Correlation between Cognition and Balance among Middle-Aged and Older Adults Observed through a Tai Chi Intervention program

Xiao, Tao and Yang, Lin and Smith, Lee and Loprinzi, Paul D. and Veronese, Nicola and Yao, Jie and Zhang, Zonghao and Yu, Jane J. (2020) Correlation between Cognition and Balance among Middle-Aged and Older Adults Observed through a Tai Chi Intervention program. Frontiers in Psychology, 11. p. 668. ISSN 1664-1078

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Official URL: https://doi.org/10.3389/fpsyg.2020.00668

Abstract

Background: Age-associated decline in cognition and balance may cause severe ability loss for daily living activities among middle-aged and older adults. The relationship between cognition and balance in this aging population remains to be explored. Objective: The present study Is exploratory in nature and aimed to examine the relationship between balance (both static and dynamic components) and global cognitive function among middle-aged and older adults through Tai Chi (TC) practice as a research avenue. Methods: A short-term (12 weeks) intervention of TC was conducted among middle-aged and older adults in the community setting. Global cognitive function (using the Chinese version of the Montreal Cognitive Assessment score (MoCA) and balance (i.e., one leg standing test score; Timed Up and Go Test score, TUGT) of all participants were assessed before and after the intervention. Age, body mass index (BMI), sex, and physical fitness variables (Chair Stand Test, CST; the 6-Meter Walk Test, 6MWT) were also collected as confounding factors. Results: Significant moderator effects of baseline CST on the association between the dichotomized baseline MoCA score and the baseline left leg balance score (p = 0.0247), the baseline right leg balance score (p = 0.0140) and the baseline TUGT score (p = 0.0346) were found. Change score of left score balance (p = 0.0192) and change score of TUGT (p = 0.0162) were found to be significantly associated with change score of cognitive function. Conclusion: Cognitive function and balance are interrelated in middle-aged and older adults. The association between global cognitive function and balance Is moderated by strength of lower limbs. The change scores of cognitive function and balance introduced by TC training were found to be positively correlated. Future research Is warranted to further confirm the cause-effect relationship of cognitive function and balance and its influencing factors among middle-aged and older adults utilizing intervention studies with larger sample sizes.

Item Type: Journal Article
Keywords: Cognition, alternative exercise, postural control, equilibrium, Tai Chi, Older adults
Faculty: Faculty of Science & Engineering
SWORD Depositor: Symplectic User
Depositing User: Symplectic User
Date Deposited: 19 Mar 2020 15:09
Last Modified: 24 Apr 2020 15:45
URI: http://arro.anglia.ac.uk/id/eprint/705318

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