Author: Liang H1, Luo S2, Chen X1, Lu Y1, Liu Z3, Wei L4
Affiliation: <sup>1</sup>School of Nursing, Guangzhou University of Chinese Medicine, No.232 Waihuan East Road, Higher Education Mega Center, Panyu District, Guangzhou 510006, Guangdong, China.
<sup>2</sup>Department of Joint Surgery, The First People's Hospital of Chenzhou, University of South China, Nanta Road 102, Beihu District, Chenzhou 423000, Hunan, China.
<sup>3</sup>Department of Neurology, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Dade Road 111, Yuexiu District, Guangzhou 510120, Guangdong, China.
<sup>4</sup>Department of Neurology, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Dade Road 111, Yuexiu District, Guangzhou 510120, Guangdong, China. Electronic address: weilin22@gzucm.edu.cn.
Conference/Journal: Heart Lung.
Date published: 2020 Mar 11
Other:
Pages: S0147-9563(20)30055-8 , Special Notes: doi: 10.1016/j.hrtlng.2020.02.041. [Epub ahead of print] , Word Count: 246
BACKGROUND: Hypertension is the major attributable risk factor for cardiovascular disease. The effect of Tai Chi on essential hypertension (EH) is contentious.
OBJECTIVES: In this study, we investigated the effects of Tai Chi on the risk factors for cardiovascular disease and quality of life in adults with EH.
METHODS: Using data collected from 15 databases up to December 2018, we meta-analyzed randomized controlled trials of the effect of Tai Chi on EH.
RESULTS: Tai Chi exercise was associated with lower systolic blood pressure (SBP) (WMD -12.47, 95%CI -16.00 to -8.94, P < 0.001) and diastolic blood pressure (DBP) (WMD -6.46, 95%CI -8.28 to -4.64, P < 0.001); better quality of life (SMD 0.62, 95% CI 0.35 to 0.90, P < 0.001); lower lipid profiles, including total cholesterol (WMD -0.49, 95% CI -0.62 to -0.37, P < 0.001), triglycerides (WMD -0.49, 95% CI -0.92 to -0.07, P = 0.02), and low-density lipoprotein-cholesterol (LDL-C) (WMD -0.86, 95% CI -1.30 to -0.43, P < 0.001); and lower blood glucose (WMD -0.91, 95% CI -1.59 to -0.23, P = 0.009). Tai Chi had no significant effect on high-density lipoprotein-cholesterol (WMD -0.92, 95% CI -2.21 to -0.37, P = 0.16).
CONCLUSIONS: Tai Chi lowers blood pressure, total cholesterol, triglycerides, LDL-C, and blood glucose and significantly increases the quality of life in adults with EH. There is strong evidence for the short-term efficacy of Tai Chi exercises. Larger well-designed RCTs focused on the long-term effect of Tai Chi exercises and patient adherence are needed.
Copyright © 2020. Published by Elsevier Inc.
KEYWORDS: Cardiovascular disease; Essential hypertension; Meta-analysis; Quality of life; Tai Chi
PMID: 32171586 DOI: 10.1016/j.hrtlng.2020.02.041