Effects of seated Baduanjin training modalities on body composition, muscle strength, and gait parameters in older adults: A cluster-randomised controlled trial

IF 4 3区医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE

Complementary therapies in medicine Pub Date : 2025-12-01 Epub Date: 2025-11-08 DOI:10.1016/j.ctim.2025.103300

Chia-Feng Chen , Shu-Ching Chiu , Ching- Kuei Chiang , Yu-Wen Lu

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引用次数: 0

Abstract

Background and Objective

The relationship between seated exercise frequency and physiological changes in older adults has received insufficient research attention. We examined how Baduanjin session frequency, Baduanjin instructional format, and low-intensity resistance training affect the body composition, muscle strength, and gait parameters of older adults.

Methods

A prospective, cluster-randomised, controlled, two-arm trial was conducted at day care centres for older adults in Taiwan over 12 weeks between May and September 2024. The experimental group received a multicomponent seated Baduanjin intervention which included online and in-person sessions and additional resistance training, whereas the control group completed only the online Baduanjin sessions. Body composition was assessed using bioelectrical impedance analysis. Muscle strength of the upper and lower extremities was measured using handheld dynamometers. Gait parameters were evaluated using GaitUp wearable motion sensors.

Results

Linear mixed-effects analysis revealed significant between-group differences in grip strength, gait speed, cadence, and load ratio after 12 weeks (p < 0.05). The experimental group maintained their functional abilities, whereas the control group experienced marked declines. No significant changes were observed in skeletal muscle index, body fat percentage, or isometric knee extensor force over the intervention period. Additionally, the foot-flat ratio significantly decreased in the experimental group (p = 0.004) but increased in the control group (p = 0.011); the between-group difference was significant (B = 5.28, 95 % confidence interval [2.14, 8.41], p = 0.001).

Conclusion

The multicomponent seated Baduanjin intervention was more effective than the once-weekly Baduanjin sessions in improving physical outcomes. Thus, Baduanjin is a safe, feasible, and beneficial. intervention for older adults. This study was registered on ClinicalTrials.gov (Registration No. NCT06550661) on 6 August 2024.

查看原文本刊更多论文

八段锦坐式训练方式对老年人身体组成、肌肉力量和步态参数的影响：一项随机对照试验。

背景与目的：老年人坐式运动频率与生理变化之间的关系研究关注不足。我们研究了八段筋训练频率、八段筋训练形式和低强度阻力训练对老年人身体成分、肌肉力量和步态参数的影响。方法：一项前瞻性、集群随机、对照、双臂试验于2024年5月至9月在台湾老年人日托中心进行了为期12周的研究。实验组接受多组分坐式八段锦干预，包括在线和面对面的会话以及额外的阻力训练，而对照组只完成在线八段锦会话。采用生物电阻抗分析评估体成分。用手持式测力仪测量上肢和下肢的肌肉力量。使用GaitUp可穿戴运动传感器评估步态参数。结果：线性混合效应分析显示，12周后组间握力、步速、步速、负重比差异有统计学意义（p < 0.05）。实验组保持了他们的功能能力，而对照组则明显下降。在干预期间，骨骼肌指数、体脂率或等长膝关节伸肌力没有明显变化。实验组的足平率显著降低（p = 0.004），对照组的足平率显著升高（p = 0.011）；组间差异有统计学意义（B = 5.28, 95%可信区间[2.14,8.41],p = 0.001）。结论：多组份坐式八段锦干预比每周一次八段锦干预更有效地改善身体状况。因此，八段锦是安全、可行、有益的。老年人干预。本研究已在ClinicalTrials.gov注册(注册号：NCT06550661)于2024年8月6日发布。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Complementary therapies in medicine 医学-全科医学与补充医学

CiteScore

8.60

自引率

2.80%

发文量

101

审稿时长

112 days

期刊介绍： Complementary Therapies in Medicine is an international, peer-reviewed journal that has considerable appeal to anyone who seeks objective and critical information on complementary therapies or who wishes to deepen their understanding of these approaches. It will be of particular interest to healthcare practitioners including family practitioners, complementary therapists, nurses, and physiotherapists; to academics including social scientists and CAM researchers; to healthcare managers; and to patients. Complementary Therapies in Medicine aims to publish valid, relevant and rigorous research and serious discussion articles with the main purpose of improving healthcare.