Online Program

Tai chi for stress reduction and glycemic control among hispanic older adults

Monday, November 4, 2013

Amparo Castillo, MD, PhD, Midwest Latino Health Research, Training and Policy Center, University of Illinois at Chicago - Midwest Latino Health Research Training and Policy Center, Chicago, IL
Lisa Aponte-Soto, MHA, Community Health Sciences, University of Illinois at Chicago, S. Chicago Heights, IL
Rosalba Hernandez, PhD, Feinberg School of Medicine - Department of Preventive Medicine, Northwestern University, Chicago, IL
Laurie Ruggiero, PhD, Community Health Sciences, School of Public Health, University of Illinois at Chicago (UIC), Chicago, IL
Background: Type 2 diabetes (T2D) is associated with increased morbidity and mortality among Hispanic older adults in the US. Stress negatively impacts glycemic control through behavioral and patho-physiologic mechanisms. Physical activity (PA) has stress reduction effects for persons with diabetes. Hispanic older adults show low adherence to PA recommendations and prefer low impact over aerobic or resistance exercise. Limited research examines stress management in minorities with T2D. Tai Chi (TC) is a meditative and low-impact PA that reduces stress, insulin resistance and blood glucose levels, and may be beneficial in secondary prevention of diabetes-related complications. Purpose: To evaluate effects of TC on biomedical, behavioral and psychosocial factors of Hispanic older adults with T2D. Methods: A randomized pilot study comparing TC against health/exercise information among Hispanic older adults seeking to enroll 40 participants is under way. Eligible are Hispanics >50 years diagnosed with T2D, with no cognitive or physical complications, who can exercise. Participants will receive bi-weekly TC classes for 12 weeks or monthly health/exercise information. After 12 weeks, the control group will also receive the intervention. Main outcomes (A1C, blood pressure and psychosocial stress), and covariates (self-care activities, physical activity, quality of life, social support) are measured at baseline and post-test; receptivity to TC and intention to practice are measured at mid-course and posttest. Discussion: Lessons learned in the adaptation of TC to Hispanic older adults with T2D as well as receptivity to and effects of PA and stress reduction on biomedical, behavioral and psychosocial factors will be discussed.

Learning Areas:

Administer health education strategies, interventions and programs
Chronic disease management and prevention
Diversity and culture
Planning of health education strategies, interventions, and programs
Public health or related research
Social and behavioral sciences

Learning Objectives:
Describe potential effects of Tai Chi on stress measures and biomedical markers in Hispanic older adults; Discuss behavioral impact of Tai Chi on Hispanic older adults; Describe lessons learned in the adaptation of Tai Chi to the Hispanic older adult population.

Keyword(s): Latino Health, Aging

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: N/A

Qualified on the content I am responsible for because: I am the lead researcher in this project; this is the topic of my dissertation toward my PhD degree in Community Health Sciences.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.