Journal of muscle and joint health (근관절건강학회지)

Korean Society of Muscle and Joint Health (대한근관절건강학회)
권호 표지
DOI QR코드

DOI QR Code

A Pilot Study Examining the Effects of 12-week Tai chi Exercise on the Activity of Autonomic Nervous System and Risk Factors of Metabolic Syndrome in Patients with Metabolic Syndrome

대사증후군 환자에게 적용한 12주간의 타이치 운동이 자율신경계 활성도와 대사증후군 위험요인에 미치는 효과에 대한 예비 실험연구

  • Received : 2016.02.11
  • Accepted : 2016.04.03
  • Published : 2016.04.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study was to examine the effects of 12-week Tai Chi exercise on the autonomic nervous system activity and risk factors of metabolic syndrome in patients with metabolic syndrome. Methods: A single group pre-posttest was used. Subjects were 16 participants aged 51~71 years with metabolic syndrome. All of the subjects were met the criteria of the National Cholesterol Education Program-Adult Treatment Panel III (NCEP-ATP III). The Tai Chi exercise consisted of 19 movements from Yang and Sun styles provided twice a week for 3 months. Metabolic syndrome risk factors including waist circumference, blood pressure, glucose, triglyceride, high density lipoprotein cholesterol (HDL-cholesterol) were measured. A heart rate variability device was used to measure the activity of autonomic nervous system. Results: After 12-week Tai Chi exercise, systolic pressure, waist circumference, and HDL-cholesterol improved significantly. Tai Chi exercise had no effect on the autonomic nervous system activity. Conclusion: The 12-week Tai Chi exercise was partially effective in managing risk factors of metabolic syndrome. A larger study with longer period to improve the autonomic nervous system activity in patients with metabolic syndrome is needed.

Keywords

References

  1. Ainsworth, B. E., Haskell, W. L., Whitt, M. C., Irwin, M. L., Swartz, A. M., Strath, S. J., et al. (2000). Compendium of physical activities: An update of activity codes and MET intensities. Medicine and Science in Sports and Exercise, 32(9), S498-S504. https://doi.org/10.1097/00005768-200009001-00009
  2. Anderson, J. A., & Taylor, A. G. (2011). The metabolic syndrome and mind-body therapies: A systematic review. Journal of Nutrition and Metabolism, 2011, Article ID 276419. http://dx.doi.org/10.1155/2011/276419
  3. Chen, M., He, M., Min, S., Pan, A., Zhang, X., Yao, P., et al. (2013). Different physical activity subtypes and risk of metabolic syndrome in middle-aged and older Chinese people. PLos One, 8(1), 1-7. http://dx.doi.org/10.1371/journal.pone.0053258
  4. Cho, J. L. (2013). The effects of Tai-chi exercise on autonomic nervous system activity, overactive bladder symptoms and quality of life in women with overactive bladder symptoms. Unpublished doctoral dissertation, Dong-A University, Busan.
  5. Choi, W. S., Ock, S. M., Kim, C. M., Lee, B. C., Jeong, K. S., & Lee, S. J. (2005). Effects of aerobic exercise on heart rate variability (HRV). Journal of the Korean Academy of Family Medicine, 26(9), 561-566.
  6. Earnest, C. P., Lavie, C. J., Blair, S. N., & Church, T. S. (2008). Heart rate variability characteristics in sedentary postmenopausal women following six months of exercise training: the DREW study. PLos One, 3(6), e2288. http://dx.doi.org/10.1371/journal.pone.0002288
  7. Eom, A. Y. (2012). The effects of the Tai Chi exercise on metabolic syndrome and health-related quality of life in middle-aged women. Journal of Muscle and Joint Health, 19(2), 152-160. http://dx.doi.org/10.5953/JMJH.2012.19.2.152
  8. Grundy, S. M. (1999). Hypertriglyceridemia, insulin resistance, and the metabolic syndrome. American Journal of Cardiology, 83 (9), 25-29. http://dx.doi.org/10.1016/S0002-9149(99)00211-8
  9. Grundy, S. M., Cleeman, J. I., Daniels, S. R., Donato, K. A., Eckel, R. H., Franklin, B. A., et al. (2005). Diagnosis and management of the metabolic syndrome: An American Heart Association/National Heart, Lung, and Blood Institute Scientific Statement. Circulation, 112(17), 2735-2752. http://dx.doi.org/10.1161/CIRCULATIONAHA.105.169404
  10. Hung, J. W., Liou, C. W., Wang, P. W., Yeh, S. H., Lin, L. W., Lo, S. K., et al. (2009). Effect of 12-week Tai Chi Chuan exercise on peripheral nerve modulation in patients with type 2 diabetes mellitus. Journal of Rehabilitation Medicine, 41(11), 924-929. http://dx.doi.org/10.2340/16501977-0445
  11. Jung, H. H., Choe, Y. S., Kim, S. H., Son, G. J., Kim, D. G., Hong, J. I., et al. (2005). Association between metabolic syndrome and heart rate variability. Korean Journal of Obesity, 14(4), 220-227.
  12. Kang, S. J., Kim, B. R., Kim, S. J., Kim, J. H., No, J. C., Lee, S. H., et al. (2010). The effects of 12-weeks aerobic exercise in elder hypertension patients on pulse pressure and heart rate variability. Official Journal of the Korean Association of Certified Exercise Professionals, 12(1), 47-54.
  13. Ko, G. T., Tsang, P. C., & Chan, H. C. (2006). A 10-week Tai-chi program improved the blood pressure, lipid profile and SF-36 score in Hong Kong Chinese women. Medical Science Monitoring, 12(5), CR196-CR199.
  14. Korea National Statistics Office. (2015). Death statistics in 2014. Daejeon: Korea National Statistical Office.
  15. Lam, P. (2005). Tai Chi for diabetes handbook. Narwee, Australia: East Acton Video, Tai Chi Productions.
  16. Lam, P. (2006). Tai Chi for osteoporosis program. Osteoporosis Australia 2006. Retrieved March 20, 2006, from http://www.taichiproductions.com/secureshop/product.php?ProductID=232
  17. Lan, C., Su, T. C., Chen, S. Y., & Lai, J. S. (2008). Effect of Tai Chi Chuan training on cardiovascular risk factors in dyslipidemic patients. Journal of Alternative and Complementary Medicine, 14(7), 813-819. http://dx.doi.org/10.1089/acm.2008.0143
  18. Lee, E. A., Gang, H. S., & Ahn, U. S. (2009). Effects of baseline heart rate recovery and a long-term aerobic training on body fatness, cardiorespiratory fitness, and insulin resistance in middle-aged women. Health & Sports Medicine, 11(1), 27-35.
  19. Lee, H. M. (2006). The effect of Tai Chi Chuan training on autonomic nerve system of middle-aged women. Unpublished master's thesis, Chunbuk National University, Jeonju.
  20. Liu, X., Miller, Y. D., Burton, N. W., & Brown, W. J. (2008). A preliminary study of the effects of Tai Chi and Qigong medical exercise on indicators of metabolic syndrome, glycaemic control, health-related quality of life, and psychological health in adults with elevated blood glucose. British Journal of Sports Medicine, 44, 704-709. http://dx.doi.org/10.1136/bjsm.2008.051144
  21. Lu, W. A., & Kuo, C. D. (2003). The effect of Tai Chi Chuan on the autonomic nervous modulation in the persons. Medicine & Science in Sports & Exercise, 1972-1976. https://doi.org/10.1249/01.MSS.0000099242.10669.F7
  22. Ministry of Health & Welfare. (2012, March). News letter of Ministry of Health & Welfare. Retrieved February 3, 2016, from http://www.mohw.go.kr/front_new/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&BOARD_ID=140&BOARD_FLAG=00&CONT_SEQ=268137&page=1
  23. Reland, S., Ville, N. S., Wong, S., Senhadji, L., & Carre, F. (2004). Does the level of chronic physical activity alter heart rate variability in healthy older women? Clinical Science, 107(1), 29-35. https://doi.org/10.1042/CS20030405
  24. Shishehbor, M. H., Hoogwerf, B. J., & Lauer, M. S. (2004). Association of triglyceride-to-HDL cholesterol ratio with heart rate recovery. Diabetes Care, 27(4), 936-941. http://dx.doi.org/10.2337/diacare.27.4.936
  25. Song, R. Y., Lee, E. O., Bae, S. C., Ahn, Y. H., P., & Lee, I. O. (2007). Effects of Tai Chi self help program on glucose control, cardiovascular risks, and quality of life in type 2 diabetic patients. Journal of Muscle and Joint Health, 14, 13-25.
  26. Song, R. Y., Ahn, S. H., Roberts, B. L., Lee, E. O., & Ahn, Y. H. (2009). Adhering to a Tai Chi program to improve glucose control and quality of life for individuals with type 2 diabetes. Journal of Alternative and Complementary Medicine, 15(6), 627-632. http://dx.doi.org/10.1089/acm.2008.0330
  27. Song, R. Y., Ahn, S. H., So, H. Y., Park, I. S., Kim, H. L., Ju, K. O., et al. (2009). Effects of Tai Chi exercise on cardiovascular risk factors and quality of life in post-menopausal women. Journal of Korean Academy of Nursing, 39(1), 136-144. http://dx.doi.org/10.4040/jkan.2009.39.1.136
  28. Taylor-Piliae, R. E., Haskell, W. L., & Froelicher, E. S. (2006). Hemodynamic responses to a community-based Tai-Chi exercise intervention in ethnic Chinese adults with cardiovascular disease risk factors. European Journal of Cardiovascular Nursing, 5(2), 165-174. http://dx.doi.org/10.1016/j.ejcnurse.2005.10.008
  29. Tsai, J. C., Wang, W. H., Chan, P., Lin, L. J., Wang, C. H., Tomlinson, B., et al. (2003). The beneficial effects of Tai Chi Chuan on blood pressure and lipid profile and anxiety status in a randomized controlled trial. Journal of Alternative and Complementary Medicine, 9(5), 747-754. http://dx.doi.org/10.1089/107555303322524599
  30. Wilson, P. W., D'Agostino, R. B., Parise, H., Sullivan, L., & Meigs, J. B. (2005). Metabolic syndrome as a precursor of cardiovascular disease and type 2 diabetes mellitus. Circulation, 112 (20), 3066-3072. http://dx.doi.org/10.1161/CIRCULATIONAHA.105.539528