Fan Chu, Yan Hangyu, Lei Kehang, Li Xuepeng, Li Dan, Dong Shutong, Zhang Yue, Cheng Yutong, Li Zhao, Li Nan, Li Zhizhong, Huang Ji
Department of Cardiology, Beijing AnZhen Hospital, Capital Medical University, National Clinical Research Center for Cardiovascular Diseases, Office of Beijing Cardiovascular Diseases Prevention, 100000 Beijing, China.
Rev Cardiovasc Med. 2024 Jun 24;25(6):227. doi: 10.31083/j.rcm2506227. eCollection 2024 Jun.
Tai Chi is an increasingly utilized aerobic rehabilitation exercise in the field of cardiovascular disease (CVD). However, there remains debate regarding its effects on physiological function and mental health in patients with coronary heart disease (CHD). This study aims to investigate the impact of Tai Chi-based rehabilitation exercises on physical and psychological health outcomes for CHD patients.
By collecting data from 12 databases up to December 2022, we conducted a meta-analysis of randomized controlled trials (RCTs) to evaluate the effects of Tai Chi on the physical function and psychological health among CHD patients.
We analyzed twenty qualified studies involving 2095 patients. Meta-analyses revealed that compared with conventional therapy groups, those who participated in Tai Chi-based interventions demonstrated significant improvements in physical function as measured by six-minute walk test (6MWT) [mean difference (MD) = 56.40, 95% confidence interval (CI) (38.50, 74.29), 0.01], maximal oxygen consumption ( max) [standardized mean difference (SMD) = 0. 57, 95% CI (0.12, 1.03), = 0.01], New York Heart Association (NYHA) class [relative risk (RR) = 1.34, 95% CI (1.18, 1.53), 0.01] and physical health components (PHC) [SMD = 1.23, 95% CI (0.76, 1.69), 0.01]. Additionally, Tai Chi participants showed greater improvement than control groups across various psychological parameters including anxiety scales [SMD = -0.80, 95% CI (-1.33, -0.28), = 0.003], depression scales [SMD = -0.77, 95% CI (-1.32, -0.23), = 0.005] and mental health components (MHC) [SMD = 1.27, 95% CI (0.76, -1.78), 0.01]. The GRADEpro (Grade Guideline Development Tool) indicated evidence levels ranging from very low to moderate.
The present meta-analysis demonstrates that mind-body rehabilitation exercises based on Tai Chi can improve both physical and psychological health outcomes for CHD patients. These findings suggest that this exercise pattern may be a potential option for cardiovascular rehabilitation.
The protocol for this systematic review and meta-analysis has been registered with PROSPERO International Prospective Systematic Reviews (No: CRD42022370021, http://www.crd.york.ac.uk/PROSPERO).
太极拳在心血管疾病（CVD）领域正越来越多地被用作有氧康复运动。然而，对于其对冠心病（CHD）患者生理功能和心理健康的影响仍存在争议。本研究旨在探讨基于太极拳的康复运动对CHD患者身心健康的影响。
通过收集截至2022年12月的12个数据库的数据，我们对随机对照试验（RCT）进行了荟萃分析，以评估太极拳对CHD患者身体功能和心理健康的影响。
我们分析了20项合格研究，涉及2095名患者。荟萃分析显示，与传统治疗组相比，参与基于太极拳干预的患者在通过六分钟步行试验（6MWT）测量的身体功能方面有显著改善[平均差（MD）=56.40，95%置信区间（CI）（38.50，74.29），P = 0.01]、最大耗氧量（ max）[标准化平均差（SMD）=0.57，95%CI（0.12，1.03），P = 0.01]、纽约心脏协会（NYHA）分级[相对危险度（RR）=1.34，95%CI（1.18，1.53），P = 0.01]和身体健康成分（PHC）[SMD = 1.23，95%CI（0.76，1.69），P = 0.01]。此外，在包括焦虑量表[SMD = -0.80，95%CI（-1.33，-0.28），P = 0.003]、抑郁量表[SMD = -0.77，95%CI（-1.32，-0.23），P = 0.005]和心理健康成分（MHC）[SMD = 1.27，95%CI（0.76，-1.78），P = 0.01]在内的各种心理参数方面，太极拳参与者比对照组有更大改善。GRADEpro（分级指南制定工具）表明证据水平从极低到中等不等。
本荟萃分析表明，基于太极拳的身心康复运动可改善CHD患者的身心健康。这些发现表明，这种运动模式可能是心血管康复的一个潜在选择。
PROSPERO注册：本系统评价和荟萃分析的方案已在PROSPERO国际前瞻性系统评价中注册（编号：CRD42022370021，http://www.crd.york.ac.uk/PROSPERO）。
