Tai Chi Is a Promising Exercise Option for Patients With Coronary Heart Disease Declining Cardiac Rehabilitation

Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease

Gloria Y. Yeh¹  Peter M. Wayne²  Shira Dunsiger³  Wen‐Chih Wu³  Beth C. Bock³  Elena Salmoirago‐Blotcher³  Julie Krol⁴  Christopher Breault⁴ 

[1] Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA;Osher Center for Integrative Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA;The Miriam Hospital and The Warren Alpert Medical School of Brown University, Providence, RI;The Miriam Hospital, Providence, RI;

关键词: cardiac rehabilitation;    coronary heart disease;    physical exercise;    risk factor;    secondary prevention;   

DOI  :  10.1161/JAHA.117.006603

来源: DOAJ

【 摘 要 】

BackgroundMore than 60% of patients decline participation in cardiac rehabilitation after a myocardial infarction. Options to improve physical activity (PA) and other risk factors in these high‐risk individuals are limited. We conducted a phase 2 randomized controlled trial to determine feasibility, safety, acceptability, and estimates of effect of tai chi on PA, fitness, weight, and quality of life. Methods and ResultsPatients with coronary heart disease declining cardiac rehabilitation enrollment were randomized to a “LITE” (2 sessions/week for 12 weeks) or to a “PLUS” (3 sessions/week for 12 weeks, then maintenance classes for 12 additional weeks) condition. PA (accelerometry), weight, and quality of life (Health Survey Short Form) were measured at baseline and 3, 6, and 9 months after baseline; aerobic fitness (stress test) was measured at 3 months. Twenty‐nine participants (13 PLUS and 16 LITE) were enrolled. Retention at 9 months was 90% (LITE) and 88% (PLUS). No serious tai chi–related adverse events occurred. Significant mean between group differences in favor of the PLUS group were observed at 3 and 6 months for moderate‐to‐vigorous PA (100.33 min/week [95% confidence interval, 15.70–184.95 min/week] and 111.62 min/week; [95% confidence interval, 26.17–197.07 min/week], respectively, with a trend toward significance at 9 months), percentage change in weight, and quality of life. No changes in aerobic fitness were observed within and between groups. ConclusionsIn this community sample of patients with coronary heart disease declining enrollment in cardiac rehabilitation, a 6‐month tai chi program was safe and improved PA, weight, and quality of life compared with a 3‐month intervention. Tai chi could be an effective option to improve PA in this high‐risk population. Clinical Trial RegistrationURL: http://www.clinicaltrials.gov. Unique identifier: NCT02165254.

【 授权许可】

Unknown