEEK) AT A SPECIAL POPULATION RECREATION AND LEISURE PROGRAM. THE FUNCTIONAL FITNESS TEST WAS USED TO EXAMINE PHYSICAL FUNCTIONING BEFORE AND AFTER THE YOGA INTERVENTION. RESULTS AND CONCLUSIONS: EIGHT ADULTS COMPLETED THE BASELINE AND POSTTEST MEASURES (AGE MEAN = 31; STANDARD DEVIATION = 6.55; 50% MALE). THERE WERE SIGNIFICANT IMPROVEMENTS IN LOWER-BODY STRENGTH (9.00 +/- 4.63 VS. 11.50 +/- 3.16, P = 0.04, 28% IMPROVEMENT), UPPER-BODY STRENGTH (11.25 +/- 3.54 VS. 14.25 +/- 3.37, P = 0.018, 27% IMPROVEMENT), AND AGILITY AND BALANCE (9.29 +/- 4.1 VS. 6.60 +/- 1.54, P = 0.036, 29% IMPROVEMENT). FUNCTIONAL FITNESS OFTEN DECLINES FOR PEOPLE WITH IDD AT A FASTER RATE THAN THE GENERAL POPULATION; THUS, THESE SIGNIFICANT CHANGES INDICATE THAT A YOGA INTERVENTION MAY ENHANCE FUNCTIONAL FITNESS FOR PEOPLE WITH IDD. CLINICIANS OR OTHER HEALTHCARE PROVIDERS MIGHT CONSIDER YOGA AS A MEANS TO IMPROVE FUNCTIONAL FITNESS IN ADULTS WITH IDDS. 2020
17 1095 31 EFFECTS OF YOGA PRACTICE ON MUSCULAR ENDURANCE IN YOUNG WOMEN. THE AIM OF THIS STUDY WAS TO VERIFY THE EFFECTS OF A SYSTEMATIZED YOGA PRACTICE ON MUSCULAR ENDURANCE IN YOUNG WOMEN. TWENTY SIX WOMEN (24 +/- 3.5 YEARS OLD) PARTICIPATED IN SIX WEEKS OF YOGA CLASSES, AND TWENTY ONE WOMEN (25 +/- 5.1 YEARS OLD) PARTICIPATED AS THE CONTROL GROUP. THE YOGA INTERVENTION WAS COMPOSED OF EIGHTEEN SESSIONS, THREE TIMES PER WEEK, AT 1 H PER SESSION. THE MUSCULAR ENDURANCE OF UPPER LIMBS (PUSH-UP) AND ABDOMINAL (SIT-UP) WAS ASSESSED THROUGH THE PROTOCOL SUGGESTED BY GETTMAN (1989) [1] AND GOLDING, MYERS AND SINNING (1989) [2] TO THE MAXIMUM REPETITIONS PERFORMED IN 1 MIN. TO VERIFY THE SIGNIFICANT DIFFERENCES INTRA GROUPS AND BETWEEN GROUPS A SPANOVA WAS PERFORMED, AND THE LEVEL OF SIGNIFICANCE WAS P /=75% OF THE INTERVENTION SESSIONS. SURVEY RESULTS SUPPORT THAT THE PHIT YOGA WAS ACCEPTABLE TO BOTH CAREGIVERS AND CHILDREN. IMPROVEMENTS IN BMIZ WERE OBSERVED IN 50% OF CHILDREN IN EACH COHORT AND BOTH GROUPS IMPROVED ON FIVE OF SEVEN HEALTH HABITS; COHORTS OVERLAPPED ON THREE HABITS (BREAKFAST, SCREEN TIME, AND SUGAR-SWEETENED DRINKS). CONCLUSION: FINDINGS SUPPORT THAT YOGA CLASSES ADDED TO A PEDIATRIC WEIGHT MANAGEMENT PROGRAM ARE FEASIBLE AND ACCEPTABLE IN RACIALLY DIVERSE CHILDREN WITH SEVERE OBESITY AND THEIR CAREGIVERS. 2022