Taiwan in Time: Soccer madness in the Japanese era

Taiwan in Time: Soccer madness in the Japanese era

Even with the point out of soccer in the country nowadays, the sport has a colourful record dating to the 1910s, commencing from when a British missionary brought a ball to today’s Chang Jung Substantial University

  • By Han Cheung / Workers Reporter

Jan. 2 to Jan. 8&#13

When Thomas Band established out for Taiwan in 1912, he built confident he introduced a person product with him: a soccer ball. &#13

The 26-year-outdated British missionary was the captain of his soccer crew at seminary faculty, and he believed that the activity embodied the physical and mental power that his occupation desired. &#13

Taiwan in Time: Soccer madness in the Japanese era

Photo courtesy of Kuo Jung-pin

Actual physical schooling was not a prevalent subject matter then, and as principal of Tainan’s Presbyterian Church Superior School (renamed Chang Jung Large Faculty in 1939), he at initial had to drag the college students from their dorms immediately after faculty to the discipline. But before long, the sport took off and the school turned a regional powerhouse, representing Taiwan in the 1940 national event in Japan.&#13

Meanwhile in northern Taiwan, Japanese educators hoping to infuse additional Western elements into the curriculum also launched their individual soccer golf equipment, and starting in the late 1920s, faculties across the colony consistently engaged in intense regional and nationwide tournaments that captivated fervent spectators. The rivalry concerning the predominantly Taiwanese Presbyterian school and the largely-Japanese Tainan Initial Superior Faculty was the most heated, and brawls were being common right after particularly actual physical matches.&#13

“For Taiwanese, soccer was not only a activity to prepare your system and intellect, it was a way for them to split out of their position as a colonized men and women, and by way of reasonable competition, problem the Japanese and even the planet,” Lin Hsin-kai (林欣楷) writes in his new book, Our Soccer Dreams (我們的足球夢). &#13

Photo courtesy of Wikimedia Commons

Despite this promising starting, Taiwan never ever identified a great deal worldwide results besides for a miraculous operate by its women’s workforce in the 1970s and 80s. As the fad of the World Cup subsides, there’s been significantly dialogue about how to improve Taiwan’s profile in the sport. With the modern release of Lin’s reserve, it’s an suitable time to take a look at in detail the sport’s lesser regarded early days.&#13

Climbing Activity&#13

A number of yrs immediately after Band’s arrival, learners could be observed playing barefeet by means of the streets and in the parks, Lin writes. Alumnus and previous player Hung Nan-hai (洪南海) recollects observing more mature classmates use the city’s southeast gate as a soccer objective.&#13

Photo courtesy of publications.com.tw

By 1920, the Presbyterian college experienced two soccer groups, and it was the most preferred action during recess. Upon graduation, Band brought the college students on an exchange to China with church educational facilities there, with soccer matches staying a person of the major activities.&#13

The activity produced independently in the north, becoming promoted by the Japanese around the very same time. In 1918, soccer turned part of Japan’s faculty curriculum, and by extension Taiwan. However, baseball was still closest to people’s hearts — to the level that the Asahi Shimbun newspaper posted a sequence of content warning of the hazardous consequences of baseball, arguing that it wasn’t really a total-system sport and that it induced the students to neglect their experiments. Governor-common Nogi Marusuke even chimed in: “It’s extremely dangerous to spend so a great deal time and enthusiasm on the final results of a match.”&#13

Taihoku Second Significant School principal Hanshiro Kawase agreed, likely versus the grain to advertise soccer, kendo and swimming. He considered that soccer was a much better group sport than baseball and additional conducive to instructing the worth of cooperation, Lin writes. Japanese troopers docked in Keelung could be seen competing with learners all through their down time.&#13

Image courtesy of Wikimedia Commons

This also happened in the south, as the crew of a going to British warship performed a friendly match with the Presbyterian college students. The students quickly beat the troopers and created the front web site of the newspapers.&#13

Intense RIVALRY&#13

In November 1929, the Presbyterian Center School and Tainan To start with Large introduced the Southern Soccer League with Band as president. Two universities from Kaohsiung also joined, and founding associates incorporated British, Japanese and Taiwanese.&#13

With missionary Thomas Barclay donating the trophy, the inaugural Barclay Cup kicked off on Nov. 30, 1929, with 4 Tainan schools competing the Kaohsiung faculties did not join owing to the distance. The Presbyterians won the very first of 3 straight championships and the matches had been reportedly incredibly physical as foul procedures ended up loose.&#13

The news unfold to Taipei, and the island-extensive Mitsuzawa Cup took position the following calendar year with 13 groups competing. It turned just one of the four common soccer events using area in the funds all through the 1930s.&#13

Presbyterian Center School and Tainan To start with Higher designed an extreme rivalry throughout these a long time, and raucous, cheering supporters could be found at their games. The government’s ever more intrusive measures toward Christian educational facilities (this sort of as mandating that they worship at Shinto shrines) further fueled the animosity of the pupils toward their Japanese counterparts. Write-up-match brawls were being frequent, and the authorities tacitly authorized them to take place as a way for people today to blow off steam as imperialism grew.&#13

In 1932, the Presbyterians suffered a stunning reduction to Tainan Initial High, and it was seen as the most significant disgrace in college record. With funding from the alumni affiliation, the pupils trained all summer in 1933 and quickly exacted their revenge in September. They then headed north to enjoy the 3 top Taipei groups, successful two out of 3 matches.&#13

Most gamers returned for the 1934 college year, with the star remaining Ping Tien-ming (兵田明), an ethnic Siraya multi-activity athlete nicknamed “The All-Potent Fleet Carrier” (萬能航空母艦). With the arrival of Liu Chao-ben (劉朝本), the squad was regarded the strongest at any time, and the university arranged for them to head to Japan and sq. off towards its prime teams.&#13

They did not stand a opportunity in opposition to Kobe 1st Significant School, losing 10-. The fatigued, dejected group then took on Hiroshima 1st Higher College, with the sport ending in a 1-1 tie.&#13

Formal Competitiveness &#13

The Taiwan Min Pao (台灣民報) newspaper in 1931 named the colony’s 4 soaring athletics stars, together with “Soccer Overlord” Lin Chao-chuan (林朝權) of the Presbyterian alumni staff. While his squad identified achievement in Taiwan, they had been not yet authorized to contend in Japan.&#13

This rule was reversed in 1938. That 12 months, the all-Japanese Taihoku Superior Faculty beat out the competition to stand for Taiwan, but they dropped in the first round. In 1940, Presbyterian Middle College (by then renamed Chang Jung Substantial College) finally acquired its probability to contend, becoming the to start with all-Taiwanese squad to enjoy in official levels of competition. They were also knocked out in the initially round, but that year’s dim-horse winner also arrived from a colony — Korea’s Boseong Large College.&#13

Sporting activities things to do arrived to a halt as Entire world War II intensified. Official soccer matches resumed under the Chinese Nationalist Party (KMT) with the Provincial Soccer Match in July 1946, and Chang Jung High School’s alumni squad took property the trophy.&#13

At 1st, Lin was satisfied to help the new authorities rebuild Taiwan’s sports activities scene, serving as director of the Provincial Sports activities Affiliation. On the other hand, following his beloved trainer Lin Mao-sheng (林茂生) “disappeared” in the aftermath of the 228 Incident, he still left for China and never returned.&#13

In November 1947, the KMT put on a countrywide sporting activities event in Shanghai to celebrate Taiwan’s “return” to the motherland. Shanghai reporters came to Taiwan to take a look at the regional sporting activities scene, concluding that its weakest factors ended up soccer and basketball. &#13

Upon listening to this, the dollars-strapped provincial governing administration did not mail a soccer staff to the levels of competition. Lin Hsin-kai writes that this was the commencing of the “Taiwanese cannot play soccer” label that has haunted the nation for 70 several years, primarily as the countrywide team’s accomplishment in the 1950s and 1960s relied on borrowed players from Hong Kong.&#13

Taiwan in Time, a column about Taiwan’s background that is published each and every Sunday, spotlights essential or appealing situations close to the country that either have anniversaries this week or are tied to present-day situations.

Comments will be moderated. Retain reviews pertinent to the short article. Remarks containing abusive and obscene language, individual assaults of any type or marketing will be taken out and the person banned. Final determination will be at the discretion of the Taipei Situations.

The Importance of Having a Physical Identity

The Importance of Having a Physical Identity

In the United States, about sixty {e4f787673fbda589a16c4acddca5ba6fa1cbf0bc0eb53f36e5f8309f6ee846cf} of people today stay a sedentary lifestyle. A quarter of the population will get no bodily exercise at all. 

Possibly you’re one of these sedentary people. Actual physical exercise is just not something you do. It’s not aspect of your life. 

Why is this? Why are so many grown ups bodily inactive?

It possible goes back again to their childhood, and the actuality that they under no circumstances developed a physical id.

The Athlete/Non-Athlete Tracks of Childhood and How Little ones Shed Their Physical Id

Dr. Daniel O’Neill, author of Survival of the In good shape, defines “physical identity” as the innate human push we’re all born with to move our bodies by house. Choose a glimpse at toddlers. They love to shift. They roll, crawl, climb, and operate all-around like maniacs. They’ll pick up stuff and throw it for no purpose at all. They get a playful method to lifetime. 

But in accordance to Dr. O’Neill, children get rid of their physical identity if that playful, active tactic to the globe isn’t fostered and encouraged as they shift beyond the toddler yrs.

The decline of a physical id frequently occurs since of the two tracks which are inclined to type during present day childhood. 

Small children on the to start with keep track of present an innate athleticism and/or fascination in sporting activities from a youthful age. Their mom and dad indication them up for sports activities — T-ball, basketball, soccer, football, tennis — and the kids just take a liking to these athletics and adhere with them. They go out for the crew when they get into high university. They go to camps to make improvements to their expertise and do power and conditioning programs all through the off-period. 

These kids not only build a actual physical id but also what O’Neill calls an “athlete identity.” You normally really do not have to stress about them when it comes to remaining and remaining bodily active. However they often go via a sedentary season of life just after large faculty, in which they have to understand to be bodily energetic outside the house the realm of arranged sporting activities, they are likely to at some point rediscover bodily exercise as a personalized pursuit and stay energetic by way of adulthood.

Young children on the second monitor, and these could represent up to two-thirds of little ones, do not exhibit innate athleticism or interest in athletics when they’re youthful. Their moms and dads decide that sporting activities aren’t for them. Or their moms and dads do indication them up for sporting activities, but they really do not just take to it and don’t conclude up wanting to continue. 

Because so considerably of actual physical exercise in present day childhood centers around athletics, young children who choose out of them generally don’t get considerably bodily exercise of any variety. In yet another time, little ones who did not do arranged sporting activities may well even now get in some action by driving bikes, making forts, and participating in impromptu games of wallball and manhunt with neighborhood friends. But the increase of more compact people (earning for fewer child-inhabitants-dense neighborhoods) and the advent of screens have produced this variety of cost-free perform significantly less typical. In an additional time also, youngsters who did not do organized sports activities would continue to get knowledge with physical training as a result of participation in their school’s P.E. method. But P.E. plans have been dialed again in schools throughout the nation and are normally non-existent in higher college.

Consequently, for young children who really don’t do athletics, actual physical exercise can almost drop out of their life completely. As a substitute of taking part in athletics, young ones on this 2nd keep track of may default to undertaking extra monitor time and actively playing movie games. Or they may possibly get into extra constructive interests like audio, artwork, and theater. 

Due to the fact youngsters on this 2nd observe don’t develop an “athlete identification,” they don’t create a bodily id, either. In simple fact, simply because they associate having a actual physical id with athletics, and they are not into sports activities, they could partly occur to determine themselves in opposition to that actual physical id “I’m not like the dumb jocks.”

Young ones on the 2nd track might have healthful pursuits, but their bodily wellbeing is not as best as it could be, and the repercussions of that capture up with them when they changeover from getting sedentary kids to becoming a member of the two-thirds of the world’s populace who reside as sedentary grownups.

For the reason that of the way an overemphasis on structured sports activities in the course of childhood qualified prospects to an all-or-very little conflation among athletics and bodily action, Dr. O’Neill argues that sporting activities ironically depict a person of the biggest hurdles to the widespread development of a bodily identification in small children. A fake dichotomy is established the place if you are not into sports, you’re not into actual physical exercise, period of time. But just due to the fact you’re not an “athlete,” does not mean you aren’t a bodily being.

What You Miss out on Out On When You Don’t Have a Physical Identity

In Survival of the Fit, Dr. O’Neill spends a whole lot of time detailing the overall health issues that appear with not obtaining a physical identification. When you deficiency a actual physical identity, you tend to be bodily inactive. Simply because you shift much less, you maximize your possibility of all the physical and mental wellness problems a sedentary life-style creates: being overweight, cardiovascular sickness, muscle atrophy, insulin resistance, depression, and anxiety. 

But O’Neill also details out that when you lack a actual physical id, you increase the probability of lacking out on a lot of of the world’s joys and pleasures.

If you really don’t foster the physical aspect of your self as a child mainly because you affiliate physicality with athletics and you aren’t into athletics, you for that reason really don’t create the actual physical recognition and aptitude — the bodily ease and comfort and confidence — to participate in the large array of energetic, non-activity pursuits that can be kindled in youth and become enduring pastimes in adulthood. Climbing, climbing, dancing, looking, skating, swimming, biking, kayaking, and snowboarding are all actual physical functions that can greatly enrich your existence and which you can do devoid of ever having to believe of you as an athlete.

When you really do not have a actual physical identification, you can miss out on out on the joys of exploring a gorgeous waterfall with your family members, operating through the woods with good friends, sensation the chilly wind rush in opposition to your face as you snowboard down a mountain.

We are embodied beings. When you lower oneself off from physical activity, you slice you off from quite a few of the most animating layers of human existence. 

How to Nurture Your Kids’ Physical Identity 

If you want to make certain your little ones have a actual physical identity as adults, and a fantastic shot at lifelong health and fitness and pleasure, you have to have to nurture their physical id while they are young. The purpose is to enable your children keep and expand the physical identity they were born with. 

O’Neill believes that just one of the very best techniques to assist our youngsters do this is to extend and reinvigorate P.E in our children’s universities and make it the absolute core of their total training. He rightly argues that actual physical action is the remedy to just about all the complications that deal with our youth exclusively and our populace broadly, and that a basis of actual physical overall health facilitates all other forms of studying. A audio intellect in a audio entire body!

O’Neill thinks P.E. need to be obligatory from kindergarten via twelfth quality, and its emphasis should be on varied varieties of vigorous physical exercise — alternatively of just sports. He’s not in opposition to sporting activities, mind you. He just does not want sports to be finished to the exclusion of all other sorts of workout. 

O’Neill exhorts people today to advocate for superior P.E packages in their children’s schools, and this is a bring about that mothers and fathers ought to glance into what’s the high quality of the actual physical education your young children are obtaining? Can just about anything be done to boost it?

Although producing improve in this area is of course difficult, there are thankfully other issues parents can do at property to foster a actual physical identity in their kids:

Be bodily active you. Kids product what they see. What pattern are you environment in your dwelling? If your young children see that you and your spouse are bodily lively, they’re much more possible to be physically active them selves. Exemplify what a actual physical identification looks like to your little ones. 

Make bodily exercise a frequent, standard part of your family’s lifestyle together. Integrate physical activity into your family’s tradition. Roughhouse with your children. Just take relatives walks and bike rides. Go on hikes. Play choose-up basketball in the driveway. Skank to 5 Iron Frenzy. Go canoeing. Have cartwheel competitions. Play tag. Go snowboarding. Climb mountains. 

Introduce your young ones to as quite a few physical pastimes as feasible you by no means know which routines will come to be lifelong loves for them.

Continue to consider sports activities. Sporting activities are insufficient for addressing our modern society-broad absence of bodily activity as they represent a net that will in the end only encompass a minority of children. But we’d continue to argue that sports activities keep on being 1 of the best entryways for creating a physical identification, a lifelong interest in actual physical exercise, and other factors of fantastic character also. In its place of dismissing sporting activities, we need to appear for approaches to get a lot more little ones included in them.

For a single detail, don’t publish off young children as staying non-athletic as well soon. Although a good deal of areas of a child’s persona manifest themselves appropriate from the time they exit the womb, often it can be tricky to tell regardless of whether a kid will acquire to sports or not, and you really don’t want to turn a untimely assessment into a self-fulfilling prophecy: you don’t feel they’re created for athletics, so you never set them in sports activities, and they thus do not acquire any athletic means, which confirms that sporting activities weren’t for them. We’ve noticed cases the place minimal little ones were seemingly pretty nerdy and bodily awkward, but however obtained associated with sports, took incredibly very well to them, and activated a facet of by themselves that in any other case would have long gone undeveloped.

Small kids are up for striving no matter what, so give them practical experience with distinct athletics and see what comes about. Perhaps they will not like it and will want to choose out. But possibly they’ll discover anything they seriously dig.

And when you enroll kids in sports, start off them off with lower-essential, fewer competitive leagues. At times a kid thinks he does not like athletics, but what he really doesn’t like is the way too-pressurized environment in which he very first tried using them. Athletics for little ones should be enjoyable, a good working experience that tends to make them want to preserve with it — if not with that specific sport, then with physical exercise in common.

The important with sports is that they ought to be a nutritional supplement to producing a child’s general bodily identity, and not the sole ingredient. That way, should the child make a decision that athletics aren’t for him, he’s still obtained other retailers in his lifestyle that’ll maintain him in speak to with a recent of physicality. 

How to Nurture Your Have Physical Identification 

It’s possible you are looking at this and recognize your self as a person who arrived of age on the next keep track of of childhood. You don’t regret the other passions you pursued in lieu of athletics, but do lament the actuality you didn’t acquire a physical identity way too. Well, it’s not much too late for you to nurture just one. Don’t forget: you have been born with a bodily identification — it may possibly just be dormant from absence of use. 

Disassociate bodily activity from sports activities. The 1st vital for adults who want to acquire a actual physical id is to disassociate bodily action from athletics. There are however middle-aged folks out there who never feel like physical action is for them because they weren’t athletes in higher school and nevertheless variety of determine by themselves as not becoming like the stereotypical jocks they realized again in the working day.

Toss out the aged binaries you may possibly even now carry all over from your teen yrs. You can be bookish, musical, and/or inventive and physically lively. 

Climbing, frisbee, parkour, dancing, yoga, snowboarding, swimming, geocaching. There’s a planet of bodily action out there over and above sporting activities. 

Pick a little something you get pleasure from. 1 of the major takeaways from all the podcast interviews we’ve carried out about the yrs will come from behavioral scientist Michelle Segar. Her analysis has shown that you are much more probable to stick to frequent physical action if you delight in it. Duh! 

But numerous grownups solution actual physical exercise the way young children method using Robitussin: by stifling a gag and pinching their noses. 

Do not strategy physical activity like you are using a spoonful of drugs. Really don’t do the bodily exercise you feel you ought to do. Do the kind of bodily activity you basically take pleasure in. 

If that is strolling, wonderful! Do that. If it’s MovNat, go for it! Like to raise weights? Get below the bar. Experiment. Signal up for tennis classes. Shell out a week swimming at a neighborhood pool. Come across the factor that joyfully lights up your bodily identification and makes you look forward to obtaining in contact with your embodied self each day.

For far more on the great importance of having a actual physical identity, pay attention to our podcast with Dr. Daniel O’Neill: 

Student teacher Abagale Lingle named 2022 physical education major of the year | News

Student teacher Abagale Lingle named 2022 physical education major of the year | News

Abagale Lingle very first set eyes on Northwest whilst on a tour, but not for her, her sister’s tour. Lingle stated she fell in love with the University, took a tour for herself, only applied to go to college listed here and bought in. Considering the fact that then, Lingle has saved herself fast paced with college student instructing, an effort and hard work that to her shock, would go on to make her the 2022 Actual physical Schooling Big of the Yr.

Lingle transferred to Northwest her sophomore yr of higher education just after attending the Des Moines Place Local community College her freshman calendar year. When she acquired to Northwest in tumble 2020, Lingle experienced to observe dwell schooling with young children for one of her lessons. Lingle ended up likely to the Horace Mann Laboratory School, in which she achieved Sam Harris, the president of the Physical Instruction Pros Club. Harris was established to graduate that semester and questioned Lingle to choose around as president. Right after a speak with her advisor, Lingle said she was persuaded to operate for president of the club, and even nevertheless at the time it was all about Zoom, Lingle gained, and that is where points took off.

“It was a very little terrifying likely in as a sophomore for the reason that the rest of my officer team were juniors and seniors that I didn’t seriously know,” Lingle explained.

Prior to her management, the Physical Education and learning Specialists Club saw the president do most of the perform with the relaxation of the cabinet there for guidance. Lingle explained that she reformed this and built a robust officer cupboard that could just about every do their personal different careers in just the business. 

Yet another goal of hers was to allow the associates of the club get to know each and every other greater, and with COVID mandates ending, they did just that — from beginning meetings off with an icebreaker or heading on outings, such as a bonfire, motion picture or climbing at MOERA.

Final November, Lingle was elected president of the Missouri Society of Wellbeing and Bodily Training, an organization devoted to supporting and encouraging a healthy and active lifestyle. This November, Lingle will return to MOSHAPE’s conference in the Ozarks and will update her posture from president-elect to president.

Lingle explained she did not know she was heading to be named actual physical schooling scholar of the 12 months until a 7 days prior. 

“I can keep in mind the minute it took place for the reason that I was sitting down there in Horace Mann’s gymnasium and the business there with the recent teacher, and I opened the email and I’m like ‘what is this and every thing,’ and I showed it to my trainer,” Lingle said. “She goes down to the Missouri convention all the time with me, and she’s like ‘oh yeah, we nominated you.’”

Lingle stated professors from the Wellbeing and Physical Training Section loaded out an application and nominated as a surprise following noticing her leadership and heavy involvement. She was later awarded actual physical education big of the yr the next April in New Orleans.

As a scholar instructor, Wednesdays are Lingle’s busiest days. She arrives at Horace Mann around 9:15 a.m. for 30-minute lengthy classes for students kindergarten to sixth grade. She sets up the health and fitness center at all over 12:15 p.m. and goes to a single of her individual Northwest classes at 1 p.m., returns to Horace Mann right until class is dismissed at 2:45 p.m., operates the following faculty system and heads home at 5:30 p.m.

As a senior, Lingle claimed that she is both quite excited and nervous about what the upcoming holds for her as she prepares to start off her occupation as a PE teacher. She’ll start choosing educational facilities in January. She explained that she has no idea where she would like to go but area-intelligent, she was contemplating somewhere in south-central Missouri.

“If it wasn’t for Northwest and my advisors pushing me to be president of the PE Club, I do not know in which I would be because becoming an officer, I was ready to network and outreach so considerably that it is gotten me to my state stage and then to my national stage,” Lingle mentioned. “I actually enjoy what I did in school, begun with my club and my advisors pushing me, and now I have a definitely enormous booklet of connections that will get me considerably in lifestyle.”

Michigan lost these notable figures in 2022

Michigan lost these notable figures in 2022

Michigan lost philanthropists, judges, civil rights advocates, sports figures, Motown artists and community organizers in 2022.

A 100-year-old Tuskegee Airman, Miss America 1970, an astronaut from the Apollo 9 mission, groundbreaking LGBTQ activists, the man who created the Farmer Jack grocery chain and other founders of iconic businesses in the Detroit area, Mackinac Island and Frankenmuth were among those Michigan said goodbye to this year.

Here are some of the most notable Michigan figures who died in 2022:

Lt. Col. Alexander Jefferson

Michigan lost these notable figures in 2022

Retired Lt. Col. Alexander Jefferson, a member of the Tuskegee Airmen, World War II prisoner of war and lifelong Detroiter, died June 22 at 100 years old.

The Tuskegee Airmen were the nation’s first African American military pilots, and Jefferson was among the first to escort bombers in WWII.

He served in World War II as a P-51 fighter pilot with the 332nd Fighter Group-301st Fighter Squadron in Ramitelli, Italy, later called the “Red Tails.” Jefferson flew 18 missions before being shot down and held as a prisoner in Poland for eight months in 1944-45.

SRU professor explains differences between health/physical education and wellness education

SRU professor explains differences between health/physical education and wellness education

Students playing sports

Slippery Rock University is transforming the way educators method overall health and actual physical schooling with a new product identified as wellness training.

Feb. 10, 2022

SLIPPERY ROCK, Pa. — Gymnasium course has been dismissed and there is a new way for instructing well being and bodily schooling that is now in session. It is identified as wellness training, and for the previous ten years, Slippery Rock University has been shifting the way K-12 educators tactic what has been typically known as phys ed, P.E. or fitness center course.

So, what is the variance concerning wellbeing and actual physical training and wellness education and learning?

“The previous design of wellbeing and actual physical instruction is geared all over sporting activities and game titles, and answering the query: ‘What are we likely to do these days?,'” explained Randy Nichols, SRU professor of physical and wellbeing schooling. “The new model is about ‘What are we going to master now?,’ and the mastering is centered close to self-care and nicely-becoming. The new design is a great deal extra independently dependent with customized understanding, whereas the previous product was about teams and groups playing a sport. The target is to give college students the self-assurance and expertise to consider treatment of on their own and to be engaged in their well-becoming.”

Nichols

   NICHOLS

The Pennsylvania Department of Education describes overall health and bodily training as giving “students with the awareness and capabilities that will help them to obtain and preserve a bodily energetic and healthful lifestyle, not only in the course of their time in university but for a lifetime.”

There are similarities between the two concepts. The new model emphasizes “properly-getting,” which refers to the holistic dimensions of an individual’s existence that is perfectly-lived, and “wellness,” which broadly describes a healthy way of living. Physical exercise is just a person of lots of components of a wellness training.

The exercise, nonetheless, is typically how the two types diverge.

“There’s a change between being a wellness educator and a gym teacher, and we need so significantly far more wellness instruction in faculties now as a substitute of owning children taking part in dodgeball, matball or what ever occupies class time,” Nichols claimed. “We require to educate them how to try to eat much better or how to control their pressure and stress and anxiety — individuals are all part of wellness schooling.”

In accordance to Nichols, there are six parts to a wellness education curriculum:

    &#13

  • Actual physical action.
  • &#13

  • Nutrition.
  • &#13

  • Safety and injury prevention.
  • &#13

  • Social and psychological wellness.
  • &#13

  • The human entire body and the human body reaction.
  • &#13

  • Well being-connected health.
  • &#13

SRU initially instituted this product in 2014 when physical and overall health education and learning undergraduate students were being offered a concentration in university wellness training. In fall 2021, SRU revamped its adapted bodily exercise graduate system and started supplying a Grasp of Science in Lifelong Wellness through Innovative Leadership in which students can opt for concerning two concentrations: tailored physical activity and the lately included college wellness instruction.

The SWE graduate method is offered absolutely on the net and is geared towards furnishing practicing lecturers and directors tactics for transitioning from a common wellbeing and physical education design to a university wellness education and learning product. It is also excellent for teachers needing Level II certification, which demands educators in Pennsylvania who have been instructing for 6 a long time to get hold of 24 write-up-baccalaureate credits.

Lots of university districts are adopting SRU’s wellness education model, which includes Deer Lakes and North Allegheny University Districts, to name a number of.

“Administrators at general public faculties are recognizing the worth and the impression of switching to the wellness instruction model and lecturers are acquiring additional goal and relevance in their professions,” Nichols stated. “Lots of general public universities have inquired about retraining their academics, or they have instructors who were skilled by our college throughout the past number of decades.”

Also, the wellness training product and the target on the total-baby solution to health and bodily training align with current initiatives from the Modern society of Health and fitness and Physical Educators, acknowledged as Form The us, and the Facilities for Disorder and Prevention.

“We’re self-confident that this product is here to stay and that is why this SWE concentration will have a lasting effects on planning the subsequent technology of wellness lecturers,” Nichols reported.

Much more data about SRU’s lifelong wellness via innovative leadership program and the SWE graduate application is readily available on the University’s internet site.

MEDIA Get in touch with: Justin Zackal | 724.738.4854  | [email protected]

Pet insects and elderly people with chronic diseases

Pet insects and elderly people with chronic diseases

Introduction

Frailty is defined as a vulnerable state resulting from age-associated declines in physiological reserves and functions, such that the ability to cope with internal or external stressors is comprised.1 Frailty increases the risk for poor health outcomes for the elderly, as it directly or indirectly affects morbidity and mortality. Korea became an aged society in 2017; as of 2020, 15.7{e4f787673fbda589a16c4acddca5ba6fa1cbf0bc0eb53f36e5f8309f6ee846cf} of the total population were aged 65 or older. In 2025, 20.3{e4f787673fbda589a16c4acddca5ba6fa1cbf0bc0eb53f36e5f8309f6ee846cf} of the total population will be aged 65 or older and Korea will become a post-aged society.2 As the elderly population increases in the community, the number of frail elderly people increases, which in turn increases the burden not only on an individual’s physical and mental health, but also on public health services. The socioeconomic burden is also a significant issue. Medical expenses for the elderly account for 1/3 of total medical costs in Korea;2 indeed, in a previous study, the cost of supporting prefrail and frail community-dwelling elderly individuals is increased around $179 up to $32,549.96, compared with robust individuals.3 Thus, healthcare providers need to find practical, non-invasive, and cost-effective treatments for the prefrail and frail elderly.

Animal-assisted intervention (AAI) is an effective treatment that improves the mental and physical health of the elderly.4 However, the majority of AAI methods use mammals such as dogs, cats, or horses (and sometimes fish or birds).5 A previous study shows that pet insects have a beneficial effect on the psychological health of community-dwelling elderly persons. Rearing pet insects improves depression, cognitive function, and quality of life in relatively healthy elderly persons,6 and has positive effects on executive functions and performance in elderly women.7 However, the aforementioned studies only targeted relatively healthy elderly individuals aged 65 to 70; neither included frail elderly individuals of more advanced age.

Pet insects are easy to rear, cost less than other animals, and do not need a large space. Prefrail and frail elderly individuals, especially those aged 75 and older, may lack the physical capability and/or finances to feed and rear mammals; also, they are at increased risk of falls or injuries caused by mammals.8 To the best of our knowledge, no study has examined the effects of pet insects on the physical and mental health in frail elderly individuals of advanced age. Thus, this pilot study aimed to ascertain the effects of pet insects on physical performance and psychological health in a population of community-dwelling frail elderly individuals living with a chronic disease.

Materials and Methods

Study Design

The protocol for this 8-week prospective single-arm interventional pilot study was complied with Declaration of Helsinki and approved by the institutional review board of Kyungpook National University Hospital (protocol no. KNUH 2021–08-021). Prefrail and frail community-dwelling adults attending a daycare facility for the elderly, located in Gochang County, South Korea, were enrolled. All subjects were asked to submit informed consent to participate in this research. An interventional program using pet insects was conducted from October 2021 to December 2021.

Subject Eligibility

The inclusion criteria were as follows: (i) adults aged 70 years and older; (ii) frailty index ≥1 on the Korean version of the FRAIL (K-FRAIL) scale;9 (iii) able to move and walk by him/herself with or without equipment; (iv) no limitation in activities of daily living (ADL);10 (v) diagnosed or treated for at least one of the following diseases: hypertension, diabetes, dyslipidemia, cardiovascular disease, cerebrovascular disease, peripheral vascular disease, chronic liver disease, chronic kidney disease, neurodegenerative disease, or malignant neoplastic disease; (vi) regardless of psychiatric diseases, including major depression, insomnia, cognitive impairment, bipolar disorder; and (vii) completed both pre- and post-tests.

The exclusion criteria were as follows: (i) patients with limited self-care, (ii) confined to a bed or chair for more than 50{e4f787673fbda589a16c4acddca5ba6fa1cbf0bc0eb53f36e5f8309f6ee846cf} of waking hours (ie, Eastern Cooperative Oncology Group (ECOG) performance status ≥3);11 (iii) hospitalized due to an acute illness (including pneumonia, acute myocardial infarction, cerebral infarction, and cerebral hemorrhage) within the previous month; (iv) severe dementia corresponding to a Clinical Dementia Rating (CDR) score ≥3;12 (v) changes in medications that affect mood or sleep during the study period; (vi) entomophobia; and (vii) withdrawal of written consent to participate.

Study Intervention

The pet insect intervention was an 8-week program comprising six face-to-face meetings (a baseline visit and five supportive sessions). At the baseline visit (visit 0), screening tests for physical performance and psychometric assessments were performed. Next, family medicine specialists provided education about the importance of exercise and diet to prevent frailty, and provided individual health counseling if requested.

On the next day (visit 1), entomologists provided the pet insects. Based on a previous study, the oriental garden cricket (Teleogryllus emma) was chosen as the pet insect because its chirping sound is familiar to the elderly and is easy to care for.6 The entomologists provided five to eight adult crickets, shortly after fully grown with wings (Figure 1), and related equipment, including properly designed cages, sufficient fodder, and care instructions. The pet insects were provided to each participant, and to the daycare facility, so that the participants could make contact with the crickets during the whole study period. Every 2 weeks, the participants attended support programs (2 h/session). The five sessions were as follows. (i) visit 1: “how to rear crickets”, “building a cage for the crickets”, (ii) visit 2: “how to get close to crickets”, (iii) visit 3: “the ecology of insects”, (iv) visit 4: “observing the crickets closely”, “how crickets make sounds”, and (v) visit 5: “sharing our experiences with pet insects”. Through weekly phone calls, researchers checked compliance with insect rearing and any inconveniences or side effects related to pet insects.

Figure 1 The lifespan of the oriental garden cricket (Teleogryllus emma). Fully-grown adult crickets, shortly after their wings were grown, were provided to the participants.

During the last visit, the family medicine specialists conducted individual counseling about test results, and also performed follow-up tests.

Physical Performance Tests

In accordance with standardized protocols, trained physicians evaluated physical performance using the timed up-and-go (TUG) test for functional mobility and the handgrip strength test for muscle strength. The TUG test was performed as follows: after showing participants how to do the test, each participant was observed and timed while he/she rose from a standard armchair, walked to a line 3 meters away, turned around, walked back to the chair, and sat down again. After repeating the TUG twice, the average time (s) was noted.13

The handgrip strength test was performed using a digital hand dynamometer (Model EH101, Camry LLC, El Monte, CA, USA). The participant was instructed to sit with his/her shoulders adducted, elbows flexed at 90°, and forearms in a neutral position; they then squeezed the dynamometer with maximum isometric effort for at least 5 seconds, using his/her dominant hand.14 Maximal force (kg), stratified by gender and age, was noted; the average value after two attempts was used.

Psychometric Assessment Tests

The psychometric assessment was conducted by skilled physicians and research assistants via direct interview. The Patient Health Questionnaire-9 (PHQ-9) was used to identify depression. PHQ-9 is a valid and reliable instrument for measuring depression, and the degree of changes in depressive symptoms. A PHQ-9 score lower than 5 is considered normal; a score of 10 or higher is the recommended cut-off score for detecting major depressive disorders.15

The Korea Dementia Screening Questionnaire-Cognition (KDSQ-C) and Mini-Cog test were utilized to evaluate cognitive function. The KDSQ-C is a screening tool for dementia in the elderly, which has high validity and reliability. It comprises 15 cognitive dysfunction items, with a maximum score of 30; a higher score indicates poorer function and greater frequency. The cut-off point of 8 has a sensitivity of 0.75 and specificity of 0.73 for dementia.16,17 The Mini-Cog test, which combines two cognitive tasks (three item word memory and clock drawing), is useful for screening dementia. A total score of five points is calculated by summing the score of the 3 item recall (0–3 points) and clock drawing exercise (0 or 2 points). A cut-off < 3 has been validated for dementia screening.18–20

The Brief Encounter Psychosocial Instrument (BEPSI) was used to measure interactional models of stress. It comprises five items, and the scores for each item (Likert’s scale 1–5 points) are summed to calculate an average. A score < 1.8 corresponds to low stress. The validity of the Korean version of the BEPSI has been reported previously.21–23

The Profile of Mood States (POMS) is an instrument used to identify transient and variable affective states. A total of 65 questions (Likert’s scale, 0–4 points) are divided into six subscales: Tension-Anxiety, Depression-Dejection, Anger-Hostility, Vigor-Activity, Fatigue-Inertia, and Confusion-Bewilderment. The validity and reliability of the Korean version of POMS have been confirmed.24,25

The Insomnia Severity Index (ISI) and average sleep duration for the last 2 weeks were evaluated. The ISI, a screening questionnaire for insomnia, comprises seven items. A total score of 0–7 is interpreted as an absence of insomnia, 8–14 as sub-threshold insomnia, 15–21 as moderate insomnia, and 22–28 as severe insomnia.26,27 Sleep duration was also assessed through an open-ended question: “How many hours did you sleep on an average night during the recent 2 weeks?” Self-reported sleep duration shows good agreement with accelerometer or polysomnography data.28

Laboratory Tests

Laboratory tests were performed using blood samples obtained after an 8 h fast (baseline). The following parameters were measured: high sensitivity C-reactive protein; thyroid function (free T4, thyroid stimulating hormone); hemoglobin A1c; the erythrocyte sedimentation rate; complete blood count; liver function (aspartate aminotransferase, alanine aminotransferase, gamma-glutamyl transferase, total bilirubin, direct bilirubin, albumin, total protein, lactate dehydrogenase); uric acid levels; calcium, phosphorus, and glucose levels; renal function (blood urea nitrogen, creatinine; sodium; potassium); and lipids (total cholesterol, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, triglyceride).

Statistical Analysis

A paired t-test was used to compare data obtained before and after the 8-week intervention. Spearman correlation analysis was utilized to examine the relationships between psychometric tests and physical function. Logistic regression analysis using the forward stepwise selection method was performed to identify factors that contribute significantly to physical performance. A P-value < 0.05 was considered significant. All statistical analyses were performed using the IBM SPSS (version 25.0) program (IBM SPSS Statistics, Armonk, NY, USA).

Results

Baseline Characteristics

A total of 31 elderly subjects were recruited and screened during the enrollment period. After excluding eight participants who withdrew written consent (N = 3) or were lost to follow-up (N = 5), a total of 23 elderly subjects were selected for the final analysis. The mean age was 82.78 years; 78.3{e4f787673fbda589a16c4acddca5ba6fa1cbf0bc0eb53f36e5f8309f6ee846cf} were women; 43.5{e4f787673fbda589a16c4acddca5ba6fa1cbf0bc0eb53f36e5f8309f6ee846cf} lived with one or more cohabitants; 52.2{e4f787673fbda589a16c4acddca5ba6fa1cbf0bc0eb53f36e5f8309f6ee846cf} did not have any formal education; and 30.4{e4f787673fbda589a16c4acddca5ba6fa1cbf0bc0eb53f36e5f8309f6ee846cf} had been diagnosed with hypertension, 13.0{e4f787673fbda589a16c4acddca5ba6fa1cbf0bc0eb53f36e5f8309f6ee846cf} with dyslipidemia, and 69.9{e4f787673fbda589a16c4acddca5ba6fa1cbf0bc0eb53f36e5f8309f6ee846cf} with other comorbidities (including osteoporosis, stroke, stable angina, rheumatoid arthritis, dementia, and malignancies). Laboratory test results were generally fair; none of the subjects had severe abnormal findings that required emergency treatment or hospitalization (Table 1).

Table 1 Baseline Characteristics

Physical Performance

The mean baseline TUG test time (s) was 13.16 ± 6.53. After the intervention, the mean time fell significantly to 12.81 ± 6.22 s (Δ = −0.35 ± 0.73 s, P = 0.034). The mean handgrip strength (kg) test result was 15.81 ± 7.10 kg at baseline, which increased to 16.54 ± 6.67 kg after the intervention (Δ = 0.73 ± 0.99 kg, P = 0.002) (Table 2).

Table 2 Changes in Physical Performance Before and After the 8-Week Pet Insect Intervention

Psychological Assessment

The ISI score for severity of sleep disturbance was 9.48 ± 8.54 at baseline and 6.57 ± 7.12 after the 8-week intervention (Δ = −2.91 ± 5.64, P = −0.021). Average sleep duration (h) was 6.48 ± 2.06 at baseline, increasing to 7.35 ± 1.87 (Δ = 0.87 ± 1.98, P = 0.047) after the intervention. Other psychological tests did not reveal significant changes (Table 3).

Table 3 Changes in Psychological Assessments Before and After the 8-Week Pet Insect Intervention

Relationship Between Psychometric Assessment and Physical Performance Tests

Spearman’s rank correlation coefficient analysis was performed to compare changes in psychometric data and physical performance test results before and after the intervention. There was a positive correlation between the KDSQ-C and TUG test scores (Spearman’s ρ = 0.470, P = 0.024), and a negative correlation between the ISI and handgrip strength test scores (Spearman’s ρ = −0.447, P=0.033). There were no significant correlations between other psychometric assessment and physical performance tests (Table 4).

Table 4 Correlation Between Differences in Psychometric Assessment Scores and Physical Performance Test Scores

Factors Related to Improvements in Physical Performance

Logistic regression analysis using the forward stepwise selection method were conducted using TUG and handgrip strength test data as dependent variables, and other covariates as independent variables. In step 1 of the forward stepwise selection, the baseline ISI score (OR=1.323; 95{e4f787673fbda589a16c4acddca5ba6fa1cbf0bc0eb53f36e5f8309f6ee846cf} CI, 1.025–1.708, P = 0.031) was significantly associated with the probability of positive changes in both the TUG and handgrip strength tests after the intervention. In step 2, the baseline ISI score (OR=1.413; 95{e4f787673fbda589a16c4acddca5ba6fa1cbf0bc0eb53f36e5f8309f6ee846cf} CI, 1.069–1.869, P = 0.015) and the presence of other comorbidities (OR=0.036; 95{e4f787673fbda589a16c4acddca5ba6fa1cbf0bc0eb53f36e5f8309f6ee846cf} CI, 0.002–0.832, P = 0.038) were significantly associated with the probability of positive changes in both the TUG and handgrip strength tests after the intervention (Table 5).

Table 5 Factors Related to Improvements in the Physical Performance of Prefrail and Frail Elderly People After the 8-Week Intervention

Discussion

Frailty is a vulnerable state caused by an age-associated decline in physical and psychological function. It is important to develop an efficacious, cost-effective, and easily applicable intervention for frailty. This study is a single-arm 8-week interventional pilot study designed to assess the efficacy of pet insects on physical function and psychological health among frail and prefrail elderly Koreans. Interestingly, we noted small but significant changes in physical function of the upper and lower extremities, as well as in the quality and duration of sleep, after the individuals spent 8 weeks rearing pet insects. Among various factors, we found that the ISI and the presence of other comorbidities were significantly related to improvements in both the TUG test and handgrip strength. Thus, pet insects are an effective and easily applicable AAI for prefrail and frail elderly people, especially those with sleep disorders.

The TUG and handgrip strength tests are useful for evaluating the frailty of the elderly.29–33 As frailty progresses, the elderly tend to show decreased physical ability and cognitive function, increased fall risk, loss of autonomy, and increased mortality.34–36 In this regard, evaluating frailty can allow provision of targeted treatment options; thus diagnosis and evaluation of frailty are of clinical importance. The TUG is an easily applicable, reliable, and time-efficient method of assessing physical performance and mobility.37 The reference values for the elderly are 8.1 seconds for those in their 60s, 9.2 seconds for those in their 70s, and 11.3 for those in their 80s−90s.38 Handgrip strength is a tool for assessing physical performance and detecting poor mobility among the elderly; low handgrip strength might be associated with cognitive decline.39,40

The cut-off values for low handgrip strength are <26−30 kg for men and <16–20 kg for women.41 The participants in this study are older, frailer, and have more comorbidities than those in previous studies, as indicated by the TUG (13.16 s) and handgrip strength (15.81 kg) results, which were below the reference values. Therefore, the results of this study are meaningful because they reflect the effect of rearing pet insects on the physical and mental status of vulnerable elderly people.

AAI has a positive influence on the physical function of older adults. Older adult pet-owners have fewer limitations with regard to ADL, fewer visits to a doctor, engage in more frequent physical exercise, and have a more heightened sense of community.42,43 Despite these benefits, mammals such as dogs and cats may be associated with an increased risk of falls, injuries, and infectious diseases.8 In this regard, pet insects are a safe and effective choice for improving the physical function of vulnerable older adults. The frail adults in this study showed a significant improvement in both the TUG and handgrip strength tests after the intervention. The possible reasons for these results are as follows. First, animal-human interaction using pet insects may improve cognitive function through the focus required to care for and feed them regularly, or arrange/clean their environment.6,7 In addition, animal-human interactions improve emotional health; indeed, pet insects might have certain benefits with respect to improving cognitive function.8 Considering that maintaining balance and mobility is closely linked to complex integration and coordination, including cognitive and motor processes,44 the improvement in physical functions noted in this study are reasonable. Second, impairment of balance and mobility are associated with decreased balance confidence.44 AAI with pet insects could increase balance confidence by motivating the elderly to perform more daily physical activity and to attempt new tasks, including feeding and rearing pets. Third, the TUG and handgrip strength tests are good indicators of sarcopenia. Although rearing insects does not need a strong physical effort, it requires sophisticated executive activities to handle the small insects. Executive function activities are related to attention, problem-solving, and working memory. In a previous study, the rearing of pet insects had an advantageous effect on executive function in older women.7 Improvements in TUG and handgrip strength might reflect increased daily physical activity involving both the upper and lower extremities.

The ISI score decreased and sleep duration increased, which were significant improvements; indeed, the environment, nutritional status, and amount of activity affect regular sleep patterns.45,46 A previous study involving 100 elderly people in nursing homes showed that AAI has a transient beneficial effect on sleep duration.46 AAI has beneficial effects in that it encourages the elderly to move more as they care for their pets; these improvements might help sleep patterns. However, we found no significant changes in other psychological parameters, including depression, cognitive function, stress, or mood. Although changes were generally positive, the number of participants was too small to achieve statistical significance. Further studies with a larger study population are warranted.

One interesting result of this study was that changes in KDSQ-C correlated positively with the TUG, and changes in ISI correlated negatively with handgrip strength. A previous observational study used measurements of sleep and physical performance to show an association between sleep behaviors and neuromuscular performance in older women; shorter sleep duration and longer waking time at night are related to a greater risk of poorer physical performance.47 Physical function is linked closely to psychological health; thus cognitive function and sleep should be considered when providing appropriate medical services for the frail elderly.

Logistic regression analysis, using all factors as dependent variables, was conducted to identify factors associated with significant improvement in physical function after the intervention. It turned out that the baseline ISI score, as well as comorbidities (osteoporosis, stroke, stable angina, rheumatoid arthritis, dementia, malignancies), were all related factors. Baseline ISI was associated with a higher probability of improved physical performance, whereas the presence of other comorbidities was associated with a lower probability. In other words, elderly people with insomnia, but without complicating comorbidities, are more likely to show improved physical function after AAI using pet insects. This is interesting since the participants in the present study showed a significant improvement in physical function, ISI, and sleep duration after the intervention. Considering that elderly people with psychoneurological diseases show improved sleep patterns and reduced anxiety after AAI,48,49 and that anxiety and insomnia are closed linked mental disorders,50 AAI might improve physical performance by improving mental health. This result suggests that AAI will have beneficial effects on the physical and psychological health of mobile frail patients without advanced disease.

This study has several limitations. First, the number of participants was small and there was no control group. The period of recruitment coincided with the COVID-19 pandemic period, and social distancing measures had strengthened. This restricted the recruitment numbers. Thus, this study was designed as a pilot study prior to further randomized controlled trials. Second, we could not perform laboratory tests after the intervention because only a limited number of researchers were allowed to revisit the facility. Third, the 8 week study period was relatively short. A short study duration may not be sufficient to confirm improvements in physical and psychological function after AAI. However, this period was inevitable because in general crickets live only for up to 2 months. Further studies with extended study periods are needed using different pet insects which have longer life expectancies.

Despite these limitations, this study has certain strengths. To the best of our knowledge, it is the first study to assess the effects of AAI using pet insects on both the physical and psychological function of the frail elderly people. Furthermore, various biomarkers were utilized to obtain objective baseline characteristics, despite the COVID-19 pandemic.

Conclusion

In conclusion, this pilot study provides evidence that pet insects are an effective AAI and have beneficial effects on the physical function and sleep patterns of prefrail and frail elderly people. It is expected that frail elderly people with sleep disorders, but without complicated comorbidities, are more likely to benefit from AAI. AAI using pet insects is easily applicable, cost-effective, less space occupying, and simple. Further randomized controlled trials of AAI using pet insects, with larger diverse populations and extended study periods, are necessary.

Acknowledgments

This study was supported by the Cooperative Research Program for Agricultural Science & Technology Development (Project No. PJ0157382021), Rural Development Administration, Republic of Korea.

Disclosure

The authors report no conflicts of interest in this work.

References

1. Xue QL. The frailty syndrome: definition and natural history. Clin Geriatr Med. 2011;27(1):1–15. doi:10.1016/j.cger.2010.08.009

2. Statistics Korea. Statistics report about the elderly; 2020. Available from: http://kostat.go.kr. Accessed December 15, 2022.

3. Chi J, Chen F, Zhang J, et al. Impacts of frailty on health care costs among community-dwelling older adults: a meta-analysis of cohort studies. Arch Gerontol Geriatr. 2021;94:104344. doi:10.1016/j.archger.2021.104344

4. Cherniack EP, Cherniack AR. The benefit of pets and animal-assisted therapy to the health of older individuals. Curr Gerontol Geriatr Res. 2014;2014:623203. doi:10.1155/2014/623203

5. Charry-Sánchez JD, Pradilla I, Talero-Gutiérrez C. Animal-assisted therapy in adults: a systematic review. Complement Ther Clin Pract. 2018;32:169–180. doi:10.1016/j.ctcp.2018.06.011

6. Ko HJ, Youn CH, Kim SH, Kim SY. Effect of pet insects on the psychological health of community-dwelling elderly people: a single-blinded, randomized, controlled trial. Gerontology. 2016;62(2):200–209. doi:10.1159/000439129

7. Park JY, Ko HJ, Kim AS, et al. Effects of Pet Insects on Cognitive Function among the Elderly: an fMRI Study. J Clin Med. 2019;8(10):1705. doi:10.3390/jcm8101705

8. Gee NR, Mueller MK, Curl AL. Human-Animal Interaction and Older Adults: an Overview. Front Psychol. 2017;8:1416. doi:10.3389/fpsyg.2017.01416

9. Jung HW, Yoo HJ, Park SY, et al. The Korean version of the FRAIL scale: clinical feasibility and validity of assessing the frailty status of Korean elderly. Korean J Intern Med. 2016;31(3):594–600. doi:10.3904/kjim.2014.331

10. Won CW, Yang KY, Rho YG, et al. The Development of Korean Activities of Daily Living(K-ADL) and Korean Instrumental Activities of Daily Living(K-IADL) Scale. J Korean Geriatr Soc. 2002;6(2):107–120.

11. Oken MM, Creech RH, Tormey DC, et al. Toxicity and response criteria of the Eastern Cooperative Oncology Group. Am J Clin Oncol. 1982;5(6):649–655. doi:10.1097/00000421-198212000-00014

12. Morris JC. The Clinical Dementia Rating (CDR): current version and scoring rules. Neurology. 1993;43(11):2412–2414. doi:10.1212/wnl.43.11.2412-a

13. Podsiadlo D, Richardson S. The timed “Up & Go”: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39(2):142–148. doi:10.1111/j.1532-5415.1991.tb01616.x

14. Roberts HC, Denison HJ, Martin HJ, et al. A review of the measurement of grip strength in clinical and epidemiological studies: towards a standardised approach. Age Ageing. 2011;40(4):423–429. doi:10.1093/ageing/afr051

15. Manea L, Gilbody S, McMillan D. Optimal cut-off score for diagnosing depression with the Patient Health Questionnaire (PHQ-9): a meta-analysis. CMAJ. 2012;184(3):E191–6. doi:10.1503/cmaj.110829

16. Kim A, Kim S, Park KW, et al. Reliability and validity of a short form of the Korean dementia screening questionnaire-cognition. JCN. 2019;16(1):145–153. doi:10.3988/jcn.2020.16.1.145

17. Lee SJ, Han JH, Hwang JW, Paik JW, Han C, Park MH. Screening for normal cognition, mild cognitive impairment, and dementia with the Korean dementia screening questionnaire. Psychiatry Investig. 2018;15(4):384–389. doi:10.30773/pi.2017.08.24

18. Borson S, Scanlan JM, Chen P, Ganguli M. The Mini-Cog as a screen for dementia: validation in a population-based sample. J Am Geriatr Soc. 2003;51(10):1451–1454. doi:10.1046/j.1532-5415.2003.51465.x

19. Borson S, Scanlan JM, Watanabe J, Tu SP, Lessig M. Improving identification of cognitive impairment in primary care. Int J Geriatr Psychiatry. 2006;21(4):349–355. doi:10.1002/gps.1470

20. Lessig MC, Scanlan JM, Nazemi H, Borson S. Time that tells: critical clock-drawing errors for dementia screening. Int Psychogeriatrics. 2008;20(3):459–470. doi:10.1017/s1041610207006035

21. Huh BY, Yim JH, Bae JM, Choi SS, Kim SW, Hwang HS. The Validity of Modified Korean – translated BEPSI (Brief Encounter Psychosocial Instrument) as instrument of stress measurement in outpatient clinic. J Korean Acad Fam Med. 1996;17(1):42–53.

22. Shin HC. Measuring stress with questionnaires. JKMA. 2013;56(6):485–495. doi:10.5124/jkma.2013.56.6.485

23. Frank SH, Zyzanski SJ. Stress in the clinical setting: the Brief Encounter Psychosocial Instrument. J Fam Pract. 1988;26(5):533–539.

24. Searight HR, Montone K. Profile of Mood States. In: Zeigler-Hill V, Shackelford TK, editors. Encyclopedia of Personality and Individual Differences. Springer International Publishing; 2020:4057–4062.

25. Kim E-J, Lee S-I, Jeong D-U, Shin M-S, Yoon I-Y. Standardization and Reliability and Validity of the Korean Edition of Profile of Mood States (K-POMS). Sleep Med Psychophysiol. 2003;10(1):39–51.

26. Bastien CH, Vallières A, Morin CM. Validation of the Insomnia Severity Index as an outcome measure for insomnia research. Sleep Med. 2001;2(4):297–307. doi:10.1016/s1389-9457(00)00065-4

27. Morin CM, Belleville G, Bélanger L, Ivers H. The Insomnia Severity Index: psychometric indicators to detect insomnia cases and evaluate treatment response. Sleep. 2011;34(5):601–608. doi:10.1093/sleep/34.5.601

28. van Hees VT, Sabia S, Anderson KN, et al. A novel, open access method to assess sleep duration using a wrist-worn accelerometer. PLoS One. 2015;10(11):e0142533. doi:10.1371/journal.pone.0142533

29. Ansai JH, Farche ACS, Rossi PG, de Andrade LP, Nakagawa TH, Takahashi ACM. Performance of Different Timed Up and Go Subtasks in Frailty Syndrome. J Geriatr Phys Ther. 2019;42(4):287–293. doi:10.1519/jpt.0000000000000162

30. Greene BR, Doheny EP, O’Halloran A, Anne Kenny R. Frailty status can be accurately assessed using inertial sensors and the TUG test. Age Ageing. 2014;43(3):406–411. doi:10.1093/ageing/aft176

31. Morley JE, Vellas B, van Kan GA, et al. Frailty consensus: a call to action. J Am Med Dir Assoc. 2013;14(6):392–397. doi:10.1016/j.jamda.2013.03.022

32. Savva GM, Donoghue OA, Horgan F, O’Regan C, Cronin H, Kenny RA. Using timed up-and-go to identify frail members of the older population. J Gerontol a Biol Sci Med Sci. 2013;68(4):441–446. doi:10.1093/gerona/gls190

33. Bohannon RW. Hand-grip dynamometry predicts future outcomes in aging adults. J Geriatr Phys Ther. 2008;31(1):3–10. doi:10.1519/00139143-200831010-00002

34. Arai H, Satake S, Kozaki K. Cognitive Frailty in Geriatrics. Clin Geriatr Med. 2018;34(4):667–675. doi:10.1016/j.cger.2018.06.011

35. Clegg A, Young J, Iliffe S, Rikkert MO, Rockwood K. Frailty in elderly people. Lancet. 2013;381(9868):752–762. doi:10.1016/s0140-6736(12)62167-9

36. Benzinger P, Eidam A, Bauer JM. Klinische Bedeutung der Erfassung von Frailty [Clinical importance of the detection of frailty]. Z Gerontol Geriatr. 2021;54(3):285–296. Germen. doi:10.1007/s00391-021-01873-z

37. Jung HW, Kim S, Jang IY, Shin DW, Lee JE, Won CW. Screening Value of Timed Up and Go Test for Frailty and Low Physical Performance in Korean Older Population: the Korean Frailty and Aging Cohort Study (KFACS). Ann Geriatric Med Res. 2020;24(4):259–266. doi:10.4235/agmr.20.0072

38. Bohannon RW. Reference values for the timed up and go test: a descriptive meta-analysis. J Geriatr Phys Ther. 2006;29(2):64–68. doi:10.1519/00139143-200608000-00004

39. Chou MY, Nishita Y, Nakagawa T, et al. Role of gait speed and grip strength in predicting 10-year cognitive decline among community-dwelling older people. BMC Geriatr. 2019;19(1):186. doi:10.1186/s12877-019-1199-7

40. Ramírez-Vélez R, Sáez de Asteasu ML, Martínez-Velilla N, Zambom-Ferraresi F, García-Hermoso A, Izquierdo M. Handgrip Strength as a Complementary Test for Mobility Limitations Assessment in Acutely Hospitalized Oldest Old. Rejuvenation Res. 2021;24(3):213–219. doi:10.1089/rej.2020.2344

41. Lee SH, Gong HS. Measurement and Interpretation of Handgrip Strength for Research on Sarcopenia and Osteoporosis. J Bone Metab. 2020;27(2):85–96. doi:10.11005/jbm.2020.27.2.85

42. Curl AL, Bibbo J, Johnson RA, Walking D. the Human-Animal Bond and Older Adults’ Physical Health. Gerontologist. 2017;57(5):930–939. doi:10.1093/geront/gnw051

43. Toohey AM, McCormack GR, Doyle-Baker PK, Adams CL, Rock MJ. Dog-walking and sense of community in neighborhoods: implications for promoting regular physical activity in adults 50 years and older. Health Place. 2013;22:75–81. doi:10.1016/j.healthplace.2013.03.007

44. Olsen C, Pedersen I, Bergland A, Enders-Slegers M-J, Ihlebæk C. Effect of animal-assisted activity on balance and quality of life in home-dwelling persons with dementia. Geriatr Nurs (Minneap). 2016;37(4):284–291. doi:10.1016/j.gerinurse.2016.04.002

45. Crispim CA, Zimberg IZ, Dos Reis BG, Diniz RM, Tufik S, de Mello MT. Relationship between food intake and sleep pattern in healthy individuals. J Clin Sleep Med. 2011;7(6):659–664. doi:10.5664/jcsm.1476

46. Thodberg K, Sørensen LU, Christensen JW, et al. Therapeutic effects of dog visits in nursing homes for the elderly. Psychogeriatrics. 2016;16(5):289–297. doi:10.1111/psyg.12159

47. Goldman SE, Stone KL, Ancoli-Israel S, et al. Poor Sleep is Associated with Poorer Physical Performance and Greater Functional Limitations in Older Women. Sleep. 2007;30(10):1317–1324. doi:10.1093/sleep/30.10.1317

48. Veilleux A. Benefits and challenges of animal-assisted therapy in older adults: a literature review. Nursing Standard. 2021;36(1):28–33. doi:10.7748/ns.2020.e11625

49. Mossello E, Ridolfi A, Mello AM, et al. Animal-assisted activity and emotional status of patients with Alzheimer’s disease in day care. Int Psychogeriatrics. 2011;23(6):899–905. doi:10.1017/s1041610211000226

50. Palagini L, Hertenstein E, Riemann D, Nissen C. Sleep, insomnia and mental health. J Sleep Res. 2022;31(4):e13628. doi:10.1111/jsr.13628