Stress Clinical Trial
Official title:
Managing Stress and Social Ties for Health Aging
There has been a dramatic rise from 46% to 59% in the percentage of households with only 1-2
people from 1970 to 2000. A 40% increase in the number of people living alone is projected
for 2010. Social isolation is consistently one of the strongest predictors mortality in
older adults. Recent research is demonstrating that stress plays an important role linking
social isolation with poor health. Socially isolated older adults are more likely to feel
chronically stressed and overwhelmed with everyday life demands. Furthermore, isolated
adults respond to stress differently, both psychologically and physiologically. Socially
isolated and lonely older adults show long-term elevations in "inflammatory cytokines",
which are signaling molecules related by immune cells. These Inflammatory cytokines play a
role in a number of age-related diseases including cardiovascular disease, type-2 diabetes
and arthritis. Novel, readily useable interventions aimed at decreasing isolation and
"re-calibrating" stress responses might be helpful to older adults.
Tai Chi is an ancient Chinese form of calisthenics that promotes relaxation and decreases
feelings of stress and as such, it may be a useful intervention for socially isolated,
stressed older adults. However, its effects on stress responses are unknown. Tai Chi Chih
(TCC) is a simplified, manualized, readily exportable form of Tai Chi particularly
well-suited for older adults. This proposed study will test the effects of a TCC
intervention with socially isolated older adults on loneliness, stress and health outcomes,
including inflammatory assessment. Tai Chi-naïve participants who perceive themselves as
socially isolated, as measured by the UCLA Loneliness Scale will be randomized to receive
either Tai Chi or education control for a 12-week period. Subjects will undergo pre- and
post-intervention stress assessment, including exposure to a psychological stress task, to
assess whether Tai Chi affects how subjects physiologically and psychologically respond to
stress.
n/a
Allocation: Randomized, Intervention Model: Factorial Assignment, Masking: Open Label, Primary Purpose: Treatment
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