Authors who publish in this journal agree to the following terms:
Acta Colombiana de Psicología complies with international intellectual property and copyright laws, and particularly with Article No. 58 of the Political Constitution of Colombia, Law No. 23 of 1982, and the Agreement No. 172 of September 30, 2010 (Universidad Católica de Colombia Intellectual Property Regulation).
Authors retain their copyright and grant to the Acta Colombiana de Psicología the right of first publication, with the work registered under Creative Commons attribution license, which allows third parties to use the published material, provided they credit the authorship of the work and the first publication in this Journal.
Abstract
This study assessed the effect of a Hatha yoga program in 20 men and 41 women diagnosed with Alzheimer’s Disease (AD), who showed mild (36%) and moderate (64 %) global cognitive decline and whose average age was 76,9 years old (SD=11,7). The design was quasi-experimental of repeated measures (pre, post and follow-up). The instruments applied were: Alzheimer's Disease Related Quality of Life Scale (ADRQL); Questionnaire of Quality of Life (QQL), Geriatric Depression Scale (YESAVAGE); Mini Mental State Examination (MMSE); memory and processing speed sub-scales of WAIS III test, Trail Making Test (TMT-A); Lawton and Brody Test; and Barthel Test. The yoga program consisted of 32 one hour sessions twice a week Data analysis was conducted using 35 patients who participated throughout the whole study. The post-treatment mean showed a positive improvement tendency in quality of life and attention. However, during the follow-up, these variables mean value was equal to, or even lower, than the one established in the pre-treatment. The repeated measures ANOVA results showed that no significant change occurred between measurements. The content analysis of eight focus groups suggests that, from the perspective of patients and caregivers, positive changes were observed in patients’ mood, attention, episodic and procedural memory, and functionality. More studies are necessary with a higher number of patients and sessions per week, as well as a control group, whose function would be to increase validity of the results obtained.
References
Ardila, A. Ostrosky-Solis, Roselli, M., & Gómez, C. (2000). Age related cognitive decline during normal aging. The complex effect of education. Archives of Clinical Neuropsychology, 15, 6, 495-513.
Ardila, A. Roselli, M., & Puente, A. E. (1994). Neuropsychological Evaluation the Spanish Speaker. New York: NY: Plenum Press.
Arlene, A. S.,Marieke, P., & David, M. K. (2010). Effect of a 12-week yoga intervention on fear of falling and balance in older adults: a pilot study. Archives of Physical Medicine and Rehabilitation, 9, 576-583. doi: 10.1016/j. apmr.2009.12.018.
Barnes, D.E., Mehling, W., Taffe, K., Flores, C., & Chesney, M. (2013). Preventing loss of independence through exercise (PLIE´): an integrative exercise program for individuals with dementia. Neurology, 80 1, 353-362. doi: 10.1080/13607863.2014.935290.
Chapman, D., Marshall, S., Strine, T., Anda, R., & Moore, M. (2006). Dementia and Its Implications for Public Health. Preventing Chronic Disease, 3 (2), 1-13.
Chen, K. M., Chen, M. H., Hong, S. M., Chao, H. C., Lin, H. S., & Li, C. H. (2008). Physical fitness of older adults in senior activity centers after 24-week silver yoga exercises. Journal of Clinical Nursing, 17, 2634-2646. doi: 10.1111/j.13652702.2008.02338.
Cid-Ruzafa, J., & Damián-Moreno, J. (1997). Valoración de la discapacidad física: el índice de Barthel. Revista Española de Epidemiología, 71, 127-137.
Coelho, F. G., Andrade, L. P., Pedroso, R. V., Santos-Galduroz,R., Gobbi, S., Costa, J. L. R., & Gobbi, L. T. (2012). Multimodal exercise intervention improves frontal cognitive functions and gait in Alzheimer’s disease: A controlled trial. Geriatrics & Gerontology International, 13, 1, 198-203. doi: 10.1111/j.1447-0594.2012.00887.
Cramer, H. et al. (2012). Yoga for breast cancer patient and sur-vivors: a systematic review and meta-analysis. BMC Cancer, 18(12), 412. doi: 10.1186/1471-2407-12-412
Cramer, H., Lauche, R., & Dobos, G. (2014). Characteristics of randomized controlled trials of yoga: a bibliometric analysis. BMC Complementary and Alternative Medicine, 14 (1), 328. doi: 10.1186/1472-6882-14-328.
Cramer, H., Lauche, R., Langhorst, J., & Dobos, G. (2012). Effectiveness of Yoga for Menopausal Symptoms : ASystematic Review and Meta-Analysis of Randomized Controlled Trials, Depression and Anxiety, 00, 1-16. doi: 10.1155/2012/863905
Creavin, S. T., Wisniewski, S., Noel-Storr, A. H., Trevelyan, C. M., Hampton, T., Rayment, D., & Cullum, S. (2016). Mini?Mental State Examination (MMSE) for the detection of dementia in clinically unevaluated people aged 65 and over in community and primary care populations. Cochrane Database of Systematic Reviews. doi: 10.1002/14651858.cd011145.pub2
Custodio, N., Gutierrez, C., & García, A. (2007). Prevalencia de demencia en una comunidad urbana de Lima: un estudio puerta a puerta. Anales Facultad de Medicina, 69(4), 233238. doi: 10.15381/anales.v69i4.1110
Dayanim, S. (2009). The acute effects of a specialized movement program on the verbal abilities of patients with late-stage dementia. Alzheimer’s Care Today, 10, 2, 93-98. doi 10.1097/ACQ.0b013e3181a410ab
De Andrade, L. P., Gobbi, L. T. B. Coelho, F. G. M., Christofoletti, G., Costa, J. L. R., & Stella, F. (2013). Benefits of multimodal exercise intervention for postural control and frontal cognitive functions in individuals with Alzheimer’s disease: A controlled trial. Journal of the American Geriatrics Society, 61, 1919-1926. doi: 10.1111/jgs.12531
Donohue, B., Miller, A., Beisecker, M., Houser, D., Valdez, R., Tiller, S., & Taymar, T. (2006). Effects of brief yoga exercises and motivational preparatory interventions in distance runners: results of a controlled trial. British Journal of Sport’s Medicine, 40, 60-63.
Fan, J. T., & Chen, K.-M. (2011). Using silver yoga exercises to promote physical and mental health of elders with dementia in long-term care facilities. International Psychogeriatrics /I PA, 23(8), 1222-1230. doi: 10.1017/S1041610211000287
Ferri, C., Prince, M., Brayne, M., Brodaty, H., Fratiglioni, L., Ganguli, M., Hall, K., Hasegawa, K., Hendrie, H., Huang, Y., Jorm, A., Mathers, C., Mnezes, P. R., Rimmer, E., Scazufca, M., & Alzheimer´s Disease International. (2005). Global prevalence of dementia: aDelphi consensus study.The Lancet, 2112-2117. doi: 10.1016/S0140-6736(05)67889-0. Global
Fromholt, C., Telenius, E. W., Engedal, K., & Bergland, A. (2015). Increased self-efficacy: the experience of high-intensity exercise of nursing home residents with dementia a qualitative study. BMC Health Services Research, 15, 379-392. doi: 10.1186/s12913-015-1041-7
Gartside, S. E., Leitch, M. M., McQuade, R., & Swarbrick, D. J. (2003). Flattening the glucocorticoid rhythm causes changes in hippocampal expression of messenger RNA scoding structural and functional proteins: implications for aging and depression. Neuropsychopharmacology, 28, 821-829. doi: 10.1038/sj.npp.1300104
Graff-Radford, N.R. (2011). "Can Aerobic Exercise Protect against Dementia", Alzheimer's Research and Therapy, 3(6), 1-6. doi: 10.1186/alzrt65
Gudlaugsson, J., Gudnason, V., Aspelund, T., Olafsdottir, A.S., Jonsson, P. V., Arngrimsson, S. A., & Johannsson, E. (2013). Effects of exercise training and nutrition counseling on body composition and cardiometabolic factors in old individuals. European Geriatric Medicine, 4(6), 431-437. doi: 10.1016/j.eurger.2013.09.005.
Henao-Arboleda, E., Muñoz, C. Aguirre-Acevedo, D. C., Lara, E., Pineda, D. A., & Lopera, F. (2010). Datos normativos de pruebas neuropsicológicas en adultos mayores en una población colombiana. Revista Chilena de Neuropsicología, 5, 3, 214-226
Hogervorst, E., Ribeiro, H. M., Molyneux, A., Budge, M., & Smith, A. D. (2002). Plasma homocysteine levels, cerebrovascular risk Factors, and cerebral white matter changes (Leukoaraiosis) in patients with Alzheimer Disease. Archives of Neurology, 59, 787-793. doi: 10.1001/archneur.59.5.787.
Hophins, J. (2011). Enfermedad de Alzheimer y Calidad de Vida (ADRQL) Instrumento de investigación, recuperado de http://www.hopkinsmedicine.org/psychiatry/specialty_areas/geriatric_psychiatry/research/adrql.html
Howeison, D. B., & Lezak, M. B. (2008). The neuropsycholo-gical evaluation. En S. C. Yudofsky & R. E. Hales (Eds.) American Psychiatric Publishing Text Book of Neuropsychiatry and behavioral Neurosciences. (pp.215-244) Arlington, VA: American Psychiatric Publishing.
Jarcho, M. R., Slavich, G. M., Tylova-Stein, H., Wolkowitz, O. M., & Burke, H. (2013). Dysregulated diurnal cortisol pattern is associated with glucocorticoid resistance in women with major depressive disorder. Biological Psychology, 93, 150-158. doi: 10.1016/j.biopsycho.2013.01.018
Khoo, Y. J., Van Schaik, P., & McKenna, J. (2014). The happy antics: holistic exercise for people with dementia. Bodywork and Movement Therapies, 18, 553-558. doi:10.1016/j.jbmt.2014.02.008
Kjaer, T. W., Bertelsen, C., Piccini, P., Brooks, D., Alving., & Lou, H. C. (2002). Increased dopamine tone during meditation-induced change of consciousness. Cognitive Brain Research, 13, 255-259. doi: 10.1016/S0926-6410(01)00106-9
Lawton, M. P., & Brody, E. M. (1969). Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist 9, 179-86
Li A.W. & Goldsmith, C.A. (2012). The effects of yoga on anxiety and stress. Alternative Medicine Review, 17, 21-35. doi: 10.1016/j.cct.2015.08.003
Liu,C.J., Latham, N.K. (2009). Progressive resistance strength training for improving physical function in older adults. Cochrane Database Syst Rev, 8 (3).doi:10.1002/14651858
Maggouritsa, G., Kokaridas, D., Theodorakis, I., Patsiaouras, A.,Mouzas, O., Dimitrakopoulos, S. & Diggelidis, N. (2014). The effect of physical activity programme on improving mood profile of patients with schizophrenia. International Journal of Sport and Exercise Psychology, 12, 3, 1-12.
Mahoney, F.I. & Barthel, D. (1965). Functional evaluation: The Barthel Index. Maryland State Medical Journal, 14, 56-61.
Martínez de la Iglesia, J., Onís Vilches, M. C., Dueñas Herrero, R., Albert Colomer, C. A., Aguado Tabernés, C. & Luque Luque, R. (2002). Versión española del cuestionario de Yesavage abreviado (GDS) para e despistaje de depresión en mayores de 65 años: adaptación y validación. Medifam, 12 620-630.
McCaffrey, R., Park, J., Newman, D., & Hagen, D. (2014). The Effect of Chair Yoga in Older Adults with Moderate and Severe Alzheimer’s Disease. Research in Gerontological Nursing, 7(4), 171-177. doi: 10.3928/19404921-20140218-01
Mittelman, M. S., Haley, W. E., Clay, O. J., & Rith, D. L. (2006). Improving caregiver well-being delays nursing home placement of patients with Alzheimer disease. Neurology, 67,1592-1599. doi: http://dx.doi.org/10.1212/01.wnl.0000242727.81172.91
Molero A. E., Pino-Ramírez, G., & Maestre, G. E. (2007). High prevalence of dementia in a Caribbean population. Neuroepidemiology, 29,107-12. doi: 10.1159/000109824.
Neuropathology Group of the Medical Research Council Cognitive Function and Aging Study. (2001). Pathological correlates of late-onset dementia in a multicentre, community-based population in England and
Wales, the Lancet, 357(9251), 169-175. doi: 10.1016/S0140 6736(00)03589-3
Niedermeyer, E., & Ghigo, J. (2011). Alzehimer dementia: an overview and promisisng new concept. American Journal of Electroneuro Diagnostic, 51, 82-91. doi: 10.1080/1086508X.2011.11079806
Oken, B. S., Zajdel, D., Kishiyama, S., Flegal, Dehen, C., Haas, M., Kraemer, D. F., Lawrence, J., & Leyva, J. (2006). Randomized, controlled, six-month trial of yoga in health seniors: effects on cognition and quality of life. Alternative Therapies in Health Medicine, 12(1), 40-47.
Organización Mundial de la Salud. (2012). Guía de intervención mhGAP. Ginebra: Organización Mundial de la Salud.
Pages-Larraya, F., Grasso, L., & Mari, G. (2004). Prevalencia de las demencias tipo Alzheimer, demencias vasculares y otras demencias en la República de Argentina. Revista Neurológica Argentina, 29, 148-153.
Peraita, H., & Moreno, F. (2006). Análisis de categorías semánticas naturales y artificiales en una muestra de pacientes de Alzheimer. Psicothema, 3 (18), 492-500.
Pérez, C., & Cancela-Carral, J. (2008). Benefits of physical exercise for older adults with Alzheimer's disease. Geriatric Nursing, 29 (6), 384-391. doi: 10.1016/j.gerinurse.2007.12.002
Pradilla, G., Vesga, B. E., Leon-Sarmiento F. E., Bautista L. E., Nuñez, L. C., Vesga E., Gamboa N. R., & Grupo GENECO. (2002).Neuroepidemiology in the eastern region of Colombia. Revista de Neurología, 34, 1035-1043. doi:10.1590/S1020-49892003000700005
Prince, M., Acosta, D., Chiu, H., Scazufica, M., & Varghese, M. (2003). Dementia diagnosis in developing countries: a cross cultural validation study. The Lancet, 361, 909-17.
Quintero, E., Rodríguez, M. C., Guzmán, L., Llanos, O. L., & Reyes, A. (2011). Estudio piloto: efectos de un programa de Hatha-yoga sobre variables psicológicas, funcionales y físicas, en pacientes con demencia tipo Alzheimer. Revista Psychologia, 5(2), 45-56. doi: 10.5007/1980-0037
Radak, Z., Hart, N., Sarga, L., Koltai, E., Atalay, M., Ohno, D., & Boldogh, I. (2010). Exercise plays a preventive role against Alzheimer’s disease. Journal of Alzheimer’s disease, 20 (3), 777-783. doi: 10.3233/JAD-2010-091531
Ramos-Jiménez, A., Hernández-Torres, R. P., Wall-Medrano, A., Munoz-Daw, M. D. J., Torres-Duran, P. V., & Juarez Oropeza, M. A. (2009). Cardiovascular and metabolic effects of intensive Hatha yoga training in middle-aged and older women from northern Mexico. International Journal of Yoga, 2, 49?54. Tomado en febrero 26 de 2015 de http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2934576/doi:10.4103/0973-6131.60044
Riley, D. (2004). Hatha yoga and the treatment of Illnes. Alternative Therapies in Health and Medicine, 10(2), 20-26.
Rosselli, D., Ardila A., Pradilla G., Morillo, L., Bautista, L., Rey, O., Camacho, M., & GENECO. (2000). The MiniMental State Examination as a selected diagnostic test for dementia: a Colombian population study. Revista de Neurología 30, 428-32.
Ruiz de S. C., Camargo L., Matallana D., Montañéz P., Reyes P., Zarco L., Pretelt, F., Nariño D., Coral J., Benito M., Quiroga F., & Gálvez J. F. (2009). Una experiencia de 2600 valoraciones y 1918 casos de la clínica de Memoria de la Universidad Javeriana y el Hospital Universitario de San Ignacio durante doce años (1997ª 2009). Poster Congreso Colombiano de Neurología, Acta Neurológica Colombiana, 25, 170.
Sengupta, P. (2012). Health impacts of yoga and pranayama: a state of the art review. International Journal of Preventive Medicine, 3(7), 444-458. Sharma,N.K.,
Robbins, K., Wagner, K., & Colgrove, K. (2015). A randomized controlled pilot study of the therapeutic effects of yoga in people with Parkinson's disease. International Journal of Yoga, 8(1), 74-79. doi: 10.4103/0973-6131.146070
Skoog, I., Lernfelt, B., Landahl, S., Palmertz, B., Andreasson, L. A., Nilsson, L., Persoon, G., Odén, A., & Svanborg, A. (1996). 15-year longitudinal study of blood pressure and dementia. The Lancet, 347: 1141-1145.
Smith, C., Hancock, H., Blake-Mortimer, J., & Eckert, K. A. (2007). Randomized comparative trial of yoga and relaxation to reduce stress and anxiety. Complementary Therapies in Medicine, 15, 77-83. doi: 10.1016/j.ctim.2006.05.001
Smith, K.B., & Pukall, C.F. (2009). An evidence-based review of yoga as a complementary intervention for patients nwith cancer. Psychooncoloy, 18, 465-475. doi: 10.1016/j. ctim.2006.05.001
Streeter, C. C., Gerbarg, P. L., Saper, R. B., Ciraulo, D. S., & Brown, R. P. (2012). Effects of yoga on the autonomic nervous system, gamma aminobutyric-acid, and allostasis in epilepsy, depression, and post-traumatic stress disorder. Medical Hypotheses, 78(5), 571-579. doi: 10.1016/j.mehy.2012.01.021
Tooley, G. A., Armstrong, S. M., Norman, T. R., & Sali, A. (2000). Acute increases in night-time plasma melatonin levels following a period of meditation. Biological Psychology, 53, 69-78.
U.S. Department of Health and Human (2008) Physical Activity Guidelines for Americans: be active, healthy, and happy. Washington D.C.: Healther U.S. Gov.
Vadiraja, H. S., Raghavendra, R. M., Nagarathna, R., Nagendra, H. R., Rekha, M., Vanitha, N., Gopinath, K., Sirnath, B. S., Vishweshwara, M., Madhavi, Y. S., Ajaikumar, B. S., Rames, B. S., Nalini, R., & Kumar, V. (2009). Effects of a yoga program on cortisol rhythm and mood states in early breast cancer patients undergoing adjuvant radiotherapy: a randomized controlled trial. Integrative Cancer Therapies, 8, 37-46. doi: 10.1177/1534735409331456.
Vancampfort, D., Vansteelandt, K., Scheewe, T., Probst, M., Knapen, J., De Herdt, A., & De Hert, M. (2012). Yoga in schizophrenia: a systematic review of randomised controlled trials. Acta Psychiatrica Scandinavica, 126, 12-20. doi: 10.1111/j.1600-0447.2012.01865
Wechsler, D. (1997). WAIS-III: Escala de Inteligência Wechsler para adultos / Manual David Wechsler. (3ª.ed.).
Winchester, J., Dick, M. B., Gillen, D., Reed, B., Miller, B., Tinklenberg, J., & Cotman, C. W. (2013). Walking stabilizes cognitive functioning in alzheimer’s disease (ad) across one year. Archives of Gerontology and Geriatrics, 96-193. doi: 10.1016/j.archger.2012.06.016
Yu, F., & Kolanowski, A. (2009). Facilitating aerobic exercise training in older adults with Alzheimer’s disease. Geriatric Nursing, 30 (4), 250-259. doi: 10.1016/j.gerinurse.2008.11.001