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Community-based Adapted Tango Dancing for Individuals with Parkinson's Disease and Older Adults
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Dancing for Healthy Aging: Functional and Metabolic Perspectives.

Josianne Rodrigues-Krause, Mauricio Krause, Alvaro Reischak-Oliveira

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    Dancing offers significant functional benefits for older adults, particularly improving balance. While metabolic improvements are possible, more randomized clinical trials are needed to confirm these effects and establish dance as a key health intervention.

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    Area of Science:

    • Gerontology and Exercise Science
    • Public Health and Preventive Medicine

    Background:

    • Dancing is a recognized exercise modality for enhancing functional and metabolic health in aging populations.
    • Existing research on dance interventions for older adults is characterized by heterogeneity in study design, intervention specifics, outcome assessment, and methodological quality.

    Purpose of the Study:

    • To systematically review and synthesize the literature on dance interventions aimed at promoting functional and metabolic health in older adults.
    • To identify and describe the characteristics of diverse dance studies, summarizing findings for future analysis.

    Main Methods:

    • A comprehensive literature search was conducted across multiple databases (MEDLINE, Cochrane Wiley, Clinical Trials.gov, PEDro, LILACS).
    • Included studies encompassed randomized clinical trials (RCTs), quasi-experimental, and observational designs comparing dance interventions (alone or combined with other exercises) against non-exercising or alternative exercise controls.
    • Participants were individuals aged over 55, with or without pre-existing health conditions.

    Main Results:

    • Fifty articles were included in the analysis, with 22 RCTs comparing dance to controls and 3 RCTs comparing dance to other exercises.
    • The majority of interventions involved 12-week, thrice-weekly, 60-minute group dance classes, with ballroom and cultural dances being most prevalent.
    • Studies reported functional and metabolic benefits, with balance being the most frequently assessed functional outcome.

    Conclusions:

    • Dance interventions, irrespective of style, can lead to positive functional adaptations in older adults, notably improvements in balance.
    • While dance may contribute to metabolic health improvements, further rigorous RCTs are necessary to substantiate these effects.
    • Dancing presents a promising exercise intervention for promoting health and well-being in the aging population.