Skip to main content
Top
Published in: Trials 1/2020

Open Access 01-12-2020 | Hypertension | Study protocol

Effects of taichi on grade 1 hypertension: A study protocol for a randomized controlled trial

Authors: Sang-Hyun Lee, Byung-Jun Kim, In-Hwa Park, Eui-Hyoung Hwang, Eun Ju Park, Insoo Jang, Man-Suk Hwang

Published in: Trials | Issue 1/2020

Login to get access

Abstract

Background

Medication is generally recommended to reduce the morbidity and mortality caused by cardiovascular disease in hypertensive patients. However, considering the difficulties and economic factors associated with long-term medication, interest in taichi as an exercise treatment method has increased recently in Korean medical practice. Numerous studies have suggested that taichi can be used to treat various diseases and that is can affect psychosomatic factors such as anxiety. This study aims to evaluate the effect of taichi in reducing blood pressure among grade 1 hypertensive patients.

Methods/design

In this randomized, active-controlled, assessor-blinded, two parallel-armed trial, 80 grade 1 hypertension patients will be recruited and randomly assigned to the usual care group or to the taichi group (n = 40 in each group). Subjects who voluntarily sign a study agreement will be educated in managing their own blood pressure by restricting salt intake, losing weight, moderating alcohol consumption, performing exercise, and regulating dietary intake at their first visit. In addition to self-management, the taichi group will perform two 60-min taichi sessions per week for a total of 8 weeks. Blood pressure will be measured as the primary outcome. In addition, body composition, heart rate, and the perceived intensity and difficulty of the exercise will be measured as secondary outcomes.

Discussion

This study is a randomized controlled trial of taichi, which is not widely practiced in Korea. It may provide valuable data on the effects of taichi on hypertension, which will inform non-pharmaceutical treatment options for this disorder.

Trial registration

Clinical Research Information Service, KCT0003632. Registered on 18 March 2019.
Appendix
Available only for authorised users
Literature
1.
go back to reference Ministry of Health & Welfare DoHP. Korea National Health and Nutrition Examination Survey; 2016. p. 50. Ministry of Health & Welfare DoHP. Korea National Health and Nutrition Examination Survey; 2016. p. 50.
2.
go back to reference Mosley WJ II, Lloyd-Jones DM. Epidemiology of Hypertension in the Elderly. Clin Geriatr Med. 2009;25(2):179–89.CrossRef Mosley WJ II, Lloyd-Jones DM. Epidemiology of Hypertension in the Elderly. Clin Geriatr Med. 2009;25(2):179–89.CrossRef
3.
go back to reference Turgut F, Yesil Y, Balogun RA, Abdel-Rahman EM. Hypertension in the elderly: unique challenges and management. Clin Geriatr Med. 2013;29(3):593–609.CrossRef Turgut F, Yesil Y, Balogun RA, Abdel-Rahman EM. Hypertension in the elderly: unique challenges and management. Clin Geriatr Med. 2013;29(3):593–609.CrossRef
4.
go back to reference Carlberg B, Nilsson PM. Hypertension in the Elderly: What Is the Goal Blood Pressure Target and How Can This Be Attained? Curr Hypertens Rep. 2010;12(5):331–4.CrossRef Carlberg B, Nilsson PM. Hypertension in the Elderly: What Is the Goal Blood Pressure Target and How Can This Be Attained? Curr Hypertens Rep. 2010;12(5):331–4.CrossRef
5.
go back to reference Hartley L, Flowers N, Lee MS, Ernst E, Rees K. Taichi for primary prevention of cardiovascular disease. Cochrane Database Syst Rev. 2014;4:Cd010366. Hartley L, Flowers N, Lee MS, Ernst E, Rees K. Taichi for primary prevention of cardiovascular disease. Cochrane Database Syst Rev. 2014;4:Cd010366.
6.
go back to reference Nilsson PM. Blood pressure strategies and goals in elderly patients with hypertension. Exp Gerontol. 2017;87:151–0.CrossRef Nilsson PM. Blood pressure strategies and goals in elderly patients with hypertension. Exp Gerontol. 2017;87:151–0.CrossRef
7.
go back to reference Mahmood S, Shah KU, Khan TM, Nawaz S, Rashid H, Baqar SWA, et al. Non-pharmacological management of hypertension: in the light of current research. Ir J Med Sci. 2019;188(2):437–52.CrossRef Mahmood S, Shah KU, Khan TM, Nawaz S, Rashid H, Baqar SWA, et al. Non-pharmacological management of hypertension: in the light of current research. Ir J Med Sci. 2019;188(2):437–52.CrossRef
8.
go back to reference Parker ED, Schmitz KH, Jacobs DR Jr, Dengel DR, Schreiner PJ. Physical activity in young adults and incident hypertension over 15 years of follow-up: the CARDIA study. Am J Public Health. 2007;97(4):703–9.CrossRef Parker ED, Schmitz KH, Jacobs DR Jr, Dengel DR, Schreiner PJ. Physical activity in young adults and incident hypertension over 15 years of follow-up: the CARDIA study. Am J Public Health. 2007;97(4):703–9.CrossRef
9.
go back to reference Ahn Y-J, Jo S-H, Lee S-H, Lim J-H. The review study on Yoga, Qigong, and Taichi interventions for anxiety: Based on Korean journal articles from 2009 to 2015. J Oriental Neuropsych. 2016;27(1):23–31.CrossRef Ahn Y-J, Jo S-H, Lee S-H, Lim J-H. The review study on Yoga, Qigong, and Taichi interventions for anxiety: Based on Korean journal articles from 2009 to 2015. J Oriental Neuropsych. 2016;27(1):23–31.CrossRef
10.
go back to reference Ji HQ. The Effect of Taichi Exercise on Attention Concentration and Dynamic Balance in Children with ADHD [master's thesis]. Pusan: Pusan National University; 2015. Ji HQ. The Effect of Taichi Exercise on Attention Concentration and Dynamic Balance in Children with ADHD [master's thesis]. Pusan: Pusan National University; 2015.
11.
go back to reference Kim KL, Bae SJ, Seo HK. The Effect of Taichi on Health Related Fitness and Cognitive Function in Elderly Women with Dementia. J Kor Soc Rhythmic Exercises. 2018;11(2):51–8. Kim KL, Bae SJ, Seo HK. The Effect of Taichi on Health Related Fitness and Cognitive Function in Elderly Women with Dementia. J Kor Soc Rhythmic Exercises. 2018;11(2):51–8.
12.
go back to reference Kim Y-S, Park M-S, Kwak Y-S. 12-Week Taichi Exercise on Physical Fitness, Blood Pressure, and Cholesterol in Elderly Women. J Kor Soc Wellness. 2012;7(1):119–28. Kim Y-S, Park M-S, Kwak Y-S. 12-Week Taichi Exercise on Physical Fitness, Blood Pressure, and Cholesterol in Elderly Women. J Kor Soc Wellness. 2012;7(1):119–28.
13.
go back to reference Lee HY. The Effect of Taichi for Patients with Type 2 Diabetes - Analysis According to the Styles of Taichi Considering the Intensity: Systematic Review [master’s thesis]. Pusan: Pusan National University School of Korean Medicine; 2015. Lee HY. The Effect of Taichi for Patients with Type 2 Diabetes - Analysis According to the Styles of Taichi Considering the Intensity: Systematic Review [master’s thesis]. Pusan: Pusan National University School of Korean Medicine; 2015.
14.
go back to reference Li F, Harmer P, Fitzgerald K, Eckstrom E, Stock R, Galver J, et al. Taichi and postural stability in patients with Parkinson's disease. N Engl J Med. 2012;366(6):511–9. Li F, Harmer P, Fitzgerald K, Eckstrom E, Stock R, Galver J, et al. Taichi and postural stability in patients with Parkinson's disease. N Engl J Med. 2012;366(6):511–9.
15.
go back to reference Son JT, Hwang H. Comparison of Subjective Symptoms, Physical Fitness, Depression and Self-efficacy before and after Taichi in Patients with Rheumatoid Arthritis: Based on 3 Years Data. J Muscle Joint Health. 2018;25(3):230–9. Son JT, Hwang H. Comparison of Subjective Symptoms, Physical Fitness, Depression and Self-efficacy before and after Taichi in Patients with Rheumatoid Arthritis: Based on 3 Years Data. J Muscle Joint Health. 2018;25(3):230–9.
16.
go back to reference Kim J-H. The Effect of Taichi Chuan Training on the Automatic Cardiac Nerve Activity and Blood Pressure in Elderly Women with Hypertension. J Kor Soc Dance Sci. 2014;31(1):157–68. Kim J-H. The Effect of Taichi Chuan Training on the Automatic Cardiac Nerve Activity and Blood Pressure in Elderly Women with Hypertension. J Kor Soc Dance Sci. 2014;31(1):157–68.
17.
go back to reference Tsai JC, Wang WH, Chan P, Lin LJ, Wang CH, Tomlinson B, et al. The beneficial effects of Taichi Chuan on blood pressure and lipid profile and anxiety status in a randomized controlled trial. J Altern Complement Med. 2003;9(5):747–54. Tsai JC, Wang WH, Chan P, Lin LJ, Wang CH, Tomlinson B, et al. The beneficial effects of Taichi Chuan on blood pressure and lipid profile and anxiety status in a randomized controlled trial. J Altern Complement Med. 2003;9(5):747–54.
18.
go back to reference Lee YM. The effects of Taichi on waist circumference and blood pressure in the elderly. J Physical Therapy Sci. 2017;29(1):172–5. Lee YM. The effects of Taichi on waist circumference and blood pressure in the elderly. J Physical Therapy Sci. 2017;29(1):172–5.
19.
go back to reference Hwang E-H, Heo K-H, Lee G-S. Effect of Taichi as Therapeutic Exercise on Blood Pressure Rapid Systematic Review. J Oriental Rehab Med. 2013;23(1):101–13. Hwang E-H, Heo K-H, Lee G-S. Effect of Taichi as Therapeutic Exercise on Blood Pressure Rapid Systematic Review. J Oriental Rehab Med. 2013;23(1):101–13.
Metadata
Title
Effects of taichi on grade 1 hypertension: A study protocol for a randomized controlled trial
Authors
Sang-Hyun Lee
Byung-Jun Kim
In-Hwa Park
Eui-Hyoung Hwang
Eun Ju Park
Insoo Jang
Man-Suk Hwang
Publication date
01-12-2020
Publisher
BioMed Central
Published in
Trials / Issue 1/2020
Electronic ISSN: 1745-6215
DOI
https://doi.org/10.1186/s13063-019-4028-6

Other articles of this Issue 1/2020

Trials 1/2020 Go to the issue