Ho Tsung-Jung, Liang Wen-Miin, Lien Chih-Hui, Ma Tso-Chiang, Kuo Hsien-Wen, Chu Bow-Ching, Chang Hsin-Wen, Lai Jim-Shoung, Lin Jaung-Geng
Chinese Medical Science, China Medical University, Taichung, Taiwan.
J Altern Complement Med. 2007 Dec;13(10):1077-83. doi: 10.1089/acm.2007.0518.
Previous studies have shown health benefits of T'ai Chi Chuan (TCC). In Taiwan, TCC is a form of exercise that is widely practiced by the elderly. The aim of this cross-sectional study was to investigate the effects of TCC on the health-related quality of life (HRQOL) in the senior population.
Subjects who regularly practiced TCC in Taiwan were selected by random sampling and included 140 seniors (77 males and 63 females, aged 40-70 years). The questionnaire was separated into 2 parts: demographic information and the SF-36 questionnaire, which used 8 domains to evaluate the subjects' HRQOL. The results were compared with those of 560 age- and sex-matched control subjects that were taken from the general population (308 males and 252 females). Multiple regression analysis was used to compare the quality of life in each of the 8 domains between the 2 groups.
The TCC group showed significantly higher quality-of-life scores than the control group in each of the 8 domains with the exception of the bodily pain scales. Using multiple linear regression adjusted for covariates, the TCC group had significantly higher scores in physical functioning, physical roles, general health, vitality, and social-functioning scales than the control group. In most of the domains in both the TCC group and the control group, quality of life became worse with increased age, whereas the scores in vitality and social-functioning domains of the TCC group showed a reverse trend; they remained unchanged or even improved with increased age.
Our study supports the hypothesis that TCC improves quality of life among the elderly in Taiwan, but further study must be conducted to more conclusively show the link between TCC and health-related QOL.
以往研究表明太极拳（TCC）对健康有益。在台湾，太极拳是老年人广泛参与的一种运动形式。这项横断面研究的目的是调查太极拳对老年人群健康相关生活质量（HRQOL）的影响。
通过随机抽样选取在台湾定期练习太极拳的受试者，包括140名老年人（男性77名，女性63名，年龄40 - 70岁）。问卷分为两部分：人口统计学信息和SF - 36问卷，该问卷使用8个领域来评估受试者的健康相关生活质量。将结果与从普通人群中选取的560名年龄和性别匹配的对照受试者（男性308名，女性252名）的结果进行比较。采用多元回归分析比较两组在8个领域中每个领域的生活质量。
除身体疼痛量表外，太极拳组在8个领域中的每个领域的生活质量得分均显著高于对照组。在对协变量进行调整的多元线性回归分析中，太极拳组在身体功能、身体角色、总体健康、活力和社会功能量表上的得分显著高于对照组。在太极拳组和对照组的大多数领域中，生活质量随着年龄的增长而变差，而太极拳组的活力和社会功能领域得分呈现相反趋势；随着年龄的增长，这些得分保持不变甚至有所提高。
我们的研究支持太极拳可改善台湾老年人生活质量这一假设，但必须进行进一步研究以更确凿地表明太极拳与健康相关生活质量之间的联系。
