Aging

Improve Psychological Health in the Elderly with Mindfulness

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Improve Psychological Health in the Elderly with Mindfulness

 

By John M. de Castro, Ph.D.

 

“In nursing homes and other long-term care facilities, loneliness, depression, and anxiety are considerable risk factors for residents. Mindfulness may help elders to find peace within themselves with daily practice.” – GoldenCares

 

Human life is one of constant change. We revel in our increases in physical and mental capacities during development but regret their decline during aging. As we age, there are systematic progressive declines in every system in the body, the brain included. This includes our mental abilities and results in impairments in memory, attention, and problem solving ability. It is inevitable and cannot be avoided. Aging also results in changes in mental health. Depression is very common in the elderly. The elderly cope with increasing loss of friends and family, deteriorating health, as well as concerns regarding finances on fixed incomes. All of these are legitimate sources of worry. In addition, many elderly experience withdrawal and isolation from social interactions. But, no matter how reasonable, the increased loneliness, worry and anxiety add extra stress that can impact on the elderly’s already deteriorating physical and psychological health.

 

Mindfulness appears to be effective for an array of physical and psychological issues that occur with aging. It appears to strengthen the immune system and reduce inflammation. It has also been shown to be beneficial in slowing or delaying physical and mental decline with aging. and improve cognitive processes. It has also been shown to reduce anxiety, worry, and depression and improve overall mental health. Since the global population of the elderly is increasing at unprecedented rates, it is imperative to investigate safe and effective methods to improve mental health in the elderly. In addition, more and more elderly individuals are residing in continuing care retirement communities. Hence it is important to find treatment methods amenable to implementation in these facilities.

 

In today’s Research News article “An Adapted Mindfulness-Based Stress Reduction Program for Elders in a Continuing Care Retirement Community: Quantitative & Qualitative Results from a Pilot Randomized Controlled Trial.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5973835/ ), Moss and colleagues recruited elderly residents, predominantly female (82%), of a continuing care retirement community. They were 62 to 92 years of age. They were randomly assigned to either receive an adapted Mindfulness-Based Stress Reduction (MBSR) program or to a wait-list control condition. The MBSR program was presented for 2 hours, once a week, for 8 weeks with 30-minute daily home practice. It consisted of the standard meditation, body scan, and yoga practices. But, yoga practice was changed to chair yoga to be better practiced by the elderly. The participants were measured before and after the treatment for acceptability of the program including attendance and rate of home practice, health, psychological flexibility, mindfulness, self-compassion, anxiety, depression, and somatization.

 

They found a high degree of acceptability of the program with only 20% dropping out and the participants averaged 5 days a week of home practice. In comparison to the baseline and wait-list control group, the participants who received the Mindfulness-Based Stress Reduction (MBSR) had significantly improved psychological flexibility and reduced physical limitations. In comparison to baseline the MBSR participants had significantly greater observing mindfulness, mental health, and vitality, and significantly less emotional limitations. The participants reflected that after the training they were better able to attend to the present moment, had greater well-being, self-compassion and kindness, and reduced self-judgement and stress.

 

These are wonderful results that demonstrate that Mindfulness-Based Stress Reduction (MBSR) is an acceptable, safe, and effective program to enhance the psychological health of elderly residents of a continuing care retirement community. The adaptations to the program to recognize the physical limitations of the elderly did not appear to blunt its’ effectiveness and perhaps made it more acceptable. Future research should employ an active control condition, such as aerobic exercise to better control for confounding variables. Regardless, the MBSR program would appear to have great benefits for the aging population.

 

So, improve psychological health in the elderly with mindfulness.

 

“Often elderly people can live uncomfortable, lonely, quiet lives. Teaching them to pay attention moment by moment, on purpose but without judgement, to each of their experiences, can improve of the quality of their lives, based on the demonstrated effectiveness of mindfulness techniques in many forms of therapy. Mindfulness practice has a definite positive impact on issues such as recurrent depression, stress, anxiety, chronic physical pain and loneliness. For the elderly, chronic health conditions, the loss of self-determination in their daily lives, isolation, and a lack of interaction with the outside world can understandably take much of the joy out of life.” – MyHomecare

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

 

Study Summary

 

Moss, A. S., Reibel, D. K., Greeson, J. M., Thapar, A., Bubb, R., Salmon, J., & Newberg, A. B. (2015). An Adapted Mindfulness-Based Stress Reduction Program for Elders in a Continuing Care Retirement Community: Quantitative & Qualitative Results from a Pilot Randomized Controlled Trial. Journal of Applied Gerontology : The Official Journal of the Southern Gerontological Society, 34(4), 518–538. http://doi.org/10.1177/0733464814559411

 

Abstract

The purpose of this study was to test the feasibility and effectiveness of an adapted 8-week mindfulness-based stress reduction (MBSR) program for elders in a continuing care community. This mixed-methods study used both quantitative and qualitative measures. A randomized wait-list control design was used for the quantitative aspect of the study. Thirty-nine elderly were randomized to MBSR (n=20) or a wait-list control group (n=19); mean age 82 years. Both groups completed pre-post measures of health related quality of life, acceptance and psychological flexibility, facets of mindfulness, self-compassion, and psychological distress. A subset of MBSR participants completed qualitative interviews. MBSR participants showed significantly greater improvement in acceptance and psychological flexibility and in role limitations due to physical health. In the qualitative interviews, MBSR participants reported increased awareness, less judgment and greater self-compassion. Study results demonstrate the feasibility and potential effectiveness of an adapted MBSR program in promoting mind-body health for elders.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5973835/

 

Reduce Menopausal Symptoms, Anxiety, and Depression during Menopause with Mindfulness

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Reduce Menopausal Symptoms, Anxiety, and Depression during Menopause with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Mindfulness cannot entirely remove the symptoms of menopause, but it can help you deal with them in a calmer and more compassionate way – and self compassion boosts mental health.” – Karita Cullen

 

Menopause occurs in the 40s and 50s in most women, on average at 51 years of age. It is a natural physical process that marks the end of the menstrual cycle. The symptoms that occur over the years preceding menopause include irregular periods, vaginal dryness, hot flashes, chills

night sweats, sleep problems, mood changes, weight gain and slowed metabolism, thinning hair and dry skin, and loss of breast fullness. This is a natural process that is healthy and needs to occur. So, treatments are designed for symptomatic relief and include drugs and hormone treatments.

 

Mindfulness training may be a more natural treatment for the symptoms of menopause. Indeed, the mindful practice of yoga has been shown to improve the cardiac symptoms of menopause. It is important to study the effectiveness of other mindfulness practices in relieving these symptoms. In today’s Research News article “Mindfulness-Based Stress Reduction (MBSR) or Psychoeducation for the Reduction of Menopausal Symptoms: A Randomized, Controlled Clinical Trial.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5919973/ ), Wong and colleagues examine the effectiveness for the treatment of menopausal symptoms of a Mindfulness-Based Stress Reduction (MBSR) program, which includes meditation, yoga, and body scan practices.

 

They recruited women 40-60 years of age who were experiencing menopausal symptoms. They were randomly assigned to receive either Mindfulness-Based Stress Reduction (MBSR) training of once-a-week 2.5-hour sessions for 8 weeks or Menopausal education on a similar schedule. Both groups were encouraged to practice at home for 40 minutes daily. They were measured before and after training and 3 and 6 months later for menopausal symptoms, perceived stress, health related quality of life, and mindfulness.

 

They found that both groups had significant reductions in menopausal symptoms at all follow-up measurements including the 6-month follow-up, but the MBSR group had significantly greater improvement than the menopausal education group. In addition, the MBSR group had significantly greater reductions in anxiety and depression at the follow-up measurements. Hence, MBSR appears to produce greater improvements in menopausal symptoms than an active control condition.

 

Mindfulness-Based Stress Reduction (MBSR) is a complex program including, meditation, yoga, and body scan practices. In the present study, it cannot be determined which of these components or combinations of components are effective and which are not. It has been previously shown, however, that yoga practice improves the cardiac symptoms of menopause. So, it would seem likely that at least the yoga component is effective. It remains for future research to determine whether meditation and body scan are necessary or sufficient to relieve the symptoms of menopause. Regardless, it is clear that the complex of practices of MBSR has beneficial effects for women undergoing menopause.

 

So, reduce menopausal symptoms, anxiety, and depression during menopause with mindfulness.

 

“The degree of bother reported from hot flashes and night sweats in the mindfulness group decreased over time, indicating time and persistence using mindfulness techniques may be key to obtaining beneficial results.” – Lena Suhaila

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

 

Study Summary

 

Carmen Wong, Benjamin Hon-Kei Yip, Ting Gao, Kitty Yu Yuk Lam, Doris Mei Sum Woo, Annie Lai King Yip, Chloe Yu Chin, Winnie Pui Yin Tang, Mandy Mun Tse Choy, Katrina Wai Key Tsang, Suzanne C. Ho, Helen Shuk Wah Ma, Samuel Yeung Shan Wong. Mindfulness-Based Stress Reduction (MBSR) or Psychoeducation for the Reduction of Menopausal Symptoms: A Randomized, Controlled Clinical Trial. Sci Rep. 2018; 8: 6609. Published online 2018 Apr 26. doi: 10.1038/s41598-018-24945-4

 

 

Abstract

Psychological and behavioural interventions may be effective in reducing menopause-related symptoms. This randomized controlled trial aimed to evaluate the effectiveness of Mindfulness-based Stress Reduction (MBSR) in reducing menopause-related symptoms by comparing with an active control group, the menopause education control (MEC). Symptomatic peri-menopausal and post-menopausal women with mild to moderate symptoms were recruited. The primary outcome was overall menopausal symptoms measured by modified Greene Climacteric Scale (GCS). Secondary outcomes include subscales of the GCS perceived stress, mindfulness and health related Quality of Life. All outcome measures were collected at baseline, 2 months (immediately post intervention), 5 and 8 months (3 and 6 months post intervention respectively). Both MBSR (n = 98) and MEC (n = 99) groups reported a reduction in total GCS score at 8 months. Between group analysis show significant symptom score reduction in MBSR group on Anxiety and Depression subscales of GCS. No differences were found between groups on other GCS subscales and majority of the secondary outcome measures. The findings show that menopausal symptoms in both MBSR and MEC significantly reduced over the study period. MBSR show a greater reduction of psychological symptoms of depression and anxiety above active controls but do not reduce other somatic, urogenital and vasomotor symptoms.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5919973/

Improve Sleep Quality in Older Adults with Mindfulness

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Improve Sleep Quality in Older Adults with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Studies have shown that sleeping habits improve dramatically when participants where taught to respond to sleep disturbance with mindfulness skills- rather than reacting automatically by increasing effort to rest. After meditating regularly, the average time it took participants to fall asleep dropped from an hour and a half to only 15 minutes.” – IPNOS

 

It is estimated that over half of Americans sleep too little due to stress. As a result, people today sleep 20% less than they did 100 years ago. Not having a good night’s sleep has adverse effects upon the individual’s health, well-being, and happiness. Yet over 70 million Americans suffer from disorders of sleep and about half of these have a chronic disorder. It has been estimated that about 4% of Americans revert to sleeping pills. But, these do not always produce high quality sleep and can have problematic side effects.

 

Unfortunately. as we age it becomes more and more difficult to get that good night’s sleep. Although the need for sleep doesn’t change with age sleep patterns change.  Older people have a more difficult time falling asleep and staying asleep, waking up several times during the night, and waking early in the morning. In addition, there is less deep sleep, so we don’t feel as rested. Insomnia is much higher in older adults affecting as many as 44%. A safe and effective means for improving sleep in the elderly is important for the health and wellbeing of this vulnerable population. Mindfulness-based practices have been reported to improve sleep amount and quality. There is a need, however, to further study the impact of mindfulness training on sleep in older individuals.

 

In today’s Research News article “A Secondary Analysis of Sleep Quality Changes in Older Adults From a Randomized Trial of an MBSR Program.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5874181/ ), Gallegos and colleagues recruited older adults over 65 years of age and randomly assigned them to receive either an 8-week, once a week, 2 hour session of Mindfulness-Based Stress Reduction (MBSR) or be assigned to a wait-list control condition. MBSR consists of a combination of meditation, yoga, and body scan practice in combination with discussion and home practice. The participants were measured before and after training and 6-months later for sleep quality.

 

They found that compared to baseline and the wait-list controls, the MBSR participants had significantly improved sleep quality that was maintained for 6 months following completion of training. The effectiveness of MBSR was amplified in participants who had sleep disturbance and was even greater in participants who had insomnia. Hence, the MBSR program improved sleep in the elderly, with the greater the sleep problem the greater the improvement. These are interesting and important results. Sleep disturbance in the elderly is common and is associated with health problems. So, improving sleep quality in this group may well lead to improvements in overall health and longevity.

 

So, improve sleep quality in older adults with mindfulness.

 

“When I first started using mindfulness to get sleep, I believed I needed to be meditating at bedtime if I wanted to cure my insomnia. I was completely wrong! I learned that my worries about sleep were happening all day long. I started using mindfulness during the day to notice those worries and learn to accept that I may not get as much sleep as I hope for each night.” – Mary Sauer

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

 

Study Summary

 

Gallegos, A. M., Moynihan, J., & Pigeon, W. R. (2016). A Secondary Analysis of Sleep Quality Changes in Older Adults From a Randomized Trial of an MBSR Program. Journal of Applied Gerontology : The Official Journal of the Southern Gerontological Society, 733464816663553. Advance online publication. http://doi.org/10.1177/0733464816663553

 

Abstract

This secondary analysis examined changes in sleep quality associated with participation in a Mindfulness-Based Stress Reduction (MBSR) program among healthy older adults. Data were collected at baseline, 8-weeks post-treatment, and a 6-month follow-up from adults aged ≥ 65 (N = 200), randomly assigned to MBSR or a waitlist control. Group differences were examined using mixed analysis of covariance with repeated measures on the total Pittsburgh Sleep Quality Index (PSQI) score. A small-sized, significant effect was found on overall sleep among MBSR participants with baseline PSQI scores > 5, indicative of a sleep disturbance, F(2, 80) = 4.32, p = .02, η2P=.05. A medium-sized, significant effect was found for MBSR participants with baseline PSQI scores ≥ 10, F(2, 28) = 3.13, p = .04, η2P=.10. These findings indicate that improved sleep quality for older adults who have higher levels of sleep disturbance may be associated with participation in MBSR.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5874181/

Improve Functional Fitness with Yoga

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Improve Functional Fitness with Yoga

 

By John M. de Castro, Ph.D.

 

“All forms of exercise are important for the body. The right amount of it keeps us in shape, improves longevity, and certainly keeps me sane if nobody else. Yoga is so much more than simple stretches, and it’s certainly not just for flexible people who can already wrap their legs around their heads. Yoga is about creating balance, strength, flexibility and relaxation in the body through a series of postures, movements and breathing patterns.” – Victoria Adams

 

We celebrate the increasing longevity of the population. But, aging is a mixed blessing. The aging process involves a systematic progressive decline of the body and the brain. Every system in the body deteriorates including motor function with a decline in strength, flexibility, and balance. It is inevitable. In addition, many elderly experience withdrawal and isolation from social interactions. There is some hope as there is evidence that these declines can be slowed. For example, a healthy diet and a regular program of exercise can slow the physical decline of the body with aging. Also, contemplative practices such as meditation, yoga, and tai chi or qigong have all been shown to be beneficial in slowing or delaying physical and mental decline.

 

Yoga practice has been shown to have a myriad of benefits for psychological and physical health. It is both an exercise and a mind-body practice that stresses both mental attention to present moment movements, breath control, and flexibility, range of motion, and balance. It has been shown to improve balance and flexibility in older individuals.  It is safe and can be practiced by anyone from children to seniors. Recently, there have been a number of high profile athletes who have adopted a yoga practice to improve their athletic performance. But, the lack of exercise that is often associated with aging is a major problem. It is not known whether yoga practice is as good as traditional exercise programs in improving the overall functional fitness of sedentary older adults and slow the age related physical decline.

 

In today’s Research News article “Yoga Is as Good as Stretching–Strengthening Exercises in Improving Functional Fitness Outcomes: Results From a Randomized Controlled Trial.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5864160/ ), Gothe and McAuley recruited older sedentary adults over 55 years of age and randomly assigned them to engage in either 8 weeks, 3 times per week, Hatha yoga practice or stretching–strengthening exercises. The Senior Fitness test was administered before and after training. It measured strength, agility, balance, endurance, flexibility, and gait speed.

 

They found that both the yoga and stretching–strengthening exercise practices produced significant improvements in the older participants’ functional fitness for all measured parameters. So, yoga practice produced as good improvements in fitness as more traditional exercise. In, addition, yoga practice was found to produce significantly better leg balance than stretching–strengthening exercise. This is important as problems with balance contributes to falls in the elderly which is a major contributor to poor health and mortality.

 

These are important and interesting results that suggest that older individuals can choose between yoga and more traditional exercise to improve their fitness and slow their physical decline. In general, yoga practice has been found to be safe and effective and if practiced with groups it can also be more fun and tend to offset the social isolation experienced by the elderly. Hence, yoga practice may be an excellent choice to maintain fitness during aging.

 

So, improve functional fitness with yoga.

 

“Yoga promotes physical health in multiple different ways. Some of them derive from better stress management. Others come more directly from the physical movements and postures in yoga, which help promote flexibility and reduce joint pain.” – Harvard Health

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

 

Study Summary

 

Gothe, N. P., & McAuley, E. (2016). Yoga Is as Good as Stretching–Strengthening Exercises in Improving Functional Fitness Outcomes: Results From a Randomized Controlled Trial. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 71(3), 406–411. http://doi.org/10.1093/gerona/glv127

 

Abstract

Background.

Despite yoga’s popularity, few clinical trials have employed rigorous methodology to systematically explore its functional benefits compared with more established forms of exercise. The objective of this study was to compare the functional benefits of yoga with the conventional stretching–strengthening exercises recommended for adults.

Methods.

Sedentary healthy adults ( N = 118; Mage = 62.0) participated in an 8-week (three times a week for 1 hour) randomized controlled trial, which consisted of a Hatha yoga group ( n = 61) and a stretching–strengthening exercise group ( n = 57). Standardized functional fitness tests assessing balance, strength, flexibility, and mobility were administered at baseline and postintervention.

Results.

A repeated measures multivariate analysis of variance showed a significant time effect for measures of balance [ F (3,18) = 4.88, p < .01, partial η 2 = .45], strength [ F (2,19) = 15.37, p < .001, partial η 2 = .62], flexibility [ F (4,17) = 8.86, p < .001, partial η 2 = .68], and mobility [ F (2,19) = 8.54, p < .002, partial η 2= .47]. Both groups showed significant improvements on measures of balance (left–right leg and four square step); strength (chair stands and arm curls); flexibility (back scratch and sit-and-reach); and mobility (gait speed and 8-feet up and go), with partial η 2 ranging from .05 to .47.

Conclusions.

These data suggest that regular yoga practice is just as effective as stretching–strengthening exercises in improving functional fitness. To our knowledge, this is the first study to examine functional benefits of yoga in comparison with stretching–strengthening exercises in sedentary, healthy, community-dwelling older adults. These findings have clinical implications as yoga is a more amenable form of exercise than strengthening exercises as it requires minimal equipment and can be adapted for individuals with lower levels of functioning or disabilities.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5864160/

 

Improve Arthritis in Older Adults with Seated Yoga

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Improve Arthritis in Older Adults with Seated Yoga

 

By John M. de Castro, Ph.D.

 

“Chair yoga may help to reduce pain in older adults suffering from arthritis. Based around the ancient form of exercise, it allows people with reduced mobility to also take part. It helps to boost the strength and flexibility of older people and could become an effective treatment for those with the debilitating condition.” Stephen Matthews

 

Osteoarthritis is a chronic degenerative joint disease that is the most common form of arthritis. It produces pain, swelling, and stiffness of the joints. It is the leading cause of disability in the U.S., with about 43% of arthritis sufferers limited in mobility and about a third having limitations that affect their ability to perform their work. Knee osteoarthritis effects 5% of adults over 25 years of age and 12% of those over 65. It is painful and disabling. Its causes are varied including, hereditary, injury including sports injuries, repetitive stress injuries, infection, or from being overweight.

 

There are no cures for knee osteoarthritis. Treatments are primarily symptomatic, including weight loss, exercise, braces, pain relievers and anti-inflammatory drugs, corticosteroids, arthroscopic knee surgery, or even knee replacement. Gentle movements of the joints with exercise and physical therapy appear to be helpful in the treatment of knee osteoarthritis. This suggests that alternative and complementary practices that involve gentle knee movements may be useful for treatment.

 

Mindfulness practices such as Tai Chi and Qigong  and yoga have been shown to reduce the physical symptoms of knee osteoarthritis. Yoga, has been shown to be a safe and effective treatment for a wide variety of physical and psychological conditions, including arthritis. But, people with lower extremity osteoarthritis have difficulty with balance making standing postures problematic. So, it would seem reasonable to look into the effectiveness of yoga practice performed while sitting in a chair in treating knee osteoarthritis.

 

In today’s Research News article “A Pilot Randomized Controlled Trial of the Effects of Chair Yoga on Pain and Physical Function Among Community-Dwelling Older Adults With Lower Extremity Osteoarthritis.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5357158/ ), Park and colleagues recruited older adults (>65 years of age) with osteoarthritis of the lower extremity joints; hip, knee; ankle, and foot. They were randomly assigned to either receive health education or seated Hatha yoga practice. Both Health Education and yoga was practiced for 45 minutes twice a week for 8 weeks and home practice was encouraged. The participants were measured before and after treatment and at a 1-month and 3-month follow-up for pain interference in everyday activities, fatigue, balance, walking speed, pain, and functional ability.

 

They found that after the 8-weeks of practice and at the 1- and 3-month follow-ups, the yoga group had significantly greater reductions in pain, pain interference in daily activities, fatigue, and walking speed. There were no significant adverse events observed. Hence, practicing yoga while seated was well tolerated and safe and produced significant improvements in the symptoms of lower extremity osteoarthritis in elderly adults. This suggests that seated yoga practice may be a welcome, safe and effective alternative to pharmacologic or surgical treatment for osteoarthritis in the elderly.

 

So, improve arthritis in older adults with seated Yoga.

 

“The potential impact of this study on public health is high, as this program provides an approach for keeping community-dwelling elders active even when they cannot participate in traditional exercise that challenges their balance,” – Patricia Liehr

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

 

Study Summary

 

Park, J., McCaffrey, R., Newman, D., Liehr, P., & Ouslander, J. G. (2017). A Pilot Randomized Controlled Trial of the Effects of Chair Yoga on Pain and Physical Function Among Community-Dwelling Older Adults With Lower Extremity Osteoarthritis. Journal of the American Geriatrics Society, 65(3), 592–597. http://doi.org/10.1111/jgs.14717

 

Abstract

Objectives

To determine effects of Sit ‘N’ Fit Chair Yoga, compared to a Health Education program (HEP), on pain and physical function in older adults with lower extremity osteoarthritis (OA) who could not participate in standing exercise

Design

Two-arm randomized controlled trial

Setting

One HUD senior housing facility and one day senior center in south Florida

Participants

Community-dwelling older adults (N = 131) were randomly assigned to chair yoga (n = 66) or HEP (n = 65). Thirteen dropped after assignment but prior to the intervention; 6 dropped during the intervention; 106 of 112 completed at least 12 of 16 sessions (95% retention rate).

Interventions

Participants attended either chair yoga or HEP. Both interventions consisted of twice-weekly 45-minute sessions for 8 weeks.

Measurements

Primary: pain, pain interference; secondary: balance, gait speed, fatigue, functional ability measured at baseline, after 4 weeks of intervention, at the end of the 8-week intervention, and post-intervention (1 and 3 months).

Results

The chair yoga group showed greater reduction in pain interference during the intervention (p = .01), sustained through 3 months (p = .022). WOMAC pain (p = .048), gait speed (p = .024), and fatigue (p = .037) were improved in the yoga group during the intervention (p = .048) but improvements were not sustained post intervention. Chair yoga had no effect on balance.

Conclusion

An 8-week chair yoga program was associated with reduction in pain, pain interference, and fatigue, and improvement in gait speed, but only the effects on pain interference were sustained 3 months post intervention. Chair yoga should be further explored as a nonpharmacologic intervention for older people with OA in the lower extremities.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5357158/

 

Increase Brain Matter and Memory in Aging with Tai Chi

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Increase Brain Matter and Memory in Aging with Tai Chi

 

By John M. de Castro, Ph.D.

 

“Tai Chi can be used as exercise to improve the body, as well as reversing the natural tendency for the brain to shrink with age.” – Functional Aging Institute

 

The aging process involves a systematic progressive decline in every system in the body, the brain included. This includes our mental abilities which decline with age including impairments in memory, attention, and problem solving ability. It is inevitable and cannot be avoided. Using modern neuroimaging techniques, scientists have been able to view the changes that occur in the nervous system with aging. In addition, they have been able to investigate various techniques that might slow the process of neurodegeneration that accompanies normal aging. They’ve found that mindfulness practices reduce the deterioration of the brain that occurs with aging restraining the loss of neural tissue. Indeed, the brains of practitioners of meditation and yoga have been found to degenerate less with aging than non-practitioners.

 

Hence, there is some hope for age related cognitive decline, as there is evidence that it can be slowed. There are some indications that physical and mental exercise can reduce the rate of cognitive decline and lower the chances of dementia. For example, contemplative practices such as meditation, yoga, and Tai Chi and Qigong have all been shown to be beneficial in slowing or delaying physical and mental decline with aging. Mindfulness practices have been shown to improve cognitive processes while gentle mindful exercises such as Tai Chi and Qigong have been shown to slow age related cognitive decline. It would seem reasonable to hypothesize that Tai Chi and Baduanjin practices might decrease age related decreases in cognitive ability and degeneration of the nervous system.

 

In today’s Research News article “Tai Chi Chuan and Baduanjin increase grey matter volume in older adults: a brain imaging study.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5659386/ ), Tao and colleagues recruited healthy sedentary older adults (50-70 years of age) and randomly assigned them to receive either Tai Chi practice, Baduanjin practice (a very similar practice to Tai Chi), or no-treatment. Practice occurred for 12 weeks, 5 days per week, for 1 hour. Before and after training the participants underwent Magnetic Resonance Imaging (MRI) scans of their brains. They were also measured for memory ability.

 

They found that in comparison to baseline and control participants, the Tai Chi or Baduanjin practice participants had significant increases in the amount of grey matter in the left insula, left putamen, left parahippocampus/hippocampus, left amygdala, and left inferior temporal lobe. Hence, Tai Chi or Baduanjin practice appeared to produce increases in neural tissue. In addition, the Tai Chi or Baduanjin practice participants had significant increases in overall memory ability and visual reproduction memory. These improvements in memory were related to the increases in grey matter, with large increases in neural tissue associated with large improvements in memory. Hence, Tai Chi or Baduanjin practice not only increased neural tissue and memory, but the increases in both changed together in the same direction.

 

Caution must be taken in interpreting these results as the control condition was inactive. As a result, it cannot be determined if Tai Chi or Baduanjin practice per se or any form of exercise could produce comparable benefits. Further research is needed employing other forms of exercise to compare to the effects of Tai Chi or Baduanjin practice.

 

Nonetheless, these results are interesting and exciting. They suggest that Tai Chi or Baduanjin practice can reduce or possibly reverse brain degeneration and cognitive decline associated with aging. By engaging in these mindful movement practices aging individuals appear to preserve their brains and their mental ability. In addition, the fact that these practices are safe, convenient, low cost, and social suggests that they can be widely applied to the aging population.

 

So, increase brain matter and memory in aging with Tai Chi.

 

“Keep your brain younger longer by adding tai chi to your workout routine.” – Linda Melone

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

 

Study Summary

 

Tao, J., Liu, J., Liu, W., Huang, J., Xue, X., Chen, X., … Kong, J. (2017). Tai Chi Chuan and Baduanjin increase grey matter volume in older adults: a brain imaging study. Journal of Alzheimer’s Disease : JAD, 60(2), 389–400. http://doi.org/10.3233/JAD-170477

 

Abstract

The aim of this study is to investigate and compare how 12-weeks of Tai Chi Chuan and Baduanjin exercise can modulate brain structure and memory function in older adults. Magnetic Resonance Imaging(MRI) and memory function measurements (Wechsler Memory Scale-Chinese revised, WMS-CR)were applied at both the beginning and end of the study. Results showed that both Tai Chi Chuan and Baduanjin could significantly increase grey matter volume (GMV) in the insula, medial temporal lobe (MTL), and putamen after 12-weeks of exercise. No significant differences were observed in grey matter volume (GMV) between the Tai Chi Chuan and Baduanjin groups. We also found that compared to healthy controls, Tai Chi Chuan and Baduanjin significantly improved visual reproduction subscores on the WMS-CR. Baduanjin also improved mental control, recognition, touch and comprehension memory subscores of the WMS-CR compared to the control group. Memory quotient (MQ)and visual reproduction subscores were both associated with GMV increases in the putamen and hippocampus. Our results demonstrate the potential of Tai Chi Chuan and Baduanjin exercise for the prevention of memory deficits in older adults.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5659386/

Improve Cognition in the Elderly with Tai Chi

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Improve Cognition in the Elderly with Tai Chi

 

By John M. de Castro, Ph.D.

 

“Tai Chi has consistent, small effects on improving cognitive performance in both healthy older adults and older adults with some cognitive impairment.” – PM Wayne

 

The aging process involves a systematic progressive decline of the body and the brain. Every system in the body deteriorates including cognitive function (thinking ability) and motor function with a decline in strength, flexibility, and balance. It is inevitable. In addition, many elderly experience withdrawal and isolation from social interactions. There is some hope as there is evidence that these declines can be slowed. For example, a healthy diet and a regular program of exercise can slow the physical and cognitive decline of the body with aging. Also, contemplative practices such as meditation, yoga, and tai chi or qigong have all been shown to be beneficial in slowing or delaying physical and mental decline.

 

Tai Chi has been practiced for thousands of years with benefits for health and longevity. Tai Chi training is designed to enhance function and regulate the activities of the body through regulated breathing, mindful concentration, and gentle movements. Only recently though have the effects of Tai Chi practice been scrutinized with empirical research. But, it has been found to be effective for an array of physical and psychological issues. Tai Chi has been shown to help the elderly improve attention, balance, reducing falls, arthritis, cognitive function, memory, and reduce age related deterioration of the brain. Because Tai Chi is not strenuous, involving slow gentle movements, and is safe, having no appreciable side effects, it is appropriate for all ages including the elderly and for individuals with illnesses that limit their activities or range of motion.

 

In today’s Research News article “Effects of tai chi on cognition and instrumental activities of daily living in community dwelling older people with mild cognitive impairment.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5797349/ ), Siu and Lee examine the effectiveness of Tai Chi practice for elderly individuals with mild cognitive impairment. They recruited elderly individuals (> 60 years of age) with mild cognitive impairment from 4 community centers for the elderly. Participants from two community centers were randomly assigned to a no-treatment control condition or to receive 16 weeks of Tai Chi training for 1-hour twice a week. They were measured before and after training for cognitive ability and daily living activities; including using telephone, shopping, preparing food, doing house-keeping and laundry, using transportation, managing finances, handling medication, and doing handyman work.

 

They found that the Tai Chi practice group compared to baseline and the control group had significant improvements in cognitive ability and in the performance of daily activities. These are important findings. With an aging population, the maintenance of ability to perform daily activities may reduce the burden and cost of caregivering. In addition, the improvements in cognitive function may reduce the incidence of dementia and allow for better quality of life in the elderly. Importantly, these benefits can be produced with a convenient, inexpensive, safe, and fun social activity.

 

So, improve cognition in the Elderly with Tai Chi.

 

“A comparison of the effects of regular sessions of tai chi, walking, and social discussion, has found tai chi was associated with the biggest gains in brain volume and improved cognition.” – Fiona MsPherson

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

 

Study Summary

 

Mei-yi Siu, Diana T. F. Lee. Effects of tai chi on cognition and instrumental activities of daily living in community dwelling older people with mild cognitive impairment. BMC Geriatr. 2018; 18: 37. Published online 2018 Feb 2. doi: 10.1186/s12877-018-0720-8

 

Abstract

Background

Cognitive impairment places older adults at high risk of functional disability in their daily-life activities, and thus affecting their quality of life. This study aimed to examine the effects of Tai Chi on general cognitive functions and instrumental activities of daily living (IADL) in community-dwelling older people with mild cognitive impairment (MCI) in Hong Kong.

Methods

The study adopted a multi-site nonequivalent control-group pretest-posttest design. 160 community-dwelling older people, aged ≥60, with MCI, from four community elderly centers participated in the study. The intervention group (IG, n = 80) received training in the Yang-style simple form of Tai Chi, at a frequency of two lessons per week for 16 weeks. Each lesson lasted for one hour. The control group (CG, n = 80) had no treatment regime and joined different recreational activity groups in community centers as usual within the study period. Outcome measures included measures of global cognitive status and IADL. The Chinese version of the Mini-Mental State Examination (CMMSE) was used for global cognitive assessment. The Hong Kong Chinese version of Lawton’s Instrumental Activities of Daily Living (IADL-CV) was used to assess the participants’ IADL levels. General Estimating Equations (GEE) was used to examine each of the outcome variables for the two groups at the two study time points (the baseline and at the end of the study). Meanwhile, minimum detectable change (MDC) was calculated to estimate the magnitude of changes required to eradicate the possibility of measurement error of outcome measures.

Results

Seventy four participants in the IG and 71 participants in the CG completed the study. With adjustments for differences in age, education, marital status and living conditions, the findings revealed that the participants in the IG scored significantly better on the CMMSE test (P = 0.001), and the instrumental ADL questionnaire (P = 0.004). However, those scores changes did not exceed the limits of the respective MDCs in the study, the possibility of measurement variation due to error could not be excluded.

Conclusion

Tai Chi may be an effective strategy to enhance cognitive health and maintain functional abilities in instrumental ADL in older people with MCI.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5797349/

Slow Mental Decline in the Elderly with Tai Chi

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Slow Mental Decline in the Elderly with Tai Chi

 

By John M. de Castro, Ph.D.

 

“improvement of heart function combined with increased muscular power meant that the martial art should be considered the preferred technique for elderly people to maintain good health.” – The Telegraph

 

We celebrate the increasing longevity of the population. But, aging is a mixed blessing. The aging process involves a systematic progressive decline of the body and the brain. Every system in the body deteriorates including cognitive function (thinking ability) and motor function with a decline in strength, flexibility, and balance. It is inevitable. In addition, many elderly experience withdrawal and isolation from social interactions. There is some hope as there is evidence that these declines can be slowed. For example, a healthy diet and a regular program of exercise can slow the physical and cognitive decline of the body with aging. Also, contemplative practices such as meditation, yoga, and tai chi or qigong have all been shown to be beneficial in slowing or delaying physical and mental decline.

 

Tai Chi has been practiced for thousands of years with benefits for health and longevity. Tai Chi training is designed to enhance function and regulate the activities of the body through regulated breathing, mindful concentration, and gentle movements. Only recently though have the effects of Tai Chi practice been scrutinized with empirical research and found to be effective for an array of physical and psychological issues. Tai Chi has been shown to help the elderly improve attention, balance, reducing falls, arthritis, cognitive function, memory, and reduce age related deterioration of the brain. Because Tai Chi is not strenuous, involving slow gentle movements, and is safe, having no appreciable side effects, it is appropriate for all ages including the elderly and for individuals with illnesses that limit their activities or range of motion.

 

In today’s Research News article “Tai Chi Improves Cognition and Plasma BDNF in Older Adults with Mild Cognitive Impairment: A Randomized Controlled Trial.”  Sungkarat and colleagues recruited elderly participants with mild cognitive impairments and randomly assigned them to either receive educational instruction related to cognitive impairment and fall prevention or practice Tai Chi at home guided by a 50-minute video, 3 times per week, for 6 months. They were measured at the beginning and end of training for cognitive performance, including memory, visuospatial ability, and executive function, and plasma markers for inflammation and neuroprotection, including plasma BDNF, TNF-α, and IL-10 levels.

 

They found that compared to baseline and control participants, the elderly who practiced Tai Chi had significantly improved levels of cognitive function, including improvements in memory and thinking ability (executive function). In addition, Tai Chi practice was found to significantly increase the levels of brain-derived neurotrophic factor (BDNF). BDNF is a neurotrophic factor that works to protect the brain from deterioration and promote the growth of brain cells. Hence, they found that Tai Chi practice reduces cognitive decline with aging and increases neuroprotection.

 

The cognitive decline with aging has been associated with degeneration of neural tissues. On the other hand, mindfulness practices have been found to change the brain and protect it against age related decline. The present results add further evidence that mindfulness practices, Tai Chi  in particular, improves memory and cognitive performance and promotes neuroprotection in the elderly. The attractiveness of the low intensity, low cost, convenient, and socially fun nature of Tai Chi practice makes it a great treatment for the prevention of age related decline.

 

So, slow mental decline in the elderly with Tai Chi.

 

“Scientists . . . found increases in brain volume and improvements on tests of memory and thinking in Chinese seniors who practiced Tai Chi three times a week.” – Science Daily

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

 

Study Summary

 

Somporn Sungkarat, PhD, SirinunBoripuntakul, PhD, Sirinart Kumfu, PhD, Stephen R. Lord, PhD, Nipon Chattipakorn, MD, PhD. Tai Chi Improves Cognition and Plasma BDNF in Older Adults With Mild Cognitive Impairment: A Randomized Controlled Trial. Neurorehabilitation and Neural Repair. First Published January 20, 2018, https://doi-org.ezproxy.shsu.edu/10.1177/15459683177536

 

Abstract

Background. Effects of Tai Chi (TC) on specific cognitive function and mechanisms by which TC may improve cognition in older adults with amnestic mild cognitive impairment (a-MCI) remain unknown. Objective. To examine the effects of TC on cognitive functions and plasma biomarkers (brain-derived neurotrophic factor [BDNF], tumor necrosis factor-α [TNF-α], and interleukin-10 [IL-10]) in a-MCI. Methods. A total of 66 older adults with a-MCI (mean age = 67.9 years) were randomized to either a TC (n = 33) or a control group (n = 33). Participants in the TC group learned TC with a certified instructor and then practiced at home for 50 min/session, 3 times/wk for 6 months. The control group received educational material that covered information related to cognition. The primary outcome was cognitive performance, including Logical Memory (LM) delayed recall, Block Design, Digit Span, and Trail Making Test B minus A (TMT B-A). The secondary outcomes were plasma biomarkers, including BDNF, TNF-α, and IL-10. Results. At the end of the trial, performance on the LM and TMT B-A was significantly better in the TC group compared with the control group after adjusting for age, gender, and education (P < .05). Plasma BDNF level was significantly increased for the TC group, whereas the other outcome measures were similar between the 2 groups after adjusting for age and gender (P < .05). Conclusions. TC training significantly improved memory and the mental switching component of executive function in older adults with a-MCI, possibly via an upregulation of BDNF.

http://journals.sagepub.com.ezproxy.shsu.edu/doi/full/10.1177/1545968317753682

Reduce Inflammation in elderly Women with Yoga

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Reduce Inflammation in elderly Women with Yoga

 

By John M. de Castro, Ph.D.

 

“Inflammaging has been associated with conditions like diabetes, heart disease, stress, depression, and a weakened immune system. Several recent studies suggest that yoga could slow the harmful physical effects of stress and inflammaging.” – Marylynn Wei

 

The immune system is designed to protect the body from threats like stress, infection, injury, and toxic chemicals. One of its tools is the Inflammatory response. This response works quite well for short-term infections and injuries. But when inflammation is protracted and becomes chronic, it can itself become a threat to health. It can produce autoimmune diseases such as colitis, Chron’s disease, arthritis, heart disease, increased cancer risk, lung disease, sleep disruption, gum disease, decreased bone health, psoriasis, and depression. Needless to say, chronic inflammation can create major health problems. Indeed, the presence of chronic inflammation is associated with reduced longevity. So, it is important for health to control the inflammatory response, allowing it to do its job in fighting off infection but reducing its activity when no real external threat is apparent.

 

Of course, it is far better to prevent chronic inflammation in the first place than to treat it later. Mind-body techniques such as yoga, Tai Chi and meditation have been shown to adaptively reduce the inflammatory response. Aging is associated with a decline in immune system function and therefore an increase in chronic inflammation. As a result, the elderly are particularly vulnerable to chronic inflammation. So, it would make sense to test the effectiveness of mindfulness practices in the levels of inflammation in the elderly.

 

In today’s Research News article “Elderly-customized hatha yoga effects on the vascular inflammation factors of elderly women.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5683994/ ), Kim and Ju Examined this issue by recruiting 14 healthy elderly women between the ages of 70 and 80 and randomly assigning 7 of the women to no treatment and 7 to receive a 10-week, 3 times per week for 60 minutes Hatha yoga program. The Hatha yoga poses were modified for the elderly performing many of the poses while sitting in a chair. Blood was drawn at the beginning and end of the program and assayed for inflammation markers of albumin, white blood cell count, fibrinogen, high sensitivity C-reactive protein, and erythrocyte sedimentation rate.

 

They found that there were no significant changes in the inflammation markers for the control group, but the Hatha yoga group showed significant changes signaling reduced inflammation. These changes included significantly increased albumin levels and decreased vascular inflammation markers of fibrinogen, high sensitivity C-reactive protein, and erythrocyte sedimentation rate. So, engaging in Hatha yoga practice appeared to reduce inflammation in these elderly women.

 

The results should be interpreted carefully as there was not an active control condition. So, it cannot be determined if the yoga practice per se was responsible for the improvements or simply any gentle exercise would produce comparable benefits. But, the fact that statistically significant findings were present with only 7 women in the yoga group is remarkable and suggests that the effects are robust. Future research should include men and have an active control condition, perhaps treadmill walking or similar gentle aerobic exercise.

 

So, reduce inflammation in elderly women with Yoga.

 

“There’s also good news for those of us who have a regular yoga practice. Several studies now report that a regular yoga practice brings down the levels of stress hormones that promote inflammation, lowers the levels of a number of pro-inflammatory molecules in the body and brings down inflammation that is beneficial in conditions like arthritis, reduces a subset of pro-inflammatory molecules called cytokines thereby relieving severe pain seen in diseases like fibromyalgia, and Inhibits inflammation that in turn weakens and even kills cancerous cells in people with cancer.” -Ram Rao

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

 

Study Summary

 

Kim, S., & Ju, S. (2017). Elderly-customized hatha yoga effects on the vascular inflammation factors of elderly women. Journal of Physical Therapy Science, 29(10), 1708–1711. http://doi.org/10.1589/jpts.29.1708

 

Abstract

[Purpose] The aim of this study was to examine the effects of the application of elderly-customized hatha yoga on the vascular inflammation factors of elderly women. [Subjects and Methods] This research was conducted with 14 elderly women, between 70 and 80 years old, divided into an elderly-customized hatha yoga group (n=7) and a control group (n=7). The application group participated in a hatha yoga program designed to be elderly-friendly for 10 weeks. At the end of the program, the vascular inflammation factors were measured, including the albumin, white blood cell count, fibrinogen, high sensitivity C-reactive protein (hs-CRP), and erythrocyte sedimentation rate (ESR). [Results] In the hatha yoga group, the albumin increased significantly after the application, when compared to the level before the application, while the fibrinogen, hs-CRP, and ESR decreased significantly. In the control group, the vascular inflammation factor levels before and after the application period were not significantly different. [Conclusion] Based on the results of this study, the application of elderly-customized hatha yoga created positive changes in the vascular inflammation factors of elderly women.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5683994/

Improve Psychological Well-Being in the Elderly with Mild Memory Loss with Meditation

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Improve Psychological Well-Being in the Elderly with Mild Memory Loss with Meditation

 

By John M. de Castro, Ph.D.

 

“Wouldn’t it be wonderful if all the answers we’re looking for when it comes to ending memory loss could be gained by simply doing KK for 12 minutes each morning? Perhaps that magic bullet is already here, waiting to be discovered in each and every one of us after all. Now, wouldn’t that be grand?” – Dharma Singh Khalsa

 

The aging process involves a systematic progressive decline in every system in the body, the brain included. It cannot be avoided. Our mental abilities may also decline with age including impairments in memory, attention, and problem solving ability. These are called age related cognitive decline. This occurs to everyone as they age, but to varying degrees. Some deteriorate into a dementia, while others maintain high levels of cognitive capacity into very advanced ages. It is estimated that around 30% of the elderly show significant age related cognitive decline. These cognitive declines markedly increase the risk of dementia or Alzheimer’s Disease. The declines occur along with sleep disruptions declines in mental health and quality of life, which in turn, appear to exacerbate the decline.

 

There is some hope, however, for those who are prone to deterioration as there is evidence that these cognitive declines can be slowed. For example, a healthy diet and a regular program of exercise can slow the physical decline of the body with aging. Also, contemplative practices such as meditation, yoga, and tai chi or qigong have all been shown to be beneficial in slowing or delaying physical and mental decline with aging. Indeed, mindfulness practices reduce the deterioration of the brain that occurs with aging restraining the loss of neural tissue.

 

In today’s Research News article “Effects of Meditation versus Music Listening on Perceived Stress, Mood, Sleep, and Quality of Life in Adults with Early Memory Loss: A Pilot Randomized Controlled Trial.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5649740/ ), Innes and colleagues recruited community living adults over 50 years of age and experiencing memory problems and slight cognitive decline. They were randomly assigned to 12-week, 12 minutes per day, programs of classical music listening or Kirtan Kriya meditation, performed while sitting comfortably with eyes closed. At the first session the participants received 35-minute instruction on relaxation and their specific program and then provided DVDs for daily home practice. Kirtan Kriya meditation included signing a mantra, successive finger touching and visualization exercises. After the 12 weeks of practice participants were free to continue practicing if they wished. They were measured before and after the 12-week programs and 14 weeks later for body size, sleep quality, perceived stress, health-related quality of life, psychological well-being, mood, memory, and cognitive performance.

 

Retention and participation were high, with 92% of the music listening participants and 88% of the meditation participants completing the program. Participants completed 93% of the required session and 73% of the optional sessions during the second 14-week period. This indicates that the participants found the programs enjoyable and worth their time and effort.

 

Over the 12-week program, both groups showed significant improvements in sleep quality, perceived stress, health-related quality of life, psychological well-being, and mood. These improvements were either sustained or further improved over the subsequent 14 weeks. The meditation group had significantly greater improvements than the music listening group in perceived stress, mood, psychological well-being, and mental health quality of life. In addition, the greater the improvements in mood, stress, sleep, well-being, and quality of life, the greater the improvements in memory function. Hence, the two forms of relaxation produced improvements in the participants well-being which were related to improvements in memory. But, meditation had a greater impact then music listening.

 

These results are quite remarkable that such simple practices for only 12 minutes per day can have such profound effects on the well-being of aging individuals with slight cognitive decline. This could potentially delay of lower the likelihood that the decline will continue into dementia of Alzheimer’s Disease. It is important that the effects were lasting and participation high, both of which suggest that the meditation program can be easily and inexpensively applied to large groups of community-based aging individuals.

 

So, improve psychological well-being in the elderly with mild memory loss with meditation

 

“Mild cognitive impairment (MCI) can affect up to 20% of the population at any one time—and half of them will progress to full-on dementia. Now, a recent study . . .  finds as little as 15 minutes of daily meditation can significantly slow that progression.” – Nina Elias

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

 

Study Summary

 

Innes, K. E., Selfe, T. K., Khalsa, D. S., & Kandati, S. (2016). Effects of Meditation versus Music Listening on Perceived Stress, Mood, Sleep, and Quality of Life in Adults with Early Memory Loss: A Pilot Randomized Controlled Trial. Journal of Alzheimer’s Disease : JAD, 52(4), 1277–1298. http://doi.org/10.3233/JAD-151106

 

Abstract

Background

Older adults with subjective cognitive decline (SCD) are at increased risk not only for Alzheimer’s disease, but for poor mental health, impaired sleep, and diminished quality of life (QOL), which in turn, contribute to further cognitive decline, highlighting the need for early intervention.

Objective

In this randomized controlled trial, we assessed the effects of two 12-week relaxation programs, Kirtan Kriya Meditation (KK) and music listening (ML), on perceived stress, sleep, mood, and health-related QOL in older adults with SCD.

Methods

Sixty community-dwelling older adults with SCD were randomized to a KK or ML program and asked to practice 12 minutes daily for 12 weeks, then at their discretion for the following 3 months. At baseline, 12 weeks, and 26 weeks, perceived stress, mood, psychological well-being, sleep quality, and health-related QOL were measured using well-validated instruments.

Results

Fifty-three participants (88%) completed the 6-month study. Participants in both groups showed significant improvement at 12 weeks in psychological well-being and in multiple domains of mood and sleep quality (p’s ≤ 0.05). Relative to ML, those assigned to KK showed greater gains in perceived stress, mood, psychological well-being, and QOL-Mental Health (p’s ≤ 0.09). Observed gains were sustained or improved at 6 months, with both groups showing marked and significant improvement in all outcomes. Changes were unrelated to treatment expectancies.

Conclusions

Findings suggest that practice of a simple meditation or ML program may improve stress, mood, well-being, sleep, and QOL in adults with SCD, with benefits sustained at 6 months and gains that were particularly pronounced in the KK group.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5649740/