Relaxation practice and physiologic regulation in a national sample of older Taiwanese

Abstract

Objectives: To compare the effects of relaxation practice and other exercise on a multisystem measure of physiologic dysregulation in a national sample of older Taiwanese.

Design: The study was a cross-sectional survey.

Settings/location: The study was conducted in Taiwan.

Subjects: A population-based sample of 1036 adults aged 53 and older completed an in-home interview and in-hospital physical examination. The final model is based on 934 respondents with complete data.

Outcome measures: The outcome measures were overall dysregulation, based on 26 biomarkers, and subscores for cardiovascular/metabolic risk factors and inflammatory markers.

Results: After adjustment for age and sex, overall dysregulation is 0.35 of a standard deviation (SD) lower for practitioners of relaxation techniques compared with nonpractitioners. The effect of exercise is smaller: 0.19 SD difference between those who exercise regularly and those who do not exercise. Similar effects of relaxation practice and regular exercise were found on inflammation, but smaller effects for cardiovascular/metabolic risk factors. In the presence of controls for sociodemographic characteristics, medication use, and a wide range of self-reported and interviewer-assessed health indicators, the effect of relaxation practice is attenuated but remains sizable (-0.19 of a SD for overall dysregulation); regular exercise has a comparable effect (-0.16 of a SD). The effects are similar for the inflammation subscore, but not significant for cardiovascular/metabolic risk factors after adjusting for health status.

Conclusions: The physiologic benefits of relaxation practice that have been demonstrated in small experimental studies are also evident in the general population of older Taiwanese who practice these techniques in everyday life. Relaxation practice is associated with lower levels of physiologic dysregulation, particularly with respect to inflammation. Among this sample of older adults, the effect appears to be at least as large as that for exercise. Older people with limited ability to engage in vigorous exercise may especially welcome such information.

FIG. 1.

Attrition among sample selected for Social Environment and Biomarkers of Aging Study (SEBAS), 2000–2006. ^aA few respondents living in remote areas were excluded from the subsample because they lived too far from the hospitals contracted to do the physical examination portion of the study. ^bSome respondents were not asked to participate in the hospital examination due to their health condition (i.e., living in an institution, seriously ill, catheter or diaper, kidney dialysis, other health condition that precludes blood drawing). TLSA, Taiwan Longitudinal Study on Aging (sometimes referred to as the Survey of Health and Living Status of the Near Elderly and Elderly in Taiwan); LFU, lost to follow-up.