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Online Chair Yoga Viable Exercise for Isolated Older Adults with Dementia

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Novel Study Examines Feasibility of Chair Yoga Intervention Using Zoom During the Pandemic

Credit: Florida Atlantic University/Getty Images
A noninvasive and low-impact intervention, chair yoga is practiced sitting or standing using a chair for support.
« Online Chair Yoga Viable Exercise for Isolated Older Adults with Dementia

Newswise — Dementia doesn’t just involve cognitive decline, it also involves deteriorating physical function. This major cause of limitation in activities of daily living in older adults with dementia requires safe, effective, and evidence-based nonpharmacological approaches. One such approach is chair yoga. A noninvasive and low-impact intervention, chair yoga is practiced sitting or standing using a chair for support and combines flexibility, balance, strength, breathing, relaxation, and mindfulness training.

Unfortunately, barriers such as lack of transportation, living in rural areas, relying on caregivers and especially the COVID-19 pandemic has prevented many older adults with dementia from participating in group-based in-person chair yoga classes. These burdens call for an innovative way to deliver a chair yoga intervention for those who cannot travel to a community center. 

“The considerable time and cost associated with traveling to in-person yoga sessions over several weeks could be burdensome to many patients,” said Juyoung Park, Ph.D., senior author, principal investigator and a professor in the Phyllis and Harvey Sandler School of Social Work within Florida Atlantic University’s College of Social Work and Criminal Justice.

Researchers from FAU’s College of Social Work and Criminal Justice, Christine E. Lynn College of Nursing and Schmidt College of Medicine and collaborators, conducted a novel interdisciplinary study to evaluate a remotely supervised online chair yoga intervention targeted at older adults with dementia and measured clinical outcomes virtually via Zoom under the remote guidance. The study assessed the feasibility of this intervention and explored the relationship between chair yoga and clinical outcomes of pain interference, mobility, risk of falling, sleep disturbance, autonomic reactivity, and loneliness.

Results of the study, published in the journal Complimentary Therapies in Clinical Practiceshowed that remotely supervised online chair yoga is a feasible approach for managing physical and psychological symptoms in socially isolated older adults with dementia based on retention (70 percent) and adherence (87.5 percent), with no injury or other adverse events.

“This finding is important, as older adults with dementia and their caregivers may be challenged in attempts to attend chair yoga programs at community facilities,” said Park, who conducted the research with her mentee and co-author Hannah Levine, a medical student at FAU. “Our telehealth-based chair yoga intervention was found to be convenient for both participants and their caregivers because it was easily accessible from home and did not require transportation or getting dressed, which reduced caregiver burden and stress.”

Participants in the pilot study took part in twice weekly 60-minute sessions for eight weeks. During the chair yoga session, the yoga interventionist was spotlighted in the Zoom screen to allow participants to see only the interventionist. This spotlighting enabled participants to focus on the yoga sessions without being distracted by other participants on the screen.

“Our study participants worked with a certified yoga interventionist and their caregivers and practiced breathing techniques and intentional practice; physical postures; and guided relaxation and visualization,” said Park.

Participants also interacted on Zoom with other participants or with the facilitator to maintain social bonds while maintaining physical distance. Psychosocial and physiological (i.e., cardiac) data were collected remotely at baseline, mid-intervention, and post-intervention.

“Remotely collected cardiac and psychosocial data can provide a more complete assessment of the effects of an intervention,” said María de los Ángeles Ortega Hernández, DNP, APRN, GNP-BC, PMHNP-BC, CDP, FAANP, FAAN, director of the FAU Louis and Anne Green Memory and Wellness Center, associate dean of clinical practice and professor, FAU Christine E. Lynn College of Nursing. “Importantly, online chair yoga classes provide a means of reducing health disparities by opening access to interventions for persons who are unable to travel to a clinic or facility.”    

The primary aim of the study was to assess the feasibility (retention, adherence, and safety) of conducting a remotely supervised, home-based, online chair intervention and completing outcome measures virtually. The secondary aim was to examine the relationship between the intervention and chronic pain, physical function, or psychological symptoms. Finally, an exploratory aim was to evaluate the ease and ability of caregivers and participants to record cardiac data remotely for offline analyses of the effect of the intervention on parasympathetic regulation and overall heart rate.

“An important feature of our technology-based intervention is that it could allow socially isolated older adults with dementia who are living at home, especially those in underserved communities where people are becoming more digitally connected, to receive remotely supervised chair yoga that provides physical, social and psychological benefits,” said Lisa Ann Kirk Wiese, Ph.D., co-author and an associate professor, FAU’s Christine E. Lynn College of Nursing.

Study co-authors are Keri Heilman, Ph.D., an assistant professor in the School of Medicine, University of North Carolina, Chapel Hill; Marlysa Sullivan and Jayshree Surage, both with the Maryland University of Integrative Health; Lillian Hung, Ph.D., an assistant professor and Canada Research Chair in Senior Care, University of British Columbia, School of Nursing; and Hyochol “Brian” Ahn, Ph.D., a professor and associate dean for research, Florida State University, College of Nursing.

“Results from our study can inform future research and practice in implementation of online chair yoga or other exercise program for promoting health and wellness in older adults with dementia living at home,” said Park.

This work was supported by FAU’s Division of Research, FAU’s Institute for Human Health and Disease Intervention (I-Health) and the Marcus Institute of Integrative Health at FAU Medicine

– FAU –

About Florida Atlantic University: Florida Atlantic University, established in 1961, officially opened its doors in 1964 as the fifth public university in Florida. Today, the University serves more than 30,000 undergraduate and graduate students across six campuses located along the southeast Florida coast. In recent years, the University has doubled its research expenditures and outpaced its peers in student achievement rates. Through the coexistence of access and excellence, FAU embodies an innovative model where traditional achievement gaps vanish. FAU is designated a Hispanic-serving institution, ranked as a top public university by U.S. News & World Report and a High Research Activity institution by the Carnegie Foundation for the Advancement of Teaching. For more information, visit www.fau.edu.

Source: Florida Atlantic University

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Health

Sleep Apnea is More Than a Snore

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(Family Features) Snoring throughout the night. Gasping for air suddenly while sleeping. Feeling tired after a night of rest. These aren’t just signs of a poor night’s sleep – they could be symptoms of obstructive sleep apnea.

Sleep apnea is a serious sleep disorder characterized by a repetitive collapse of the airway during sleep. Most people with sleep apnea don’t even know they have it – in fact, 80% of people with sleep apnea in the United States are undiagnosed, according to research published in the “American Journal of Epidemiology.”

Experts from the American Academy of Sleep Medicine (AASM) recommend most adults get at least seven hours of sleep each night without waking frequently. If you have untreated sleep apnea, healthy, uninterrupted sleep can be hard to achieve. When the airway collapses or becomes blocked while you sleep, it causes you to wake briefly – maybe with a snore or gasp for air – to unblock the airway.

Untreated sleep apnea can contribute to long-term health problems, including hypertension (high blood pressure), heart disease, stroke, Type 2 diabetes and depression. Overall quality of life can also suffer. It can lead to a decline in mood, lower work productivity, difficulty concentrating and making decisions and an increased likelihood of getting into a traffic accident due to sleepiness.

The disorder may even affect your family and relationships; snoring or poor sleep due to sleep apnea can keep your family members up at night, affect your mood with others and impact your general decision-making. Consider this additional information about sleep apnea from Count on Sleep, a collaborative awareness program led by the AASM.

Signs and symptoms of OSA:

  • Snoring or noisy breathing
  • Stopping breathing while asleep
  • Waking up gasping or choking
  • Restless sleep or waking up tired and groggy after a full night’s sleep
  • Insomnia
  • Waking up frequently to use the bathroom
  • Having headaches in the morning
  • Feeling sleepy or falling asleep during the day
  • Having difficulty with memory or concentrating
  • Mood changes or irritability
  • Drowsy driving

Risk factors for OSA:

  • Overweight or obesity (BMI of more than 30)
  • High blood pressure
  • Neck size of more than 17 inches for men; 16 inches for women
  • Coronary artery disease (a type of heart disease) or heart attack
  • Atrial fibrillation or other heart rhythm problems
  • Congestive heart failure
  • Type 2 diabetes
  • Stroke
  • Daytime sleepiness

If you think you may have undiagnosed sleep apnea, talk to your doctor about your signs, symptoms, risk factors and concerns. If friends or family members exhibit these symptoms, urge them to talk to a doctor.

Your doctor may screen or test you for sleep apnea, which could include an at-home sleep test or sleep study at an accredited sleep center. If diagnosed, treatment options include continuous positive airway pressure (CPAP) therapy, oral appliance, surgery or lifestyle changes.

Learn more about how sleep apnea affects health and take a short quiz to see if you may be at risk at countonsleep.org.


Sleep Apnea Treatments

When followed properly, sleep apnea treatment improves breathing, sleepiness and quality of life. Some people may find the disorder improves through lifestyle changes such as losing weight, sleeping on their side or quitting smoking or drinking alcohol. Most of the time, however, other treatment options are necessary, such as:

CPAP
The most common and recognized treatment for sleep apnea, a CPAP machine provides a steady stream of air to keep your airway open throughout the night.

Oral appliance therapy
Similar to a mouthguard, an oral appliance can be worn at night to prevent the airway from collapsing by moving the jaw forward.

Surgery
If lifestyle changes, CPAP or oral appliance therapy don’t work, there are surgical options to treat sleep apnea. They include upper airway stimulation, which uses an implanted device to stimulate a nerve that controls the tongue, moving it forward while you sleep.

Photos courtesy of Shutterstock


SOURCE:
American Academy of Sleep Medicine

Our Lifestyle section on STM Daily News is a hub of inspiration and practical information, offering a range of articles that touch on various aspects of daily life. From tips on family finances to guides for maintaining health and wellness, we strive to empower our readers with knowledge and resources to enhance their lifestyles. Whether you’re seeking outdoor activity ideas, fashion trends, or travel recommendations, our lifestyle section has got you covered. Visit us today at https://stmdailynews.com/category/lifestyle/ and embark on a journey of discovery and self-improvement.

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Lifestyle

Important Recall Alert: Expanded Produce Recall Due to Listeria Concerns

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In a significant public health alert, the Ohio Department of Agriculture (ODA) has announced an expanded recall of fresh produce supplied by Wiers Farm Inc., based in Huron County. This comes amidst growing concerns about potential listeria contamination, prompting vigilance among consumers shopping at select retailers, including Walmart, Aldi, and Kroger stores across Ohio and several other states.

people at supermarket. recall
Photo by Sebastián Mera Jaramillo on Pexels.com

What You Need to Know

On July 22, 2024, Wiers Farm Inc. expanded its voluntary recall to include additional produce items that were packed between July 5 and July 12. While there have been no reported illnesses or consumer complaints to date, the ODA is taking proactive measures to ensure public safety.

Affected Products

The recall includes a variety of retail packaged items and bulk produce sold at various grocery chains. Here’s a comprehensive list of the impacted products:

Retail Packaged Items

Sold at select Walmart stores in multiple states:

  • Wiers Farm Bagged Poblano – UPC 073064202581 – 16 oz bag
  • Wiers Farm Bagged Cubanelle – UPC 073064201836 – 16 oz bag
  • Wiers Farm Bagged Green Beans – UPC 073064200846 – variable weight bag
  • Wiers Farm Bagged Salad Cucumber – UPC 073064459619 – 2 lb. bag
  • Wiers Farm Bagged Serrano – UPC 073064201829 – 4 oz bag
  • Wiers Farm Organic Bell Pepper – UPC 073064201416 – 2 count tray
  • Wiers Farm Organic Cucumber – UPC 073064201423 – 2 count tray
  • Wiers Farm Organic Yellow Squash – UPC 073064201447 – 2 count tray
  • Wiers Farm Organic Zucchini Squash – UPC 073064201430 – 2 count tray

Sold at Aldi stores in Ohio and nearby states:

  • Freshire Farms Bagged Green Beans – 16 oz bag
  • Freshire Farms Bagged Jalapenos – 8 oz bag

Bulk Retail Items (sold individually or by the pound)

  • Anaheim peppers
  • Cilantro (sold in bunches)
  • Cubanelle peppers
  • Whole cucumbers
  • Green beans
  • Green Bell Pepper
  • Habanero peppers
  • Hungarian Wax peppers
  • Jalapeno peppers
  • Mustard Greens (sold in bunches)
  • Poblano peppers
  • Serrano peppers
  • Tomatillos

In Ohio, these bulk items were distributed to Walmart, Kroger, Save-a-Lot, and local food banks in Cleveland and Youngstown.

What Should Consumers Do?

The ODA is urging consumers who may have purchased any of the listed products to discard them immediately. It’s crucial to stay informed, as listeria monocytogenes can lead to serious health issues, particularly in vulnerable populations such as pregnant women, the elderly, and those with weakened immune systems. Symptoms of listeriosis can include fever, muscle aches, and gastrointestinal distress—anyone experiencing these symptoms after consuming the recalled products should seek medical attention promptly.

Commitment to Safety

Wiers Farm Inc. has expressed its dedication to resolving this situation and ensuring the safety of its products. The ODA is actively investigating the matter, a response initiated after potential contamination was flagged during routine testing by the Michigan Department of Agriculture and Rural Development.

Stay Informed

For further inquiries or concerns, consumers can reach out to Wiers Farm at 419-933-2161. It’s essential to stay updated on recalls and food safety alerts to protect your health and the health of your loved ones.

As we navigate through these recalls, let’s remain vigilant and prioritize food safety to ensure a healthy dining experience for everyone. Remember, when in doubt, it’s better to be safe than sorry—check your pantry and fridge today!

Related links:

https://agri.ohio.gov/divisions/food-safety/recalls/7-16-2024-wiers-farm-inc

https://www.wkyc.com/article/money/personal-finance/recalls/produce-recall-cucumbers-ohio-walmart-aldi-kroger-wiers-farm-willard/95-e394619e-114e-4b9d-ae80-6e6470bb9c9a

Our Lifestyle section on STM Daily News is a hub of inspiration and practical information, offering a range of articles that touch on various aspects of daily life. From tips on family finances to guides for maintaining health and wellness, we strive to empower our readers with knowledge and resources to enhance their lifestyles. Whether you’re seeking outdoor activity ideas, fashion trends, or travel recommendations, our lifestyle section has got you covered. Visit us today at https://stmdailynews.com/category/lifestyle/ and embark on a journey of discovery and self-improvement.

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fitness

Canada’s largest fitness conference brings together global health & fitness experts August 9 & 10

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fitness
Enjoy live group classes with the Les Mills Experience (CNW Group/GoodLife Fitness)

TORONTO /CNW/ – The biggest names in fitness and wellness will gather in downtown Toronto this summer for the canfitpro Global Conference and Trade Show August 9 and 10. Hundreds of fitness experts, professionals and consumers will take part in the largest fitness conference and trade show in Canada to learn the latest nutrition, wellness and exercise trends.

Experience the full interactive Multichannel News Release here: https://www.multivu.com/players/English/9271551-canadas-largest-fitness-conference-canfitpro-global-august-2024/

Check out canfitpro Global Conference & Trade Show Aug 9-10, 2024

This year’s conference will include topical sessions on training for athletes of all ages, accessible fitness for different abilities, managing mindset and mental outlook, nutrition for better quality of life, fitness trends and therapeutic approaches to physical activity. Participants can watch the Pickleball Ontario Championships on site, join their favourite classes as part of the Les Mills Experience fitness festival, and tour booths from 100+ leading companies showcasing the latest wellness technology, nutrition, apparel and equipment. Anyone can attend.

Click here for a full schedule of in-person and online sessions. Some session highlights include: 

Friday, August 9
Opening ceremonies
Hamza Khan, global expert in the future of work and people-first leadership. 
Learn how to adapt and thrive in today’s fragmented work environment. Hamza Khan will share his ideas on purposeful productivity, transcend burnout culture, and embrace constant change. 

Training styles for neurodivergent athletes
Christine Conti, fitness coach and educator, chronic disease specialist.
As a personal trainer and triathlon/Iron Man guide for athletes with autism, Down syndrome and other neurodivergent disorders, Christine Conti champions advanced visual, tactile and auditory coaching techniques that suit every learning style, helping all athletes reach their peak performance.

Food over 40: Men’s guide to boosting testosterone, muscle and confidence
Funk Roberts, nutrition and fitness expert for men over 40, owner of Funk Roberts Fitness
Nutrition for men over 40 is not about calories, macros or any restrictive fad diet. Funk Roberts teaches men how to implement an effective and sustainable nutrition system that naturally increases testosterone, boosts metabolism, builds muscle and increases energy.

Saturday, August 10
Hormone toxicity: Taking back control during perimenopause and menopause 
 
Kelly Nolan, pharmacist, women’s health expert
Major shifts in body chemistry during perimenopause and menopause can wreak havoc emotionally and physically with a dramatic shift in body image and unexpected symptoms from ongoing anxiety to high fatigue and brain fog affecting our work performance. Kelly Nolan will explore how to detoxify to balance hormones naturally with the goal of optimal health, weight release and disease prevention.

Four generations, one passion for fitness
Sal Pellegrino, international fitness expert and presenter
For the first time, four generations are actively working out in the gym at one time. But not all generations want the same thing. From in-gym social centres to outdoor fitness to tranquil recovery spaces, Sal Pellegrino will share his research into what motivates each generation and what we’ll see in our neighbourhood gyms in the months and years to come.

Photo opportunities:

  • Watch fast-paced matches and learn Pickleball basics from Ontario’s best players
  • Join hundreds of fitness enthusiasts for a giant workout led by New Zealand superstar instructors at the Les Mills Experience
  • Learn boxing moves from George Foreman III or try Face Yoga for a natural facelift with Sophia Ha
  • Take a cold plunge, enjoy a Cryo Lounge chair and sweat through the latest workouts including Joga, Warrior Combat, Socacize….even a step class with R&B soul singer Jully Black.

About canfitpro
canfitpro is the largest provider of education in the Canadian fitness industry. Founded in 1993, canfitpro delivers accessible, quality education, certifications, conferences, trade shows, and membership services. canfitpro’s 60,000 members include some of the world’s finest fitness professionals, health club operators, industry suppliers and fitness consumers. (canfitpro.com

SOURCE canfitpro

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