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http://dx.doi.org/10.7475/kjan.2013.25.5.515

Effects of Tai Chi Exercises on Cardiovascular Risks, Recurrence Risk, and Quality of Life in Patients with Coronary Artery Disease  

Song, Rha Yun (College of Nursing, Chungnam National University)
Park, Moon Kyoung (Department of Nursing, Woosong College)
Chung, Jin Ok (College of Medicine, Chungnam National University)
Park, Jae Hyung (College of Medicine, Chungnam National University)
Sung, In Whan (College of Medicine, Chungnam National University)
Publication Information
Korean Journal of Adult Nursing / v.25, no.5, 2013 , pp. 515-526 More about this Journal
Abstract
Purpose: The study aims to evaluate the effects of Tai Chi applied cardiac rehabilitation program(TCCRP) on cardiovascular risks, recurrence risk in ten years, and cardiac specific quality of life in individuals with coronary artery disease. Methods: The sample was comprised of individuals diagnosed with coronary artery disease within six months of the study who were referred by their primary physicians to participate in the TCCRP. The design was a pretest/posttest with non-equivalent groups with 30 in TCCRP program and 33 wait-listed comparison group. Results: The average age of all participants was sixty seven years. At the completion of the TCCRP, the Tai Chi group showed significant reduction in their ten year recurrent risk for coronary artery disease measured by Framingham's algorithm. The quality of life for the experimental group was reported as significantly higher than the comparison group, especially the area of general symptom. Conclusion: The outpatient cardiac rehabilitation with Tai Chi was applied effectively and safely without any complication to individuals with coronary artery disease. Tai Chi can be useful as an alternative exercise for cardiac rehabilitation program which may provide more access to individuals for cardiovascular risk management in the community settings.
Keywords
Tai Chi; Coronary artery disease; Rehabilitation; Risk factors; Quality of life;
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Times Cited By KSCI : 4  (Citation Analysis)
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1 Benzer, W., Platter, M., Oldridge, N. B., Schwann, H., Machreich, K., Kullich, W., et al. (2007). Short-term patient-reported outcomes after different exercise-based cardiac rehabilitation programmes. European Journal of Preventive Cardiology, 14, 441-447. http://dx.doi.org/10.1097/HJR.0b013e32802bf7ae   DOI   ScienceOn
2 Center for Disease Control and Prevention. (2008). Receipt of outpatient cardiac rehabilitation among heart attack survivors-United States, 2005. MMWR: Morbidity and Mortality Weekly Report, 57, 89-94.
3 D'Agostino, R. B., Vasan, R. S., Pencina, M. J., Wolf, P. A., Cobain, M., Massaro, J. M., et al. (2008). General cardiovascular risk profile for use in primary care: The Framingham heart study. Circulation, 117, 743-753. http://dx.doi.org/10.1161/Circulationaha.107.699579   DOI   ScienceOn
4 Eckel, R. H., Grundy, S. M., & Zimmet, P. Z. (2005). The metabolic syndrome. Lancet, 365, 1415-1428. http://dx.doi.org/10.1016/S0140-6736 (05)66378-7   DOI   ScienceOn
5 Erdfelder, E., Faul, F., & Buchner, A. (1996). GPOWER: A general power analysis program. Behavior Research Methods, Instruments, & Computers, 28, 1-11.   DOI
6 Evenson, K. R., & Fleury, J. (2000). Barriers to outpatient cardiac rehabilitation participation and adherence. Journal of Cardiopulmonary Rehabilitation, 20, 241-246.   DOI   ScienceOn
7 Heyward, V. H. (2005). Advanced fitness assessment and exercise prescription (K. T. Jang, D. H. Choi, H. Park, Y. W. Ko, D. T. Lee, & S. W. Kim, Trans.). Seoul: Hanmi Medical Publishing Co. (Original work published 2002).
8 Hong, K. P., & Sung, J. (2006). Cardiac rehabilitation in patients with coronary artery disease. Hanyang Medical Reviews, 26, 75-79.
9 Jin, Y. S. (2005). Guidelines for cardiac rehabilitation. Journal of the Korean Medical Association, 48, 808-821. http://dx.doi.org/10.5124/jkma.2005.48.9.808   DOI   ScienceOn
10 Khot, U. N., Khot, M. B., Bajzer, C. T., Sapp, S. K., Ohman, E. M., Brener, S. J., et al. (2003). Prevalence of conventional risk factors in patients with coronary heart disease. Journal of the American Medical Association, 290 , 898-904. http://dx.doi.org/10.1001/jama.290.7.898   DOI   ScienceOn
11 Lam, P. (2005). Tai Chi for diabetes handbook. Narwee, Australia: East Acton Tai Chi Productions.
12 Lan, C., Chen, S. Y., Wong, M. K., & Lai, J. S. (2008). Tai Chi training for patients with coronary heart disease. Medicine and Sport Science, 52, 182-194. http://dx.doi.org/10.1159/000134299   DOI   ScienceOn
13 Lan, C., Su, T. C., Chen, S. Y., & Lai, J. S. (2008). Effect of T'ai chi chuan training on cardiovascular risk factors in dyslipidemic patients. Journal of Alternative and Complementary Medicine, 14, 813-819. http://dx.doi.org/10.1089/acm.2008.0143   DOI   ScienceOn
14 Lee, E. H., Tahk, S. J., Shin, J. H., Lee, Y. W., & Song, R. (2007). Development and a psychometric evaluation of cardiovascular disease-specific quality of life scale for Koreans. Journal of Korean Academy of Nursing, 37, 313-323.   과학기술학회마을   DOI
15 Marchionni, N., Fattirolli, F., Fumagalli, S., Oldridge, N., Del Lungo, F., Morosi, L., et al. (2003). Improved exercise tolerance and quality of life with cardiac rehabilitation of older patients after myocardial infarction: Results of a randomized controlled trial. Circulation, 107, 2201-2206. http://dx.doi.org/10.1161/?01.CIR.0000066322.21016.4A   DOI   ScienceOn
16 Munro, B. H. (2002). Statistical methods for health care research (E. H. Lee, Y. H. Jung, J. S. Kim, R. Song., & K. Y. Hwang, Trans.). Seoul: Koonja(Original work published 2001).
17 Park, I. S., Song, R., Ahn, S., So, H. Y., Kim, H. L., Joo, K. O. (2008). Factors explaining quality of life in individual with coronary artery disease. Journal of Korean Academy of Nursing, 38, 866-873. http://dx.doi.org/10.4040/jkan.2008.38.6.866   과학기술학회마을   DOI   ScienceOn
18 Shepherd, C. W., & While, A. E. (2012). Cardiac rehabilitation and quality of life: A systematic review. International Journal of Nursing Studies, 49, 755-771. http://dx.doi.org/10.1016/j.ijnurstu.2011.11.019   DOI   ScienceOn
19 Song, R., & Lee, H. (2001). Managing health habits for myocardial infarction (MI) patients. International Journal of Nursing Studies, 38, 375-380.   DOI   ScienceOn
20 Song, R., Ahn, S., So, H. Y., Park, I. S., Kim, H. L, Joo, K. O., et al. (2009). Effects of Tai Chi exercise on cardiovascular risk factors and qualityof life in post-menopausal women, Journal of Korean Academy of Nursing, 39, 136-144, http://dx.doi.org/10.4040/jkan.2009.39. 1.136   과학기술학회마을   DOI   ScienceOn
21 Song, R., Park, I. S., So, H. Y., Kim, H. L., & Ahn, S. H. (2008). Applicability and program effects of Tai chi exercise in outpatients with coronary artery disease. Korean Journal of Adult Nursing, 20, 537-547.   과학기술학회마을
22 Taylor-Piliae, R. E. (2003). Tai Chi as an adjunct to cardiac rehabilitation exercise training. Journal of Cardiopulmonary Rehabilitation, 23 , 90-96.   DOI   ScienceOn
23 Taylor-Piliae, R. E., Haskell, W. L., Stotts, N. A., & Froelicher, E. S. (2006). Improvement in balance, strength, and flexibility after 12 weeks of Tai chi exercise in ethnic Chinese adults with cardiovascular disease risk factors. Alternative Therapies in Health and Medicine, 12, 50-58.
24 Thomas, G. N., Hong, A. W., Tomlinson, B., Lau, E., Lam, C. W., Sanderson, J. E., et al. (2005). Effects of Tai Chi and resistance training on cardiovascular risk factors in elderly Chinese subjects: A 12-month longitudinal, randomized, controlled intervention study. Clinical Endocrinology, 63, 663-669. http://dhttp://dx.doi.org/10.1111/j.1365-2265.2005.02398.x   DOI   ScienceOn
25 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 , 747-754. http://dx.doi.org/10.1089/107555303322524599   DOI   ScienceOn
26 Yusuf, S., Hawken, S., Ounpuu, S., Dans, T., Avezum, A., Lanas, F., et al. (2004). Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): Case-control study. Lancet, 364, 937-952.   DOI   ScienceOn
27 Tsang, T., Orr, R., Lam, P., Comino, E. J., & Singh, M. F. (2008). Effects of Tai Chi on glucose homeostasis and insulin sensitivity in older adults with type 2 diabetes: A randomised double-blind sham-exercise-controlled trial. Age and Ageing, 37, 64-71. http://dx.doi.org/10.1093/ageing/afm127   DOI   ScienceOn
28 Wolf, S. L., O'Grady, M., Easley, K. A., Guo, Y., Kressig, R. W., & Kutner, M. (2006). The influence of intense Tai Chi training on physical performance and hemodynamic outcomes in transitionally frail, older adults. Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 61 , 184-189.   DOI   ScienceOn
29 Yeh, G. Y., McCarthy, E. P., Wayne, P. M., Stevenson, L. W., Wood, M. J., Forman, D., et al. (2011). Tai chi exercise in patients with chronic heart failure: A randomized clinical trial. Archives of Internal Medicine, 171, 750-757. http://dx.doi.org/10.1001/archinternmed.2011.150   DOI   ScienceOn
30 Zhuo, D., Shephard, R. J., Plyley, M. J., & Davis, G. M. (1984). Cardiorespiratory and metabolic responses during Tai Chi Chuan exercise. Canadian Journal of Applied Sport Sciences, 9, 7-10.