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, via della Pisana 235, 00163 Roma, Italy.
Rehabilitation research and practice 01/2011; 2011(2090-2867):761958. DOI: 10.1155/2011/761958
Source: PubMed


Purpose. To assess if Tai Chi added to endurance training (ET) is more effective than ET alone in improving exercise tolerance and quality of life (QOL) of elderly patients with chronic heart failure (CHF). Design. Sixty CHF patients, age 73.8 ± 6 years, M/F 51/9, were enlisted. Thirty pts were randomized to combined training (CT) performing Tai Chi +ET and 30 patients to ET (ET only). Methods. At baseline and after 12 weeks all patients underwent 6-minute walking test (6MWT), assessment of amino terminal probrain natriuretic peptide (NT-pro BNP), quadriceps maximal voluntary contraction (MVC) and peak torque (PT), QOL questionnaire (MacNewQLMI), blood pressure (BP), and heart rate (HR). All patients performed 4 sessions of exercise/week. Results. Distance at 6mwt improved in both groups with significant between-groups differences (P = .031). Systolic BP and NT-proBNP decreased significant in the CT group compared to ET (P = .025) and P = .015), resp.). CT group had a greater significant improvement in physical perception (P = .026) and a significant increase of PT compared to ET group. Conclusions. The association of Tai Chi and ET improves exercise tolerance and QOL of patients with CHF more efficiently than ET.

Download full-text


Available from: Giuseppe M Rosano
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Evaluating the effects of Tai Chi exercise on physical fitness, blood pressure, and perceived health in community-dwelling elderly. A randomized controlled trial. Community-dwelling elderly in Vinh city, Vietnam. Ninety-six community-dwelling participants aged 60 to 79 years (68.9 ± 5.1 years) were recruited. SUBJECTS WERE DIVIDED RANDOMLY INTO TWO GROUPS: Tai Chi and Control groups. Participants in the Tai Chi group (aged 69.02 ± 5.16 years) attended a 60-minute Tai Chi practice session twice a week for 6 months. The session consisted of a 15-minute warm-up and a 15-minute cool-down period. The Control group (aged 68.72 ± 4.94 years) maintained routine daily activities. The Senior Fitness Test and Short-Form 36® (SF-36®) are primary outcome measures. After 24 weeks of the Tai Chi training program, the intervention group showed significant decrease in systole of 12 mmHg and heart rate 6.46 bpm. Body mass index and waist-hip ratio were also reduced by 1.23 and 0.04, respectively. The Senior Fitness Test and SF-36 showed significant improvement. In this randomized controlled trial study, Tai Chi is beneficial to improve systole blood pressure, heart rate, body mass index, waist-hip ratio, perceived health, and physical fitness. Assessment of the effects of Tai Chi may be focused more on chronic disease with a long-term training program in the future.
    Preview · Article · Mar 2012 · Open Access Journal of Sports Medicine
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: The research aims to investigate the effects of a Shintaido practice in terms of physical and psychological functioning in a group of elderly. Forty seniors, of both gender, with a mean age of (69 ± 6) years, self-sufficient and without highly invalidating diseases participated in the study. The experimental group (EG) attended the Shintaido physical training of 20 weeks (1 hour per session, twice a week), while the con-trol group (CG) maintained his usual routine. The exercise protocol included specific activi-ties of joint mobility, balance and breathing. At the begin and at the end of intervention were administered to both groups the following vali-dated instruments: 1) One-leg Stance test for the measure of monopodalic static balance; 2) 6-Minutes Walking test for the endurance as-sessment; 3) Self-Efficacy Perception in Physi-cal Activity (APEF) questionnaire for the self- efficacy evaluation. Data were treated with the not-parametric test for paired and unpaired sam-ples, the Spearman correlation and the linear regression. The results show that: 1) the EG improves the endurance in walking and the monopodalic balance as well as his self-effi-cacy after the Shintaido program; 2) there are strong associations among Shintaido physical activity and physical/psychological variables; 3) there is a mediating effect of walking endur-ance between the participation to Shintaido training and the self-efficacy. The results sug-gest that a well structured Shintaido training can help to maintain a good level of physical and psychological functioning in old people. Keywords: Elderly; Physical Activity; Shintaido; Health; Self-Efficacy
    Full-text · Article · Jul 2012 · Advances in Aging Research
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Survivors of breast cancer are faced with a multitude of medical and psychological impairments during and after treatment and throughout their lifespan. Physical exercise has been shown to improve survival and recurrence in this population. Mind-body interventions combine a light-moderate intensity physical exercise with mindfulness, thus having the potential to improve both physical and psychological sequelae of breast cancer treatments. We conducted a review of mindfulness-based physical exercise interventions which included yoga, tai chi chuan, Pilates, and qigong, in breast cancer survivors. Among the mindfulness-based interventions, yoga was significantly more studied in this population as compared to tai chi chuan, Pilates, and qigong. The participants and the outcomes of the majority of the studies reviewed were heterogeneous, and the population included was generally not selected for symptoms. Yoga was shown to improve fatigue in a few methodologically strong studies, providing reasonable evidence for benefit in this population. Improvements were also seen in sleep, anxiety, depression, distress, quality of life, and postchemotherapy nausea and vomiting in the yoga studies. Tai chi chuan, Pilates, and qigong were not studied sufficiently in breast cancer survivors in order to be implemented in clinical practice.
    Full-text · Article · Sep 2012 · Evidence-based Complementary and Alternative Medicine
Show more