Current Evidence on Traditional Chinese Exercises for Quality of Life in Patients With Essential Hypertension: A Systematic Review and Meta-Analysis

Author: Yang Song1,2,3, Jialin Li4, Bíró István2,3, Rongrong Xuan4,5, Sheng Wei6, Guanghui Zhong6, Yaodong Gu1
1 Faculty of Sports Science, Ningbo University, Ningbo, China.
2 Doctoral School of Safety and Security Sciences, Obuda University, Budapest, Hungary.
3 Faculty of Engineering, University of Szeged, Szeged, Hungary.
4 Medical School of Ningbo University, Ningbo University, Ningbo, China.
5 The Affiliated Hospital of Medical School, Ningbo University, Ningbo, China.
6 Ningbo Municipal Hospital of T.C.M., Ningbo, China.
Conference/Journal: Front Cardiovasc Med
Date published: 2021 Jan 20
Other: Volume ID: 7 , Pages: 627518 , Special Notes: doi: 10.3389/fcvm.2020.627518. , Word Count: 259

Essential hypertension is one of the most common chronic diseases seen in primary human health care that could lead to various health problems and reduce the quality of life (QOL). This study was performed to evaluate the effects of traditional Chinese exercises (TCE) on QOL in patients with essential hypertension. Three English databases and one Chinese database were searched for randomized controlled trials (RCTs) until August 2020. A total of 13 RCTs with 1,361 hypertensive patients met the inclusion criteria, 10 trials employed Tai Chi and 3 trials employed Qigong, including Dongeui Qinggong, Yijinjing, and Wuqinxi. Despite a large heterogeneity within studies, it is demonstrated that TCE may be an effective therapy to improve the QOL of hypertensive patients. More specific, compared with no intervention, the meta-analysis presented that Tai Chi significantly improved both the physical and mental component of the 36-item short-form health survey (SF-36) QOL scale, and it was found that the simplified 24-form Tai Chi with a frequency of 30-50 min per session at five to eight sessions per week was the most commonly used setting. The pooling also revealed that Tai Chi and Qigong had some significantly positive effects on QOL based on other scales. However, more rigorously designed RCTs are warranted for further verification. This systematic review and meta-analysis of RCTs demonstrated that Tai Chi may be an effective therapy to improve the QOL of patients with essential hypertension. All these findings provide helpful information for hypertensive patients and medical personnel.

Keywords: essential hypertension; meta-analysis; quality of life; randomized controlled trial; traditional Chinese exercises.

PMID: 33553269 PMCID: PMC7854897 DOI: 10.3389/fcvm.2020.627518