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      Effects of Online Yoga and Tai Chi on Physical Health Outcome Measures of Adult Informal Caregivers

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          Abstract

          Aims:

          This study aimed to investigate the effects of online Vinyasa Yoga (VY) and Taijifit™ (12 weeks) in informal caregivers (≥18 years of age).

          Methods:

          Twenty-nine participants were randomized to two groups: VY ( n = 16, 55.87 ± 12.31 years) or Taijifit™ ( n = 13, 55.07 ± 12.65 years).

          Main Outcome Measures:

          Prior to and following the study, assessments were made for muscle strength (1-RM leg press, chest press, and handgrip), muscle endurance (leg press and chest press; maximal number of repetitions performed to fatigue at 80% and 70% baseline 1-RM, respectively), abdominal endurance (maximum number of consecutive curl-ups to fatigue), tasks of functionality (dynamic balance and walking speed), and flexibility (sit and reach).

          Results:

          There was a significant increase over time for muscle strength, muscle endurance, tasks of functionality, and flexibility ( P = 0.001). The VY group experienced a greater improvement in chest press endurance (VY: pre 19.25 ± 5.90, post 28.06 ± 7.60 reps; Taijifit™ pre 15.69 ± 4.49, post 21.07 ± 5.85 reps; P = 0.019) and abdominal endurance (VY: pre 37.12 ± 31.26, post 68.43 ± 55.07 reps; Taijifit™ pre 19.23 ± 19.00, post 32.07 ± 20.87 reps; P = 0.034) compared to the Taijifit™ group.

          Conclusions:

          VY and Taijifit™ are effective for improving muscle strength and endurance, tasks of functionality, and flexibility in informal caregivers. VY led to greater gains in chest press endurance and abdominal curl-ups.

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          Most cited references43

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          Ethnic differences in stressors, resources, and psychological outcomes of family caregiving: a meta-analysis.

          We investigated ethnic differences in caregiver background variables, objective stressors, filial obligations beliefs, psychological and social resources, coping processes, and psychological and physical health. We used a meta-analysis to integrate the results of 116 empirical studies. Ethnic minority caregivers had a lower socioeconomic status, were younger, were less likely to be a spouse, and more likely to receive informal support. They provided more care than White caregivers and had stronger filial obligations beliefs than White caregivers. Asian-American caregivers, but not African-American and Hispanic caregivers, used less formal support than non-Hispanic White caregivers. Whereas African-American caregivers had lower levels of caregiver burden and depression than White caregivers, we found that Hispanic and Asian-American caregivers were more depressed than their White non-Hispanic peers. However, all groups of ethnic minority caregivers reported worse physical health than Whites. Observed ethnic differences in burden and depression were influenced by study characteristics, such as the type of illness of the care recipient and the representativeness of the sample. The results suggest that more specific theories are needed to explain differential effects of ethnic minority groups of caregivers. Intervention needs vary, in part, between ethnic groups of caregivers.
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            The effect of Tai Chi on health outcomes in patients with chronic conditions: a systematic review.

            To conduct a systematic review of reports on the physical and psychological effects of Tai Chi on various chronic medical conditions. Search of 11 computerized English and Chinese databases. Randomized controlled trials, nonrandomized controlled studies, and observational studies published in English or Chinese. Data were extracted for the study objective, population characteristics, study setting, type of Tai Chi intervention, study design, outcome assessment, duration of follow-up, and key results. There were 9 randomized controlled trials, 23 nonrandomized controlled studies, and 15 observational studies in this review. Benefits were reported in balance and strength, cardiovascular and respiratory function, flexibility, immune system, symptoms of arthritis, muscular strength, and psychological effects. Tai Chi appears to have physiological and psychosocial benefits and also appears to be safe and effective in promoting balance control, flexibility, and cardiovascular fitness in older patients with chronic conditions. However, limitations or biases exist in most studies, and it is difficult to draw firm conclusions about the benefits reported. Most indications in which Tai Chi was applied lack a theoretical foundation concerning the mechanism of benefit. Well-designed studies are needed.
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              Psychophysiologic effects of Hatha Yoga on musculoskeletal and cardiopulmonary function: a literature review.

              Yoga has become increasingly popular in Western cultures as a means of exercise and fitness training; however, it is still depicted as trendy as evidenced by an April 2001 Time magazine cover story on "The Power of Yoga." There is a need to have yoga better recognized by the health care community as a complement to conventional medical care. Over the last 10 years, a growing number of research studies have shown that the practice of Hatha Yoga can improve strength and flexibility, and may help control such physiological variables as blood pressure, respiration and heart rate, and metabolic rate to improve overall exercise capacity. This review presents a summary of medically substantiated information about the health benefits of yoga for healthy people and for people compromised by musculoskeletal and cardiopulmonary disease.
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                Author and article information

                Journal
                Int J Yoga
                Int J Yoga
                IJY
                International Journal of Yoga
                Medknow Publications & Media Pvt Ltd (India )
                0973-6131
                2231-2714
                Jan-Apr 2019
                : 12
                : 1
                : 37-44
                Affiliations
                [1] Faculty of Kinesiology and Health Studies, Aging Muscle and Bone Health Laboratory, University of Regina, Regina, Saskatchewan, Canada
                Author notes
                Address for correspondence: Dr. Darren Candow, 3737 Wascana Parkway, University of Regina, Regina, Saskatchewan - S4S 0A2, Canada. E-mail: darren.candow@ 123456uregina.ca
                Article
                IJY-12-37
                10.4103/ijoy.IJOY_5_18
                6329221
                30692782
                c1109622-6926-4493-81d3-8791e1ef2a5a
                Copyright: © 2018 International Journal of Yoga

                This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

                History
                : January 2018
                : June 2018
                Categories
                Original Article

                Complementary & Alternative medicine
                endurance,flexibility,functionality,informal caregiving,strength,tai chi,yoga

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