太极拳对高血压患者血压控制的Meta分析

Taijiquan for Hypertension:A Systematic Review and Meta Analysis

研究目的:探究太极拳锻炼对高血压患者的血压值和其他生化指标的控制以及锻炼周期、强度的影响。研究方法:检索筛选中英文数据库中太极拳与高血压的随机对照研究,对结果进行Meta分析。研究结果:太极拳干预组对比无干预、常规护理和步行结果显示,太极拳干预组对比对照组在血压控制方面更有效,其中收缩压结果具有显著性。太极拳干预对甘油三酯、总胆固醇和低密度脂蛋白的控制更有效,但总胆固醇、低密度脂蛋白结果不具有统计学意义。太极拳锻炼的周期差异与控制血压的效果无明显关联。对控制血压影响更大的是单次太极拳训练的强度和太极拳训练的频率。研究结论:坚持参与太极拳锻炼可有效控制血压。单次太极拳锻炼的强度与血压控制效果具有相关性,坚持12周以上太极拳锻炼并维持单次训练时间在40分钟以上可有效控制血压。

Objective to explore the effects of Taijiquan exercise on the blood pressure values and other biochemical indicators of hypertensive patients,as well as the impact of exercise cycle and intensity.Methods Randomized controlled trials on Taijiquan and hypertension in both Chinese and English databases were retrieved and screened,and a meta-analysis of the results was conducted.Results Compared with the non-intervention,routine care,and walking groups,the Taijiquan intervention group showed more effective blood pressure control,with significant results in systolic pressure.The Taijiquan intervention was more effective in controlling triglycerides,total cholesterol,and low-density lipoprotein,but the results for total cholesterol and low-density lipoprotein were not statistically significant.There was no significant association between the cycle of Taijiquan exercise and the effect of blood pressure control.The intensity of a single Taijiquan training session and the frequency of Taijiquan training had a greater impact on blood pressure control.Conclusion Persistent participation in Taijiquan exercise can effectively control blood pressure.The intensity of a single Taijiquan exercise session is correlated with the effect of blood pressure control;maintaining Taijiquan exercise for more than 12 weeks and keeping the duration of each training session at more than 40 minutes can effectively control blood pressure.