Tai Chi and CHD A. Dalusung-Angosta
per week for about 60 min per session, Tai Chi may sig-
niﬁcantly improve serum lipids, BP, and HR. NPs could
recommend this type of exercise to their patients with
borderline or Stage 1 HTN with or without hyperlipi-
demia (Lan et al., 2008b; Tsai et al., 2003).
The intensity and duration of Tai Chi exercise meets
the recommendations of major U.S. health agencies. The
American College of Sports Medicine (ACSM) and AHA
recommend that endurance exercise should be 30 min
(of moderate intensity) per day, ﬁve times per week
or 30 min (vigorous intensity) per day, three times per
week, and 8–10 strength training exercises, 8–12 repeti-
tions of each exercise two times per week (AHA, 2011;
ACSM, 2007). The U.S. Department of Health and Hu-
man Services (USDHHS, 2008) and the Centers for Dis-
ease Control (2008) recommend that exercise should
be at least 75 min a week of vigorous intensity or
150 min a week of moderate intensity and at least 2 days
of muscle-strengthening activities that involve all major
This systematic review examined the current literature
on CHD prevention, utilizing Tai Chi as primary preven-
tion. In addition, this review explored evidence to which
this nontraditional therapy positively impacts CHD. Find-
ings from this review yield signiﬁcant information on the
beneﬁcial effect of Tai Chi on CHD. Implementing Tai Chi
is a useful exercise strategy for enhancing cardiovascular
health. Knowledge obtained from this review may inspire
researchers to further explore the cardiovascular beneﬁts
of Tai Chi. NPs are in an ideal position to reinforce health
promotion by educating their patients on the importance
of physical activity and the health beneﬁts of routine
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