Effects of taichi on grade 1 hypertension: A study protocol for a randomized controlled trial

Abstract

Background: Medication is generally recommended to reduce the morbidity and mortality caused by cardiovascular disease in hypertensive patients. However, considering the difficulties and economic factors associated with long-term medication, interest in taichi as an exercise treatment method has increased recently in Korean medical practice. Numerous studies have suggested that taichi can be used to treat various diseases and that is can affect psychosomatic factors such as anxiety. This study aims to evaluate the effect of taichi in reducing blood pressure among grade 1 hypertensive patients. Methods/design: In this randomized, active-controlled, assessor-blinded, two parallel-armed trial, 80 grade 1 hypertension patients will be recruited and randomly assigned to the usual care group or to the taichi group (n = 40 in each group). Subjects who voluntarily sign a study agreement will be educated in managing their own blood pressure by restricting salt intake, losing weight, moderating alcohol consumption, performing exercise, and regulating dietary intake at their first visit. In addition to self-management, the taichi group will perform two 60-min taichi sessions per week for a total of 8 weeks. Blood pressure will be measured as the primary outcome. In addition, body composition, heart rate, and the perceived intensity and difficulty of the exercise will be measured as secondary outcomes. Discussion: This study is a randomized controlled trial of taichi, which is not widely practiced in Korea. It may provide valuable data on the effects of taichi on hypertension, which will inform non-pharmaceutical treatment options for this disorder.

Studi Kasus: Penerapan Senam Tai-Chi untuk Menurunkan Tekanan Darah pada Lansia dengan Hipertensi

“…Mengontrol tekanan darah dapat mencegah terjadi komplikasi dimana tujuan pengendalian hipertensi adalah untuk mengurangi morbiditas dan mortalitas yang disebabkan oleh penyakit kardiovaskular (Lee et al, 2020). Hipertensi jika tidak ditangani dengan cepat dapat menyebabkan curah jantung meningkat sehingga terjadi kontriksi perifer perkapiler, peningkatan tekanan vaskuler yang bisa menyebabkan hipertropi ventrikel yang berakibat gagal jantung dan distritmia, sedangkan peningkatan tekanan pada vaskuler serebral sehingga dapat menyebabkan rupture serebral atau pecah pembuluh darah otak yang menyebabkan stroke dan kelumpuhan (Direktorat P2PTM Ditjen Pencegahan dan Pengendalian Penyakit, 2018).…”

“…Tujuan pengendalian hipertensi adalah untuk mengurangi morbiditas dan mortalitas yang disebabkan oleh penyakit kardiovaskular dengan mempertahankan tekanan darah normal Obat untuk hipertensi umumnya direkomendasikan untuk tekanan darah sistolik lebih besar dari 140 mmHg pada pasien yang lebih muda dari 60 tahun tahun atau tekanan darah diastolik lebih besar dari 90 mmHg terlepas dari usia. Namun, mengingat efek samping dan faktor ekonomi yang terkait dengan pengobatan jangka panjang,pendekatan non-obat, seperti makan sehat, berolahraga, berhenti merokok, dan mengurangi alcohol konsumsi, banyak digunakan untuk mengobati dan mengelola hipertensi bersama dengan farmakoterapi (Lee et al, 2020).…”

“…Penelitian yang dilakukan oleh Lee et al, (2020) Selain manajemen diri, eksperimental kelompok akan melakukan taichi sebagai intervensi studi. Itu taichi yang digunakan dalam penelitian ini adalah taichi 18 bentuk ala Chen, yang akan dilakukan selama dua sesi 60 menit per minggu untuk total 8 minggu (kepatuhan 80% dan lebih dari total 13 sesi).…”

Exercise Prescription Intervention Rehabilitation Suggestions for Fatty Liver Patients

“…A randomized controlled trial of Taichi have evaluated the effects of Taichi in ordinary adults aged 19–70 years. This study may provide valuable data on the effects of Taichi on hypertension [ 16 ]. Previous studies have showed positive effects of bone mineral density on maintaining eight-section brocade and improving functional outcome [ 17 , 18 ].…”

Liuzijue training improves hypertension and modulates gut microbiota profile

“…Traditional Chinese health exercise is a feature of oriental medicine that has been practiced for 1,000's of years. Taichi and Baduanjin have been proven to be effective exercise methods to treat hypertension and improve its complications ( 10 , 11 ). “Liuzijue” (LZJ) is a traditional exercise that integrates breathing meditation and body movement.…”