The Effect Of Tai Chi On Quality Of Life And Depression In Elderly Patients With Sarcopenia : A Randomized Controlled Trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- Sarcopenia Quality of Life (SarQoL) questionnaire
Study Overview
Brief Summary
This study aims to evaluate the effects of Tai Chi exercise on quality of life and depressive symptoms in elderly with sarcopenia. Sarcopenia is characterized by a progressive decline in skeletal muscle mass and muscle strength, which may contribute to impaired physical function, reduced quality of life, and an increased risk of adverse health outcomes among older adults. Specifically, this study investigates the effects of an eight-week Tai Chi exercise program on health-related quality of life, assessed using the Sarcopenia Quality of Life (SarQoL) questionnaire, and depressive symptoms, assessed using the Geriatric Depression Scale-15 (GDS-15), in elderly individuals diagnosed with sarcopenia.
The primary research question of this study is whether an eight-week Tai Chi exercise program can improve quality of life and reduce depressive symptoms in elderly individuals with sarcopenia. Furthermore, this study aims to determine whether Tai Chi exercise results in greater improvements in SarQoL scores and GDS-15 scores compared with a control group participating in standard elderly exercise.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Triple (Participant, Investigator, Outcomes Assessor)
Eligibility Criteria
- Ages
- 60 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Aged 60 years or older
- •Meets the diagnostic criteria for sarcopenia based on the Asian Working Group for Sarcopenia (AWGS).
- •Willing to participate in the study, capable of understanding the informed consent, and physically able to perform Tai Chi movements.
- •Must be a resident of Makassar.
- •Has either never participated in Tai Chi, or has previous experience with Tai Chi but stopped practicing for more than 4 weeks (ensuring they are not currently active practitioners).
Exclusion Criteria
- •Cognitive impairment, indicated by a Mini-Mental State Examination (MMSE) score of 23 or lower.
- •Hearing and/or speech impairments that make communication difficult. Presence of severe chronic diseases, such as heart failure, end-stage chronic kidney disease, malignancy, or the use of a pacemaker.
- •Presence of edema (fluid retention/swelling).
- •Experiencing lower extremity (leg) pain with a Visual Analogue Scale (VAS) score of 5 or greater.
Arms & Interventions
Tai Chi Exercise Group
Elderly participants diagnosed with sarcopenia who are randomly assigned to participate in a supervised Tai Chi exercise program.
Intervention: Tai Chi Exercise (Behavioral)
Elderly Exercise (Senam Lansia) Group
Elderly participants diagnosed with sarcopenia who are randomly assigned to participate in a standard elderly exercise program
Intervention: Elderly exercise (senam lansia) (Behavioral)
Outcomes
Primary Outcomes
Sarcopenia Quality of Life (SarQoL) questionnaire
Time Frame: Baseline (Week 0) and post-intervention (Week 8)
This outcome measures health-related quality of life in older adults with sarcopenia using the Sarcopenia Quality of Life (SarQoL) questionnaire. The SarQoL questionnaire consists of 55 items covering seven domains: physical and mental health, locomotion, body composition, functionality, activities of daily living, leisure activities, and fears. The questionnaire generates a total SarQoL index score ranging from 0 to 100, with higher scores indicating better sarcopenia-related quality of life. The validated scoring algorithm is used to calculate the overall SarQoL index score.
Geriatric Depression Scale-15 (GDS-15)
Time Frame: Baseline (Week 0) and post-intervention (Week 8)
This outcome measures depressive symptoms in older adults using the 15-item Geriatric Depression Scale (GDS-15). Each item is answered with a yes/no response and scored according to the established scoring criteria, with a total score ranging from 0 to 15. Higher scores indicate a greater severity of depressive symptoms. The GDS-15 is used to assess changes in depressive symptoms following the eight-week intervention.
Secondary Outcomes
No secondary outcomes reported
Investigators
Dea Mardia Rauf
Resident of Physical Medicine and Rehabilitation Faculty of Medicine Hasanuddin University
Hasanuddin University