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Xin W, Xu D, Dou Z, Jacques A, Umbella J, Hill AM. Effectiveness of Community-Based Rehabilitation (CBR) Centers for Improving Physical Fitness for Community-Dwelling Older Adults: A Systematic Review and Meta-Analysis. Ann Rehabil Med 2024; 48:5-21. [PMID: 38433005 PMCID: PMC10915308 DOI: 10.5535/arm.23148] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2023] [Revised: 12/22/2023] [Accepted: 01/18/2024] [Indexed: 03/05/2024] Open
Abstract
To synthesise the best available evidence for the effectiveness of interventions delivered in community-based rehabilitation (CBR) centers on physical fitness, for community-dwelling older adults living in Asian countries. This study is a systematic review and meta-analysis. Seven English and two Chinese electronic databases were searched for randomised controlled trials (RCTs) and quasi-experimental studies that were conducted by centers providing CBR. Independent reviewers screened, quality-appraised and extracted data. The primary outcome was physical fitness measured by validated assessment tools, including the Timed Up and Go Test (TUG), gait speed, hand grip strength, Functional Reach Test (FRT), and one-leg standing test. Assessments of activity of daily living and quality of life using tools including the Barthel Index, Short Form (SF)-12, and SF-36 were secondary outcomes. After screening 5,272 studies, 29 studies were included (16 RCTs, 13 quasi-experimental studies) from four countries. Meta-analyses found that CBR programs significantly decreased TUG time (mean difference [MD], -1.89 seconds; 95% confidence interval [95% CI], -2.84 to -0.94; I2=0%; Z=3.90, p<0.0001), improved gait speed (MD, 0.10 m/s; 95% CI, 0.01-0.18; I2=0%; Z=2.26, p=0.02), and increased one-leg standing time (MD, 2.81 seconds; 95% CI, 0.41-5.22; I2=0%; Z=2.29, p=0.02). Handgrip strength and FRT showed no statistically significant improvement in the meta-analyses. CBR may improve aspects of physical fitness for older adults in Asian countries. However, variability in intervention components and measurement tools reduced the ability to pool individual studies. Further trials are required with robust designs including standardised measures of physical fitness.
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Affiliation(s)
- Wei Xin
- Curtin Medical School, Curtin University, Perth, Australia
- Department of Rehabilitation Medicine, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China
| | - Dan Xu
- Curtin Medical School, Curtin University, Perth, Australia
- Curtin School of Population Health, Faculty of Health Sciences, Curtin University, Perth, Australia
- Department of General Family Medicine, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China
| | - Zulin Dou
- Department of Rehabilitation Medicine, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China
| | - Angela Jacques
- Institute for Health Research, The University of Notre Dame Australia, Perth, Australia
| | - Josephine Umbella
- School of Allied Health, The University of Western Australia, Perth, Australia
| | - Anne-Marie Hill
- School of Allied Health, The University of Western Australia, Perth, Australia
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Nakamura M, Ohki M, Mizukoshi R, Takeno I, Tsujita T, Imai R, Imaoka M, Takeda M. Effect of Home-Based Training with a Daily Calendar on Preventing Frailty in Community-Dwelling Older People during the COVID-19 Pandemic. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:14205. [PMID: 36361085 PMCID: PMC9658038 DOI: 10.3390/ijerph192114205] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/09/2022] [Revised: 10/27/2022] [Accepted: 10/28/2022] [Indexed: 06/16/2023]
Abstract
It has been reported that marked decreases in physical activity including social activities, deterioration in eating habits and mental health, and an increase in frailty have occurred during the COVID-19 pandemic. This study aimed to devise a method to prevent the onset and progression of frailty during the COVID-19 pandemic and to verify its effect. The subjects were 111 community-dwelling older people who answered questionnaires before and after the intervention. A calendar incorporating 31 different tasks, one for each day, was created as an intervention tool with the aim of improving motor, oral, and cognitive functions. The intervention group (n = 49) participants performed these tasks every day for 3 months. The primary outcome was the Kihon checklist (KCL) score. When the amount of change in the KCL score before and after 3 months was compared between the two groups, no difference in the total score was observed between the two groups; however, the intervention group showed significantly improved cognitive function in the KCL sub-domain. In the intervention group, the number of pre-frailty and frailty patients decreased significantly after the intervention compared to before the intervention. These results suggest that the use of the calendar created in this study during the COVID-19 pandemic could prevent decreased cognitive function in the KCL sub-domain and could help prevent the onset and progression of pre-frailty and frailty.
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Affiliation(s)
- Misa Nakamura
- Graduate School of Rehabilitation, Osaka Kawasaki Rehabilitation University, Kaizuka, Osaka 597-0104, Japan
- Department of Rehabilitation, Osaka Kawasaki Rehabilitation University, Kaizuka, Osaka 597-0104, Japan
| | - Masataka Ohki
- Graduate School of Rehabilitation, Osaka Kawasaki Rehabilitation University, Kaizuka, Osaka 597-0104, Japan
| | - Riku Mizukoshi
- Department of Rehabilitation, Osaka Kawasaki Rehabilitation University, Kaizuka, Osaka 597-0104, Japan
| | - Itsuki Takeno
- Department of Rehabilitation, Osaka Kawasaki Rehabilitation University, Kaizuka, Osaka 597-0104, Japan
| | - Taira Tsujita
- Department of Rehabilitation, Osaka Kawasaki Rehabilitation University, Kaizuka, Osaka 597-0104, Japan
| | - Ryota Imai
- Graduate School of Rehabilitation, Osaka Kawasaki Rehabilitation University, Kaizuka, Osaka 597-0104, Japan
- Department of Rehabilitation, Osaka Kawasaki Rehabilitation University, Kaizuka, Osaka 597-0104, Japan
| | - Masakazu Imaoka
- Graduate School of Rehabilitation, Osaka Kawasaki Rehabilitation University, Kaizuka, Osaka 597-0104, Japan
- Department of Rehabilitation, Osaka Kawasaki Rehabilitation University, Kaizuka, Osaka 597-0104, Japan
| | - Masatoshi Takeda
- Graduate School of Rehabilitation, Osaka Kawasaki Rehabilitation University, Kaizuka, Osaka 597-0104, Japan
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Takano Y, Umezawa M, Kubota N, Takeda K, Yanagita S. Effects of music exposure during pregnancy on maternal behavior in mother rats. Heliyon 2022; 8:e10029. [PMID: 35991990 PMCID: PMC9382262 DOI: 10.1016/j.heliyon.2022.e10029] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2022] [Revised: 04/15/2022] [Accepted: 07/18/2022] [Indexed: 11/18/2022] Open
Abstract
Several studies have demonstrated the possibility of positive effects of exposure to music during pregnancy on mental function in humans and animals. Although there remains a core belief in the positive effects of music during pregnancy, the underlying neurobehavioral mechanisms of these effects remain unknown. In this study, we aimed to clarify the relationship between maternal nurturing behavior and the oxytocinergic system to elucidate the effect of music on mental health during pregnancy in an experimental investigation using animal models. Pregnant rats were exposed to Mozart sonatas, and their nurturing behavior after delivery was assessed using behavioral analyses. The neural activities of the oxytocinergic system, which are associated with nurturing behavior, were investigated using FosB immunohistochemistry. Music during pregnancy significantly increased the licking behavior of mothers towards pups, which is representative of positive nurturing behavior. In contrast, this alteration in maternal behavior was shown to have no marked effect on the structure or activity of the oxytocinergic system. This study provided possible evidence that exposure to music during pregnancy had a positive effect on postnatal maternal behavior. The results also suggest that the oxytocinergic system, considered a strong candidate for the neural system that regulates maternal behavior, may not be associated with this behavioral change. Understanding the relationship between other neural systems, physiological responses, and nurturing behaviors will provide a more comprehensive explanation of the mechanisms by which music exposure during pregnancy has a positive effect on mental health. Pregnant rats were exposed to Mozart sonatas and their nurturing behavior was investigated. Exposure to music during pregnancy has a positive effect on postnatal maternal behavior. Maternal behavior had no marked effect on the structure or activity of the oxytocinergic neurons.
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Affiliation(s)
- Yurika Takano
- Graduate School of Pharmaceutical Sciences, Tokyo University of Science, Noda, Chiba 278-8510, Japan
| | - Masakazu Umezawa
- Graduate School of Pharmaceutical Sciences, Tokyo University of Science, Noda, Chiba 278-8510, Japan
- Research Institute for Science and Technology, Tokyo University of Science, Noda, Chiba 278-8510, Japan
- Department of Materials Science and Technology, Faculty of Advanced Engineering, Tokyo University of Science, Katsushika, Tokyo 125-8585, Japan
| | - Natsuko Kubota
- Research Institute for Science and Technology, Tokyo University of Science, Noda, Chiba 278-8510, Japan
| | - Ken Takeda
- Research Institute for Science and Technology, Tokyo University of Science, Noda, Chiba 278-8510, Japan
- Faculty of Pharmaceutical Sciences, Sanyo-Onoda City University, Sanyo-Onoda, Yamaguchi 756-0884, Japan
| | - Shinya Yanagita
- Research Institute for Science and Technology, Tokyo University of Science, Noda, Chiba 278-8510, Japan
- Faculty of Science and Technology, Tokyo University of Science, Noda, Chiba 278-8510, Japan
- Corresponding author.
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Effects of Rhythm Step Training on Physical and Cognitive Functions in Adolescents: A Prospective Randomized Controlled Trial. Healthcare (Basel) 2022; 10:healthcare10040712. [PMID: 35455889 PMCID: PMC9029147 DOI: 10.3390/healthcare10040712] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2022] [Revised: 04/06/2022] [Accepted: 04/11/2022] [Indexed: 11/17/2022] Open
Abstract
Background: Rhythm step training (RST) for sensorimotor dual tasks is in the spotlight as it provides physical activity that is fun and allows participants to express various and creative movements, although it lacks a scientific evidence base. Therefore, this study was to investigate how RST affects the physical and cognitive functions of adolescents. Materials and Methods: A total of sixty-six female middle-schoolers were divided into non-exercise group (control group, CON, n = 22), step training group (STG, n = 22), and rhythm step training group (RSTG, n = 22). To verify the combined effects of music-based rhythm and exercise, the program was conducted for 45 min/session a day, three times a week for 12 weeks. Results: RST scores increased significantly in the STG and RSTG compared to the CON after 12 weeks. Specifically, the Δ% of RST scores in the RSTG (11.44%) was higher than those of STG (9.01%) and CON (3.91%). By the end of the experiment, the power (p < 0.001), agility (p < 0.001), muscle endurance (p < 0.001), dynamic or static balance (p < 0.001), and gait velocity (p < 0.001) of RSTG were significantly improved compared to the others. The Δ% of all variables in RSTG was higher than those of the CON or STG. In addition, the verbal memory (p < 0.001) and attention (p < 0.001) of cognitive function were significantly improved in RSTG. Specifically, there was more of an increase in Δ% of RSTG for verbal memory (7.52%) and attention (10.33%) than in the CON (verbal memory, 3.34%; attention, 5.83%) or STG (verbal memory, 5.85%; attention, 5.43%). Conclusions: This study confirms that RST had a positive effect on the physical and cognitive functions of female middle-schoolers. We propose that rhythmic exercise combined with music is beneficial for adolescents’ physical and cognitive health.
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