Impact of psychosocial factors on functional improvement in Latino older adults after Tai Chi exercise.

Increasing evidence underscores the health benefits of Tai Chi (TC), although there is limited evidence of benefits among racial and ethnic minorities. This study investigated the impact of psychosocial status on balance among 23 Latino seniors after a twice-a-week, 12-week TC exercise program. Functional status was measured at baseline, immediately after, and three months following the TC exercise program, using the Timed Up and Go Test and Tinetti Falls Efficacy Scale. Psychosocial status was measured at baseline by the Center for Epidemiologic Studies Depression Scale and Norbeck Social Support Questionnaire. Both measures of functional status improved and were sustained after three months of TC. Greater improvement was significantly related to a higher level of baseline social support. More depressed seniors reported less fear of falling after TC. Depression and social support are important moderators of functional improvement after TC among Latino seniors.

[1]  M. Minkler,et al.  The Hispanic Paradox and Older Adults’ Disabilities: Is There a Healthy Migrant Effect? , 2013, International journal of environmental research and public health.

[2]  Ipsit V Vahia,et al.  Association between older age and more successful aging: critical role of resilience and depression. , 2013, The American journal of psychiatry.

[3]  T. Rantanen,et al.  Balance confidence was associated with mobility and balance performance in older people with fall-related hip fracture: a cross-sectional study. , 2012, Archives of physical medicine and rehabilitation.

[4]  S. Pavarini,et al.  The relationship between social support and functional capacity in elderly persons with cognitive alterations. , 2012, Revista latino-americana de enfermagem.

[5]  W. Miller,et al.  Interventions for addressing low balance confidence in older adults: a systematic review and meta-analysis. , 2011, Age and ageing.

[6]  W. Vega,et al.  Health disparities in the Latino population. , 2009, Epidemiologic reviews.

[7]  S. Chew,et al.  A systematic review of the effectiveness of Tai Chi on fall reduction among the elderly. , 2009, Archives of gerontology and geriatrics.

[8]  Brian A. Lawlor,et al.  Social support network structure in older people: Underlying dimensions and association with psychological and physical health , 2009, Psychology, health & medicine.

[9]  D. Sleet,et al.  Translation of an effective tai chi intervention into a community-based falls-prevention program. , 2008, American journal of public health.

[10]  E. Arias,et al.  Paradox lost: Explaining the hispanic adult mortality advantage , 2004, Demography.

[11]  Thomas A Glass,et al.  Social engagement and disability in a community population of older adults: the New Haven EPESE. , 2003, American journal of epidemiology.

[12]  E. Arias,et al.  A Note on the Living Arrangements of Elders 1970–2000, with Special Emphasis on Hispanic Subgroup Differentials , 2003 .

[13]  Ge Wu,et al.  Evaluation of the Effectiveness of Tai Chi for Improving Balance and Preventing Falls in the Older Population—A Review , 2002, Journal of the American Geriatrics Society.

[14]  Youlian Hong,et al.  Tai chi: physiological characteristics and beneficial effects on health , 2001, British journal of sports medicine.

[15]  Fuzhong Li,et al.  Tai Chi Enhances Self-Efficacy and Exercise Behavior in Older Adults , 2001 .

[16]  M. Woollacott,et al.  Predicting the probability for falls in community-dwelling older adults using the Timed Up & Go Test. , 2000, Physical therapy.

[17]  D. Ng-Mak,et al.  The Latino mortality paradox: a test of the "salmon bias" and healthy migrant hypotheses. , 1999, American journal of public health.

[18]  A. Stuck,et al.  Risk factors for functional status decline in community-living elderly people: a systematic literature review. , 1999, Social science & medicine.

[19]  Jin H. Yan,et al.  Tai Chi: An Alternative Exercise Form for Seniors , 1998 .

[20]  Jin H. Yan Tai Chi Practice Improves Senior Citizens’ Balance and Arm Movement Control , 1998 .

[21]  D L Patrick,et al.  Screening for depression in well older adults: evaluation of a short form of the CES-D (Center for Epidemiologic Studies Depression Scale). , 1994, American journal of preventive medicine.

[22]  M. Tinetti,et al.  Falls efficacy as a measure of fear of falling. , 1990, Journal of gerontology.

[23]  J S Norbeck,et al.  The Development of an Instrument to Measure Social Support , 1981, Nursing research.

[24]  Ellen Costello,et al.  Update on falls prevention for community-dwelling older adults: review of single and multifactorial intervention programs. , 2008, Journal of rehabilitation research and development.

[25]  J. Stevens,et al.  Self-reported falls and fall-related injuries among persons aged>or=65 years--United States, 2006. , 2008, Journal of safety research.

[26]  G. Becker,et al.  Percetion of aging and sense of well-being among Latino elderly , 2002, Journal of cross-cultural gerontology.