Community-Based Mind-Body Meditative Tai Chi Program and Its Effects on Improvement of Blood Pressure, Weight, Renal Function, Serum Lipoprotein, and Quality of Life in Chinese Adults With Hypertension

Community-Based Mind-Body Meditative Tai Chi Program and Its Effects on Improvement of Blood Pressure, Weight, Renal Function, Serum Lipoprotein, and Quality of Life in Chinese Adults With Hypertension
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DOI:
10.1016/j.amjcard.2015.07.012
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发表时间:
2015-10-01
影响因子:
2.8
通讯作者:
Buys, Nicholas
Buys, Nicholas
中科院分区:
医学3区
文献类型:
--
作者:
Sun, Jing;Buys, Nicholas

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肥胖、代谢综合征、血脂异常和生活质量差是与高血压相关的常见疾病,高血压的发病率与年龄有关。然而,一个有效的计划,以预防高血压和改善生物医学因素和生活质量还没有得到充分的检查或评估在中国老年人。本研究旨在探讨太极拳运动对改善中国老年人高血压及其相关危险因素(如血脂异常、高血糖和生活质量)患者健康状况的有效性。采用随机研究设计。在干预结束时,266名患者仍留在研究中。根据世界糖尿病协会2002年标准测量血压和生物医学因素。标准化生活质量测量用于测量健康相关的生活质量。研究发现,太极拳改善老年人高血压的方案可有效降低血压和体重指数,维持正常的肾功能,并改善与健康相关的生活质量的身体健康。它没有改善现有的代谢综合征水平,血脂水平(血脂异常)或空腹血糖水平(高血糖症),以防止生物医学风险因素的进一步恶化。总之,太极拳是有效的管理与中国老年人高血压相关的一些危险因素。未来的研究应该研究太极拳和营养干预的结合,以进一步降低生物医学风险的水平。(C)2015 Elsevier Inc. All rights reserved.
Obesity, metabolic syndrome, dyslipidemia, and poor quality of life are common conditions associated with hypertension, and incidence of hypertension is age dependent. However, an effective program to prevent hypertension and to improve biomedical factors and quality of life has not been adequately examined or evaluated in Chinese older adults. This study aims to examine the effectiveness of a Tai Chi program to improve health status in participants with hypertension and its related risk factors such as dyslipidemia, hyperglycemia, and quality of life in older adults in China. A randomized study design was used. At the conclusion of the intervention, 266 patients remained in the study. Blood pressure and biomedical factors were measured according to the World Diabetes Association standard 2002. A standardized quality-of-life measure was used to measure health-related quality of life. It was found that a Tai Chi program to improve hypertension in older adults is effective in reducing blood pressure and body mass index, maintaining normal renal function, and improving physical health of health-related quality of life. It did not improve existing metabolic syndrome levels, lipid level (dyslipidemia) or fasting glucose level (hyperglycemia), to prevent further deterioration of the biomedical risk factors. In conclusion, Tai Chi is effective in managing a number of risk factors associated with hypertension in Chinese older adults. Future research should examine a combination of Tai Chi and nutritional intervention to further reduce the level of biomedical risks. (C) 2015 Elsevier Inc. All rights reserved.