Pan Xiao-Hong, Mahemuti Amina, Zhang Xue-Hua, Wang Ya-Ping, Hu Po, Jiang Ju-Bo, Xiang Mei-Xiang, Liu Gang, Wang Jian-An
Department of Cardiology, the Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310009, China.
Department of Cardiology, the First People's Hospital of Aksu District in Xinjiang Uygur Autonomous Region, Aksu 843000, China.
J Zhejiang Univ Sci B. 2016 Aug;17(8):640-8. doi: 10.1631/jzus.B1600052.
Studies have demonstrated that Tai Chi exercise improves blood lipid level with inconsistent results. A meta-analysis was conducted to quantify the effects of Tai Chi on blood lipid profiles in humans.
We screened the databases of PubMed, EMBASE, Cochrane Library (Central), Web of Science, China National Knowledge Infrastructure (CNKI), Wanfang data, and Clinicaltrials.gov for randomized controlled trials with Physiotherapy Evidence Database (PEDro) score more than 3 points up to June 2015. Six studies involving 445 subjects were included. Most trials applied 12-week Tai Chi intervention courses.
In comparison with the control group, blood triglyceride (TG) level difference between follow-up and baseline was statistically significantly lower in the Tai Chi practicing group (weighted mean difference (WMD) -16.81 mg/dl; 95% confidence intervals (CI) -31.27 to -2.35 mg/dl; P=0.02). A trend to improving total cholesterol (TC) reduction was found with Tai Chi (WMD -7.96 mg/dl; 95% CI -17.30 to 1.39 mg/dl; P=0.10). However, no difference was found in blood low-density lipoprotein cholesterol (LDL-C) or high-density lipoprotein cholesterol (HDL-C).
Tai Chi exercise lowered blood TG level with a trend to decrease blood TC level. Our data suggest that Tai Chi has the potential to implement meaningful blood lipid modification and serve as an adjunctive exercise modality. The relationship between Tai Chi exercise regimen and lipid profile change might have a scientific priority for future investigation.
研究表明太极拳运动对血脂水平有改善作用，但结果并不一致。进行一项荟萃分析以量化太极拳对人体血脂谱的影响。
我们检索了PubMed、EMBASE、Cochrane图书馆（中心库）、科学网、中国知网、万方数据和Clinicaltrials.gov等数据库，查找截至2015年6月物理治疗证据数据库（PEDro）评分超过3分的随机对照试验。纳入了6项涉及445名受试者的研究。大多数试验采用12周的太极拳干预课程。
与对照组相比，太极拳练习组随访与基线之间的血液甘油三酯（TG）水平差异在统计学上显著更低（加权平均差（WMD）-16.81mg/dl；95%置信区间（CI）-31.27至-2.35mg/dl；P=0.02）。发现太极拳有改善总胆固醇（TC）降低的趋势（WMD -7.96mg/dl；95%CI -17.30至1.39mg/dl；P=0.10）。然而，血液低密度脂蛋白胆固醇（LDL-C）或高密度脂蛋白胆固醇（HDL-C）未发现差异。结论：太极拳运动降低了血液TG水平，并呈现降低血液TC水平的趋势。我们的数据表明太极拳有潜力实现有意义的血脂改善，并作为一种辅助运动方式。太极拳运动方案与血脂谱变化之间的关系可能是未来研究的一个科学重点。
