The effect of tai chi exercise on blood pressure: a systematic review.
The effect of tai chi exercise on blood pressure: a systematic review.
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DOI：
10.1111/j.1751-7141.2008.07565.x
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发表时间：
2008-03
期刊：
影响因子：
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通讯作者：
G. Yeh;Chenchen Wang;P. Wayne;R. Phillips
中科院分区：
文献类型：
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作者：
G. Yeh;Chenchen Wang;P. Wayne;R. Phillips
本文系统地回顾了有关太极拳运动对血压的影响的文献。作者检索了Medline、CAB、Alt HealthWatch、BIOSIS预览、Science Citation Index和EMBASE系统（创建至2007年1月）；研究中医、中国医院知识、中国国家知识基础设施和中国中医药数据库（成立至2005年6月）；并在北京和南京大学的医学图书馆进行了手工检索。以英文或中文发表的以太极检查血压为结果的临床研究被纳入。仅报告急性运动效果的研究被排除在外。数据以标准化方式提取，2名独立调查员评估方法学质量。26项检查有或无心血管疾病患者的研究符合纳入标准：9项随机对照试验，13项非随机研究和4项观察性研究。研究异质性排除了正式的荟萃分析。22项研究（85%）报告太极拳可以降低血压（收缩压降低3- 32mmhg，舒张压降低2- 18mmhg）。5个随机对照试验质量良好（Jadad评分为>或= 3）。无不良反应报告。太极拳运动可以降低血压，作为传统高血压治疗的一种实用的、非药物的辅助手段。
A systematic review of the literature on the effect of tai chi exercise on blood pressure (BP) was performed. The authors searched Medline, CAB, Alt HealthWatch, BIOSIS previews, Science Citation Index, and EMBASE systems (inception through January 2007); researched Chinese Medical, China Hospital Knowledge, China National Knowledge Infrastructure, and China Traditional Chinese Medicine databases (inception to June 2005); and performed hand searches at the medical libraries of Beijing and Nanjing Universities. Clinical studies of tai chi examining BP as an outcome published in English or Chinese were included. Studies reporting only acute exercise effects were excluded. Data were extracted in a standardized manner and 2 independent investigators assessed methodologic quality. Twenty-six studies examining patients with and without cardiovascular conditions met inclusion criteria: 9 randomized controlled trials, 13 nonrandomized studies, and 4 observational studies. Study heterogeneity precluded formal meta-analyses. Twenty-two studies (85%) reported reductions in BP with tai chi (3-32 mm Hg systolic and 2-18 mm Hg diastolic BP reductions). Five randomized controlled trials were of adequate quality (Jadad score > or = 3). No adverse effects were reported. Tai chi exercise may reduce BP and serve as a practical, nonpharmacologic adjunct to conventional hypertension management.