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A comparison between a Tai Chi program and a usual medical care program in chronic cardiovascular disease participants in quality of life, psychological health, resilience, blood pressure and body mass index

  • Jing Sun EMAIL logo and Nicholas Buys
Published/Copyright: July 10, 2013

Abstract

Background: There is increasing evidence that cardiovascular disease (CVD) is linked to a number of psychosocial risk factors and biophysiological risk factors such as metabolic syndrome. The development of effective therapeutic interventions for CVD patients, such as Tai Chi practice, to modify high-risk lifestyles and behaviours and reduce psychosocial and biophysiological risk factors, is a promising primary healthcare approach. This study compared Tai Chi programme CVD participants with CVD patients who did not participate in the Tai Chi programme as the control group in health-related quality of life (HRQoL), including physical health, role-physical, bodily pain, general health, vitality, social functioning, role-emotional, and mental health. In addition, psychological distress and resilience, body mass index (BMI), systolic blood pressure, and diastolic blood pressure were measured.

Methods: In 2012, a case-control study was conducted to compare a group of CVD patients participating in a community based meditation intervention programme with CVD patients who did not participate in the programme. Measures included the Short-Form 12 Health Survey (SF-12), General Health Questionnaire (GHQ30), Resilience Scale, BMI, and blood pressure. Univariate analysis of variance was used to compare the difference between participants with cardiac chronic diseases who had taken part in 2 years regular Tai Chi and cardiac patients who did not participate in the Tai Chi programme.

Results: Outcomes differed in significance and magnitude across four HRQoL measures, psychological distress, and resilience. The Tai Chi group also showed fewer incidences of being overweight or suffering from obesity and psychological distress.

Conclusions: Regular and more than 2 years meditation exercises had a beneficial effect on HRQoL, reducing psychological distress, promoting resilience, managing and taking an active role in managing health condition, and reducing BMI and blood pressure level in CVD patients.


Corresponding author: Jing Sun, School of Public Health and Griffith Health Institute, Griffith University, Queensland 4222, Australia, E-mail:

References

1. Australian Institute of Health and Welfare (AIHW). Impact of falling cardiovascular disease death rates: deaths delayed and years of life extended. Canberra: Australian Institute of Health and Welfare, 2009;contract no.: cat. no. AUS 113.Search in Google Scholar

2. Australian Institute of Health and Welfare (AIHW). Prevention of cardiovascular disease, diabetes and chronic kidney disease: targeting risk factors. Canberra: Australian Institute of Health and Welfare, 2009.Search in Google Scholar

3. Bunker SJ, Colquhoun DM, Esler MD, Hickie IB, Hunt D, Jelinek VM, et al. “Stress” and coronary heart disease: psychosocial risk factors. National Heart Foundation of Australia position statement update. Med J Aust 2003;178:272–6.10.5694/j.1326-5377.2003.tb05193.xSearch in Google Scholar

4. Murray CJ, Lopez AD. Global mortality, disability, and the contribution of risk factors: Global Burden of Disease Study. Lancet 1997;349:1436–42.10.1016/S0140-6736(96)07495-8Search in Google Scholar

5. Vitaliano PP, Scanlan JM, Zhang J, Savage MV, Hirsch IB, Siegler IC. A path model of chronic stress, the metabolic syndrome, and coronary heart disease. Psychosom Med 2002;64:418–35.10.1097/00006842-200205000-00006Search in Google Scholar PubMed

6. Katon W, Lin EH, Kroenke K. The association of depression and anxiety with medical symptom burden in patients with chronic medical illness. Gen Hosp Psychiatry 2007;29:147–55.10.1016/j.genhosppsych.2006.11.005Search in Google Scholar PubMed

7. Lane DA, Chong AY, Lip GY. Psychological interventions for depression in heart failure. Cochrane Database Syst Rev 2005;1:CD003329.http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=000293747200005&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f3Search in Google Scholar

8. Frasure-Smith N, Lesperance F. Recent evidence linking coronary heart disease and depression. Can J Psychiatry 2006;51:730–7.10.1177/070674370605101202Search in Google Scholar

9. Albert CM, Chae CU, Rexrode KM, Manson JE, Kawachi I. Phobic anxiety and risk of coronary heart disease and sudden cardiac death among women. Circulation 2005;111:480–7.10.1161/01.CIR.0000153813.64165.5DSearch in Google Scholar

10. Pennix BW, Guralnix JM, Mendes de Leon CF. Cardiovascular events and mortality in newly and chronically depressed persons: 70 years of age. Am J Cardiol 1998;81:988–94.10.1016/S0002-9149(98)00077-0Search in Google Scholar

11. Wang PS, Bohn RL, Knight E, Glynn RJ, Mogun H, Avorn J. Noncompliance with antihypertensive medications: the impact of depressive symptoms and psychosocial factors. J Gen Intern Med 2002;17:504–11.10.1046/j.1525-1497.2002.00406.xSearch in Google Scholar PubMed PubMed Central

12. Caulin-Glaser T, Maciejewski PK, Snow R, LaLonde M, Mazure C. Depressive symptoms and sex affect completion rates and clinical outcomes in cardiac rehabilitation. Prev Cardiol 2007;10:15–21.10.1111/j.1520-037.2007.05666.xSearch in Google Scholar PubMed

13. Sun J, Buys N. Improving Aboriginal and Torres Strait Islander Australians’ wellbeing using participatory community singing approach. Int J Disability Hum Dev 2012;http:dx.doi.org/10.1515/ijdhd-2012-0108.10.1515/ijdhd-2012-0108Search in Google Scholar

14. Yusuf S, Islam S, Chow CK, Rangarajan S, Dagenais G, Diaz R, et al. Use of secondary prevention drugs for cardiovascular disease in the community in high-income, middle-income, and low-income countries (the PURE Study): a prospective epidemiological survey. Lancet 2011;318:1231–43.http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=000295723600025&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f3Search in Google Scholar

15. National Heart Foundation of Australia. Secondary prevention of cardiovascular disease, 2010. Available at: https://www.heartfoundation.org.au/SiteCollectionDocuments/Secondary-Prevention-of-cardiovascular-disease.pdf.Search in Google Scholar

16. Brett T, McGuire S, Meade B, Leahy J. Secondary prevention of cardiovascular disease. Aust Fam Physician 2006;35:157–9.Search in Google Scholar PubMed

17. Channer KS, Barrow D, Barrow R. Changes in haemodynamic parameters following Tai Chi Chuan and aerobic exercise in patients recovering from acute myocardial infarction. Postgrad Med 1996;72:349–51.10.1136/pgmj.72.848.349Search in Google Scholar PubMed PubMed Central

18. Kenny DT, Fuance G. The impact of group singing on mood, coping, and perceived pain in chronic pain patients attending a multidisciplinary pain clinic. J Music Therapy 2004;41: 241–58.10.1093/jmt/41.3.241Search in Google Scholar PubMed

19. Wang SZ, Li S, Xu XY, Lin GU, Shao L, Zhao Y. Effect of slow abdominal breathing combined with biofeedback on blood pressure and heart rate variability in prehypertension. J Altern Complement Med 2010;41:241–58.http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=000283055300006&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f3Search in Google Scholar

20. Yeh GY, Wood MJ, Lorell BH. Effects of Tai Chi mind-body movement therapy on functional status and exercise capacity in patients with chronic heart failure: a randomized controlled trial. Am J Med 2004;117:541–8.10.1016/j.amjmed.2004.04.016Search in Google Scholar PubMed

21. Zheng JQ. The effect of Tai Chi on coronary heart disease rehabilitation in elderly. Chin J Rehab Theory Pract 2004;10:429–30.Search in Google Scholar

22. Yeh GY, Mietus JE, Peng CK, Phillips RS, Davis RB, Wayne PM, et al. Enhancement of sleep stability with Tai Chi exercise in chronic heart failure: preliminary findings using an ECG-based spectrogram method. Sleep Med 2007;9:527–36.http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=000257913100011&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f3Search in Google Scholar PubMed

23. Ware JE, Kosinsky M, Gandek B. SF-36 physical and mental health summary scales: a user’s manual. Boston, MA: Health Institute, New England Medical Center, 1993.Search in Google Scholar

24. Goldberg D. Manual of the general health questionnaire. Windsor: NFER-NELSON, 1978.Search in Google Scholar

25. Goldberg D, Williams P. A user’s guide to the General Health Questionnaire. Berkshire: NFER-NELSON, 1988.Search in Google Scholar

26. Friborg O, Hjemdal O, Rosenvinge JH, Martinussen M. A new rating scale for adult resilience: What are the central protective resources behind healthy adjustment? Int J Methods Psychiatr Res 2003;12:65–76.10.1002/mpr.143Search in Google Scholar PubMed PubMed Central

27. Friborg O, Barlaug D, Martinussen M, Rosenvinge JH, Hjemdal O. Resilience in relation to personality and intelligence. Int J Methods Psychiatr Res 2005;14:29–42.10.1002/mpr.15Search in Google Scholar PubMed PubMed Central

28. Australian Bureau of Statistics. National Health Survey 2004–05: summary of results. Canberra: ABS, 2005;contract no.: ABS cat. no. 4364.0.Search in Google Scholar

29. Cohen J. Statistical power analysis for the behavioral sciences, 2nd ed. New York: Academic Press, 1988.Search in Google Scholar

30. Wang C, Collet JP, Lau J. The effect of Tai Chi on health outcomes in patients with chronic conditions: a systematic review. Arch Intern Med 2004;164:493–501.10.1001/archinte.164.5.493Search in Google Scholar PubMed

31. Brown DR, Wang Y, Ward A, Ebbeling CB, Fortlage L, Puleo E. Chronic psychological effects of exercise and exercise plus cognitive strategies. Med Sci Sports Exerc 1995;27:765–75.10.1249/00005768-199505000-00021Search in Google Scholar PubMed

32. Hölzel BK, Carmody J, Vangel M, Congleton C, Yerramsetti SM, Gard T, et al. Mindfulness practice leads to increases in regional brain gray matter density. Psychiatry Res 2011;191: 36–43.http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=000288591100006&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f310.1016/j.pscychresns.2010.08.006Search in Google Scholar PubMed PubMed Central

33. Tang YY, Lu Q, Fan M, Yang Y, Posner MI. Mechanisms of white matter changes induced by meditation. Proc Natl Acad Sci USA 2012;109:10570–4.10.1073/pnas.1207817109Search in Google Scholar PubMed PubMed Central

34. Tsatsoulis A, Fountoulakis S. The protective role of exercise on stress system dysregulation and comorbidities. Ann NY Acad Sci 2006;1083:196–213.10.1196/annals.1367.020Search in Google Scholar PubMed

35. Jin P. Changes in heart rate, noradrenaline, cortisol and mood during Tai Chi. J Psychosom Res 1989;33:197–206.10.1016/0022-3999(89)90047-0Search in Google Scholar PubMed

36. Jin P. Efficacy of Tai Chi, brisk walking, meditation, and reading in reducing mental and emotional stress. J Psychosom Res 1992;36:361–70.10.1016/0022-3999(92)90072-ASearch in Google Scholar PubMed

Received: 2013-04-28
Accepted: 2013-05-25
Published Online: 2013-07-10
Published in Print: 2014-02-01

©2014 by Walter de Gruyter Berlin Boston

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