Qigong programme among community-dwelling older adults at risk of depression: A randomised controlled study

Phenphop Phansuea, S. Tangwongchai, T. Rattananupong, V. Lohsoonthorn, S. Lertmaharit
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Abstract

Abstract The objective of this study was to evaluate the effects of Qigong programme on depression of older adults with mild-moderate depression. The experimental study was conducted at the Public Health Service Centre (PHS) in two randomised districts of Bangkok, Thailand from October to December 2017. This parallel, randomised controlled trial compared the Qigong programme with the usual singing and praying activities among older adults at mild-to-moderate risk of depression. The Qigong programme was based on mind-body exercises incorporate mindful breathing. The intervention group underwent a 3 sessions/week 12-week course of Qigong exercises while the control group participated in singing and praying with the same duration and frequency. The outcome measure was the change in the TGDS from baseline to 12 weeks. Data analysis was conducted using STATA. The outcome data are available for all randomized subjects, all analyses were conducted as intention-to-treat. The Qigong programme was highly significant (−9.88 score points; 95% CI −11.62 to −8.13; p < 0.001) than the control group in reducing depression scores at 12 weeks. Depression score decreased (10.39 score points; 95% CI −11.77 to −9.02; p < 0.001) only in the Qigong group. These findings support the Qigong programme was effective in reducing depression score both in mild and moderate depression community-dwelling older adults. The Qigong programme appears to confer greater improvements than the usual program.
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气功项目在有抑郁风险的社区老年人中的应用:一项随机对照研究
摘要本研究旨在探讨气功训练对老年轻、中度抑郁症患者抑郁的影响。该实验研究于2017年10月至12月在泰国曼谷两个随机地区的公共卫生服务中心(PHS)进行。这项平行的随机对照试验将气功项目与通常的唱歌和祈祷活动进行了比较,这些老年人有轻度至中度抑郁风险。气功是以身心练习为基础的,包括正念呼吸。干预组进行3次/周的气功练习,对照组以相同的时间和频率进行唱歌和祈祷。结果测量是TGDS从基线到12周的变化。数据分析采用STATA进行。所有随机受试者的结局数据均可获得,所有分析均按意向治疗进行。气功课程具有显著性(- 9.88分;95% CI为- 11.62 ~ - 8.13;P < 0.001)在降低抑郁评分方面优于对照组。抑郁评分降低(10.39分);95% CI为- 11.77 ~ - 9.02;p < 0.001)。这些发现支持气功项目在降低轻度和中度抑郁症社区老年人的抑郁评分方面是有效的。气功项目似乎比通常的项目能带来更大的改善。
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