Impact of Tai Chi Yuttari-exercise on arteriosclerosis and physical function in older people

Mori, Kohei; Nomura, Takuo; Akezaki, Yoshiteru; Yamamoto, Ryohei; Iwakura, Hirokazu

doi:10.1016/j.archger.2020.104011

Cited by 8 publications

(6 citation statements)

References 24 publications

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“…Участие пожилых людей в годовой программе занятий восточной гимнастикой (Tai Chi Yuttari-exercise) (1-2 р/нед) способствовало снижению CAVI 8,44 до 8,20 через 6 мес, однако через 1 год существенной разницы не наблюдалось. Авторы считают, что занятия данным видом тренировок необходимо проводить не менее трех раз в неделю для улучшения состояния артериальной стенки [51].…”

Section: влияние медикаментозной терапии и модификации поведения на Caviunclassified

Assessment of Arterial Stiffness Using the Cardio-Ankle Vascular Index – What We Know and What We Strive for

Sumin

Щеглова

2021

Racionalʹnaâ farmakoterapiâ v kardiologii

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Currently, the importance of assessing arterial stiffness as an integral indicator of cardiovascular risk, an indicator of arteriosclerosis, and a predictor of cardiovascular events has been demonstrated. The traditional indicator of arterial stiffness-pulse wave velocity-depends on the level of blood pressure, which makes it difficult to use it for dynamic assessment. The proposed new arterial stiffness index-the cardio-ankle vascular index (CAVI), does not depend on the level of blood pressure and is more convenient in practical use. CAVI has been widely used in clinical medicine for the past 15 years as an index for assessing cardiovascular diseases and risk factors, which has allowed for the expansion and deepening of research on this topic. This review focuses primarily on recent publications and new opportunities for evaluating vascular function using CAVI. The review provides information on solving methodological problems in evaluating CAVI, highlights the relationship between CAVI and future cardiovascular events, and provides cross-sectional data on the Association of CAVI with the presence of cardiovascular diseases and their risk factors. The results of studies on the effect of drug therapy and measures to control risk factors for cardiovascular diseases on CAVI are presented. While it remains unclear how much changes in CAVI over time can affect the forecast, research is currently being conducted in this direction. The use of CAVI also opens up new perspectives in the assessment of cardiovascular interactions, the study of vascular function in vasculitis and vascular injuries, as well as in geriatric medicine (concepts of premature vascular aging and excess vascular aging).

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Section: влияние медикаментозной терапии и модификации поведения на Caviunclassified

Assessment of Arterial Stiffness Using the Cardio-Ankle Vascular Index – What We Know and What We Strive for

Sumin

Щеглова

2021

Racionalʹnaâ farmakoterapiâ v kardiologii

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“…Meanwhile, our education program showed a large effect size (Cohen's d 0.82) without both special equipment and exercise prescription by professionals. It was much larger even when compared with the effects size of the exercise intervention study that used CAVI as the outcome (Cohen's d 0.26) 29) . Although our program is based on education and supposed to require lower physical burden than trainingbased intervention, the characteristics to promote selfreliant efforts in daily life other than the weekly classes may contribute to the larger effect sizes.…”

Section: Advance Publication Journal Of Atherosclerosis and Thrombosismentioning

confidence: 83%

“…A longitudinal study showed that adopting a physically active lifestyle is associated with a lower risk of arterial stiffness in older adults 28) . Another study reported that healthy older adults, who underwent an exercise program, including Tai Chi sessions thrice a week, experienced a significant improvement in CAVI after six months of intervention; however, the effects were not maintained after decreasing the frequency to twice a week 29) . Our active learning education aimed to promote not only exercise in the class but also physical activity in daily life, which may contribute to sustainable behavioral changes and improvements in CAVI.…”

Section: Advance Publication Journal Of Atherosclerosis and Thrombosismentioning

confidence: 99%

Effects of Active Learning Education on Arterial Stiffness of Older Adults with Low Health Literacy: A Randomized Controlled Trial

Uemura

Yamada

Kuzuya

et al. 2021

JAT

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We examined the effects of active learning education on arterial stiffness and physical activity of community-dwelling older adults with low health literacy. Methods: This study is a secondary analysis of randomized controlled trial of 60 participants aged 65 and older with low health literacy. The intervention group (n 30) participated in a weekly 90-minute active learning program session for 24 weeks, which addressed health promotion in older age. The control group (n 30) attended a 90-minute health education class in a didactic manner. The outcomes were measured at baseline and in week 24. The degree of arterial stiffness was assessed based on the cardio-ankle vascular index (CAVI) using the VS-1500 device (Fukuda Denshi Co., Ltd., Tokyo, Japan). The shortened version of the self-reported International Physical Activity Questionnaire was used to assess the amount of total physical activity determined by the metabolic equivalent hours per week. We used analysis by intention-to-treat, with multiple imputation for missing data. Results: Seven participants (11.7%) dropped out prior to the post-intervention assessment. The multiple imputation analysis revealed that the intervention group showed significant improvement in CAVI [between-groups difference (95% confidence interval)-0.78 (-1.25 to-0.31), Cohen's d 0.82] and physical activity [32.5 (0.3 to 64.7), Cohen's d 0.57] as compared with the control group. The sensitivity analysis for the complete cases showed similar results. Conclusion: Active learning health education may be effective in improving arterial stiffness and physical activity in older adults with low health literacy. able prognostic tool to predict cardiovascular events in different populations 4-7). However, there is limited evidence to support the effects of therapeutic intervention on CAVI 2). Health literacy is the ability to obtain, understand, appraise, and apply health information 8). Low health literacy has been associated with greater healthcare services use 9) , poorer self-management of chronic diseases (e.g. diabetes) 10) , unhealthy lifestyles (e.g. physical inactivity) 11) , a higher mortality rate 12) , and a higher risk of arterial stiffness (CAVI ≥ 9.0) among community-dwelling older adults 13). These findings suggest that older adults with low health literacy could Copyright©2020 Japan Atherosclerosis Society This article is distributed under the terms of the latest version of CC BY-NC-SA defined by the Creative Commons Attribution License.

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“…It is noteworthy that other than fixed exercise frequencies, some studies designated variable frequencies. For example, in one study investigating effects of Tai Chi exercise on arteriosclerosis [ 34 ], the variable frequency was established as once a week for the first three months and twice a week for the following nine months. In another study involving lower back pain [ 35 ], the variable frequency was designated as twice per week for eight weeks and once per week for the remaining two weeks.…”

Section: Discussionmentioning

confidence: 99%

Review of Clinical Trials on the Effects of Tai Chi Practice on Primary Hypertension: The Current State of Study Design and Quality Control

Teng

Yang

Chen

et al. 2020

Evidence-Based Complementary and Alternative Medicine

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The modulation of Tai Chi in physiological function and psychological status attracts sustaining attention. This paper collected original articles regarding the effects of Tai Chi practice on modulating primary hypertension from 7 electronic databases (PubMed, Excerpta Medica Database, Cochrane Library, Web of Science, Chinese Knowledge Resource Integrated Database, Wanfang Database, and China Science and Technology Journal Database) from their dates of origin to October 1st, 2020. A total of 45 articles were included. The literature analyses have shown that the benefits of Tai Chi practice for blood pressure management have been identified in all of the included 45 studies, and Tai Chi exercise has shown significant efficacy in improving hypertension clinical symptoms and quality of life, compared to the majority of control interventions, though there are also some methodological issues, including small sample sizes, lack of exact randomization methods and quality control criteria, and lack of specific standards used to measure the characteristics of Tai Chi practice. In the future, the inclusion of additional design standards, stricter quality controls, and evaluation measures for the features of Tai Chi practice is required in trials evaluating its effects on hypertension.

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Impact of Tai Chi Yuttari-exercise on arteriosclerosis and physical function in older people

Cited by 8 publications

References 24 publications

Assessment of Arterial Stiffness Using the Cardio-Ankle Vascular Index – What We Know and What We Strive for

Assessment of Arterial Stiffness Using the Cardio-Ankle Vascular Index – What We Know and What We Strive for

Effects of Active Learning Education on Arterial Stiffness of Older Adults with Low Health Literacy: A Randomized Controlled Trial

Review of Clinical Trials on the Effects of Tai Chi Practice on Primary Hypertension: The Current State of Study Design and Quality Control

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