Baduanjin exercise intervention for community adults at risk of ischamic stroke: A randomized controlled trial

Published on Dec 1, 2019in Scientific Reports4.011
· DOI :10.1038/s41598-018-37544-0
Guohua Zheng3
Estimated H-index: 3
(FJUTCM: Fujian University of Traditional Chinese Medicine),
Bai Chen7
Estimated H-index: 7
(FJUTCM: Fujian University of Traditional Chinese Medicine)
+ 3 AuthorsLidian Chen22
Estimated H-index: 22
(FJUTCM: Fujian University of Traditional Chinese Medicine)
The aim of current study was to assess the effects of Baduanjin exercise on cerebrovascular function, cardiac structure and cardiac function, static pulmonary function, traditional risk factors of CVD and the related psychological outcomes in older community adults at risk for ischaemic stroke. A randomized controlled trial was conducted in three community between November 2013 and October 2015. Older community-dwelling adults (N = 170) were randomly allocated into either a Baduanjin training (5 × 60 min/weekly) or control group who kept their unaltered lifestyle during a 12-week intervention period. Primary (cerebral haemodynamic parameters) and secondary outcomes (cardiac structure, cardiac function, static pulmonary function, traditional risk factors and the related psychological outcomes) were measured at baseline, after a 12-week intervention period and after an additional 12-week follow-up period. After the 12-week intervention period and additional 12-week follow-up period, the Baduanjin exercise group displayed significant changes in most cerebral haemodynamic parameters compared to the control group: lower systolic blood pressure, diastolic blood pressure, plasma total cholesterol levels, waist circumference, hip circumference and waist/hip ratio; and improved mood, self-confidence, self-esteem, quality of life and sleep quality. A supervised 12-week Baduanjin exercise intervention was effective and safe in modulating cerebral haemodynamics, reducing blood pressure and improving anthropometric parameters and related psychological outcomes in older community adults at risk for ischaemic stroke.
  • References (50)
  • Citations (1)
📖 Papers frequently viewed together
7 Citations
9 Citations
78% of Scinapse members use related papers. After signing in, all features are FREE.
Objective: The purpose of this review was to objectively evaluate the effects of Baduanjin exercise on rehabilitative outcomes in stroke patients. Methods: Both Chinese and English electronic databases were searched for potentially relevant trials. Two review authors independently screened eligible trials against the inclusion criteria, extracted data, and assessed the methodological quality by using the revised PEDro scale. Meta-analysis was only performed for balance function. Results: In tota...
31 CitationsSource
Objectives: we used a quantitative method to systematically synthesize the emerging literature and critically evaluate the effects of Baduanjin on depression and anxiety in people with physical or mental illnesses. Additionally, we determined if the number of total Baduanjin training sessions is associated with decreased anxiety and depression levels. Methods: both English and Chinese databases were searched for potential studies published between January 1982 and October 2017. The eligible rand...
21 CitationsSource
#1Ken NagataH-Index: 25
#2Takashi YamazakiH-Index: 4
Last. Yuichi SatoH-Index: 2
view all 7 authors...
Abstract Cerebral circulation is known to be protected by the regulatory function against the hypoperfusion that will affect the cognitive function as a result of brain ischemia and energy failure. The regulatory function includes cerebrovascular autoregulation, chemical control, metabolic control, and neurogenic control, and those compensatory mechanisms can be influenced by hypertension, atherosclerosis, cardiac diseases, cerebrovascular diseases and aging. On the other hand, large and/or smal...
21 CitationsSource
#1Azra ZafarH-Index: 5
#2Fahd A. Al-KhamisH-Index: 3
Last. Amir H. MsmarH-Index: 1
view all 5 authors...
Abstract To identify the different subtypes of acute ischemic stroke, and estimate the frequency of various risk factors among these patients. In this retrospective, cross-sectional study, we reviewed the medical records of patients admitted with the diagnosis of acute ischemic stroke at King Fahd Hospital of the University, Al-Khobar, Saudi Arabia from March 2008 till December 2015. The demographic characteristics, subtypes of stroke, risk factors (hypertension, diabetes mellitus, hyperlipidemi...
6 CitationsSource
#1Martijn A. Spruit (University of Hasselt)H-Index: 51
#2Chris Burtin (University of Hasselt)H-Index: 21
Last. Frits M.E. Franssen (UM: Maastricht University)H-Index: 29
view all 7 authors...
Key points Physiological changes are observed following a structured exercise training programme in patients with COPD, without changes in resting lung function. Exercise training is the cornerstone of a comprehensive pulmonary rehabilitation programme in patients with COPD. Most comorbidities in patients referred for pulmonary rehabilitation remain undiagnosed and untreated. After careful screening, it is safe for COPD patients with comorbidities to obtain significant and clinically relevant im...
12 CitationsSource
#1Hongtao Yu (Wright State University)H-Index: 3
#2George P. Huang (Wright State University)H-Index: 4
Last. Bryan Ludwig (Wright State University)H-Index: 4
view all 5 authors...
Age-associated alterations in cardiovascular structure and function induce cardiovascular disease in elderly subjects. To investigate the effects of normal vascular aging (NVA) and early vascular aging (EVA) on hemodynamic characteristics in the circle of Willis (CoW), a closed-loop one-dimensional computational model was developed based on fluid mechanics in the vascular system. The numerical simulations revealed that higher central pulse pressure and augmentation index (AIx) appear in the EVA ...
8 CitationsSource
#1Muhammad Suri (UMN: University of Minnesota)H-Index: 17
#2Ye Qiao (Johns Hopkins University)H-Index: 18
Last. Bruce A. Wasserman (Johns Hopkins University)H-Index: 32
view all 12 authors...
Background and Purpose— Intracranial atherosclerotic stenosis (ICAS) is a common cause of stroke, but little is known about its epidemiology. We studied the prevalence of ICAS and its association with vascular risk factors using high-resolution magnetic resonance angiography in a US cardiovascular cohort. Methods— The Atherosclerosis Risk in Communities (ARIC) study recruited participants from 4 US communities from 1987 to 1989. Using stratified sampling, we selected 1980 participants from visit...
24 CitationsSource
Physical exercise is any bodily activity to enhance or maintain physical fitness and overall health and wellness. A series of associated studies have demonstrated that physical exercise could alleviate the infarct volume, increase the collateral circulation, promote endothelial progenitor cells, improve cerebral blood flow after cardiovascular and cerebrovascular diseases. In this review, we summed up the protective effects of physical exercise on cerebral blood flow (CBF), vascular endothelium,...
14 Citations
#1Lingzhong MengH-Index: 19
#2Wugang HouH-Index: 1
Last. Adrian W. GelbH-Index: 49
view all 5 authors...
Cerebral blood flow (CBF) is rigorously regulated by various powerful mechanisms to safeguard the match between cerebral metabolic demand and supply. The question of how a change in cardiac output (CO) affects CBF is fundamental, because CBF is dependent on constantly receiving a significant proport
74 CitationsSource
#1Valery L. Feigin (AUT: Auckland University of Technology)H-Index: 73
#2Rita Krishnamurthi (AUT: Auckland University of Technology)H-Index: 27
Last. Gregory A. Roth (AUT: Auckland University of Technology)H-Index: 52
view all 20 authors...
Background: Global stroke epidemiology is changing rapidly. Although age-standardized rates of stroke mortality have decreased worldwide in the past 2 decades, the absolute numbers of people who have a stroke every year, and live with the consequences of stroke or die from their stroke, are increasing. Regular updates on the current level of stroke burden are important for advancing our knowledge on stroke epidemiology and facilitate organization and planning of evidence-based stroke care. Objec...
342 CitationsSource
Cited By1
#1Onno G. Meijer (Fujian Medical University)H-Index: 28
#2M.F. Barbe (TU: Temple University)
Last. A. Daffertshofer (VU: VU University Amsterdam)
view all 6 authors...
Abstract Introduction In our preceding paper, we concluded that Pelvic Girdle Pain (PGP) should be taken seriously. Still, we do not know its causes. Literature reviews on treatment fail to reveal a consistent pattern, and there are patients who do not respond well to treatment. We designated the lack of progress in research and in the clinic as ‘deadlock’, and proposed a ‘deconstruction’ of PGP, that is to say, taking PGP apart into its relevant dimensions. Purpose We examine the proposition th...
#1Wei Lv (JLU: Jilin University)H-Index: 4
#1Wei LvH-Index: 1
Last. Ping YuH-Index: 1
view all 4 authors...
Purpose: Poor sleep quality is harmful for everyone and potentially even more harmful for older adults with atrial fibrillation-associated stroke (AFAS). This study aims to explore the effects of eight-section brocade (ESB) on sleep quality, memory, and cardiopulmonary function in the older adults with AFAS. Methods: Older adults with AFAS and sleep disorders were recruited and divided into the ESB (EG, n = 85) and control groups (CG, general exercise, n = 85). EG patients received 60 min ESB ex...
2 CitationsSource