Improving Health and Reducing Disability of Depressed Elderly With Chronic Conditions Through Qigong Exercise

Improving Health and Reducing Disability of Depressed Elderly With Chronic Conditions Through Qigong Exercise: A Randomized Controlled Trial

Qigong exercise is beneficial for older adults with co-occurring chronic physical illness and depression in terms of psychological and physical outcomes. However, the effects on functional independence, sleep quality, and mobility of depressive older adults remain unclear. It is also important to replicate its benefits for subjective well-being and muscle strength. A randomized clinical trial was conducted among older adults who were aged 60 or above and with chronic medical conditions for one year. After random assignment, intervention group (n = 25) went through qigong exercise twice a week and for 12 weeks,whereas control group (n = 22) was involved in cognitive training activities with mobilization elements. The psychosocial and physical outcomes of the two groups were compared.

Inclusion Criteria:

• aged 60 or above
• have been suffering from chronic medical conditions for more than one year
• have depressive symptoms as indicated by Geriatric Depression Scale (GDS ≥ 6)

Exclusion Criteria:

• have practiced or received training of any form of mind-body exercises (including tai chi, yoga, and qigong) during the 6 months prior to intervention.
• have changed medication or the dosage prior to or during intervention
• have obvious cognitive and language impairment or score less than 20 in Mini-Mental State Examination (MMSE)
• undergo electroconvulsive therapy, psychotherapy, or psychoeducation
• cannot demonstrate satisfactory sitting balance