Comparison of the effects of Tai Chi and general aerobic exercise on weight, blood pressure and glycemic control among older persons with depressive symptoms: a randomized trial.
Aerobic exercise
Blood glucose
Blood pressure
Older person
Randomized
Tai Chi
Journal
BMC geriatrics
ISSN: 1471-2318
Titre abrégé: BMC Geriatr
Pays: England
ID NLM: 100968548
Informations de publication
Date de publication:
07 05 2022
07 05 2022
Historique:
received:
29
11
2021
accepted:
25
04
2022
entrez:
7
5
2022
pubmed:
8
5
2022
medline:
11
5
2022
Statut:
epublish
Résumé
Blood pressure and glycemic control are associated with the management of depressive symptoms in patients with depression. Previous studies have demonstrated that both Tai Chi and aerobic exercise have positive effects on blood pressure and glycemic control. Few studies have compared the physiological effects of Tai Chi versus aerobic exercise in older adults with depressive symptoms. The objective of this study was to compare the effects of Tai Chi and aerobic exercise on weight, body mass index, blood pressure and glycosylated hemoglobin (HbA1c) level in older persons with mild to moderate-severe depressive symptoms. A randomized controlled trial was performed. The older persons (age ≥ 60 years old) with depressive symptoms were recruited. Then, participants were randomly allocated to the Tai Chi group and the aerobic exercise group received a 12-week 24-movement Yang's Tai Chi intervention and aerobic exercise, respectively. Data collection occurred at baseline and after completion of the interventions (week 12). A total of 238 participants with mild to moderate-to-severe depressive symptoms were included in the final analysis, including 120 in the Tai Chi group and 118 in the aerobic exercise group. The difference in weight and body mass index in the Tai Chi group was 2.0 kg (Z = -4.930, P < 0.001) and 0.77 kg/m This study showed that Tai Chi exercise was more effective in improving blood pressure and HbA1c level than general aerobic exercise. It suggested that Tai Chi might be an effective approach for the management of blood pressure and long-term glucose control in older persons with depressive symptoms. Trial registration: ChiCTR, ChiCTR2100042534 . Registration date: 23/01/2021, http://www.chictr.org.cn/showproj.aspx?proj=120602 .
Sections du résumé
BACKGROUND
Blood pressure and glycemic control are associated with the management of depressive symptoms in patients with depression. Previous studies have demonstrated that both Tai Chi and aerobic exercise have positive effects on blood pressure and glycemic control. Few studies have compared the physiological effects of Tai Chi versus aerobic exercise in older adults with depressive symptoms. The objective of this study was to compare the effects of Tai Chi and aerobic exercise on weight, body mass index, blood pressure and glycosylated hemoglobin (HbA1c) level in older persons with mild to moderate-severe depressive symptoms.
METHODS
A randomized controlled trial was performed. The older persons (age ≥ 60 years old) with depressive symptoms were recruited. Then, participants were randomly allocated to the Tai Chi group and the aerobic exercise group received a 12-week 24-movement Yang's Tai Chi intervention and aerobic exercise, respectively. Data collection occurred at baseline and after completion of the interventions (week 12).
RESULTS
A total of 238 participants with mild to moderate-to-severe depressive symptoms were included in the final analysis, including 120 in the Tai Chi group and 118 in the aerobic exercise group. The difference in weight and body mass index in the Tai Chi group was 2.0 kg (Z = -4.930, P < 0.001) and 0.77 kg/m
CONCLUSION
This study showed that Tai Chi exercise was more effective in improving blood pressure and HbA1c level than general aerobic exercise. It suggested that Tai Chi might be an effective approach for the management of blood pressure and long-term glucose control in older persons with depressive symptoms.
TRIAL REGISTRATION
Trial registration: ChiCTR, ChiCTR2100042534 . Registration date: 23/01/2021, http://www.chictr.org.cn/showproj.aspx?proj=120602 .
Identifiants
pubmed: 35525971
doi: 10.1186/s12877-022-03084-6
pii: 10.1186/s12877-022-03084-6
pmc: PMC9077840
doi:
Substances chimiques
Glycated Hemoglobin A
0
Banques de données
ChiCTR
['ChiCTR2100042534']
Types de publication
Comparative Study
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
401Informations de copyright
© 2022. The Author(s).
Références
BMC Complement Altern Med. 2019 Mar 14;19(1):63
pubmed: 30871517
Am J Phys Med Rehabil. 2017 Oct;96(10):706-716
pubmed: 28234634
Adv Exp Med Biol. 2020;1228:153-167
pubmed: 32342456
Res Sports Med. 2021 Jul-Aug;29(4):395-405
pubmed: 33401978
Ann Intern Med. 2021 Aug;174(8):1050-1057
pubmed: 34058100
J Eval Clin Pract. 2010 Aug;16(4):818-24
pubmed: 20557410
Natl Health Stat Report. 2008 Dec 10;(12):1-23
pubmed: 19361005
Medicine (Baltimore). 2019 Oct;98(42):e17509
pubmed: 31626108
BMC Public Health. 2014 Feb 18;14:176
pubmed: 24548487
J Coll Physicians Surg Pak. 2015 Jul;25(7):546-8
pubmed: 26208566
J Rehabil Med. 2021 Mar 22;53(3):jrm00165
pubmed: 33594445
Geriatr Nurs. 2019 Mar - Apr;40(2):154-159
pubmed: 30173939
J Altern Complement Med. 2010 Nov;16(11):1153-9
pubmed: 20973735
Heart Lung. 2018 Jul - Aug;47(4):337-344
pubmed: 29778251
J Sci Med Sport. 2014 Mar;17(2):177-82
pubmed: 23602562
J Altern Complement Med. 2019 Jan;25(1):73-78
pubmed: 30136858
J Am Geriatr Soc. 2015 Jan;63(1):176-7
pubmed: 25597568
Issues Ment Health Nurs. 2018 May;39(5):398-402
pubmed: 29436896
Complement Ther Med. 2015 Aug;23(4):516-34
pubmed: 26275645
Int J Chron Obstruct Pulmon Dis. 2014 Nov 07;9:1253-63
pubmed: 25404855
Br J Sports Med. 2020 Aug;54(15):885-891
pubmed: 31792067
Hu Li Za Zhi. 2013 Feb;60(1):69-77
pubmed: 23386527
Prev Cardiol. 2008 Spring;11(2):82-9
pubmed: 18401235
Am J Cardiol. 2015 Oct 1;116(7):1076-81
pubmed: 26251005
Int J Geriatr Psychiatry. 2010 Nov;25(11):1127-33
pubmed: 20029795
J Hypertens. 2016 Sep;34(9):1711-20
pubmed: 27341438
Am J Health Promot. 2013 Sep-Oct;28(1):16-22
pubmed: 23470186
Eur J Heart Fail. 2013 Mar;15(3):316-23
pubmed: 23099355
Geriatr Gerontol Int. 2013 Jan;13(1):3-12
pubmed: 22680972
J Gen Intern Med. 2001 Sep;16(9):606-13
pubmed: 11556941
J Rehabil Med. 2019 Jun 18;51(6):405-417
pubmed: 30968941
PLoS One. 2015 Mar 16;10(3):e0120655
pubmed: 25775125