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      The Effects of Tai Chi on Markers of Atherosclerosis, Lower-limb Physical Function, and Cognitive Ability in Adults Aged Over 60: A Randomized Controlled Trial

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          Abstract

          Objective: The purpose of this study was to investigate the effects of Tai Chi (TC) on arterial stiffness, physical function of lower-limb, and cognitive ability in adults aged over 60. Methods: This study was a prospective and randomized 12-week intervention trial with three repeated measurements (baseline, 6, and 12 weeks). Sixty healthy adults who met the inclusion criteria were randomly allocated into three training conditions (TC-24, TC-42, and TC-56) matched by gender, with 20 participants (10 males, 10 females) in each of the three groups. We measured the following health outcomes, including markers of atherosclerosis, physical function (leg power, and static and dynamic balance) of lower-limb, and cognitive ability. Results: When all three TC groups (p < 0.05) have showed significant improvements on these outcomes but overall cognitive ability at 6 or 12 weeks training period, TC-56 appears to have superior effects on arterial stiffness and static/dynamic balance in the present study. Conclusions: Study results of the present study add to growing body of evidence regarding therapeutic TC for health promotion and disease prevention in aging population. Future studies should further determine whether TC-42 and TC-56 are beneficial for other non-Chinese populations, with rigorous research design and follow-up assessment.

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          Long-term health benefits of physical activity – a systematic review of longitudinal studies

          Background The treatment of noncommunicable diseases (NCD), like coronary heart disease or type 2 diabetes mellitus, causes rising costs for the health system. Physical activity is supposed to reduce the risk for these diseases. Results of cross-sectional studies showed that physical activity is associated with better health, and that physical activity could prevent the development of these diseases. The purpose of this review is to summarize existing evidence for the long-term (>5 years) relationship between physical activity and weight gain, obesity, coronary heart disease, type 2 diabetes mellitus, Alzheimer’s disease and dementia. Methods Fifteen longitudinal studies with at least 5-year follow up times and a total of 288,724 subjects (>500 participants in each study), aged between 18 and 85 years, were identified using digital databases. Only studies published in English, about healthy adults at baseline, intentional physical activity and the listed NCDs were included. Results The results of these studies show that physical activity appears to have a positive long-term influence on all selected diseases. Conclusions This review revealed a paucity of long-term studies on the relationship between physical activity and the incidence of NCD.
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            Association between arterial stiffness and atherosclerosis: the Rotterdam Study.

            Studies of the association between arterial stiffness and atherosclerosis are contradictory. We studied stiffness of the aorta and the common carotid artery in relation to several indicators of atherosclerosis. This study was conducted within the Rotterdam Study in >3000 elderly subjects aged 60 to 101 years. Aortic stiffness was assessed by measuring carotid-femoral pulse wave velocity, and common carotid artery stiffness was assessed by measuring common carotid distensibility. Atherosclerosis was assessed by common carotid intima-media thickness, plaques in the carotid artery and in the aorta, and the presence of peripheral arterial disease. Data were analyzed by ANCOVA with adjustment for age, sex, mean arterial pressure, and heart rate. Both aortic and common carotid artery stiffness were found to have a strong positive association with common carotid intima-media thickness, severity of plaques in the carotid artery, and severity of plaques in the aorta (P: for trend <0.01 for all associations). Subjects with peripheral arterial disease had significantly increased aortic stiffness (P:=0.001) and borderline significantly increased common carotid artery stiffness (P:=0.08) compared with subjects without peripheral arterial disease. Results were similar after additional adjustment for cardiovascular risk factors and after exclusion of subjects with prevalent cardiovascular disease. This population-based study shows that arterial stiffness is strongly associated with atherosclerosis at various sites in the vascular tree.
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              Validation of the Chinese Version of Montreal Cognitive Assessment Basic for Screening Mild Cognitive Impairment.

              To evaluate the effectiveness of the Chinese version of the Montreal Cognitive Assessment Basic (MoCA-BC) as a screening tool for detecting mild cognitive impairment (MCI) in Chinese elderly adults.
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                Author and article information

                Journal
                Int J Environ Res Public Health
                Int J Environ Res Public Health
                ijerph
                International Journal of Environmental Research and Public Health
                MDPI
                1661-7827
                1660-4601
                01 March 2019
                March 2019
                : 16
                : 5
                : 753
                Affiliations
                [1 ]Department of Chinese Martial Arts, College of Sport Science, Hunan University of Science and Technology, Yongzhou 425100, China; shengwen1224@ 123456huse.edu.cn
                [2 ]Health and Exercise Science Laboratory, Institute of Sports Science, Seoul National University, Seuoul 08826, Korea; elite_zhangyj@ 123456163.com
                [3 ]Faculty of Education, University of Macau, Macao, China; zwkong@ 123456um.edu.mo
                [4 ]Department of Health, Exercise Science and Recreation Management School of Applied Sciences, The University of Mississippi, Oxford, MS 36877, USA; pdloprin@ 123456olemiss.edu
                [5 ]Sports Science Research Center, Beijing Sport University, Beijing 100084, China; huyang@ 123456bsu.edu.cn
                [6 ]Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hunghom, Hong Kong, China; ye.j.ye@ 123456connect.polyu.hk
                [7 ]Department of Physical Education, Wuhan University of Technology, Wuhan 430070, China; liushijie0411@ 123456whut.edu.cn
                [8 ]Sports and Exercise Psychology Laboratory, Department of Sports, Science and Physical Education, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong, China
                [9 ]Lifestyle (Mind-Body Movement) Research Center, College of Sports Science, Shenzhen University, Shenzhen 518060, China
                Author notes
                [* ]Correspondence: yujie@ 123456cuhk.edu.hk (J.J.Y.); liyezou123@ 123456gmail.com (L.Z.)
                Author information
                https://orcid.org/0000-0002-7964-2326
                https://orcid.org/0000-0002-9999-1312
                https://orcid.org/0000-0001-7711-4741
                https://orcid.org/0000-0001-9783-2740
                https://orcid.org/0000-0001-6411-5710
                Article
                ijerph-16-00753
                10.3390/ijerph16050753
                6427726
                30832288
                5a8d69a1-3c13-4ccc-83b1-97e3c9f1ec97
                © 2019 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 17 January 2019
                : 26 February 2019
                Categories
                Article

                Public health
                tai chi,mind-body exercise,cognition,balance,arterial stiffness,aging
                Public health
                tai chi, mind-body exercise, cognition, balance, arterial stiffness, aging

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