Effect of Tai Chi on Cardiac and Static Pulmonary Function in Older Community-Dwelling Adults at Risk of Ischemic Stroke: A Randomized Controlled Trial

作     者：ZHENG Guo-hua ZHENG Xin LI Jun-zhe DUAN Ting-jin TAO Jing CHEN Li-dian 

作者机构：College of Nursing and Health Management Shanghai University of Medicine and Health Sciences Shanghai (201318) China College of Rehabilitation Medicine Fujian University of Traditional Chinese Medicine Fuzhou (350122)China Department of Physical Education Fujian University of Traditional Chinese Medicine Fuzhou (350122)China Fujian Key Laboratory of Rehabilitati on Tech no logy Fujia n Un iversity of Traditional Chinese Medicine Fuzhou (350122)China Collaborative Inno vation Cen ter for Rehabilitati on Tech no logy Fujian University of Traditional Chinese Medicine Fuzhou (350122)China 

出 版 物：《Chinese Journal of Integrative Medicine》 (中国结合医学杂志（英文版）)

年 卷 期：2019年第25卷第8期

页      面：582-589页

核心收录：

学科分类：1007[医学-药学(可授医学、理学学位)] 1005[医学-中医学] 1002[医学-临床医学] 10[医学] 

基　　金：Supported by the Study of Traditional Chinese Mind-Body Exercise(No.X2012002-Cooperation) the Social Development Guidance Project of Fujian Province(No.2014Y0031) 

主　　题：tai chi cardiac structure and function static lung function ischemic stroke randomized controlled trial 

摘      要：Objective: To evaluate the effect of tai chi exercise on cardiac and static lung function for older community-dwelling adults at risk of ischemic stroke. Methods: A total of 170 older community-dwelling adults (aged 55–75 years old) at risk of ischemic stroke were allocated to either tai chi training group (85 cases, five 60-min sessions of tai chi training per week for 12 weeks) or control group (85 cases, usual pbysical activity for 12 weeks) using a computer-generated randomization. The echocardiographic parameters of cardiac structure, cardiac function and static lung function were measured at baseline, after 12 weeks of intervention and additional 12-week follow-up period by a blinded professional staff member using a color Doppler ultrasound imaging device or a cardiopulmonary function instrument. The t test and linear mixed model based on the intention-to-treat analysis principle was used to calculate the effect. The adverse effect was observed. Results: Most of echocardiographic parameters on the cardiac structure, cardiac function and static lung function between the tai chi group and control group did not have a significant difference either post 12-week intervention or additional 12-week follow-up period. Only three parameters involving in right ventricular diameter (P=0.024), main pulmonary artery diameter (P=0.002) and vital capacity maximum (P=0.036) were beneficial to be improved in the tai chi group compared to the control group by the analysis of mixed linear model. No adverse effects were found during the intervention period. Conclusions: The 12-week tai chi exercise did not have an obvious beneficial effect on cardiac structure, cardiac function and static lung function in older community-dwelling adults at risk of ischemic stroke.(Trial registration No. ChiCTR-TRC-13003601)