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A Comparison of Dance/Movement Therapy and Cardiovascular Training on Cortisol Awakening Response in the Elderly


A Comparison of Dance/Movement Therapy and Cardiovascular Training on Cortisol Awakening Response in the Elderly

Vrinceanu, Tudor (2017) A Comparison of Dance/Movement Therapy and Cardiovascular Training on Cortisol Awakening Response in the Elderly. Masters thesis, Concordia University.

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Aging is associated with numerous chronic conditions as well as an increased stress response. The present study looks at the effects of Dance/Movement Therapy (DMT) on chronic stress (measured by the cortisol awakening response – CAR) in older adults. Healthy older adults (n = 40) aged 60 and over (M=67.45, SD=5.3) were randomized into three groups: DMT (n=12), Aerobic Training (AT; n=14), and Waiting List (WL; n=14). DMT defined as “the psychotherapeutic use of movement to promote emotional, social, cognitive and physical integration of the individual” (ADTA, 2017), was comprised of exercises including gross motor skills, body awareness, and socialization. The AT consisted of high intensity activity on a recumbent bicycle. Both training groups were supervised by a licensed instructor and met three times a week for three months. Participants of all groups provided, before and after their respective program, saliva samples on three days at 0, 30 and 60-minutes after awakening, and had their fitness level evaluated. A group x time interaction was found (F(2,35)=5.256, p=.01, η2partial=.231), with the DMT group showing lower salivary cortisol values post-training, while the other two groups showed no change from baseline in their CAR. Maximal aerobic power improved only in the AT group, while DMT showed no group-specific physical functioning improvements. The results are further discussed in terms of physical and psychological mechanisms that could explain the change in cortisol.

Keywords: dance/movement therapy, cortisol, aerobic training, stress, older adults

Divisions:Concordia University > Faculty of Arts and Science
Concordia University > Faculty of Arts and Science > Psychology
Item Type:Thesis (Masters)
Authors:Vrinceanu, Tudor
Institution:Concordia University
Degree Name:M.A.
Date:31 June 2017
Thesis Supervisor(s):Bherer, Louis
Keywords:dance/movement therapy, cortisol, aerobic training, stress, older adults
ID Code:982901
Deposited On:10 Nov 2017 14:20
Last Modified:18 Jan 2018 17:56


Anderson, A. N., Kennedy, H., DeWitt, P., Anderson, E., & Wamboldt, M. Z. (2014). Dance/movement therapy impacts mood states of adolescents in a psychiatric hospital. The Arts in Psychotherapy, 41(3), 257-262. doi:10.1016/j.aip.2014.04.002
Baker, L. D., Frank, L. L., Foster-Schubert, K., Green, P. S., Wilkinson, C. W., McTiernan, A., . . . Craft, S. (2010). Effects of Aerobic Exercise on Mild Cognitive Impairment A Controlled Trial. Archives of Neurology, 67(1), 71-79.
Belvederi Murri, M., Pariante, C., Mondelli, V., Masotti, M., Atti, A. R., Mellacqua, Z., . . . Amore, M. (2014). HPA axis and aging in depression: systematic review and meta-analysis. Psychoneuroendocrinology, 41, 46-62. doi:10.1016/j.psyneuen.2013.12.004
Berryman, N., Bherer, L., Nadeau, S., Lauziere, S., Lehr, L., Bobeuf, F., . . . Bosquet, L. (2013). Executive functions, physical fitness and mobility in well-functioning older adults. Exp Gerontol, 48(12), 1402-1409. doi:10.1016/j.exger.2013.08.017
Berryman, N., Bherer, L., Nadeau, S., Lauziere, S., Lehr, L., Bobeuf, F., . . . Bosquet, L. (2014). Multiple roads lead to Rome: combined high-intensity aerobic and strength training vs. gross motor activities leads to equivalent improvement in executive functions in a cohort of healthy older adults. Age (Dordr), 36(5), 9710. doi:10.1007/s11357-014-9710-8
Betik, A. C., & Hepple, R. T. (2008). Determinants of VO2 max decline with aging: an integrated perspective. Appl Physiol Nutr Metab, 33(1), 130-140. doi:10.1139/H07-174
Bherer, L., Erickson, K. I., & Liu-Ambrose, T. (2013). A review of the effects of physical activity and exercise on cognitive and brain functions in older adults. J Aging Res, 2013, 657508. doi:10.1155/2013/657508
Bigand, E., Vieillard, S., Madurell, F., Marozeau, J., & Dacquet, A. (2005). Multidimensional scaling of emotional responses to music: The effect of musical expertise and of the duration of the excerpts. Cognition & Emotion, 19(8), 1113-1139. doi:10.1080/02699930500204250
Blair, S. N., Kohl, H. W., Paffenbarger, R. S., Clark, D. G., Cooper, K. H., & Gibbons, L. W. (1989). Physical-Fitness and All-Cause Mortality - a Prospective-Study of Healthy-Men and Women. Jama-Journal of the American Medical Association, 262(17), 2395-2401. doi:DOI 10.1001/jama.262.17.2395
Bojner-Horwitz, E., Theorell, T., & Maria Anderberg, U. (2003). Dance/movement therapy and changes in stress-related hormones: a study of fibromyalgia patients with video-interpretation. The Arts in Psychotherapy, 30(5), 255-264. doi:10.1016/j.aip.2003.07.001
Booth, F. W., Gordon, S. E., Carlson, C. J., & Hamilton, M. T. (2000). Waging war on modern chronic diseases: primary prevention through exercise biology. Journal of Applied Physiology, 88(2), 774-787.
Booth, F. W., Roberts, C. K., & Laye, M. J. (2012). Lack of Exercise Is a Major Cause of Chronic Diseases. Comprehensive Physiology, 2(2), 1143-1211. doi:10.1002/cphy.c110025
Bräuninger, I. (2012). Dance movement therapy group intervention in stress treatment: A randomized controlled trial (RCT). The Arts in Psychotherapy, 39(5), 443-450. doi:10.1016/j.aip.2012.07.002
Bräuninger, I. (2014). Specific dance movement therapy interventions—Which are successful? An intervention and correlation study. The Arts in Psychotherapy, 41(5), 445-457. doi:10.1016/j.aip.2014.08.002
Burzynska, A. Z., Jiao, Y., Knecht, A. M., Fanning, J., Awick, E. A., Chen, T., . . . Kramer, A. F. (2017). White Matter Integrity Declined Over 6-Months, but Dance Intervention Improved Integrity of the Fornix of Older Adults. Front Aging Neurosci, 9, 59. doi:10.3389/fnagi.2017.00059
Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh Sleep Quality Index - a New Instrument for Psychiatric Practice and Research. Psychiatry Research, 28(2), 193-213. doi:Doi 10.1016/0165-1781(89)90047-4
Carpenter, J. S., & Andrykowski, M. A. (1998). Psychometric evaluation of the Pittsburgh Sleep Quality Index. Journal of Psychosomatic Research, 45(1), 5-13. doi:Doi 10.1016/S0022-3999(97)00298-5
Cerin, E., Leslie, E., Sugiyama, T., & Owen, N. (2009). Associations of multiple physical activity domains with mental well-being. Mental Health and Physical Activity, 2(2), 55-64. doi:10.1016/j.mhpa.2009.09.004
Chahal, H. S., & Drake, W. M. (2007). The endocrine system and ageing. J Pathol, 211(2), 173-180. doi:10.1002/path.2110
Charmandari, E., Tsigos, C., & Chrousos, G. (2005). Endocrinology of the stress response. Annu Rev Physiol, 67, 259-284. doi:10.1146/annurev.physiol.67.040403.120816
Chida, Y., & Steptoe, A. (2009). Cortisol awakening response and psychosocial factors: a systematic review and meta-analysis. Biological Psychology, 80(3), 265-278. doi:10.1016/j.biopsycho.2008.10.004
Childs, E., & de Wit, H. (2014). Regular exercise is associated with emotional resilience to acute stress in healthy adults. Front Physiol, 5, 161. doi:10.3389/fphys.2014.00161
Chodzko-Zajko, W. J., Proctor, D. N., Singh, M. A. F., Minson, C. T., Nigg, C. R., Salem, G. J., & Skinner, J. S. (2009). Exercise and Physical Activity for Older Adults. Medicine and Science in Sports and Exercise, 41(7), 1510-1530. doi:10.1249/MSS.0b013e3181a0c95c
Christensen, K., Doblhammer, G., Rau, R., & Vaupel, J. W. (2009). Ageing populations: the challenges ahead. The Lancet, 374(9696), 1196-1208. doi:10.1016/s0140-6736(09)61460-4
Clow, A., Thorn, L., Evans, P., & Hucklebridge, F. (2004). The awakening cortisol response: methodological issues and significance. Stress, 7(1), 29-37. doi:10.1080/10253890410001667205
Connelly, D. M., & Vandervoort, A. A. (1997). Effects of detraining on knee extensor strength and functional mobility in a group of elderly women. J Orthop Sports Phys Ther, 26(6), 340-346. doi:10.2519/jospt.1997.26.6.340
Corazza, D. I., Sebastião, É., Pedroso, R. V., Andreatto, C. A. A., de Melo Coelho, F. G., Gobbi, S., . . . Santos-Galduróz, R. F. (2013). Influence of chronic exercise on serum cortisol levels in older adults. European Review of Aging and Physical Activity. doi:10.1007/s11556-013-0126-8
Cruz-Ferreira, A., Marmeleira, J., Formigo, A., Gomes, D., & Fernandes, J. (2015). Creative Dance Improves Physical Fitness and Life Satisfaction in Older Women. Res Aging, 37(8), 837-855. doi:10.1177/0164027514568103
De Moor, M. H., Beem, A. L., Stubbe, J. H., Boomsma, D. I., & De Geus, E. J. (2006). Regular exercise, anxiety, depression and personality: a population-based study. Prev Med, 42(4), 273-279. doi:10.1016/j.ypmed.2005.12.002
de Tord, P., & Bräuninger, I. (2015). Grounding: Theoretical application and practice in dance movement therapy. The Arts in Psychotherapy, 43, 16-22. doi:10.1016/j.aip.2015.02.001
Diamanti-Kandarakis, E., Dattilo, M., Macut, D., Duntas, L., Gonos, E. S., Goulis, D. G., . . . Combo Endo, T. (2017). MECHANISMS IN ENDOCRINOLOGY: Aging and anti-aging: a Combo-Endocrinology overview. Eur J Endocrinol, 176(6), R283-R308. doi:10.1530/EJE-16-1061
Dibbell-Hope, S. (2000). The use of dance/movement therapy in psychological adaptation to breast cancer. Arts in Psychotherapy, 27(1), 51-68. doi:Doi 10.1016/S0197-4556(99)00032-5
Duclos, M., Corcuff, J. B., Arsac, L., Moreau-Gaudry, F., Rashedi, M., Roger, P., . . . Manier, G. (1998). Corticotroph axis sensitivity after exercise in endurance-trained athletes. Clinical Endocrinology, 48(4), 493-501.
Duclos, M., Corcuff, J. B., Rashedi, M., Fougere, V., & Manier, G. (1997). Trained versus untrained men: Different immediate post-exercise responses of pituitary adrenal axis - A preliminary study. European Journal of Applied Physiology and Occupational Physiology, 75(4), 343-350. doi:DOI 10.1007/s004210050170
Ehlers, D. K., Fanning, J., Awick, E. A., Kramer, A. F., & McAuley, E. (2016). Contamination by an Active Control Condition in a Randomized Exercise Trial. PLoS One, 11(10), e0164246. doi:10.1371/journal.pone.0164246
Ehlert, U., Gaab, J., & Heinrichs, M. (2001). Psychoneuroendocrinological contributions to the etiology of depression, posttraumatic stress disorder, and stress-related bodily disorders: the role of the hypothalamus-pituitary-adrenal axis. Biological Psychology, 57(1-3), 141-152. doi:Doi 10.1016/S0301-0511(01)00092-8
Elder, G. J., Ellis, J. G., Barclay, N. L., & Wetherell, M. A. (2016). Assessing the daily stability of the cortisol awakening response in a controlled environment. BMC Psychol, 4, 3. doi:10.1186/s40359-016-0107-6
Eyigor, S., Karapolat, H., Durmaz, B., Ibisoglu, U., & Cakir, S. (2009). A randomized controlled trial of Turkish folklore dance on the physical performance, balance, depression and quality of life in older women. Arch Gerontol Geriatr, 48(1), 84-88. doi:10.1016/j.archger.2007.10.008
Filar-Mierzwa, K., Dlugosz, M., Marchewka, A., Dabrowski, Z., & Poznanska, A. (2016). The effect of dance therapy on the balance of women over 60 years of age: The influence of dance therapy for the elderly. J Women Aging, 1-8. doi:10.1080/08952841.2016.1194689
Folkins, C. H., & Sime, W. E. (1981). Physical-Fitness Training and Mental-Health. American Psychologist, 36(4), 373-389. doi:Doi 10.1037/0003-066x.36.4.373
Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res, 12(3), 189-198.
Fritz, S., & Lusardi, M. (2009). White Paper: "Walking Speed: the Sixth Vital Sign". Journal of Geriatric Physical Therapy, 32(2), 2-5.
Gaffey, A. E., Bergeman, C. S., Clark, L. A., & Wirth, M. M. (2016). Aging and the HPA axis: Stress and resilience in older adults. Neurosci Biobehav Rev, 68, 928-945. doi:10.1016/j.neubiorev.2016.05.036
Gao, Z., Zhang, P., & Podlog, L. W. (2014). Examining elementary school children's level of enjoyment of traditional tag games vs. interactive dance games. Psychol Health Med, 19(5), 605-613. doi:10.1080/13548506.2013.845304
Gouarn, C., Groussard, C., Gratas-Delamarche, A., Delamarche, P., & Duclos, M. (2005). Overnight Urinary Cortisol and Cortisone Add New Insights into Adaptation to Training. Medicine & Science in Sports & Exercise, 37(7), 1157-1167. doi:10.1249/01.mss.0000170099.10038.3b
Graham, J. E., Ostir, G. V., Fisher, S. R., & Ottenbacher, K. J. (2008). Assessing walking speed in clinical research: a systematic review. Journal of Evaluation in Clinical Practice, 14(4), 552-562. doi:10.1111/j.1365-2753.2007.00917.x
Grandner, M. A., Hale, L., Moore, M., & Patel, N. P. (2010). Mortality associated with short sleep duration: The evidence, the possible mechanisms, and the future. Sleep Med Rev, 14(3), 191-203. doi:10.1016/j.smrv.2009.07.006
Hackney, M. E., & Earhart, G. M. (2009a). Effects of dance on movement control in Parkinson's disease: a comparison of Argentine tango and American ballroom. J Rehabil Med, 41(6), 475-481. doi:10.2340/16501977-0362
Hackney, M. E., & Earhart, G. M. (2009b). Health-related quality of life and alternative forms of exercise in Parkinson disease. Parkinsonism Relat Disord, 15(9), 644-648. doi:10.1016/j.parkreldis.2009.03.003
Hardy, S. E., Perera, S., Roumani, Y. F., Chandler, J. M., & Studenski, S. A. (2007). Improvement in usual gait speed predicts better survival in older adults. Journal of the American Geriatrics Society, 55(11), 1727-1734. doi:10.1111/j.1532-5415.2007.01413.x
Hayes, L. D., Grace, F. M., Sculthorpe, N., Herbert, P., Ratcliffe, J. W. T., Kilduff, L. P., & Baker, J. S. (2013). The effects of a formal exercise training programme on salivary hormone concentrations and body composition in previously sedentary aging men. Springerplus, 2. doi:Artn 18
Heaney, J. L., Carroll, D., & Phillips, A. C. (2014). Physical activity, life events stress, cortisol, and DHEA: preliminary findings that physical activity may buffer against the negative effects of stress. J Aging Phys Act, 22(4), 465-473. doi:10.1123/japa.2012-0082
Heaney, J. L., Phillips, A. C., & Carroll, D. (2012). Ageing, physical function, and the diurnal rhythms of cortisol and dehydroepiandrosterone. Psychoneuroendocrinology, 37(3), 341-349. doi:10.1016/j.psyneuen.2011.07.001
Hellhammer, J., Fries, E., Schweisthal, O. W., Schlotz, W., Stone, A. A., & Hagemann, D. (2007). Several daily measurements are necessary to reliably assess the cortisol rise after awakening: state- and trait components. Psychoneuroendocrinology, 32(1), 80-86. doi:10.1016/j.psyneuen.2006.10.005
Ho, R. T. H., & Fong, T. C. T. (2017). Effects of Dance Movement Therapy on Subjective Stress and Cortisol Slope among Breast Cancer Patients Undergoing Radiotherapy. Annals of Behavioral Medicine, 51, S2822-S2822.
Hodyl, N. A., Schneider, L., Vallence, A. M., Clow, A., Ridding, M. C., & Pitcher, J. B. (2016). The cortisol awakening response is associated with performance of a serial sequence reaction time task. Int J Psychophysiol, 100, 12-18. doi:10.1016/j.ijpsycho.2015.12.007
Holanda, C. M., Guerra, R. O., Nobrega, P. V., Costa, H. F., Piuvezam, M. R., & Maciel, A. C. (2012). Salivary cortisol and frailty syndrome in elderly residents of long-stay institutions: a cross-sectional study. Arch Gerontol Geriatr, 54(2), e146-151. doi:10.1016/j.archger.2011.11.006
Hwang, P. W. N., & Braun, K. L. (2015). The Effectiveness of Dance Interventions to Improve Older Adults' Health: A Systematic Literature Review. Alternative Therapies in Health and Medicine, 21(5), 64-70.
Iso, H., Date, C., Yamamoto, A., Toyoshima, H., Tanabe, N., Kikuchi, S., . . . Grp, J. S. (2002). Perceived mental stress and mortality from cardiovascular disease among Japanese men and women - The Japan Collaborative Cohort Study for Evaluation of Cancer Risk Sponsored by Monbusho (JACC Study). Circulation, 106(10), 1229-1236. doi:10.1161/01.Cir.0000028145.58654.41
Jacks, D. E., Sowash, J., Anning, J., McGloughlin, T., & Andres, F. (2002). Effect of exercise at three exercise intensities on salivary cortisol. Journal of Strength and Conditioning Research, 16(2), 286-289.
Jeong, Y. J., Hong, S. C., Lee, M. S., Park, M. C., Kim, Y. K., & Suh, C. M. (2005). Dance movement therapy improves emotional responses and modulates neurohormones in adolescents with mild depression. Int J Neurosci, 115(12), 1711-1720. doi:10.1080/00207450590958574
Kabacoff, R. I., Segal, D. L., Hersen, M., & VanHasselt, V. B. (1997). Psychometric properties and diagnostic utility of the Beck Anxiety Inventory and the State-Trait Anxiety Inventory with older adult psychiatric outpatients. Journal of Anxiety Disorders, 11(1), 33-47. doi:Doi 10.1016/S0887-6185(96)00033-3
Kiepe, M.-S., Stöckigt, B., & Keil, T. (2012). Effects of dance therapy and ballroom dances on physical and mental illnesses: A systematic review. The Arts in Psychotherapy, 39(5), 404-411. doi:10.1016/j.aip.2012.06.001
Kluge, M. A., Tang, A., Glick, L., LeCompte, M., & Willis, B. (2011). Let's Keep Moving: A dance movement class for older women recently relocated to a continuing care retirement community (CCRC). Arts & Health, 4(1), 4-15. doi:10.1080/17533015.2010.551717
Knight, W. E. J., & Rickard, N. S. (2001). Relaxing music prevents stress-induced increases in subjective anxiety, systolic blood pressure, and heart rate in healthy males and females. Journal of Music Therapy, 38(4), 254-272.
Koch, S., Kunz, T., Lykou, S., & Cruz, R. (2014). Effects of dance movement therapy and dance on health-related psychological outcomes: A meta-analysis. The Arts in Psychotherapy, 41(1), 46-64. doi:10.1016/j.aip.2013.10.004
Koch, S. C., Morlinghaus, K., & Fuchs, T. (2007). The joy dance. The Arts in Psychotherapy, 34(4), 340-349. doi:10.1016/j.aip.2007.07.001
Kodama, S., Saito, K., Tanaka, S., Maki, M., Yachi, Y., Asumi, M., . . . Sone, H. (2009). Cardiorespiratory Fitness as a Quantitative Predictor of All-Cause Mortality and Cardiovascular Events in Healthy Men and Women A Meta-analysis. Jama-Journal of the American Medical Association, 301(19), 2024-2035.
Kosmat, H., & Vranic, A. (2016). The Efficacy of Dance Intervention as a Cognitive Training for Old-Old. J Aging Phys Act, 1-32. doi:10.1123/japa.2015-0264
Krampe, J., Wagner, J. M., Hawthorne, K., Sanazaro, D., Wong-Anuchit, C., Budhathoki, C., . . . Raaf, S. (2014). Does dance-based therapy increase gait speed in older adults with chronic lower extremity pain: a feasibility study. Geriatr Nurs, 35(5), 339-344. doi:10.1016/j.gerinurse.2014.03.008
Labsy, Z., Prieur, F., Le Panse, B., Do, M. C., Gagey, O., Lasne, F., & Collomp, K. (2013). The diurnal patterns of cortisol and dehydroepiandrosterone in relation to intense aerobic exercise in recreationally trained soccer players. Stress, 16(2), 261-265. doi:10.3109/10253890.2012.707259
Lai, J. C., Chong, A. M., Siu, O. T., Evans, P., Chan, C. L., & Ho, R. T. (2012). Social network characteristics and salivary cortisol in healthy older people. ScientificWorldJournal, 2012, 929067. doi:10.1100/2012/929067
Langlois, F., Thien, T. M. V., Kergoat, M. J., Chasse, K., Dupuis, G., & Bherer, L. (2012). The multiple dimensions of frailty: physical capacity, cognition, and quality of life. International Psychogeriatrics, 24(9), 1429-1436. doi:10.1017/S1041610212000634
Law, R., Hucklebridge, F., Thorn, L., Evans, P., & Clow, A. (2013). State variation in the cortisol awakening response. Stress, 16(5), 483-492. doi:10.3109/10253890.2013.817552
Lubben, J., Blozik, E., Gillmann, G., Iliffe, S., Kruse, W. V., Beck, J. C., & Stuck, A. E. (2006). Performance of an abbreviated version of the Lubben Social Network Scale among three European community-dwelling older adult populations. Gerontologist, 46(4), 503-513.
Lubben, J. E. (1988). Assessing social networks among elderly populations. Family and Community Health, 11(3), 42-52.
Lucertini, F., Ponzio, E., Di Palma, M., Galati, C., Federici, A., Barbadoro, P., . . . Minelli, A. (2015). High Cardiorespiratory Fitness Is Negatively Associated with Daily Cortisol Output in Healthy Aging Men. PLoS One, 10(11), e0141970. doi:10.1371/journal.pone.0141970
Lupien, S. J., Maheu, F., Tu, M., Fiocco, A., & Schramek, T. E. (2007). The effects of stress and stress hormones on human cognition: Implications for the field of brain and cognition. Brain Cogn, 65(3), 209-237. doi:10.1016/j.bandc.2007.02.007
Macko, R. F., DeSouza, C. A., Tretter, L. D., Silver, K. H., Smith, G. V., Anderson, P. A., . . . Dengel, D. R. (1997). Treadmill aerobic exercise training reduces the energy expenditure and cardiovascular demands of hemiparetic gait in chronic stroke patients - A preliminary report. Stroke, 28(2), 326-330.
Meekums, B., Vaverniece, I., Majore-Dusele, I., & Rasnacs, O. (2012). Dance movement therapy for obese women with emotional eating: A controlled pilot study. The Arts in Psychotherapy, 39(2), 126-133. doi:10.1016/j.aip.2012.02.004
Merom, D., Mathieu, E., Cerin, E., Morton, R. L., Simpson, J. M., Rissel, C., . . . Cumming, R. G. (2016). Social Dancing and Incidence of Falls in Older Adults: A Cluster Randomised Controlled Trial. PLoS Med, 13(8), e1002112. doi:10.1371/journal.pmed.1002112
Middleton, A., Fritz, S. L., & Lusardi, M. (2015). Walking speed: the functional vital sign. J Aging Phys Act, 23(2), 314-322. doi:10.1123/japa.2013-0236
Miluk-Kolasa, B., Obminski, Z., Stupnicki, R., & Golec, L. (1994). Effects of music treatment on salivary cortisol in patients exposed to pre-surgical stress. Exp Clin Endocrinol, 102(2), 118-120. doi:10.1055/s-0029-1211273
Murray, M. P., Duthie, E. H., Jr., Gambert, S. R., Sepic, S. B., & Mollinger, L. A. (1985). Age-related differences in knee muscle strength in normal women. J Gerontol, 40(3), 275-280.
Nater, U. M., Hoppmann, C. A., & Scott, S. B. (2013). Diurnal profiles of salivary cortisol and alpha-amylase change across the adult lifespan: evidence from repeated daily life assessments. Psychoneuroendocrinology, 38(12), 3167-3171. doi:10.1016/j.psyneuen.2013.09.008
Netz, Y., Wu, M. J., Becker, B. J., & Tenenbaum, G. (2005). Physical activity and psychological well-being in advanced age: a meta-analysis of intervention studies. Psychol Aging, 20(2), 272-284. doi:10.1037/0882-7974.20.2.272
Newman, A. B., Simonsick, E. M., Naydeck, B. L., Boudreau, R. M., Kritchevsky, S. B., Nevitt, M. C., . . . Harris, T. B. (2006). Association of long-distance corridor walk performance with mortality, cardiovascular disease, mobility limitation, and disability. Jama-Journal of the American Medical Association, 295(17), 2018-2026. doi:DOI 10.1001/jama.295.17.2018
Niemann, C., Godde, B., & Voelcker-Rehage, C. (2016). Senior Dance Experience, Cognitive Performance, and Brain Volume in Older Women. Neural Plast, 2016, 9837321. doi:10.1155/2016/9837321
Otte, C., Hart, S., Neylan, T. C., Marmar, C. R., Yaffe, K., & Mohr, D. C. (2005). A meta-analysis of cortisol response to challenge in human aging: importance of gender. Psychoneuroendocrinology, 30(1), 80-91. doi:10.1016/j.psyneuen.2004.06.002
Pacheco, E., Hoyos, D. P., Watt, W. J., Lema, L., & Arango, C. M. (2016). Feasibility Study: Colombian Caribbean Folk Dances to Increase Physical Fitness and Health-Related Quality of Life in Older Women. J Aging Phys Act, 24(2), 284-289. doi:10.1123/japa.2015-0012
Pasco, J. A., Jacka, F. N., Williams, L. J., Brennan, S. L., Leslie, E., & Berk, M. (2011). Don't worry, be active: positive affect and habitual physical activity. Aust N Z J Psychiatry, 45(12), 1047-1052. doi:10.3109/00048674.2011.621063
Peeters, G. M., van Schoor, N. M., Visser, M., Knol, D. L., Eekhoff, E. M., de Ronde, W., & Lips, P. (2007). Relationship between cortisol and physical performance in older persons. Clin Endocrinol (Oxf), 67(3), 398-406. doi:10.1111/j.1365-2265.2007.02900.x
Penedo, F. J., & Dahn, J. R. (2005). Exercise and well-being: a review of mental and physical health benefits associated with physical activity. Current Opinion in Psychiatry, 18(2), 189-193. doi:Doi 10.1097/00001504-200503000-00013
Perera, S., Mody, S. H., Woodman, R. C., & Studenski, S. A. (2006). Meaningful change and responsiveness in common physical performance measures in older adults. J Am Geriatr Soc, 54(5), 743-749. doi:10.1111/j.1532-5415.2006.00701.x
Phillips, A. C., Burns, V. E., & Lord, J. M. (2007). Stress and exercise: Getting the balance right for aging immunity. Exercise and Sport Sciences Reviews, 35(1), 35-39. doi:DOI 10.1097/jes.0b013e31802d7008
Piazza, J. R., Almeida, D. M., Dmitrieva, N. O., & Klein, L. C. (2010). Frontiers in the use of biomarkers of health in research on stress and aging. J Gerontol B Psychol Sci Soc Sci, 65(5), 513-525. doi:10.1093/geronb/gbq049
Pistollato, F., Sumalla Cano, S., Elio, I., Masias Vergara, M., Giampieri, F., & Battino, M. (2016). Associations between Sleep, Cortisol Regulation, and Diet: Possible Implications for the Risk of Alzheimer Disease. Adv Nutr, 7(4), 679-689. doi:10.3945/an.115.011775
Pothier, K., & Bherer, L. (2016). Physical Training. 145-153. doi:10.1007/978-3-319-42662-4_14
Pruessner, J. C., Kirschbaum, C., Meinlschmid, G., & Hellhammer, D. H. (2003). Two formulas for computation of the area under the curve represent measures of total hormone concentration versus time-dependent change. Psychoneuroendocrinology, 28(7), 916-931. doi:10.1016/s0306-4530(02)00108-7
Pruessner, J. C., Wolf, O. T., Hellhammer, D. H., BuskeKirschbaum, A., vonAuer, K., Jobst, S., . . . Kirschbaum, C. (1997). Free cortisol levels after awakening: A reliable biological marker for the assessment of adrenocortical activity. Life Sciences, 61(26), 2539-2549. doi:Doi 10.1016/S0024-3205(97)01008-4
Pulopulos, M. M., Puig-Perez, S., Hidalgo, V., Villada, C., & Salvador, A. (2016). Cortisol Awakening Response and Walking Speed in Older People. PLoS One, 11(5), e0152071. doi:10.1371/journal.pone.0152071
Purser, J. L., Weinberger, M., Cohen, H. J., Pieper, C. F., Morey, M. C., Li, T., . . . Lapuerta, P. (2005). Walking speed predicts health status and hospital costs for frail elderly male veterans. The Journal of Rehabilitation Research and Development, 42(4), 535. doi:10.1682/jrrd.2004.07.0087
Rejeski, W. J., & Mihalko, S. L. (2001). Physical activity and quality of life in older adults. Journals of Gerontology Series a-Biological Sciences and Medical Sciences, 56, 23-35.
Rizzuto, D., & Fratiglioni, L. (2014). Lifestyle factors related to mortality and survival: a mini-review. Gerontology, 60(4), 327-335. doi:10.1159/000356771
Rockwood, K., Howlett, S. E., MacKnight, C., Beattie, B. L., Bergman, H., Hebert, R., . . . McDowell, I. (2004). Prevalence, attributes, and outcomes of fitness and frailty in community-dwelling older adults: Report from the Canadian Study of Health and Aging. Journals of Gerontology Series a-Biological Sciences and Medical Sciences, 59(12), 1310-1317.
Rosmond, R., Dallman, M. F., & Bjorntorp, P. (1998). Stress-related cortisol secretion in men: relationships with abdominal obesity and endocrine, metabolic and hemodynamic abnormalities. J Clin Endocrinol Metab, 83(6), 1853-1859. doi:10.1210/jcem.83.6.4843
Sandel, S. L., Judge, J. O., Landry, N., Faria, L., Ouellette, R., & Majczak, M. (2005). Dance and Movement Program Improves Quality-of-Life Measures in Breast Cancer Survivors. Cancer Nursing, 28(4), 301???309. doi:10.1097/00002820-200507000-00011
Sandvik, L., Erikssen, J., Thaulow, E., Erikssen, G., Mundal, R., & Rodahl, K. (1993). Physical-Fitness as a Predictor of Mortality among Healthy, Middle-Aged Norwegian Men. New England Journal of Medicine, 328(8), 533-537. doi:Doi 10.1056/Nejm199302253280803
Sapolsky, R. M. (2000). Glucocorticoids and hippocampal atrophy in neuropsychiatric disorders. Archives of General Psychiatry, 57(10), 925-935. doi:DOI 10.1001/archpsyc.57.10.925
Sapolsky, R. M., Romero, L. M., & Munck, A. U. (2000). How do glucocorticoids influence stress responses? Integrating permissive, suppressive, stimulatory, and preparative actions. Endocrine Reviews, 21(1), 55-89. doi:DOI 10.1210/er.21.1.55
Schmid, A., Duncan, P. W., Studenski, S., Lai, S. M., Richards, L., Perera, S., & Wu, S. S. (2007). Improvements in speed-based gait classifications are meaningful. Stroke, 38(7), 2096-2100. doi:10.1161/Strokeaha.106.475921
Serra, M. M., Alonso, A. C., Peterson, M., Mochizuki, L., Greve, J. M., & Garcez-Leme, L. E. (2016). Balance and Muscle Strength in Elderly Women Who Dance Samba. PLoS One, 11(12), e0166105. doi:10.1371/journal.pone.0166105
Smith, S. M., & Vale, W. W. (2006). The role of the hypothalamic-pituitary-adrenal axis in neuroendocrine responses to stress. Dialogues Clin Neurosci, 8(4), 383-395.
Spielberger, C. D., Gorsuch, R. L., & Lushene, R. E. (1970). Manual for the state-trait anxiety inventory.
Stalder, T., Kirschbaum, C., Kudielka, B. M., Adam, E. K., Pruessner, J. C., Wust, S., . . . Clow, A. (2016). Assessment of the cortisol awakening response: Expert consensus guidelines. Psychoneuroendocrinology, 63, 414-432. doi:10.1016/j.psyneuen.2015.10.010
Statistics-Canada. (2017). Infographic 2 Trends in the number and proportion of children and seniors in Canada from 1851 to 2061. Retrieved from http://www.statcan.gc.ca/daily-quotidien/170503/g-a002-eng.htm
Stevens-Ratchford, R. G. (2016). Ballroom Dance: Linking Serious Leisure to Successful Aging. International Journal of Aging & Human Development, 83(3), 290-308. doi:10.1177/0091415016652405
Studenski, S., Perera, S., Patel, K., Rosano, C., Faulkner, K., Inzitari, M., . . . Guralnik, J. (2011). Gait Speed and Survival in Older Adults. Jama-Journal of the American Medical Association, 305(1), 50-58. doi:DOI 10.1001/jama.2010.1923
Tabachnick, B. G., Fidell, L. S., & Osterlind, S. J. (2001). Using multivariate statistics.
Taylor, A. H., Cable, N. T., Faulkner, G., Hillsdon, M., Narici, M., & Van Der Bij, A. K. (2004). Physical activity and older adults: a review of health benefits and the effectiveness of interventions. J Sports Sci, 22(8), 703-725. doi:10.1080/02640410410001712421
Tremblay, M. S., Copeland, J. L., & Van Helder, W. (2005). Influence of exercise duration on post-exercise steroid hormone responses in trained males. European Journal of Applied Physiology, 94(5-6), 505-513. doi:10.1007/s00421-005-1380-x
Trochidis, K., Sears, D., Trân, D.-L., & McAdams, S. (2013). Psychophysiological Measures of Emotional Response to Romantic Orchestral Music and Their Musical and Acoustic Correlates. In M. Aramaki, M. Barthet, R. Kronland-Martinet, & S. Ystad (Eds.), From Sounds to Music and Emotions: 9th International Symposium, CMMR 2012, London, UK, June 19-22, 2012, Revised Selected Papers (pp. 44-57). Berlin, Heidelberg: Springer Berlin Heidelberg.
Van Cauter, E. (1996). Effects of gender and age on the levels and circadian rhythmicity of plasma cortisol. Journal of Clinical Endocrinology & Metabolism, 81(7), 2468-2473. doi:10.1210/jc.81.7.2468
van Kan, G. A., Rolland, Y., Andrieu, S., Bauer, J., Beauchet, O., Bonnefoy, M., . . . Vellas, B. (2009). Gait Speed at Usual Pace as a Predictor of Adverse Outcomes in Community-Dwelling Older People an International Academy on Nutrition and Aging (Iana) Task Force. Journal of Nutrition Health & Aging, 13(10), 881-889.
Vandervoort, A. A. (2002). Aging of the human neuromuscular system. Muscle Nerve, 25(1), 17-25.
Varadhan, R., Walston, J., Cappola, A. R., Carlson, M. C., Wand, G. S., & Fried, L. P. (2008). Higher levels and blunted diurnal variation of cortisol in frail older women. Journals of Gerontology Series a-Biological Sciences and Medical Sciences, 63(2), 190-195.
Ware, J., Jr., Kosinski, M., & Keller, S. D. (1996). A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Med Care, 34(3), 220-233.
Ware, J., Jr., Kosinski, M., & Keller, S. D. (1998). SF-12: How to Score the SF-12 Physical and Mental Health Summary Scales (3 ed.): Quality Metric Incorporated.
Whitworth, J. A., Williamson, P. M., Mangos, G., & Kelly, J. J. (2005). Cardiovascular consequences of cortisol excess. Vasc Health Risk Manag, 1(4), 291-299.
Yehuda, N. (2011). Music and Stress. Journal of Adult Development, 18(2), 85-94. doi:10.1007/s10804-010-9117-4
Yesavage, J. A., Brink, T. L., Rose, T. L., Lum, O., Huang, V., Adey, M., & Leirer, V. O. (1983). Development and Validation of a Geriatric Depression Screening Scale - a Preliminary-Report. Journal of Psychiatric Research, 17(1), 37-49. doi:Doi 10.1016/0022-3956(82)90033-4
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