Applied Nursing Research
Volume 23, Issue 2 , Pages 91-100 , May 2010

Effect of 16-week Kouk-Sun-Do exercise on physical fitness, emotional state, and immunoglobulin A in community-dwelling elders in Korea

  • Young Mi Lim, PhD, RN

      Affiliations

    • Department of Nursing, Yonsei University, Wonju College of Medicine, Kangwon-do, 220-701, South Korea
    • Corresponding Author InformationCorresponding author. Tel.: +11 82 33 741 0386; fax: +11 82 33 743 9490.
    • ,
  • Gwi-Ryung Son Hong, PhD, RN

      Affiliations

    • Department of Nursing, Hanyang University, College of Medicine

Received 14 August 2007 ,Revised 20 May 2008 ,Accepted 26 May 2008.

References 

  1. Akimoto T, Kumai Y, Akama E, Hayashi H, Murakami R, Soma S, et al. Effects of 12 months of exercise training on salivary secretory IgA levels in elderly subjects. British Journal of Sports Medicine. 2003;37(1):75–79
  2. Andrews FM, Withey SB. Social indicators of well being: American's perceptions of quality of life. New York: Plenum Press; 1976;
  3. Audette JF, Jin YS, Newcomer R, Stein L, Duncan G, Frontera WR. Tai chi versus brisk walking in elderly women. Age and Aging. 2006;35:388–393
  4. Barnett AB, Smith B, Lord SR, Williams M, Baumand A. Community-based group exercise improves balance and reduces falls in at-risk older people: A randomized controlled trial. Age and Aging. 2003;32:407–414
  5. Barrett C, Smerdely P. A comparison of community-based resistance exercise and flexibility exercise for seniors. Australian Journal of Physiotherapy. 2002;48:215–219
  6. Benson H, Klipper M. The relaxation response. New York: HarperCollins Publishers Inc; 2000;
  7. Bruunsgaard H, Pedersen BK. Effects of exercise on the immune system in the elderly population. Immunology and Cell Biology. 2000;78:523–531
  8. Carter N, Khan K, McKay H, Petit M, Waterman C, Heinonen A, et al. Community-based exercise program reduces risk factors for falls in 65-yo-75 year-old women with osteoporosis : Randomized controlled trial. Canadian Medical Association Journal. 2002;167(9):997–1004
  9. Chang JT, Morton SC, Rubenstein LZ, Mojica WA, Maglione M, Suttorp MJ, et al. Interventions for the prevention of falls in older adults: Systematic review and meta-analysis of randomized clinical trials. British Medicine Journal. 2004;328:680–683
  10. Chen KM, Snyder M. A research-based use of tai chi/movement therapy as a nursing intervention. Journal of Holistic Nursing. 1999;17(3):267–279
  11. Chen K, Snyder M, Krichbaum K. Facilitators and barriers to elders' practice of tai chi. Journal of Holistic Nursing. 2001;19(3):238–255
  12. Choi, J. H. (2002). The effects of tai chi exercise on physiologic, psychological functions, and fall in fall prone elderly. Unpublished doctoral dissertation, Catholic University, Seoul, Korea.
  13. Deberry S. The effects of meditation–relaxation on anxiety and depression in a geriatric population. Psychotherapy, Theory, Research, & Practice. 1982;19:512–521
  14. DeVito CA, Morgan RO, Duque M, Moly EA, Virnig BA. Physical performance effects of low intensity exercise among clinically defined high-risk elders. Gerontology. 2003;49:146–154
  15. Findorff MJ, Wyman JF, Nyman JA, Croghan CF. Measuring the direct health care costs of a fall injury event among a community-based sample of older women. Nursing Research. 2007;56(4):283–287
  16. Gaub MG, Prost E, Bomar M, Farid R, Langland G, Brown M. Efficacy of balance and flexibility intervention in a frail female centenarian. Journal of Geriatric Physical Therapy. 2004;27:22–28
  17. Gioretti MM, Harris AB, Jette A. Reliability of clinical balance outcome measures in the elderly. Physiotherapy Research International. 1998;3:274–283
  18. Heath J, Stuart M. Prescribing exercise for frail elders. Journal of American Board Family Practitioner. 2002;15:218–228
  19. Henwood TR, Taaffe DR. Short-term resistance training and the older adult: The effect of varied programs for the enhancement of muscle strength and functional performance. Clinical Physiology and Functioning Imaging. 2006;26:305–313
  20. Hill K, Choi W, Smith R, Condron J. Tai chi in Australia: Acceptable and effective approach to improve balance and mobility in older people?. Australian Journal on Ageing. 2005;24(1):9–13
  21. Huh KM. Kouk-Sun-Do Kang Hae. Seoul: BakMunHwa Research Institute; 2002;
  22. Hyun, K. S. (2001). The effect of the DanJeon Breathing Exercise Program Applied to Health Promotion in Women in Midlife. Unpublished doctoral dissertation, Kyung Hee University, Seoul.
  23. Johnson S, Kushner R. Mind/Body medicine: An introduction for the generalist physician and nutritionist. Nutrition in Clinical Care. 2001;4(5):256–264
  24. Jones JJ, Rikli R, Beam W. A 30-s Chair-Stand Test as a measure of lower body strength in community-residing older adults. Research Quarterly for Exercise and Sport. 1999;70(2):113–119
  25. Jones JJ, Rikli R, Max J, Noffal G. The reliability and validity of a chair Sit-and-Reach Test as a measure of hamstring flexibility in older adults. Research Quarterly for Exercise and Sport. 1998;69(4):337–343
  26. Jung I, Kwak D, Joe S, Lee H. A study of standardization of Korean form of Geriatric Depression Scale (KGDS). Journal of Geropsychiatry. 1997;1:61–72
  27. Kim, H. S. (2000). The effect of progressive low intensity exercise on the activities and functional performance of the elderly. Unpublished Doctoral Dissertation. The Catholic University of Korea, Seoul, Korea.
  28. Kim KW. Effects of Dan Jeon breathing exercise on physical health promotion in middle aged women. Korean Journal of Women Health Nursing. 2005;11(4):257–264
  29. Kim N, Kim J, Lim Y. A study on community-dwelling elders with dementia, their primary caregivers, and living environments. Journal of Korea Community Health Nursing Academic Society. 2002;16:13–29
  30. Kim SM. A study of self exercise program for the health of aged. DongA University Sport Science Research Journal. 2006;24(1):31–45
  31. Kimura F, Shimizu K, Akama T, Akimoto T, Kuno S, Kono I. The effects of walking exercise training on immune response in elderly subjects. Aging and Health Promotion. 2006;4:508–514
  32. KoukSunDo. . Sun Do, The Korean traditional breathing and meditation way. Retrieved Aug 21, 2006, from URL:// www.sundousa.com2006;
  33. Lazowski DA, Ecclestone NA, Myers AM, Paterson DH, Tudor-Locke C, Fitzgerald C, et al. A randomised outcome evaluation of group exercise programs in long-term care institutions. Journal of Gerontology. 1999;54:M621–M628
  34. Lee EN, Yoo YW. Effects of a 8-week tai chi exercise program on the risk factors for falls in the elderly with osteoarthritis. Korean Society of Muscle and Joint Health. 2004;11:61–73
  35. Lee SB. Effect of exercise on the blood pressure, hormone and blood components in old hypertension during 10 weeks. Korea Coaching Development Center. 2004;6(2):211–219
  36. Lemmink K, Kemper H, deGreef M, Rispens P, Stevens M. The validity of the Sit-and-Reach Test and the modified Sit-and-Reach Test in middle-aged to older men and women. Research Quarterly for Exercise and Sport. 2003;74(3):331–336
  37. Leroux A. Exercise training to improve motor performance in chronic stroke: Effects of community-based exercise program. International Journal of Rehabilitation Research. 2005;28:17–23
  38. Lord S, Castell S, Corcoran J, Dayhew J, Matters B, Shan A, et al. The effect of group exercise on physical functioning and falls in frail older people living in retirement villages: A randomized, controlled trial. Journal of the American Geriatric Society. 2003;551:1685–1692
  39. Luskin FM, Newell KA, Griffith M, Holmes M, Telles S, Pelletier KR, et al. A review of mind–body therapies in the treatment of cardiovascular disease. Part I: Implications for the elderly [review]. Alternative Therapy in Health and Medicine. 1998;4:46–61
  40. Lutgendorf S, Costanzo E. Psychoneuroimmunology and health psychology: An integrative model. Brain, Behavior, and Immunity. 2003;17:225–232
  41. McCarthy CJ, Oldham JA. The reliability, validity and responsiveness of an aggregated locomotor function (ALF) score in patients with osteoarthritis of the knee. Rheumatology. 2004;43:514–517
  42. Melzer I, Benjuya N, Kaplanski J. Effects of regular walking on postural stability in the elderly. Gerontology. 2003;49:240–245
  43. Mills EM. The effect of low-intensity aerobic exercise on muscle strength, flexibility, and balance among sedentary elderly persons. Nursing Research. 1994;43:207–211
  44. Ministry of Health and Welfare. . Annual statistics. Seoul: Korea National Statistical Office; 2000;
  45. Morgan R, Virnig B, Duque M, Abdel-Moty E, Devoto C. Low-intensity exercise and reduction of the risk for falls among at-risk elders. Journal of Gerontology. 2004;10:1062–1067
  46. Morone N, Greco C. Mind–Body interventions for chronic pain in older adults: A structured review. Pain Medicine. 2007;6(4):359–375
  47. Nieman D. Does exercise alter immune function and respiratory infections?. President’s Council on Physical Fitness and Sports Research Digest. 2002;3(13):1–8
  48. Nnodim J, Strasburg D, Nabozny M, Nyquist L, Galecki A, Chen S, et al. Dynamic balance and stepping versus tai chi training to improve balance and stepping in at-risk older adults. Journal of the American Geriatrics Society. 2006;54(12):1825–1831
  49. Park JM, Han SH. The effect of exercise program on health and depression in the elderly. Journal of Korean Academy of Nursing. 2003;33(2):220–227
  50. Rodriguez A, Tjarnlund A, Ivanji J, Mahavir S, Garcia I, Williams A, et al. Role of IgA in the defense against respiratory infections: IgA deficient mice exhibited increased susceptibility to intranasal infection with Mycobacterium bovis BCG. Vaccine. 2005;23(20):2565–2572
  51. Roudsari BS, Ebel BE, Corso PS, Molinari NA, Koepsell TD. The acute medical care costs of fall-related injuries among the US. Older adults. Injury. 2005;36(11):1316–1322
  52. Rubenstein L, Josephson K, Trublood R, Loy S, Harker J, Pietruszka F, et al. Effects of a group exercise program on strength, mobility, and falls among fall-prone elderly men. Journal of Gerontology: Biological Sciences and Medical Sciences. 2000;55:M317–M321
  53. Rubenstein L, Solomon D, Roth C, Young R, Shekelle P, Chang J, et al. Detection and management of falls and instability in vulnerable elders by community physicians. Journal of the American Geriatrics Society. 2004;52:1527–1531
  54. Sakamoto Y, Ueki S, Shimanuki H, Kasai T, Takato J, Ozaki H, et al. Effects of low-intensity physical exercise on acute changes in resting saliva secretory IgA levels in the elderly. Geriatrics and Gerontology International. 2005;5:202–206
  55. Schaller KJ. Tai chi chih: An exercise option for older adults. Journal of Gerontological Nursing. 1996;22:12–17
  56. Sheikh JI, Yesavage JA. Geriatric Depression Scale (GDS). Recent evidence and development of a shorter version. In:  Brink TL editors. Clinical gerontology: A guide to assessment and intervention. NY: The Haworth Press, Inc; 1986;p. 165–173
  57. Shimada H, Obuchi S, Furuna T, Suzuki T. New intervention program for preventing falls among frail elderly people: The effects of perturbed walking exercise using a bilateral separated treadmill. American Journal of Physical Medicine Rehabilitation. 2004;83:493–499
  58. Shin KR, Kim JS. The effects of exercise program on knowledge and attitude of exercise and depression in low-income elderly women. Journal of Korean Academy of Nursing. 2005;35(6):1144–1152
  59. Shinkai S, Konishi M, Shepard RJ. Aging, exercise, training and the immune system. Exercise Immunology Review. 1997;3:68–95
  60. Simonsick E, Guralnik J, Volpato S, Balfour J, Fried L. Just get out the door! Importance of walking outside the home for maintaining mobility: Findings from the Women's Health and Aging Study. Journal of the American Geriatrics Society. 2005;53(2):198–203
  61. Sohng JY, Moon JS, Song HH, Lee KS, Kim YS. Fall prevention exercise program for fall risk factor reduction of the community-dwelling elderly in Korea. Yonsei Medical Journal. 2003;44(5):883–891
  62. Sohng JY, Moon JS, Kang SS, Choi JH. The survey of activities and fear of falling in the community dwelling elderly. Journal of Korean Community Health Nursing Academic Society. 2001;15(2):324–333
  63. Song RY, Lee RO, Lee IO. Pre–Post comparisons on physical symptoms, balance, muscle strength, physical functioning, and depression in women with osteoarthritis after 12-week tai chi exercise. Korean Society of Muscle and Joint Health. 2002;9(1):28–39
  64. Stevens JA, Corso PS, Finkelstein EA, Miller TR. The costs of fatal and nonfatal falls among older adults. Injury Prevention. 2006;12(5):290–295
  65. Taggart HM. Effects of tai chi exercise on balance, functional mobility, and fear of falling among older women. Applied Nursing Research. 2002;15:235–242
  66. Toraman NF, Ayceman N. Effects of six weeks of detraining on retention of functional fitness of old people after nine weeks of multicomponent training. British Journal of Sports and Medicine. 2005;39:565–568
  67. Toulotte C, Fabre C, Dangremont B, Lensel G, Thevenon A. Effects of physical training on the physical capacity of frail, demented patients with a history of falling: A randomized controlled trail. Age and Aging. 2003;32(1):67–73
  68. U.S. Department of Health and Human Services. (2004). Exercise: A Guide from the National Institute on Aging, NIH Publication No. 01-4258.
  69. Venjatraman JT, Fernandes G. Exercise, immunity and aging. Aging. 1997;9:42–56
  70. Verhagen A, Immink M, Meulen A, Bierma-Zeinstra S. The efficacy of tai chi Chuan in older adults: A systematic review. Family Practice. 2004;21(1):107–113
  71. Wardell DW, Engebretson J. Biological correlates of Reiki Touch healing. Journal of Advanced Nursing. 2001;33(4):439–445
  72. Wong A, Lin Y, Chou S, Tang F, Wong P. Coordination exercise and postural stability in elderly people: Effect of tai chi Chuan. Archives of Physical Medicine Rehabilitation. 2001;82:608–612
  73. Wu G. Evaluation of the effectiveness of tai chi for improving balance and preventing falls in the older population—A review. Journal of American Geriatrics Society. 2002;50:746–754
  74. Zhang JG, Ishikawa-Takata K, Yamazaki H, Morita T, Ohta T. The effects of Tai Chi Chuan on physiological function and fear of falling the the less robust elderly: an intervention study for preventing falls. Archives of Gerontology and Geriatrics. 2006;42(2):107–116

☆ A part of this study was presented at Gerontological Society of America in 2002.

PII: S0897-1897(08)00051-7

doi: 10.1016/j.apnr.2008.05.004

Applied Nursing Research
Volume 23, Issue 2 , Pages 91-100 , May 2010

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