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太极拳锻炼可改善与年龄相关的脑血管功能下降:一项横断面研究。

Tai Chi exercise improves age-associated decline in cerebrovascular function: a cross-sectional study.

机构信息

Central Laboratory, Renmin Hospital of Wuhan University, 430060, Wuhan, China.

School of Physical Education, Wuhan Sports University, 430079, Wuhan, China.

出版信息

BMC Geriatr. 2021 May 6;21(1):293. doi: 10.1186/s12877-021-02196-9.

Abstract

BACKGROUND

Tai Chi exercise has been reported to enhance physical and mental health in the older adults; however, the mechanism remains elusive.

TRIAL DESIGN

We recruited 289 older adults practicing Tai Chi for over 3 years, together with 277 age-matched older and 102 young adults as controls. 168 Tai Chi practitioners were successfully matched to 168 older controls aged 60-69 based on a propensity score for statistics.

METHODS

Cerebrovascular function was evaluated by measuring the hemodynamics of the carotid artery. Spearman correlation was performed to validate the age-associated physiological parameters.

RESULTS

Cerebrovascular function in older adults significantly degenerated compared with the young, and was substantially correlated with age. Compared with the older control group, Tai Chi practitioners showed significant improvements in CVHI (cerebral vascular hemodynamics indices) Score (P = 0.002), mean blood flow velocity (P = 0.014), maximal blood flow velocity (P = 0.04) and minimum blood flow velocity (P < 0.001), whereas the age-related increases in pulse wave velocity (P = 0.022), characteristic impedance (P = 0.021) and peripheral resistance (P = 0.044) were lowered.

CONCLUSIONS

These data demonstrate a rejuvenation role of Tai Chi in improving the age-related decline of the cerebrovascular function.

TRIAL REGISTRATION

Chinese Clinical Trial Registry (ChiCTR1900025187).

摘要

背景

太极拳已被报道可增强老年人的身心健康,但具体机制仍不清楚。

试验设计

我们招募了 289 名练习太极拳超过 3 年的老年人,以及 277 名年龄匹配的老年人和 102 名年轻成年人作为对照组。168 名太极拳练习者与 168 名年龄在 60-69 岁之间的老年对照组成功地进行了倾向评分匹配。

方法

通过测量颈动脉的血流动力学来评估脑血管功能。采用 Spearman 相关性分析验证与年龄相关的生理参数。

结果

与年轻人相比,老年人的脑血管功能明显退化,且与年龄有显著相关性。与老年对照组相比,太极拳练习者的 CVHI(脑血管血流动力学指数)评分显著提高(P = 0.002),平均血流速度(P = 0.014)、最大血流速度(P = 0.04)和最小血流速度(P < 0.001)显著提高,而脉搏波速度(P = 0.022)、特征阻抗(P = 0.021)和外周阻力(P = 0.044)的年龄相关性增加则降低。

结论

这些数据表明,太极拳在改善与年龄相关的脑血管功能下降方面具有年轻化作用。

试验注册

中国临床试验注册中心(ChiCTR1900025187)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3408/8101197/6bbf78e42688/12877_2021_2196_Fig1_HTML.jpg

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