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社区老年人群体中采用八段锦锻炼干预的缺血性脑卒中危险因素一级预防:一项随机对照试验研究方案。

Primary prevention for risk factors of ischemic stroke with Baduanjin exercise intervention in the community elder population: study protocol for a randomized controlled trial.

机构信息

Fujian University of Traditional Chinese Medicine, Fuzhou 350122, China.

出版信息

Trials. 2014 Apr 9;15:113. doi: 10.1186/1745-6215-15-113.

DOI:10.1186/1745-6215-15-113
PMID:24712684
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3996200/
Abstract

BACKGROUND

Stroke is a major cause of death and disability in the world, and the prevalence of stroke tends to increase with age. Despite advances in acute care and secondary preventive strategies, primary prevention should play the most significant role in the reduction of the burden of stroke. As an important component of traditional Chinese Qigong, Baduanjin exercise is a simple, safe exercise, especially suitable for older adults. However, current evidence is insufficient to inform the use of Baduanjin exercise in the prevention of stroke.The aim of this trail is to systematically evaluate the prevention effect of Baduanjin exercise on ischemic stroke in the community elder population with high risk factors.

METHODS

A total of 170 eligible participants from the community elder population will be randomly allocated into the Baduanjin exercise group and usual physical activity control group in a 1:1 ratio. Besides usual physical activity, participants in the Baduanjin exercise group will accept a 12-week Baduanjin exercise training with a frequency of five days a week and 40 minutes a day. Primary and secondary outcomes will be measured at baseline, 13 weeks (at end of intervention) and 25 weeks (after additional 12-week follow-up period).

DISCUSSION

This study will be the randomized trial to evaluate the effectiveness of Baduanjin exercise for primary prevention of stroke in community elder population with high risk factors of stroke. The results of this trial will help to establish the optimal approach for primary prevention of stroke.

TRIAL REGISTRATION

Chinese Clinical Trial Registry: ChiCTR-TRC-13003588.Registration date: 24 July, 2013.

摘要

背景

中风是世界上主要的死亡和残疾原因,中风的发病率随着年龄的增长而增加。尽管急性治疗和二级预防策略有所进展,但初级预防应该在减轻中风负担方面发挥最重要的作用。作为传统中医气功的重要组成部分,八段锦运动是一种简单、安全的运动,特别适合老年人。然而,目前的证据不足以说明八段锦运动在预防中风方面的应用。本试验旨在系统评估八段锦运动对有高风险因素的社区老年人群中缺血性中风的预防效果。

方法

共有 170 名符合条件的社区老年人群参与者将以 1:1 的比例随机分配到八段锦运动组和常规体育活动对照组。除了常规体育活动外,八段锦运动组的参与者将接受为期 12 周的八段锦运动训练,每周 5 天,每天 40 分钟。主要和次要结局将在基线、13 周(干预结束时)和 25 周(额外 12 周随访期后)进行测量。

讨论

本研究将是一项随机试验,评估八段锦运动对有中风高风险因素的社区老年人群的中风一级预防的有效性。该试验的结果将有助于确定中风一级预防的最佳方法。

试验注册

中国临床试验注册中心:ChiCTR-TRC-13003588。注册日期:2013 年 7 月 24 日。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25e6/3996200/617eec8cdce3/1745-6215-15-113-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25e6/3996200/f13a7820de11/1745-6215-15-113-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25e6/3996200/617eec8cdce3/1745-6215-15-113-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25e6/3996200/f13a7820de11/1745-6215-15-113-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25e6/3996200/617eec8cdce3/1745-6215-15-113-2.jpg

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