Tai Chi Exercise for Patients with Cardiovascular Conditions and Risk Factors: A Systematic Review
Harvard Medical School, Boston, MA,USA and Tufts New England Medical Center, Boston, MA,USA and Beth Israel Deaconess Medical Center, Boston, MA, USA
Outcomes: Twenty-nine studies met inclusion criteria: 9 RCT, 14 non-randomized studies (NRS), and 6 observational trials (OBS). Three studies examined subjects with coronary heart disease, 5 in heart failure, and 10 in heterogeneous populations that included those with CVD. Eleven studies examined subjects with CVRF (hypertension, dyslipidemia, impaired glucose metabolism). Study duration ranged from 8 weeks to 3 years. Most studies included <100 subjects (range 5–207). Six of nine RCTs were of adequate quality (Jadad ≥3). Most studies report improvements with tai chi, including blood pressure reductions and increases in exercise capacity. No adverse effects were reported. Conclusion: Preliminary evidence suggests that tai chi exercise may be a beneficial adjunctive therapy for some patients with CVD and CVRF. Further research is needed.
Changes in hemodynamic parameters following Tai Chi Chuan and aerobic exercise in patients recovering from acute myocardial infarction
Department of Cardiology, Royal Hallamshire Hospital, Sheffield, UK
Outcomes: In conclusion, this study shows that regular Tai Chi or aerobic exercise in the recovery period from acute myocardial infarction is associated with falls in blood pressure. Tai Chi may be a useful alternative to formal aerobic exercise as part of a cardiac rehabilitate programme, and was readily accepted by our patients.
Effects of tai chi mind-body movement therapy on functional status and exercise capacity in patients with chronic heart failure: a randomized controlled trial
Harvard Medical School, Boston, MA, USA
Outcomes: Tai chi may be a beneficial adjunctive treatment that enhances quality of life and functional capacity in patients with chronic heart failure who are already receiving standard medical therapy.
An evaluation of the effects of Tai Chi Chuan and Chi Kung training in patients with symptomatic heart failure: a randomized controlled pilot study
Department Cardiology, Royal Hallamshire Hospital, Sheffield, UK
Outcomes: In patients with chronic heart failure, 16 weeks of Tai Chi training was safe, with no adverse exercise related problems. It was enjoyed by all taking part and led to significant improvements in symptoms and quality of life.
Tai Chi Exercise in Patients With Chronic Heart Failure -A Randomized Clinical Trial
Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Brookline, MA, USA
Outcomes: Tai chi exercise may improve quality of life, mood, and exercise self-efficacy in patients with chronic systolic heart failure (HF).
Tai Chi Enhances the Effects of Endurance Training in the Rehabilitation of Elderly Patients with Chronic Heart Failure
Cardiovascular Research Unit, Department of Medical Sciences, Centre for Clinical and Basic Research, IRCCS San Raffaele, Roma, Italy
Outcomes: The association of Tai Chi and endurance training (ET) improves exercise tolerance and quality of life (QOL) of patients with Chronic heart failure (CHF) more efficiently than just using ET.
Tai Chi Chuan improves functional capacity after myocardial infarction: A randomized clinical trial
Exercise Cardiology Research Group (CardioEx), Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil
Outcomes: Tai Chi Chuan practice was associated with an increase in Vo2 peak in patients with a recent MI and may constitute an effective form of cardiac rehabilitation in this patient population.
The beneficial effects of Tai Chi Chuan on blood pressure and lipid profile and anxiety status in a randomized controlled trial
Institute of Nursing, Taipei Medical University, Taipei, Taiwan
Outcomes: This study shows that under well-designed conditions, Tai Chi exercise training could decrease blood pressure and results in favorable lipid profile changes and improve subjects’ anxiety status. Therefore, Tai Chi could be used as an alternative modality in treating patients with mild hypertension, with a promising economic effect.
The effects of aerobic exercise and T’ai Chi on blood pressure in older people: results of a randomized trial
Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA.
Outcomes: Programs of moderate intensity aerobic exercise and light exercise may have similar effects on blood pressure in previously sedentary older individuals. If additional trials confirm these results, promoting light intensity activity could have substantial public health benefits as a means to reduce blood pressure in older aged persons.