Browse > Article
http://dx.doi.org/10.5953/JMJH.2010.17.1.035

Effect of 12-Week Tai Chi Exercise on Glucose Control, Peripheral Nerve Modulation, and Perceived Health for Type 2 Diabetic Patients with Neuropathy  

Hwang, In-Ok (College of Nursing, Chungnam National University)
Ahn, Suk-Hee (College of Nursing, Chungnam National University)
Song, Rha-Yun (College of Nursing, Chungnam National University)
Publication Information
Journal of muscle and joint health / v.17, no.1, 2010 , pp. 35-46 More about this Journal
Abstract
Purpose: The purpose of this study was to test the effect of 12-week Tai Chi exercise on glucose control, peripheral nerve modulation, and perceived health for Type 2 diabetic patients with neuropathy. Methods: A pretest posttest design with a nonequivalent control group, 44 diabetic patients with neuropathy were recruited from an outpatient clinic of a university hospital and assigned into Tai Chi or Control groups. The Tai Chi exercise was based on Tai Chi for Diabetes program developed by Lam (2006) and performed one hour for each session twice a week for 12 weeks. Outcome variables were HbA1c, Michigan Neuropathy Screening Instrument scores and perceived health. A total of 25 patients completed both measures of pretest and posttest. Results: The study participants were 67 years old in average, diagnosed by DM for more than 15 years. Those who participated in 12-week Tai Chi exercise (n=13) significantly improved in HbA1c (t=2.23, p=.035) and perceived health (t=-2.28, p=.032) than the control group (n=12). Conclusion: Tai Chi exercise may improve glucose control and health status in patients with Type II diabetes. Further study with larger sample size would be necessary to confirm the effect of Tai Chi on peripheral nerve modulation.
Keywords
Tai Chi; Diabetes mellitus; Diabetic neuropathies; Blood glucose; Health;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
연도 인용수 순위
1 Xu, D., Hong, Y., Li, J., & Chan, K. (2004). Effect of tai chi exercise on proprioception of ankle and knee joints in old people. British Journal of Sports Medicine, 38, 50-54   DOI   ScienceOn
2 Yeh, S. H., Chuang, H., Lin, L. W., Hsiao, C. Y., Wang, P-W., & Yang, K. D. (2007). Tai Chi Chuan exercise decreases AIC levels along with increase of regulatory T-cells and decrease of cytotoxic T-cell population in type 2 diabetic patients. Diabetes Care, 30(3), 716-718.   DOI   ScienceOn
3 Tesfaye, S., Chaturvedi, N., Eaton, E. M. S., Ward, D. J., Manes, CD., Ionescu-Tirgoviste, C., et al. (2005). Vascular risk factors and diabetic neuropathy. The New England Journal of Medicine, 352(4), 341-350.   DOI   ScienceOn
4 Tsujiuchi, T., Kumano, H., Yoshiuchi, K., He, D., Tsujiuchi, Y., Kuboki, T., et al. (2002). The effect of Qi-gong relaxation exercise on the control of type 2 diabetes mellitus: a randomized controlled trial. Diabetes Care, 25(1), 241-242.   DOI   ScienceOn
5 Tsang, W.W., Wong V. S., Fu S. N., & Hui-Chan C. W. (2004). Tai Chi improves standing balance control under reduced or conflicting sensory conditions. Archives of Physical Medicine and Rehabilitation, 85(1), 129-37.   DOI   ScienceOn
6 Wang, C., Collet, J. P., & Lau, J. (2004). The effect of Tai Chi on health outcomes in patients with chronic conditions: A systematic review. Archives Internal Medicine, 164(5), 493-501.   DOI   ScienceOn
7 Wu, G., Zhao F., Zhou X., & Wei L. (2002). Improvement of isokinetic knee extensor strength and reduction of postural sway in the elderly from long-term Tai Chi exercise. Archives of Physical Medicine and Rehabilitation, 83(10), 1364-1369.   DOI   ScienceOn
8 Song, R., Ahn, S., Roberts, B., Lee, E., & Ahn, Y. H. (2009). Adhering to a t'ai 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.   DOI   ScienceOn
9 Taylor-Piliae, R. E. (2003). Tai Chi as an adjunct to cardiac rehabilitation exercise training. Journal of Cardiopulmonary Rehabilitation, 23(2), 90-96.   DOI   ScienceOn
10 Taylor-Piliae, R. E., Haskell, W. L., & Froelicher, E. S. (2006). Hemodynamic responses to a communitybased Tai Chi exercise intervention in ethnic Chinese adults with cardiovascular disease risk factors. European Journal of Cardiovascular Nursing, 5(2), 165-174.   DOI   ScienceOn
11 Taylor-Piliae, R. E., Haskell, W. L., Waters, C. M., & Froelicher, E. S. (2006). Change in perceived psychosocial status following a 12-week Tai Chi exercise programme. Journal of Advanced Nursing, 54(3), 313-329.   DOI   ScienceOn
12 National Health Insurance Corporation (2007). Costeffectiveness analysis of health examination for type II diabetes. Retrieved August, I, 2008, from http://www.nhic.or.kr/portallsite/main/menuitem.f28tb65c6a0dcdle56f6efa7062310a0/
13 Nielsen, P. J., Hafdahl, A. R., Conn, V. S., Lemaster, J. W., & Brown, S. A. (2006). Meta-analysis of the effect of exercise interventions on fitness outcomes among adults with type I and type 2 diabetes. Diabetes Research and Clinical Practice, 74(2), 111-120.   DOI   ScienceOn
14 Cho, S. J., Chun, A. J., Chang, J. Y., Ha, H. B., & Wo, J. I. (2004). Effects of qigong therapy in peripheral neuropathy with type II diabetic patients. Journal of Traditional Chinese Medicinal Literature, 4, 52-55.
15 Richardson, J. K. (2002). Factors associated with falls in older patients with diffuse polyneuropathy. Journal of American Geriatric Society, 50(11), 1767-1773.   DOI   ScienceOn
16 Richerson, S., & Rosendale, K. (2007). Does Tai Chi improve plantar sensory ability? A pilot study. Diabetes Technology & Therapeutics, 9(3), 276-286.   DOI   ScienceOn
17 Song, R., Lee, E. O., Bae, S. C., Ahn, Y. H., Lam, P., & Lee, I. (2007). Effects of Tai Chi self-help program on glucose control, cardiovascular risks, and quality of life in Type II diabetic patients. Journal of Muscle Joint Health. 14(1), 13-25.   과학기술학회마을
18 Lam, P. (2000). How does Tai Chi improve health and arthritis? Retrieved January, 1, 2007, from www.taichiproductions.com.
19 Lam, P., Dennis, M. S., Diamond, H. T., & Zwar N. (2008). Improving glycaemic control in type 2 diabetes: The effectiveness of tai chi. Australian Family Physician, 37(10), 884-7.
20 Choi, H. Y., Do, H. J., Oh, S. W., Lym, Y. L., Choi, J K., Joe, H. J., et al. (2007). The validity of Michigan Neuropathy Screening Instrument as a screening test and risk factors for diabetic peripheral neuropathy. The Korean Academy Family Medicine, 28(8), 610-615.
21 Cohen J. (1988). Statistical Power Analysis for the Behavioral Sciences (2nd ed..). Philadelphia: Lawrence Erlbaum.
22 Devlin, J. T., Hirshman, M., Horton, E. D., & Horton, E. S. (1987). Enhanced peripheral and splanchnic insulin sensitivity in NIDDM men after single bout of exercise. Diabetes, 36(4), 434-439.   DOI   ScienceOn
23 Matsumoto, Y., Ohno, H., Noguchi, I., Kikuchi, Y., & Kurihara, T. (2006). Disturbance of microcirculation due to unhealthy lifestyle: Cause of type 2 diabetes. Medical Hypotheses, 66(3), 550-553.   DOI   ScienceOn
24 Lan, C., Chen, S. Y., Lai, J. S., & Wong, M. K. (1999). The effect of Tai Chi on cardiorespiratory function in patients with coronary artery bypass surgery. Medicine and Science in Sports Exercise, 31(5), 634-638.   DOI   ScienceOn
25 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, Oct 16. [Epub ahead of print]
26 Lloyd, C. E., & Orchard, T. J. (1999). Physical and psychological well-being in adults with Type 1 diabetes. Diabetes Research and Clinical Practice, 44(1), 9-19.   DOI   ScienceOn
27 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.   DOI   ScienceOn
28 Im, G. J., & Choi, J. W. (2007). Analysis of the OECD health data 2006. Research Institute for Health Care Policy. Seoul: Korea Medical Association.
29 Jeong, I. S., Lee, H. J., & Kim, M. H. (2007). The effect of the taeguk gi-gong exercise on insulin resistance and blood glucose in patients with type II diabetes melfitus. Journal of Korean Academy of Fundamental Nursing, 14(1), 44-52.   과학기술학회마을
30 Korean Association of Internal Medicine. (2006). Harrison's Internal Medicine (16th ed.). Korean Association of Internal Medicine: Seoul.