title: Relaxation practice and physiologic regulation in a national sample of older Taiwanese.
abstract: OBJECTIVE
  To compare the effects of relaxation practice and other exercise on a multisystem measure of physiologic dysregulation in a national sample of older Taiwanese.
  
  
  METHODS
  The study was a cross-sectional survey.
  
  
  METHODS
  The study was conducted in Taiwan.
  
  
  METHODS
  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.
  
  
  METHODS
  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.
authors: Center for Population and Health, Georgetown University, Washington, DC, USA. dag77@georgetown.edu
authors: Dana A
authors: DA
authors: Glei
authors: Noreen
authors: N
authors: Goldman
authors: Yu-Hsuan
authors: YH
authors: Lin
authors: Maxine
authors: M
authors: Weinstein
mesh_terms: D000222:Adaptation, Physiological; D000368:Aged; D015415:Biomarkers; D002318:Cardiovascular Diseases / Q000517:prevention & control; D003430:Cross-Sectional Studies; D015444:Exercise / Q000502:physiology*; D005260:Female; D006706:Homeostasis; D006801:Humans; D007249:Inflammation / Q000517:prevention & control*; D007407:Interviews as Topic; D008297:Male; D008659:Metabolic Diseases / Q000517:prevention & control; D008875:Middle Aged; D010808:Physical Examination; D012063:Relaxation / Q000502:physiology*; D012064:Relaxation Therapy; D012307:Risk Factors; D013624:Taiwan
chemical_list: D015415:Biomarkers