scholarly journals The Effects of Tai Chi on Heart Rate Variability in Older Chinese Individuals with Depression

2018 ◽  
Vol 15 (12) ◽  
pp. 2771 ◽  
Author(s):  
Jing Liu ◽  
Huihui Xie ◽  
Ming Liu ◽  
Zongbao Wang ◽  
Liye Zou ◽  
...  
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Tai Chi ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
The Elderly ◽  
Depression Score ◽  
Control Group ◽  
Autonomous Nervous System ◽  
Older Individuals

Background Very little research has been done to simultaneously investigate the effects of Tai Chi (TC) on depression and heart rate variability (HRV). This study, therefore, attempted to explore the effects of TC on depression and on HRV parameters. Methods Sixty older individuals with depression score of 10 or above (the Geriatric Depression Scale, GDS) were randomly assigned into two groups: TC (n = 30) and control group (n = 30). Participants in the experimental group participated in a 24-week TC training program (three 60-min sessions per week), whereas individuals in the control group maintained their unaltered lifestyle. Depression and HRV were measured using the GDS and digital electrocardiogram at baseline and after the 24-week intervention. Results The TC had produced significant positive chances in depression and some HRV parameters (mean heart rate, RMSSD, HF, LFnorm, and HFnorm) (p < 0.05), whereas these positive results were not observed in the control group. Conclusions The results of this study indicated that TC may alleviate depression of the elderly through modulating autonomous nervous system or HRV parameters. This study adds to a growing body of research showing that TC may be effective in treating depression of the elderly. Tai Chi as a mild to moderate mind-body exercise is suitable for older individuals who suffer from depression.

scholarly journals Admission Heart Rate Variability is Associated with Depression and Cognition in Patients with Acute Mild-Moderate Ischemic Stroke

2019 ◽  
Author(s):  
Lanying he ◽  
Ronghua Xu ◽  
Jian Wang ◽  
Lili Zhang ◽  
Weiwei Dong ◽  
...  
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Ischemic Stroke ◽  
Cognitive Impairment ◽  
Mood State ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Cognitive Test ◽  
Cardiac Autonomic Dysfunction ◽  
The Relationship

Abstract Background Stroke has been shown to cause cardiac autonomic dysfunction. Depression and cognitive impairment are common complications after acute ischemic stroke (AIS). The relationship between poststroke depression (PSD) and cognitive impairment (PCI) and heart rate variability(HRV) was unclear. The purpose of this study was to investigate whether the decreased HRV was related to PSD and PCI in patients with mild-moderate AIS. Methods Changes in HRV after AIS were assessed using the nonlinear fractal dimension (FD) method, and patients within 72 hours of AIS were included in the study. 476 patients were included in this study. All patients underwent mood tests, cognitive test at 3 months. Cognitive and mood state were assessed using the Montreal Cognitive Assessment (MoCA) and the 15-item Stroke Specific Geriatric Depression Scale (GDS), respectively. PSD was defined if GDS ≥5 and PSCI was defined if MoCA<26. We assessed the relationship between FD and PSD and PSCI at 3 months. Results 50.84% (242/476) of patients had PSD, and 33.19% (158/476) of patients had PSCI. Compared with no PSD group, the lower NIHSS and FD value,and higher prevalence of FD≤1.05 were more likely in patients with PSD (P<0.05). Compared with no PSCI group, the higher prevalence of FD≤1.05 were more likely in patients with PSCI (P<0.05).In fully adjusted models, the FD ≤1.05 was significantly associated with PSD (adjusted OR, 3.31; 95%CI, 1.81–5.43; P=0.000),and PSCI (adjusted OR,1.88; 95%CI, 1.11–3.16; P=0.018). Conclusions These results suggested that FD≤1.05 after AIS could be used as an objective tool for early prediction of PSD and PSCI, providing guidance for the treatment of PSD and PCI, and improving the prognosis of patients.

scholarly journals HUBUNGAN KECENDERUNGAN DEPRESI DENGAN STATUS GIZI PADA LANSIA DI UPTD GRIYA WERDHA SURABAYA[Correlation of Depression Tendency and Nutritional Status of Elderly in UPTD Griya Werdha Surabaya]

2019 ◽  
Vol 14 (1) ◽  
pp. 87
Author(s):  
Hasna Rosida Putri ◽  
Triska Susila Nindya
Keyword(s):  
Nutritional Status ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
The Elderly ◽  
Control Group ◽  
Case Group ◽  
Geriatric Depression ◽  
Depression Status ◽  
Spearman Correlation Test ◽  
And Control

Malnutrition is one of the causes of health problems in the elderly. Nutritional status of the elderly can be affected by many factors, such as food intake, comorbidities, drugs consumption, physical activity, and depression. Depression status has a relationship with the nutritional status of the elderly by influencing the intake of the elderly. The purpose of this study was analyze the correlation and the risk of depression tendency with elderly nutritional status at UPTD Griya Werdha Surabaya. This study was a case-control design. The number of respondents were 30 elderly consist of 15 elderly in each case and control groups. The case group was elderly who had MNA score <24 points, while the control group was elderly who had MNA score of ≥24 points. Depression were measured by Short Geriatric Depression Scale (GDS). Spearman correlation test was used to analyze the data. Most of the elderly do not experience depression (GDS<5). There was a correlation between depression with nutritional status of the elderly (p=0.007). Depression elderly were 9.75 times more likely to malnourished than nutritional status [OR=9.75, 95% CI =`1.63 (1.45-1.81)]. Nutritional status was correlated with the tendency of depression in the elderly. It is necessary to increase more activities at the UPTD Griya Werdha Surabaya to reduce the risk of depression among elderly.

scholarly journals Physical activity and depression in older adults with and without cognitive impairment

2018 ◽  
Vol 12 (1) ◽  
pp. 12-18 ◽  
Author(s):  
Kornanong Yuenyongchaiwat ◽  
Khajonsak Pongpanit ◽  
Somrudee Hanmanop
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Cognitive Impairment ◽  
Depressive Symptoms ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
The Elderly ◽  
Older Individuals ◽  
Cross Sectional ◽  
Increased Risk

ABSTRACT Low physical activity and depression may be related to cognitive impairment in the elderly. Objetive: To determine depression and physical activity (PA) among older adults with and without cognitive impairment. Methods: 156 older adults, both males and females, aged ≥60 years, were asked to complete the Thai Mini-Mental State Examination (Thai-MMSE), a global cognitive impairment screening tool. Seventy-eight older adults with cognitive impairment and 78 older adults without cognitive impairment were then separately administered two questionnaires (i.e., the Thai Geriatric Depression Scale; TGDS and Global Physical Activity Questionnaire; GPAQ). Logistic regression analysis was used to determine the risk of developing cognitive impairment in the groups of older individuals with and without cognitive impairment. Results: A cross-sectional study of elderly with a mean age of 74.47 ± 8.14 years was conducted. There were significant differences on the depression scale and in PA between older adults with and without cognitive impairment. Further, participants with low PA and high level of depressive symptoms had an increased risk of cognitive impairment (Odds ratio = 4.808 and 3.298, respectively). Conclusion: Significant differences were noted in PA and on depression scales between older adults with and without cognitive impairment. Therefore, increased PA and decreased depressive symptoms (i.e., having psychological support) are suggested to reduce the risks of cognitive impairment in older adults.

scholarly journals EFFECT OF LAUGHTER THERAPY ON DEPRESSION LEVEL IN ELDERLY IN A NURSING HOME, NORTH SUMATRA, INDONESIA

2019 ◽  
Vol 5 (6) ◽  
pp. 246-250
Author(s):  
Rinco Siregar ◽  
Rumondang Gultom
Keyword(s):  
Nursing Home ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
The Elderly ◽  
Control Group ◽  
Control Group Design ◽  
Significant Difference ◽  
Depression Level ◽  
North Sumatra ◽  
Experimental Group

Background: Depression level among elderly remains high in Indonesia. One of efforts to decrease depression is laughter therapy, which is assumed able to lower depression.Objective: This study aimed to examine the effect of laughter therapy on depression level in elderly at Nursing Home of Binjai Integrated Social Service Unit for the Elderly, North Sumatra, Indonesia.Methods: This was a quasi-experimental study with pretest posttest with control group design. Forty-two participants were selected using a purposive sampling, with twenty-one participants were randomly assigned in each group. An experimental group received one-hour laughter therapy for 3 times a week in 4 weeks, and a control group received usual care. Depression was measured using Geriatric Depression Scale-15. Data were collected from April to June 2018. Independent and dependent t-test were used for data analysis.Results: Findings revealed that the level of depression in elderly significantly decreased in the experimental group (p<.05), but there was no significant change of it in the control group (p=.648). Between the two groups, there was a significant difference in depression level in elderly (p<.05).Conclusion: Laughter therapy could reduce depression among elderly. Therefore, this therapy can be used as one of interventions in nursing practice, especially at nursing homes.

scholarly journals Análise dos Índices Espectrais da Variabilidade da Frequência Cardíaca Durante a Mudança Postural de Idosos Hipertensos

2018 ◽  
Vol 20 (2) ◽  
pp. 146 ◽  
Author(s):  
Ariane Hidalgo Mansano Pletsch ◽  
Alderico Rodrigues De Paula Júnior ◽  
Nelson José Freitas da Silveira ◽  
Walkiria Shimoaya-Bittencourt ◽  
Rodrigo Aléxis Lazo Osório
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
High Risk ◽  
Low Frequency ◽  
The Elderly ◽  
Prognostic Indicator ◽  
Cardiac Risk ◽  
Control Group ◽  
Postural Change ◽  
Healthy Elderly

ResumoO estudo da Variabilidade da Frequência Cardíaca (VFC) tem permitido, de forma não invasiva, avaliar o Sistema Nervoso autônomo e o risco cardíaco, sendo um importante indicador prognóstico de doenças cardíacas e sistêmicas. O objetivo foi avaliar e comparar a VFC no domínio da frequência e do tempo de idosos com hipertensão arterial e de idosos saudáveis frente à mudança postural de repouso para sentado. Foram estudados 18 indivíduos hipertensos e 18 indivíduos saudáveis na faixa etária de 60 a 85 anos. A frequência cardíaca e os intervalos R-R foram coletados pelo instrumento Polar S810i durante 1200 s nas posturas supina e sentada. A VFC foi analisada no domínio do tempo - DT pelas variáveis: Índice raiz quadrada da média dos quadrados das diferenças entre intervalos R-R (iR-R) sucessivos (RMSSD), desvio padrão da média dos iR-R normais em ms - SDNN e PNN50%, que traduz a diferença de duração superior a 50 milissegundos, e no domínio da frequência, pelas bandas de alta (AF) e baixa frequência (BF), e da razão BF/AF. Ocorreu alteração na VFC dos idosos tanto no grupo controle e hipertenso, no entanto não houve mudanças significativas na VFC entre os grupos estudados. Ao analisar a VFC no domínio do tempo, o estudo mostrou que a amostragem estudada apresenta alto risco cardíaco ao analisar o parâmetro SDNN. Conclui-se que a mudança postural alterou a VFC desses idosos, tanto no grupo controle e hipertenso, no entanto não houve mudanças significativas na VFC entre as fases dos grupos estudados e obteve-se como resultado alto risco cardíaco ao avaliar o parâmetro SDNN em ambos os grupos.Palavras-chave: Hipertensão. Idoso. Frequência Cardíaca.AbstractThe study of heart rate variability (HRV) allows noninvasive way to evaluate the autonomic nervous system and cardiac risk, and an important prognostic indicator of heart and systemic diseases disease. The objective was to evaluate and compare the HRV in the frequency and duration of elderly patients with hypertension and healthy elderly versus postural change in the condition of rest. The study comprised 18 hypertensive individuals and 18 healthy subjects aged 60 to 85 years, both sexes. Heart rate and RR intervals were collected by the instrument Polar S810i during 1200 s in supine and sitting postures. HRV was analyzed in time domain indices SDNN, RMSSD and PNN50% and the frequency domain, by bands of high (AF) and low frequency (LF), and the ratio LF / HF. Intergroup intra-analyes were used as well as the tests of normality D’Augustine as a criterion for parametric groups. There was change in heart rate variability of both the elderly and hypertensive patients in the control group, however there were no significant changes in studied HRV intergroups . In the area of the time it was found that the sampling shows high-risk cardiac parsing the parameter SDNN. The results showed that the change posture changed the variability of heart rate in the control group and hypertension, however there were no significant changes in HRV among the phases of the groups and a high risk was obtained as a result of the parameter SDNN for both heart the groups.Keywords: Hypertension. Aged. Heart Rate.

scholarly journals The effectiveness of laugh therapy to decrease depression level in the elderly at Griya Usila st. Yosep Surabaya and panti werdha Bhakti Luhur Sidoarjo

2017 ◽  
Vol 4 (1) ◽  
pp. 62
Author(s):  
Trifonia Sri Nurwela ◽  
Marlina S Mahajudin ◽  
Sri Adiningsih
Keyword(s):  
Treatment Group ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
The Elderly ◽  
Control Group ◽  
Geriatric Depression ◽  
Whitney Test ◽  
Depression Level ◽  
The Difference ◽  
And Control

The aging process is a natural process where an elderly experiences the changing biological, cognitive, psychological, and spiritual. Those chances influence the elderly health in both biological and psychological including the chance or mental health disorders towards an elderly which influences the quality of life such as mood disorder and depression. The managing of depression in the elderly could be done by laugh therapy.  Laugh therapy is a therapy method by utilizing laugh in order to assist each person to reduce a problem in both physical disorder and mental disorder. This study aimed to determine the effectiveness of laugh therapy on the decreasing of depression level for elderly. It included quasi- experimental study was condected at Griya Usila St. Yosef and in Werdha Bhakti Luhur House in  Sidoarjo by utilizing non randomized control pretest posttest design. The sample used in this research the inclusion criteria was 35 people which were divided into treatment group and control group. The treatment group was 19 people and control group was 16 people. The elderly in Griya Usila St. Yosef was as treatment group and the elderly in Panti Wedha Bhakti Luhur was as control group. Both groups performed pretest and postet at the same time to determine the level depression using by Geriatric Depression Scale/GDS. Mann Whitney Test results z = -5.105  and p = 0.000 There are significant differences in changes in the level of depression in the treated.Mann Whitney Test to test the difference in value of the Geriatric Depression Scale(GDS) z = -4.368 and p = 0.000 that was significant differences in the difference in the value of the GDS between the treated group and control group. Laughter therapy is effective in lowering the rate of depression in the elderly. The conclusion is the laugh therapy is effective in reducing the depression level in the elderly at Griya Usila St. Yosef Surabaya and Panti Werdha Luhur Sidoarjo

Effects of the Ai Chi and Tai Chi Exercise of Elderly Women on the Heart Rate Variability

2019 ◽  
Vol 21 (4) ◽  
pp. 273-286
Author(s):  
Si-Kyoung Lee
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Tai Chi ◽  
Elderly Women ◽  
Tai Chi Exercise

scholarly journals Cardiac Parasympathetic Withdrawal and Sympathetic Activity: Effect of Heat Exposure on Heart Rate Variability

2021 ◽  
Vol 18 (11) ◽  
pp. 5934
Author(s):  
Oriol Abellán-Aynés ◽  
Pedro Manonelles ◽  
Fernando Alacid
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Environmental Conditions ◽  
Sympathetic Activity ◽  
Heat Exposure ◽  
Repeated Measurements ◽  
Control Group ◽  
Poincaré Plot ◽  
Activity Effect ◽  
And Control

(1) Background: Research on heart rate variability has increased in recent years and the temperature has not been controlled in some studies assessing repeated measurements. This study aimed to analyze how heart rate variability may change based on environmental temperature during measurement depending on parasympathetic and sympathetic activity variations. (2) Methods: A total of 22 volunteers participated in this study divided into an experimental (n = 12) and control group (n = 10). Each participant was assessed randomly under two different environmental conditions for the experimental group (19 °C and 35 °C) and two identical environmental conditions for the control group (19 °C). During the procedure, heart rate variability measurements were carried out for 10 min. (3) Results: Significantly changes were observed for time and frequency domains as well as Poincaré plot variables after heat exposure (p < 0.05). These findings were not observed in the control group, whose conditions between measurements did not change. (4) Conclusions: The reduction of heart rate variability due to exposure to hot conditions appears to be produced mostly by a parasympathetic withdrawal rather than a sympathetic activation. Therefore, if consecutive measurements have to be carried out, these should always be done under the same temperature conditions.

Effectiveness of neurobic exercise program on memory and depression among elderly residing at old age home

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Divya Raj ◽  
Subramaniam Santhi ◽  
G. J. Sara Sapharina
Keyword(s):  
Old Age ◽  
Depression Scale ◽  
Exercise Program ◽  
The Elderly ◽  
Control Group ◽  
Study Group ◽  
Significant Difference ◽  
The Mean ◽  
Interventional Group ◽  
Old Age Homes

AbstractObjectivesThis study finds out the effectiveness of neurobic exercise program on memory and depression among elderly residing in old age homes.MethodsThe non-probability purposive sampling technique was used for sample selection. Wechsler's memory scale (WMS-IV) and Geriatric depression scale (GDS) were the instruments used to assess the memory and depression among elderly during the pretest and posttest, respectively and the researcher had developed data sheet to collect information about the background variables using interview technique.ResultsThe neurobic exercise program was found to be effective in reducing depression among elderly residing in old age homes. There was a significant difference (p<0.001) in the level of depression had been found during the pretest and posttest in the interventional group. There was a statistically significant difference (p<0.001) found between the study group and in the control group. There was significant correlation (r=0.417, p<0.05) found between the memory and depression during the pretest in the study group among the elderly. A statistically significant association (p<0.05) found in the mean scores of depression and marital status of the elderly during the pretest in the study group and there was a significant association (p<0.01) found in the mean scores of depression and the gender of the elderly during the pretest and posttest in the non interventional group were found.ConclusionsThe findings suggested that neurobic exercise program is an effective intervention in improving memory and reducing depression.

scholarly journals Evaluation of Malnutrition and Depression in Elderly People: An Epidemiological Study in Turkey

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
S Aydoğan ◽  
A Ünsal ◽  
D Arslantaş
Keyword(s):  
Health Care Providers ◽  
Nutritional Assessment ◽  
Short Form ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Mini Nutritional Assessment ◽  
The Elderly ◽  
Cluster Sampling ◽  
Care Providers ◽  
Cross Sectional

Abstract Background Malnutrition is an important cause of morbidity and mortality. Malnutrition increases the number of hospitalizations and prolongs the length of hospitalization by disrupting organ functions, increasing the number and severity of infections and delaying wound healing. The aim of this study was to determine the frequency of suspected malnutrition in the elderly, to examine some related variables and to evaluate the depression. Methods The study is a cross-sectional study conducted between March-April 2019 in individuals aged 60 years and older living in Sivrihisar. Sample size was calculated as 579. Cluster sampling method used. Data was collected by door to door in 4 neighborhoods determined by randomly. Mini Nutritional Assessment Test-Short Form (for malnutrition), Katz Daily Living Activities Scale (for dependency) and Geriatric Depression Scale-Short Form (for depression) were used. Chi-square test, Mann Whitney U test and logistic regression analysis were used for the analyzes. Results The study group consisted of 220 (38%) women and 359 (62%) men. The mean age was 68.9±6.4 (ranged 60-93). Frequency of suspected malnutrition was 25% (n = 145). Being 80 years of age or older (OR:3.24, CI:1.53-6.85), having a primary and lower education level (OR:2.54, CI:1.32-4.90), history of chronic illness (OR:2.34, CI:1.33-4.03), using dentures (OR:1.62, CI:1.03-2.55) and suspected depression (OR:4.97, CI:3.17-7.78) are important risk factors for malnutrition. Those with suspicion of malnutrition had lower scores on DLA (z = 8.982;p=0.001). Conclusions Malnutrition was found to be an important health problem for the elderly. The frequency of suspected malnutrition is higher in individuals with depression. Those with suspected malnutrition have higher level of dependency. In order to reduce the frequency of malnutrition, it may be beneficial to increase the awareness of the elderly and caregivers and to give importance to the elderly nutrition of primary health care providers. Key messages Depression is an important risk factor for malnutrition. Malnutrition increases the dependence of the individual on daily activities.

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