PMID- 29353543 OWN - NLM STAT- MEDLINE DCOM- 20190211 LR - 20220321 IS - 1552-6844 (Electronic) IS - 1545-9683 (Linking) VI - 32 IP - 2 DP - 2018 Feb TI - Tai Chi Improves Cognition and Plasma BDNF in Older Adults With Mild Cognitive Impairment: A Randomized Controlled Trial. PG - 142-149 LID - 10.1177/1545968317753682 [doi] AB - BACKGROUND: Effects of Tai Chi (TC) on specific cognitive function and mechanisms by which TC may improve cognition in older adults with amnestic mild cognitive impairment (a-MCI) remain unknown. OBJECTIVE: To examine the effects of TC on cognitive functions and plasma biomarkers (brain-derived neurotrophic factor [BDNF], tumor necrosis factor-alpha [TNF-alpha], and interleukin-10 [IL-10]) in a-MCI. METHODS: A total of 66 older adults with a-MCI (mean age = 67.9 years) were randomized to either a TC (n = 33) or a control group (n = 33). Participants in the TC group learned TC with a certified instructor and then practiced at home for 50 min/session, 3 times/wk for 6 months. The control group received educational material that covered information related to cognition. The primary outcome was cognitive performance, including Logical Memory (LM) delayed recall, Block Design, Digit Span, and Trail Making Test B minus A (TMT B-A). The secondary outcomes were plasma biomarkers, including BDNF, TNF-alpha, and IL-10. RESULTS: At the end of the trial, performance on the LM and TMT B-A was significantly better in the TC group compared with the control group after adjusting for age, gender, and education ( P < .05). Plasma BDNF level was significantly increased for the TC group, whereas the other outcome measures were similar between the 2 groups after adjusting for age and gender ( P < .05). CONCLUSIONS: TC training significantly improved memory and the mental switching component of executive function in older adults with a-MCI, possibly via an upregulation of BDNF. FAU - Sungkarat, Somporn AU - Sungkarat S AD - 1 Chiang Mai University, Thailand. FAU - Boripuntakul, Sirinun AU - Boripuntakul S AD - 1 Chiang Mai University, Thailand. FAU - Kumfu, Sirinart AU - Kumfu S AD - 1 Chiang Mai University, Thailand. FAU - Lord, Stephen R AU - Lord SR AD - 2 University of New South Wales, NSW, Australia. FAU - Chattipakorn, Nipon AU - Chattipakorn N AD - 1 Chiang Mai University, Thailand. LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20180120 PL - United States TA - Neurorehabil Neural Repair JT - Neurorehabilitation and neural repair JID - 100892086 RN - 0 (Biomarkers) RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Tumor Necrosis Factor-alpha) RN - 130068-27-8 (Interleukin-10) SB - IM MH - Aged MH - Biomarkers/blood MH - Brain-Derived Neurotrophic Factor/*blood MH - Cognition/*physiology MH - Cognitive Dysfunction/blood/psychology/*rehabilitation MH - Executive Function/*physiology MH - Female MH - Humans MH - Interleukin-10/blood MH - Male MH - Mental Recall/physiology MH - Middle Aged MH - Neuropsychological Tests MH - *Tai Ji MH - Treatment Outcome MH - Tumor Necrosis Factor-alpha/blood OTO - NOTNLM OT - BDNF OT - Tai Chi OT - cognition OT - inflammatory markers OT - mild cognitive impairment EDAT- 2018/01/23 06:00 MHDA- 2019/02/12 06:00 CRDT- 2018/01/23 06:00 PHST- 2018/01/23 06:00 [pubmed] PHST- 2019/02/12 06:00 [medline] PHST- 2018/01/23 06:00 [entrez] AID - 10.1177/1545968317753682 [doi] PST - ppublish SO - Neurorehabil Neural Repair. 2018 Feb;32(2):142-149. doi: 10.1177/1545968317753682. Epub 2018 Jan 20.