Tai Chi and whole-body vibrating therapy in sarcopenic men in advanced old age: a clinical randomized controlled trial.

Author: Zhu YQ1,2,3, Peng N1,3, Zhou M4, Liu PP1, Qi XL4, Wang N4, Wang G4, Wu ZP4
Affiliation: <sup>1</sup>1Department of Geriatric Rehabilitation, Chinese PLA General Hospital, Beijing, 100853 China. <sup>2</sup>2Nankai University, Tianjin, 300071 China. <sup>3</sup>3National Clinic Research Center for Geriatric Disease, Chinese PLA General Hospital, Beijing, 100853 China. <sup>4</sup>4Rehabilitation Medicine Center, Chinese PLA General Hospital, Beijing, 100853 China.
Conference/Journal: Eur J Ageing.
Date published: 2019 Mar 2
Other: Volume ID: 16 , Issue ID: 3 , Pages: 273-282 , Special Notes: doi: 10.1007/s10433-019-00498-x. eCollection 2019 Sep. , Word Count: 265

This study was to investigate the effects of Tai Chi (TC) and whole-body vibration (WBV) exercise in sarcopenic men in advanced old age. Ninety sarcopenic men (mean age 88.6 years; age range 85-101 years) were divided into three groups: TC group, WBV group, and control (CON) group. Patients in the two treatment groups received 8 weeks of training in either TC or WBV, while the control group received reminders not to change their level of physical exercise or lifestyle. Patients in all groups also received health information related to sarcopenia. Muscle mass, muscle strength, and physical performance [balance, gait speed, timed-up-and-go test (TUGT), and five-times-sit-to-stand test (FTSST)] were analyzed and compared among the three groups. Finally, seventy-nine subjects completed the study (TC n = 24; WBV n = 28; and CON 27). Muscle strength was significantly increased in the TC and WBV groups compared to the control group (P < 0.01). Following 8 weeks of exercise, improvements were observed in all physical performance tests for the TC and WBV groups (P < 0.05). The improvement in balance was greater in the TC group than the WBV group. Time × Group effects revealed significant improvements in muscle strength in the lower extremities (P < 0.05) and physical performance (P < 0.01) in both the TC and WBV groups. Changes in muscle mass, as measured by dual-energy X-ray absorptiometry, did not significantly differ between groups. These findings indicate that TC and WBV are effective treatments for improving muscle strength and physical performance in sarcopenic men in advanced old age.

KEYWORDS: Advanced old age; Sarcopenia; Tai Chi; Whole-body vibration

PMID: 31543722 PMCID: PMC6728405 [Available on 2020-09-01] DOI: 10.1007/s10433-019-00498-x