Intense Tai Chi Exercise Training and Fall Occurrences in Older, Transitionally Frail Adults: A Randomized, Controlled Trial

Steven L. Wolf, Richard W. Sattin, Michael Kutner, Michael O'Grady, Arlene I. Greenspan, Robert J. Gregor

Research output: Contribution to journalArticle

235 Citations (Scopus)

Abstract

OBJECTIVES: To determine whether an intense tai chi (TC) exercise program could reduce the risk of falls more than a wellness education (WE) program in older adults meeting criteria for transitioning to frailty. DESIGN: Randomized, controlled trial of 48 weeks duration. SETTING: Twenty congregate living facilities in the greater Atlanta area. PARTICIPANTS: Sample of 291 women and 20 men aged 70 to 97. MEASUREMENTS: Demographics, time to first fall and all subsequent falls, functional measures, Sickness Impact Profile, Centers for Epidemiologic Studies-Depression Scale, Activities-specific Balance Confidence Scale, Falls Efficacy Scales, and adherence to interventions. RESULTS: The risk ratio (RR) of falling was not statistically different in the TC group and the WE group (RR = 0.75, 95% confidence interval (CI) = 0.52-1.08), P =.13). Over the 48 weeks of intervention, 46% (n = 132) of the participants did not fall; the percentage of participants that fell at least once was 47.6% for the TC group and 60.3% for the WE group. CONCLUSION: TC did not reduce the RR of falling in transitionally frail, older adults, but the direction of effect observed in this study, together with positive findings seen previously in more-robust older adults, suggests that TC may be clinically important and should be evaluated further in this high-risk population.

Original languageEnglish (US)
Pages (from-to)1693-1701
Number of pages9
JournalJournal of the American Geriatrics Society
Volume51
Issue number12
DOIs
StatePublished - Dec 1 2003

Fingerprint

Tai Ji
Frail Elderly
Randomized Controlled Trials
Exercise
Accidental Falls
Odds Ratio
Education
Sickness Impact Profile
Health Promotion
Epidemiologic Studies
Demography
Confidence Intervals
Population

Keywords

  • Aging
  • Balance
  • Exercise
  • Falls
  • Tai chi

ASJC Scopus subject areas

  • Geriatrics and Gerontology

Cite this

Intense Tai Chi Exercise Training and Fall Occurrences in Older, Transitionally Frail Adults : A Randomized, Controlled Trial. / Wolf, Steven L.; Sattin, Richard W.; Kutner, Michael; O'Grady, Michael; Greenspan, Arlene I.; Gregor, Robert J.

In: Journal of the American Geriatrics Society, Vol. 51, No. 12, 01.12.2003, p. 1693-1701.

Research output: Contribution to journalArticle

Wolf, Steven L. ; Sattin, Richard W. ; Kutner, Michael ; O'Grady, Michael ; Greenspan, Arlene I. ; Gregor, Robert J. / Intense Tai Chi Exercise Training and Fall Occurrences in Older, Transitionally Frail Adults : A Randomized, Controlled Trial. In: Journal of the American Geriatrics Society. 2003 ; Vol. 51, No. 12. pp. 1693-1701.
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