Effects of Brisk Walking Combined With Tai Chi Chuan on Health-Related Physical Fitness and Selected Health Parameters Among Older Chinese Women

NCT04936672 | Unknown

• 1 other identifier: JKEUPM-2020-296
• Study Type: interventional
• Target: 100
• Locations: 1 country
• Sites: 1

Brief Summary

Aging is a problem that exists in many countries in the world. China has a large population base and a large number of elderly people. Paying attention to the health of the elderly is a problem that the Chinese government and society have been paying attention to. In order to improve the physical fitness of the elderly, the government encourages the elderly to do more exercise. However, the elderly do not exercise usually, and the way of exercise is relatively simple, which cannot meet the needs of comprehensive improvement of the elderly's physical fitness. For example, endurance, strength, flexibility, and balance are the most important to the elderly's physical fitness. Tai Chi Chuan is very popular in China. 79.36% of people in China choose brisk walking as the basic exercise. These two exercises have no venue, equipment requirements, and relatively simple technical movements. They are more convenient for the elderly to implement, and according to the literature It is found that Tai Chi Chaun is very effective in improving the balance and flexibility of the elderly, while brisk walking is very effective in improving endurance, and both Tai Chi and brisk walking can improve the strength of the elderly. Therefore, the combination of Taijiquan and brisk walking in this study can meet the four exercise components of elderly people's comprehensive development of physical fitness, endurance, strength, flexibility, and balance, and through the literature, it is found that the effect of combined exercise is better than that of a single exercise. Therefore, this study is divided into 4 groups, Tai Chi Chuan group, brisk walking group, Tai Chi combination brisk walking group, and control group. The aim of this study is to evaluate the effectiveness of combine brisk walking and Tai Chi Chuan (BWTCC) on health-related physical fitness and selected health parameters among older Chinese women. The specific objectives of these studies are as follows:

1. 1.To evaluate the effectiveness of brisk walking (BW), Tai Chi Chuan (TCC), and their combination (BWTCC) on health-related physical fitness (Cardiorespiratory fitness, Body composition, Flexibility, Muscular Strength, and Muscular endurance) among older Chinese women at pre-test, post-test and at three (3) months post-intervention.
2. 2.To evaluate the effectiveness of brisk walking (BW), Tai Chi Chuan (TCC), and their combination (BWTCC) on health parameters (Blood pressure, Resting heart rate, Balance, Height, and weight) among older Chinese women at pre-test, post-test and at three (3) months post-intervention.
3. 3.To evaluate the effectiveness of brisk walking (BW), Tai Chi Chuan (TCC), and their combination BWTCC on QoL among older Chinese women at pre-test and post-test.

Conditions

Walking

Keywords

brisk walking; Tai Chi Chuan; combine; health- related physical fitness; health parameter

Outcome Measures

Primary Outcomes (8)

• Body composition measurement by Waist circumference

  Measuring process: The measuring ruler should be a cocoa-curved but inelastic tape ruler. The ruler should be placed on the surface of the skin and should not be pressed against the subcutaneous fat tissue. If you use Gulick elastic handle, its handle can be extended to the same mark every time. The same part should be measured twice. If the difference between the two measurement results is more than 5mm, the scene should be measured again.

  5 minutes

• Flexibility measurement by sit and reach test

  The sit and reach test is a common measure of flexibility, and specifically measures the flexibility of the lower back and hamstring muscles. Seated forward bend test instrument to measure.

  5 minutes

• Flexibility measurement by Back Scratch Test

  The Back Scratch Test, or simply the Scratch Test, measures how close the hands can be brought together behind the back. Use a meter to measure the overlapping part of your hands.

  5 minutes

• Muscular strength measurement chair stand test

  The chair stand test is similar to a squat test to measure leg strength, in which participants stand up repeatedly from a chair for 30 seconds. The chair stand test is similar to a squat test to measure leg strength, in which participants stand up repeatedly from a chair for 30 seconds. equipment required: a straight back or folding chair without arm rests (seat 17 inches/44 cm high), stopwatch

  5 minutes

• Muscular strength measurement by Arm Curl test

  The aim of this test is to do as many arm curls as possible in 30 seconds. equipment required: 4 pound weight (women, AAHPERD), 5 pound weight (women, SFT). A chair without armrests, stopwatch.

  5 minutes

• Muscle endurance measurement by knee push-up

  1. The push-up fitness test (also called the press-up test) measures upper body strength and endurance. Place the knees on the floor, the hands below the shoulders, and cross your feet. 2. Keeping your back straight, start bending the elbows until your chest is almost touching the floor. 3. Pause and push back to the starting position. 4. Repeat until the set is complete. No equitment. Scoring: Record the number of correctly completed push-ups.

  5 minutes

• Muscle endurance measurement by Sit-up

  The sit-up (or curl-up) is an abdominal endurance training exercise to strengthen, tighten and tone the abdominal muscles. Technique: Squeeze your stomach, push your back flat and raise high enough for your hands to slide along your thighs to touch the tops of your knees. Don't pull with you neck or head and keep your lower back on the floor.

  5 minutes

• Cardiorespiratory endurance measurement by Six minutes walking test

  Six minutes walking test (6MWT) could be considered as a useful and reliable tool for the assessment and the follow-up of cardiorespiratory response. Equipment required: measuring tape to mark out the track distances, stopwatch, chairs positioned for resting. Procedure: The walking course is laid out in a 50 yard (45.72m) rectangular area (dimensions 45 x 5 yards), with cones placed at regular intervals to indicate distance walked. The aim of this test is to walk as quickly as possible for six minutes to cover as much ground as possible. Subjects are set their own pace (a preliminary trail is useful to practice pacing), and are able to stop for a rest if they desire.

  6 minutes

Secondary Outcomes (4)

• BMI (body mass index) measurement by Height and weight

  2 minutes

• Balance measurement by Tinetti-test

  5 minutes

• Resting heart rate (RHR)

  1 minutes

• Blood Pressure

  1 minutes

Other Outcomes (1)

• Quality of life measurement by SWLS

  5 minutes

Study Arms (4)

Brisk walking group

EXPERIMENTAL

Type of exercise is brisk walking. The duration of each exercise is from 35 minutes to 60 minutes, with 5 minutes of training time added every two weeks. The frequency of each exercise is 3 times a week. Total exercise time is 12 weeks. The intensity is 50%-70% of the individual's maximum heart rate, gradually increasing the intensity over time.

Behavioral: Brisk walking and Tai Chi Chuan

Tai Chi Chuan

EXPERIMENTAL

Type of exercise is Tai Chi Chuan. The duration of each exercise is from 35 minutes to 60 minutes, with 5 minutes of training time added every two weeks. The frequency of each exercise is 3 times a week. Total exercise time is 12 weeks. The intensity is 50%-70% of the individual's maximum heart rate.

Behavioral: Brisk walking and Tai Chi Chuan

Brisk walking combined with Tai Chi Chuan

EXPERIMENTAL

Type of exercise is brisk walking combine with Tai Chi Chuan. The duration of each exercise is from 35 minutes to 60 minutes, with 5 minutes of training time added every two weeks. The frequency of each exercise is 3 times a week. Total exercise time is 12 weeks. The intensity of brisk walking is 50%-70% of the individual's maximum heart rate, gradually increasing the intensity over time. The intensity of Tai Chi Chuan is 50%-70% of the individual's maximum heart rate.

Behavioral: Brisk walking and Tai Chi Chuan

Control Group

NO INTERVENTION

Keeping their daily life.

Interventions

Brisk walking and Tai Chi Chuan BEHAVIORAL

This study includes four groups, the three experimental groups are brisk walking group, Tai chi chuan group, brisk walking combined with Tai chi chuan group, and control group. Among the three experimental groups and exercise time, exercise intensity and exercise frequency are the same over time.

Also known as: Tai Chi Chuan (only）, Brisk walking (only), Tai Chi Chuan combined with brisk walking

Brisk walking combined with Tai Chi Chuan; Brisk walking group; Tai Chi Chuan

Eligibility Criteria

• Age: 60 Years - 69 Years
• Gender Eligibility Details: Chinese women
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Less than 30 minutes of moderate-intensity physical activity per week.
• Through the screening of the PAR-Q questionnaire (If one of the questions is answered "yes", the potential participants will be excluded) and the basic physical examination of the elderly by doctors, to determine that the elderly can complete exercise independently.

You may not qualify if:

• Subjects participated in other sports training at the same time.
• If the subjects have recently (less than one year) undergone surgery on the knee, elbow, shoulder, etc., has a history of rheumatoid disease or neurological disease, and is still receiving treatment, it will be excluded.
• If the subjects answered "yes" to the PAR-Q questionnaire.

Sponsors & Collaborators

• Bai Xiaorong: lead

Study Sites (1)

Puyang Aged Institution

Puyang, Henan, China

Location

Related Publications (3)

• ACSM's Guidelines for Exercise Testing and Prescription 9th Ed. 2014. (2014). The Journal of the Canadian Chiropractic Association.

  BACKGROUND

• ACSM. (2009). ACSM's Guidelines for exercise Testing and Prescripstion. In Lippincott Williams & Wilkins. https://doi.org/10.1249/MSS.0b013e318213fefb

  BACKGROUND

• ACSM. (2008). ACSM's Health-Related Physical Fitness Assessment Manual. In Medicine & Science in Sports & Exercise.

  RESULT

MeSH Terms

Interventions

Tai Ji; Single Person

Intervention Hierarchy (Ancestors)

Mind-Body Therapies; Complementary Therapies; Therapeutics; Exercise Movement Techniques; Physical Therapy Modalities; Marital Status; Family Characteristics; Demography; Population Characteristics; Socioeconomic Factors

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Masking Details: Try not to allow communication and contact between participants in each group. Researchers do not participate in training. Researchers do not disclose more research information. Data collection and entry should be operated by professional personnel.
• Purpose: TREATMENT
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: National secondary sports social instructor

Model Details: There are four groups, 1 control group, and 3 intervention groups. Three intervention groups include the brisk walking group, the Tai Chi Chuan group, and their combination group.

Study Record Dates

• First Submitted: June 6, 2021
• First Posted: June 23, 2021
• Study Start: July 3, 2021
• Primary Completion: October 23, 2021
• Study Completion: October 24, 2021
• Last Updated: October 5, 2021

Record last verified: 2021-09

Data Sharing

• IPD Sharing: Will not share

Locations

CN (1)