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太极拳对慢性肾脏和心血管疾病患者肾脏及心脏功能的影响。

The effects of tai chi on the renal and cardiac functions of patients with chronic kidney and cardiovascular diseases.

作者信息

Shi Zhi-Min, Wen Hai-Ping, Liu Fu-Rong, Yao Chun-Xia

机构信息

Medical College of Hebei University of Engineering, China.

HanDan Central Hospital, China.

出版信息

J Phys Ther Sci. 2014 Nov;26(11):1733-6. doi: 10.1589/jpts.26.1733. Epub 2014 Nov 13.

Abstract

[Purpose] To assess the effects of Tai Chi on the renal and cardiac functions of patients with chronic kidney disease (CKD) and cardiovascular disease (CVD). [Subjects and Methods] Twenty-one patients with CKD and CVD were randomly divided into control and exercise groups. The exercise group performed Tai Chi training for 30 minutes three to five times a week for 12 weeks, while the control group did not. All patients' renal and cardiac functions and blood lipid parameters were measured at baseline and after 12 weeks. [Results] The 12 weeks Tai Chi intervention improved the estimated glomerular filtration rate (eGFR), left ventricular ejection fraction (LVEF), and the high density lipoprotein (HDL) level, and decreased the serum creatintine (Scr) level, heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP), and the total cholesterol (CH), triglyceride (TG) and low density lipoprotein (LDL) levels. The change in eGFR correlated negatively with the changes in CH, TG and LDL, and positively with the change in HDL. In addition, the change in SBP correlated positively with the changes in CH, TG and LDL, and negatively with the change in HDL. [Conclusion] Tai Chi training might improve the renal and cardiac functions of CKD and CVD patients via improved regulation of lipid metabolism.

摘要

[目的]评估太极拳对慢性肾脏病(CKD)和心血管疾病(CVD)患者肾脏和心脏功能的影响。[对象与方法]21例CKD合并CVD患者被随机分为对照组和运动组。运动组每周进行3至5次、每次30分钟的太极拳训练,持续12周,而对照组不进行训练。在基线和12周后测量所有患者的肾脏和心脏功能以及血脂参数。[结果]12周的太极拳干预改善了估计肾小球滤过率(eGFR)、左心室射血分数(LVEF)和高密度脂蛋白(HDL)水平,并降低了血清肌酐(Scr)水平、心率(HR)、收缩压(SBP)、舒张压(DBP)以及总胆固醇(CH)、甘油三酯(TG)和低密度脂蛋白(LDL)水平。eGFR的变化与CH、TG和LDL的变化呈负相关,与HDL的变化呈正相关。此外,SBP的变化与CH、TG和LDL的变化呈正相关,与HDL的变化呈负相关。[结论]太极拳训练可能通过改善脂质代谢调节来改善CKD和CVD患者的肾脏和心脏功能。

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