An interventional study of Seated Tai Chi Qigong and Health Information Videos in Physical Disability, Obesity and Muscle Weakness, sponsored by Arizona State University. Completed at 1 site in United States. Open to female participants aged 35 Years to 64 Years. Per ClinicalTrials.gov, last updated 2023-02-02.
Sponsored by Arizona State University · Not applicable, Interventional, and Prevention
Approximately 1 in 10 mid-life (age 35-64) Americans have mobility impairing disabilities. People with mobility impairing disabilities are defined using the World Health Organization criteria: community living adults with mobility impairment (e.g., amputation, spinal cord injury). Women with mobility impairing disabilities often struggle with stress, abdominal fat (measured as waist circumference), lack of muscle tissue (measured as handgrip strength) and high cardiometabolic risk. This study investigates the usefulness, acceptability, and effectiveness of two strategies to reduce stress, improve health habits, reduce abdominal fat and increase muscle tissue in mid-life women with mobility impairments. These strategies involve either gentle stretching and strengthening exercises or watching informative videos.
About 1 in 10 mid-life (age 35-64) Americans have mobility impairing disabilities, steadily increasing due to medical and technological innovations. People with mobility impairing disabilities (PMI) are defined using the World Health Organization criteria, as community living adults with mobility impairment (e.g., amputation, spinal cord injury). Mid-life is a critical time for people to improve their current functioning and enhance healthy aging, by improving emotional health and increasing physical activity (PA). A review showed PA improves emotional and physical health among PMI. PMI have unique challenges to meeting PA guidelines; innovative strategies are needed to achieve emotional and physical benefits for optimal health and aging.
The higher prevalence of daily stress encountered by mid-life PMI is linked to emotional health and abdominal fat (cardiometabolic disease risk) that can lead to premature mortality. This is especially so for women with mobility impairment (WMI) who have higher prevalence of excess body fat, higher cardiometabolic risk, and are not eligible for most interventions that involve PA. PA interventions also increase muscle mass, which helps to prevent cardiometabolic conditions. Although vigorous PA may not be well-suited for WMI, lighter intensity PA such as Tai Chi, Qigong and Yoga-also called meditative movement-adapted for seated practice, are a possible solution.
Tai Chi and Qigong have been tested in non-impaired populations. Our work combines these two forms of low-to-moderate PA meditative movement, Tai Chi and Qigong (TCQ), in a mind-body practice. Our research, and others', show that TCQ consistently shows strong improvement in women in depressive symptoms, anxiety, emotional eating, and sleep quality-all contributing to excess abdominal fat (measured as waist circumference), improved muscle tissue (measured as handgrip strength) and strongly associated with cardiometabolic risk. Conventional health assessment strategies do not always work well for PMI; recent innovations have yielded scalable, low-contact assessment. We have demonstrated robust recruitment, reliable questionnaire administration and strong intervention implementation expertise via social media, video sharing, and gaming platforms.
Aim 1: Assess the potential efficacy of TCQ to reduce waist circumference and increase handgrip strength compared to controls from T1 to T2 and sustain this change to T3 and T4 when compared to control.
Aim 2: Assess the potential efficacy of TCQ to reduce stress-related behaviors (depressive symptoms, anxiety, emotional eating, and sleep) that impact abdominal fat and strength when compared to control.
Aim 3: Evaluate the feasibility and acceptability of an online delivered TCQ intervention in women with mobility impairments.
601 studies on the registry are indexed under Muscle Weakness; 99 are open to participants now.
This study's enrollment of 25 is below the median of 46 across 444 interventional studies indexed under Muscle Weakness.
Browse Muscle Weakness studies →Arizona State University is the lead sponsor of 234 studies on the registry; 41 are open to participants now.
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Exclusion Criteria:
Participants will receive daily text messages and emails to distribute videos and record which sessions were completed. Participants can participate in 10-, 20-, or 30- min TCQ practices. Total weekly practice time will be recommended between 50-150 minutes/week (\~10-30 min/day on most days). A library of existing TCQ videos will be used. All videos will demonstrate seated practice with discussions on how to accommodate mobility limitations of various types.
Other: Seated Tai Chi Qigong
The control arm will receive text messages and emails with links to health information videos for the same time lengths as the intervention group. Existing video content will be reviewed and adapted to assure avoidance of topics that can impact outcome variables.
Other: Health Information Videos
Participants will receive seated Tai Chi Qigong videos.
Participants will receive videos of health information.
Waist Circumference assessed by measuring tape
Waist Circumference assessed by measuring tape
Time frame: Baseline
Waist Circumference assessed by measuring tape
Waist Circumference (cm) assessed by measuring tape
Time frame: Week 4
Waist Circumference measured by measuring tape
Waist Circumference (cm) assessed by measuring tape
Time frame: Week 8
Waist Circumference measured by measuring tape
Waist Circumference (cm) assessed by measuring tape
Time frame: Week 12
Handgrip strength measured by isokinetic handgrip dynamometry
Weight (kg) resisted measured by handgrip dynamometer
Time frame: Baseline
Handgrip strength measured by isokinetic handgrip dynamometry
Weight (kg) resisted measured by handgrip dynamometer
Time frame: Week 4
Handgrip strength measured by isokinetic handgrip dynamometry
Weight (kg) resisted measured by handgrip dynamometer
Time frame: Week 8
Handgrip strength measured by isokinetic handgrip dynamometry
Weight (kg) resisted measured by handgrip dynamometer
Time frame: Week 12
Depressive Symptoms assessed by Center for Epidemiologic Studies Depression Scale
Center for Epidemiologic Studies Depression Score ranging from 0-3, with lower scores indicating a more desirable outcome.
Time frame: Baseline
Depressive Symptoms assessed by Center for Epidemiologic Studies Depression Scale
Center for Epidemiologic Studies Depression Score ranging from 0-3, with lower scores indicating a more desirable outcome.
Time frame: Week 12
Anxiety assessed by Generalized Anxiety Disorder 7-item Scale
Generalized Anxiety Disorder 7-item Scale Score ranging from 0-21, with lower scores indicating a more desirable outcome.
Time frame: Baseline
Anxiety assessed by Generalized Anxiety Disorder 7-item Scale
Generalized Anxiety Disorder 7-item Scale Score ranging from 0-21, with lower scores indicating a more desirable outcome
Time frame: Week 12
Emotional Eating assessed by Mindful Eating Questionnaire - 5 Factor
Mindful Eating Questionnaire - 5 Factor Score scored on a scale of 1-4, with higher scores signifies more mindful eating
Time frame: Baseline
Emotional Eating assessed by Mindful Eating Questionnaire - 5 Factor
Mindful Eating Questionnaire - 5 Factor Score scored on a scale of 1-4, with higher scores signifies more mindful eating
Time frame: Week 12
Sleep Quality assessed by the Pittsburgh Sleep Quality Index
Pittsburgh Sleep Quality Index Score, scored on a scale of 0-21, with higher scores indicating poorer sleep quality
Time frame: Baseline
Sleep Quality assessed by Pittsburgh Sleep Quality Index
Pittsburgh Sleep Quality Index Score, scored on a scale of 0-21, with higher scores indicating poorer sleep quality
Time frame: Week 4
Sleep Quality assessed by Pittsburgh Sleep Quality Index
Pittsburgh Sleep Quality Index Score, scored on a scale of 0-21, with higher scores indicating poorer sleep quality
Time frame: Week 8
Sleep Quality assessed by Pittsburgh Sleep Quality Index
Pittsburgh Sleep Quality Index Score, scored on a scale of 0-21, with higher scores indicating poorer sleep quality
Time frame: Week 12
Food Consumption Frequency assessed by the Dietary Screener Questionnaire
Dietary Screener Questionnaire responses measuring food consumption frequency
Time frame: Baseline
Food Consumption Frequency assessed by the Dietary Screener Questionnaire
Dietary Screener Questionnaire responses measuring food consumption frequency
Time frame: Week 12
Physical Functioning assessed by the Short-Form Health Survey
The Short-Form Health Survey Score scored 0-100, with higher scores indicating greater physical function
Time frame: Baseline
Physical Functioning assessed by The Short-Form Health Survey
The Short-Form Health Survey Score scored 0-100, with higher scores indicating greater physical function
Time frame: Week 12
Well-Being assessed by the Short-Form Health Survey
The Short-Form Health Survey Score scored 0-100, with higher scores indicating greater well-being
Time frame: Baseline
Well-Being assessed by the Short-Form Health Survey
The Short-Form Health Survey Score scored 0-100, with higher scores indicating greater well-being
Time frame: Week 12
Plan to share: No
This study is completed, as verified in Feb 2023. You cannot join it, but the record below documents what was studied.
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