Efficacy of Tai Chi exercise in patients with hypertension: systematic review and meta-analysis

IF 3 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Current Problems in Cardiology Pub Date : 2024-08-28 DOI:10.1016/j.cpcardiol.2024.102798

Wenxuan Zhang, Hong Wang, Zheng Xiong, Chunmu Li

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Abstract

Background

An estimated 1.28 billion adults aged 30-79 years worldwide have hypertension, most (two-thirds) living in low- and middle-income countries. Pharmachological approaches have side effect, prompting exploration of Non-pharmacological approaches, like Tai Chi. Although early evidence suggests a potential favourable benefit with Tai Chi, it remains unclear whether the method can significantly reduced SBP and DBP. We aimed to assess by a systematic review and meta-analysis the effectiveness of Tai Chi in alleviating SBP and DBP on hypertension patients.

Methods

Our study adhered to the PRISMA method and was registered in PROSPERO under the code CRD42024496192. The search was carried out in the PubMed, Web of Science, Embase, and the Cochrane Library databases in December 2023. Five randomized controlled trials were included (a total of 568 patients). Risk of bias was employed to assess the quality of individual studies, and a random-effects model was utilized to examine the overall effect.

Results

The results showed that Tai Chi, when compared to routine care, had a statistically significant impact on anxiety ((MD = 5.49, 95 % CI: 3.44 to 7.54, p = 0.001), with a heterogeneity I² = 54%. Tai Chi did not show a significant difference in terms of DBP when compared to standard care (MD =3.18, 95 % CI: 1.89 to −4.48, p = 0.31). The included trials exhibited small sample sizes, substantial heterogeneity.

Conclusions

Tai Chi effectively lowers SBP levels in hypertension patients, however, did not show a statistically significant difference on DBP.

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太极拳运动对高血压患者的疗效：系统回顾和荟萃分析

背景据估计，全球有 12.8 亿 30-79 岁的成年人患有高血压，其中大多数（三分之二）生活在中低收入国家。药物治疗方法有副作用，这促使人们探索非药物治疗方法，如太极拳。虽然早期证据表明太极拳可能带来好处，但该方法能否显著降低 SBP 和 DBP 仍不清楚。我们旨在通过系统综述和荟萃分析评估太极拳在缓解高血压患者 SBP 和 DBP 方面的有效性。方法我们的研究遵循 PRISMA 方法，并在 PROSPERO 中注册，代码为 CRD42024496192。研究于 2023 年 12 月在 PubMed、Web of Science、Embase 和 Cochrane Library 数据库中进行了检索。共纳入了 5 项随机对照试验（共 568 名患者）。结果表明，与常规护理相比，太极拳对焦虑有显著的统计学影响（MD = 5.49，95 % CI：3.44 至 7.54，p = 0.001），异质性 I2 = 54%。与标准护理相比，太极拳在DBP方面未显示出明显差异（MD = 3.18，95 % CI：1.89 至 -4.48，p = 0.31）。结论太极拳能有效降低高血压患者的 SBP 水平，但在 DBP 方面没有显示出具有统计学意义的差异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Problems in Cardiology 医学-心血管系统

CiteScore

4.80

自引率

2.40%

发文量

392

审稿时长

6 days

期刊介绍： Under the editorial leadership of noted cardiologist Dr. Hector O. Ventura, Current Problems in Cardiology provides focused, comprehensive coverage of important clinical topics in cardiology. Each monthly issues, addresses a selected clinical problem or condition, including pathophysiology, invasive and noninvasive diagnosis, drug therapy, surgical management, and rehabilitation; or explores the clinical applications of a diagnostic modality or a particular category of drugs. Critical commentary from the distinguished editorial board accompanies each monograph, providing readers with additional insights. An extensive bibliography in each issue saves hours of library research.