Effects of a Yoga Program Combined with a Mediterranean Diet on Nutritional Status and Functional Capacity in Community-Dwelling Older Adults: A Randomized Controlled Clinical Trial.

María Del Carmen Carcelén-Fraile, María Rosalba Martín-Baute, María Isabel Ledesma-Cerrato, Yolanda Castellote-Caballero, Ana María González-Martín, Fidel Hita-Contreras, Javier Cano-Sánchez, Agustín Aibar-Almazán

Journal: Nutrients 2024;16(11):1601

PMID: 38892534

Plain Language Summary

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The ageing process involves a series of changes in various areas, including body composition which tends to change in older adults, with an increase in body fat and a decrease in muscle mass. Therefore, it is necessary to implement a series of strategies that contribute to maintaining and/or improving the changes that ageing brings with it. This study aimed to assess the effects and scope of a combined therapy of yoga along with the Mediterranean diet on the nutritional status and functional capacity of non-institutionalised older adults. This study was a 12-week randomised controlled trial. Participants (n=118) were randomly assigned to the experimental group (EG) and the control group (CG). Results showed that: - nutritional status significantly improved in the experimental group. - experimental group showed greater balance, gait, and flexibility compared to the control group. - grip strength and lower body strength also improved in the experimental group. Authors concluded that their findings may support the need for public policies that promote physical exercise programs and healthy diets aimed at older adults, as part of disease prevention and health promotion strategies.

Abstract

(1) Background: With the aging population, effective interventions are needed to enhance the health of older adults. This study investigated the combined effects of yoga and the Mediterranean diet on various health outcomes in community-dwelling older adults; (2) Methods: The study employed a randomized controlled trial design with a total of 116 older adults randomized to an experimental group ( = 57) that underwent a combined yoga and Mediterranean diet program and a control group ( = 59) that did not receive any intervention. Nutritional status was assessed using the Mini Nutritional Assessment, flexibility with the Back Scratch Test and the Chair Sit-and-Reach Test, balance, gait, and fall risk with the Tinetti Scale, and muscle strength with a dynamometer and the 30 s Chair Stand Test; (3) Results: Regarding nutritional status, there were significant differences between the experimental group and the control group (Cohen's d = 0.02). The participants in the experimental group showed greater balance (11.12 ± 3.01 vs. 10.03 ± 2.35, Cohen's d = 0.41 and gait (7.63 ± 1.96 vs. 6.69 ± 2.50, Cohen's d = 0.44) with respect to the control group. In terms of flexibility, the experimental group showed statistically significant improvements in the right arm (Cohen's d = 0.43), left arm (Cohen's d = 0.64), right perineum (Cohen's d = 0.42), and left leg (Cohen's d = 0.37) Finally, in terms of strength, participants in the experimental group experienced statistically significant improvements in grip strength and lower body strength (Cohen's d = 0.39 and 0.81, respectively); (4) Conclusions: The study highlights the potential benefits of a 12-week intervention combining yoga with a Mediterranean diet to improve the health and functional capacities of community-dwelling older adults.

Address: Department of Education and Psychology, Faculty of Social Sciences, University of Atlántico Medio, 35017 Las Palmas de Gran Canaria, Spain.; Santa Cruz Rehabilitation Center, 38005 Santa Cruz de Tenerife, Spain.; Department of Health Sciences, Faculty of Health Sciences, University of Jaén, 23071 Jaén, Spain.; Department of Education and Psychology, Faculty of Social Sciences, University of Atlántico Medio, 35017 Las Palmas de Gran Canaria, Spain.; Department of Psychology, Higher Education Center for Teaching and Educational Research, Plaza de San Martín, 4, 28013 Madrid, Spain.
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