Effects of Tai Chi on Cerebral Hemodynamics and Health-Related Outcomes in Older Community Adults at Risk of Ischemic Stroke: A Randomized Controlled Trial

Zheng, Guohua; Zheng, Xin; Li, Junzhe; Duan, Tingjin; Ling, Kun; Tao, Jing; Chen, Lidian

doi:10.1123/japa.2018-0232

Cited by 9 publications

(5 citation statements)

References 46 publications

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“…Studies have shown that the cerebral cortex is in a "relaxed" state when practising tai chi, which is a state of protective inhibition that can reduce the excitability of the sympathetic nervous system, leading to a decrease in norepinephrine and epinephrine, which, in turn, can reduce vasoconstrictive enzyme activity. During tai chi, the tissue is stimulated to release histamine, irritants and other substances, which relaxes the blood vessels and reduces BP (13). One study showed that tai chi promoted health, prevented disease, and had a positive effect on arterial stiffness and static/dynamic balance (15).…”

Section: Summary Of the Main Resultsmentioning

confidence: 99%

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Effects of Tai Chi on essential hypertension and related risk Factors: A meta-analysis of randomized controlled trials

Guan

Yang²,

Guan³

et al. 2020

J Rehabil Med

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Physical exercise is an important part of hypertension management. The impact of different training styles and durations of tai chi on essential hypertension has not been evaluated to date. The aim of this systematic review was to assess the existing literature on the impact of tai chi in patients with essential hypertension. Background: Physical exercise is an important part of hypertension management. The impact of different training styles and durations of tai chi on essential hypertension has not been evaluated to date. Objective: To analyse the influence of tai chi on blood pressure and related risk factors in patients with essential hypertension. Methods: A systematic review to assess the existing literature on the impact of tai chi in patients with essential hypertension. Randomized controlled trials were identified in Chinese and English databases to study the impact of tai chi on essential hypertension. Two reviewers selected studies independently of each other. Qualified trials were selected and their methodological quality critically evaluated. Results: Thirteen trials were included in the analysis. Following tai chi there was a significant difference between intervention and control groups with regard to change in systolic blood pressure (SBP) (weighted mean difference = −6.58, 95% confidence interval (95% CI) (−8.14, −5.02), p = 0.005) and diastolic blood pressure (DBP) (standardized mean difference = −0.57, 95% CI (−0.77, −0.37), p < 0.0001). Taking into account the subgroup analyses, the combined results showed that 24-movement or yang-style tai chi significantly reduced both systolic and diastolic blood pressure over a period ≤ 12 weeks or > 12 weeks in all studies. However, other styles of tai chi did not significantly reduce systolic or diastolic blood pressure after a duration ≤ 12 weeks. Conclusion: Tai chi is an effective physical exercise in treating essential hypertension compared with control interventions. Different training durations and styles have different effects. Further randomized controlled trials are needed into the use of tai chi for the treatment and prevention of essential hypertension and other related chronic diseases.

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Section: Summary Of the Main Resultsmentioning

confidence: 99%

“…It is considered a pleasurable activity that combines meditation with gentle movements (10). A growing body of research has shown that tai chi strengthens the joints, modulates pressure receptors in the aortic arch and carotid sinus, and has a role in lowering BP and expanding the coronary arteries (11)(12)(13).…”

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confidence: 99%

Effects of Tai Chi on essential hypertension and related risk Factors: A meta-analysis of randomized controlled trials

Guan

Yang²,

Guan³

et al. 2020

J Rehabil Med

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“…Aerobic activities can mitigate or even reverse arterial stiffness by fostering arterial remodeling, reducing sympathetic nervous activity, and enhancing cerebrovascular hemodynamics. A study by Zheng et al ( 23 ) found that a 12-week Tai Chi program offers potential benefits for cerebrovascular hemodynamics in elderly individuals at risk of stroke. Moreover, peak oxygen uptake, a prime measure of aerobic capacity and a key predictor of mortality in cardiovascular disease, is approximately 20% higher in Tai Chi practitioners than in inactive individuals.…”

Section: Discussionmentioning

confidence: 99%

Bibliometric analysis of traditional Chinese exercises in stroke rehabilitation from 2003 to 2022 using CiteSpace

Li,

Wang

2024

Front. Neurol.

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BackgroundA comprehensive analysis was conducted on the relevant literature pertaining to the application of traditional Chinese exercises in stroke rehabilitation over the past 20 years. Additionally, a scientific knowledge map was created to elucidate the current research status, investigate its development process and research trends, and offer novel research perspectives for future studies.MethodsThe data is sourced from the WOS Core Collection, and CiteSpace software is used to analyze the relevant literature on traditional Chinese exercises in stroke rehabilitation. The analysis began with the selection of publications, countries, institutions, highly cited authors, and co-cited references to summarize the current research status of traditional exercises in stroke rehabilitation. Second, keywords were employed to identify research hotspots, and keyword clustering time zone diagrams were chosen to track the research development process. Finally, burst keywords were employed to explore the research frontiers and trends in this field.ResultsIn total, 937 documents were retrieved, and the annual publication volume consistently and sustainably increased. China and the USA emerged as significant contributors. The Chinese University of Hong Kong had the highest publication count, with ADA L from the University of Sydney being a highly cited author. Initially, keywords focused on cardiac output, blood flow, pressure, and performance. Over time, the focus shifted to heart failure, muscle strength, mortality, and exercise capacity. Current trends encompass outcome, impact, virtual reality, and anxiety.ConclusionIntegrating key elements of traditional exercise approaches with the specific attributes of movement disorders during the stroke recovery phase is essential. Therefore, enhancing the stroke rehabilitation training program and exploring novel avenues for traditional exercise-based interventions are critical.

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“…Individuals with cardiovascular diseases, including stroke, are recommended to engage in physical activity [ 36 ], which has been associated with the incidence of stroke in adults [ 37 ]. An RCT involving older adults at high risk for ischemic stroke revealed that 12 weeks of tai chi training significantly reduced FBG levels compared to the usual physical activity (control group) ( n = 170) [ 31 ], suggesting that tai chi training provides sufficient improvements in glycemic control of elderly people at high risk for ischemic stroke. Genetic predisposition has been considered one of the major risk factors for diabetes [ 38 , 39 , 40 , 41 , 42 ].…”

Section: Potential Effects Of Mbi On Glycemic Controlmentioning

confidence: 99%

Utilization of Mind–Body Intervention for Integrative Health Care of COVID-19 Patients and Survivors

Yang

Setou

Koh

2022

IJERPH

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Recent findings suggest a correlation between COVID-19 and diabetes, although the underlying causes are still little understood. COVID-19 infection tends to induce severe symptoms in patients with underlying diabetes, increasing their mortality rate. Moreover, COVID-19 itself appears to be a diabetogenic factor. In addition, mental health conditions, such as depression due to lockdown and anxiety about infection, were found to affect glycemic control and immunity, highlighting the importance of mental health care during the pandemic. Mind–Body Intervention (MBI), which includes meditation, yoga, and qigong, has emerged as a tool for mental health management due to its effects on stress reduction and the promotion of mental and physical well-being. Here, we review the latest randomized controlled trials to determine the effects of MBI on glycemic control and the immune system and discuss the underlying mechanisms by which MBI facilitates the virtuous cycle of stress management, glycemic control, and immune modulation. Furthermore, we examine the actual utilization of MBI during the COVID-19 pandemic era through recent studies. With proper online education, non-pharmacological MBI may be more widely used as an important tool for self-health care that complements the usual treatment of COVID-19 patients and survivors.

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Effects of Tai Chi on Cerebral Hemodynamics and Health-Related Outcomes in Older Community Adults at Risk of Ischemic Stroke: A Randomized Controlled Trial

Cited by 9 publications

References 46 publications

Effects of Tai Chi on essential hypertension and related risk Factors: A meta-analysis of randomized controlled trials

Effects of Tai Chi on essential hypertension and related risk Factors: A meta-analysis of randomized controlled trials

Bibliometric analysis of traditional Chinese exercises in stroke rehabilitation from 2003 to 2022 using CiteSpace

Utilization of Mind–Body Intervention for Integrative Health Care of COVID-19 Patients and Survivors

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