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Fitness & Exercise for Senior Citizens

Chinese Martial Art of Tai Chi Chih Helps Seniors Sleep Better, Fight Shingles Virus

UCLA researcher continues to find benefits for senior citizens in 20-movement exercise

   
 

Tai Chi Chih developed in 1974 by Justin Stone, who discusses it in this YouTube video - click

 

June 25, 2008 – Most senior citizens have sleeping problems and most do nothing about it. UCLA researchers say the answer is the Westernized version of a 2,000-year-old Chinese martial art, Tai Chi Chih. From the same study, they had earlier determined this exercise also significantly boosts the immune systems of older adults against the virus that leads to the painful, blistery rash known as shingles.

The researchers’ latest report says practicing tai chi chih, promotes sleep quality in older adults with moderate sleep complaints.

Those who do usually turn either to medications, which can lead to other health problems, or behavior therapies, which are costly and often not available close to home, say the authors in the study to be published in the journal Sleep. It is currently available in the journal's online edition.

 

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In this study, 112 healthy adults ranging in age from 59 to 86 were randomly assigned to one of two groups for a 25-week period:

The first group practiced 20 simple tai chi chih moves; the other participated in health education classes that included advice on stress management, diet and sleep habits.

At the beginning of the study, participants were asked to rate their sleep based on the Pittsburgh Sleep Quality Index, a self-rated questionnaire that assesses sleep quality, duration and disturbances over a one-month time interval.

The study found that the tai chi chih group showed improved sleep quality and a remission of clinical impairments, such as drowsiness during the day and inability to concentrate, compared with those receiving health education. The tai chi chih participants showed improvements in their own self-rating of sleep quality, sleep duration and sleep disturbance.

About Tai Chi Chih (Wikipedia)

T’ai Chi Chih is a series of 19 movements and 1 pose that together make up a meditative form of exercise to which practitioners attribute physical and spiritual health benefits. Some studies have found the practice to reduce stress and relieve certain ailments.

Developed in Albuquerque, New Mexico in 1974 by Justin Stone, T’ai Chi Chih has spread mostly through word-of-mouth in a grassroots fashion among practicing individuals. It is now taught and practiced in the US and Canada, France, Italy, New Zealand, Zimbabwe, Namibia, and other countries.

T’ai Chi Chih has visual similarities to Tai chi chuan, but no martial arts aspect. According to practitioners, T’ai Chi Chih focuses on circulating, developing and balancing the chi (in the traditional Chinese concept, a kind of spiritual energy residing in every living thing).

Click here for the T'ai Chi Chih page on Wikipedia.

Information from official site

T'ai Chi Chihฎ is a set of movements completely focused on the development of an intrinsic energy called Chi. It's easy to learn and usually takes about two months (or eight classes). T'ai Chi Chih (TCC) consists of 19 stand-alone movements and one pose.

T'ai Chi Chih is not a martial art. T'ai Chi Chih is completely non-violent.

T'ai Chi Chih does not require a particular level of physical fitness or coordination. The very old and very young alike can learn it. (For those with physical limitations, movements may be done seated – with some modification.) No special clothing or equipment is required.

By whom, and where, is TCC taught? T'ai Chi Chih may only be taught by accredited TCC teachers. They offer classes in corporate wellness programs; at schools and universities; at senior centers and retreat centers; through Parks and Recreation departments; and at hospitals, churches, and even prisons.

http://www.taichichih.org/overview.php

"Poor sleeping constitutes one of the most common difficulties facing older adults," said lead study author Dr. Michael Irwin, the Norman Cousins Professor of Psychiatry and Biobehavioral Sciences at the David Geffen School of Medicine at UCLA and director of the UCLA Cousins Center for Psychoneuroimmunology.

Irwin noted that 58 percent of adults age 59 and older report having difficulty sleeping at least a few nights each week. However, sleep problems remain untreated in up to 85 percent of people. And for those who do seek help, the usual remedy is a sedative.

But sedatives can cause side effects, according to Irwin.

"It's not uncommon for older adults to experience daytime confusion, drowsiness, falls and fractures, and adverse interactions with other medications they may be taking," he said.

And while most health professionals generally agree that physical exercise enhances sleep quality, given the physical limitations of the elderly, rigorous exercise might not be an option. That's why tai chi chih, with its gentle, slow movements, is an attractive exercise option for the elderly population.

"It's a form of exercise virtually every elderly person can do, and this study provides more across-the-board evidence of its health benefits," Irwin said.

Tia Chi Gives Seniors Same Boost as Shingles Vaccine

The sleep research piggybacked on a study published in April 2007 by Irwin that showed tai chi chih boosted the immune system of elderly people suffering from shingles.

The 25-week study, which involved the same group of 112  older adults ( age from 59 to 86) in the sleep study, showed that practicing tai chi chih alone boosted immunity to a level comparable to having received the standard vaccine against the shingles-causing varicella zoster virus.

When tai chi chih was combined with the vaccine, immunity reached a level normally seen in middle age.

The report appears in the April issue of the Journal of the American Geriatrics Society, currently online.

The results, said lead author Irwin, confirm a positive, virus-specific immune response to a behavioral intervention. The findings demonstrate that tai chi chih can produce a clinically relevant boost in shingles immunity and add to the benefit of the shingles vaccine in older adults.

"These are exciting findings, because the positive results of this study also have implications for other infectious diseases, like influenza and pneumonia," said Irwin.

"Since older adults often show blunted protective responses to vaccines, this study suggests that tai chi is an approach that might complement and augment the efficacy of other vaccines, such as influenza."

The study divided individuals into two groups. Half took tai chi chih classes three times a week for 16 weeks, while the other half attended health education classes — including advice on stress management, diet and sleep habits — for the same amount of time and did not practice tai chi chih.

After 16 weeks, both groups received a dose of the shingles vaccine Varivax. At the end of the 25-week period, the tai chi chih group achieved a level of immunity two times greater than the health education group. The tai chi chih group also showed significant improvements in physical functioning, vitality, mental health and reduction of bodily pain.

The research follows the success of an earlier pilot study that showed a positive immune response from tai chi chih but did not assess its effects when combined with the vaccine.

The varicella zoster virus is the cause of chickenpox in kids. Children who get chickenpox generally recover, but the virus lives on in the body, remaining dormant. As we age, Irwin said, our weakening immune systems may allow the virus to reemerge as shingles. Approximately one-third of adults over 60 will acquire the infection at some point.

"It can be quite painful," Irwin said, "and can result in impairment to a person's quality of life that is comparable to people with congestive heart failure, type II diabetes or major depression."

Tai chi chih is a nonmartial form of tai chi and comprises a standardized series of 20 movements. It combines meditation, relaxation and components of aerobic exercise and is easy to learn.

The study was supported by grants from the National Institute of Aging and the National Center for Complementary and Alternative Medicine.

Editor’s Notes:

   
 

Michael Irwin MD

 

Working in the area of psychoneuroimmunology for nearly two decades, Michael Irwin, MD, has authored more than 190 articles and chapters, including one book Human Psychoneuroimmunology. His research is broadly based on the interactions between behavior and immunity, with an emphasis on the consequences of major depression on immune processes relevant to infectious disease risk as well as inflammatory disorders.

Other studies done at UCLA have shown that tai chi chih can help people who suffer from tension headaches and have suggested that it may aid in decreasing high blood pressure.

The UCLA Cousin Center for Psychoneuroimmunology (http://www.cousinspni.org/index.htm) encompasses an interdisciplinary network of scientists working to advance the understanding of psychoneuroimmunology by linking basic and clinical research programs and by translating findings into clinical practice. The center is affiliated with the Semel Institute for Neuroscience and Human Behavior at UCLA and the David Geffen School of Medicine at UCLA.

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