Tai Chi (TC) is a suitable exercise for people with different ages, different physical and health conditions, because it is easily accessible and of low cost, and can be easily implemented in the community setting. As an exercise for promoting health, TC has been practiced for hundreds of years in China and is gradually acceptable in the West countries. A systematic review indicated that intensive TC exercise shown some favorable effects on improving general cardiorespiratory fitness and its functional status, and was potentially beneficial for cardiovascular disease of elderly population. A substantial amount of studies reported that TC was efficient to control many risk factors of stroke, but there has not been a comprehensive systematic review to examine the primary preventive effect of TC for stroke. The objective of the current study was to attempt to conduct a systematic review and meta-analysis of the existing studies on TC exercise as an intervention for the primary prevention of stroke in middle-aged and elderly adults to draw more useful conclusions about the safety and efficacy of TC in preventing stroke, and to offer recommendations for future research.
To determine the effectiveness of tai chi interventions compared with aerobic exercise, a current core standard treatment in patients with fibromyalgia, and to test whether the effectiveness of tai chi depends on its dosage or duration.
36 eligible studies with a total of 2393 participants were identified. Primary outcome measures, TCC exercise combined with other intervention had a significant effect on decreasing the incidence of nonfatal stroke (n = 185, RR = 0.11, 95% CI 0.01 to 0.85, P = 0.03) and CCD (n = 125, RR = 0.33, 95% CI 0.11 to 0.96, P = 0.04). For the risk factors of stroke, pooled analysis demonstrated that TCC exercise was associated with lower body weight, BMI, FBG level, and decreasing SBP, DBP, plasma TC, and LDL-C level regardless of the intervention period less than half a year or more than one year and significantly raised HDL-C level in comparison to nonintervention. Compared with other treatments, TCC intervention on the basis of the same other treatments in patients with chronic disease also showed the beneficial effect on lowering blood pressure.
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