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Published in: BMC Geriatrics 1/2021

Open Access 01-12-2021 | Research article

Tai Chi exercise improves age‐associated decline in cerebrovascular function: a cross‐sectional study

Authors: Lili Li, Jingjing Wang, Shaoying Guo, Yangqi Xing, Xiongwen Ke, Yinghao Chen, Yuan He, Shun Wang, Jiayu Wang, Xinwu Cui, Zhihua Wang, Lixu Tang

Published in: BMC Geriatrics | Issue 1/2021

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Abstract

Background

Tai Chi exercise has been reported to enhance physical and mental health in the older adults; however, the mechanism remains elusive.

Trial design

We recruited 289 older adults practicing Tai Chi for over 3 years, together with 277 age-matched older and 102 young adults as controls. 168 Tai Chi practitioners were successfully matched to 168 older controls aged 60–69 based on a propensity score for statistics.

Methods

Cerebrovascular function was evaluated by measuring the hemodynamics of the carotid artery. Spearman correlation was performed to validate the age-associated physiological parameters.

Results

Cerebrovascular function in older adults significantly degenerated compared with the young, and was substantially correlated with age. Compared with the older control group, Tai Chi practitioners showed significant improvements in CVHI (cerebral vascular hemodynamics indices) Score (P = 0.002), mean blood flow velocity (P = 0.014), maximal blood flow velocity (P = 0.04) and minimum blood flow velocity (P < 0.001), whereas the age-related increases in pulse wave velocity (P = 0.022), characteristic impedance (P = 0.021) and peripheral resistance (P = 0.044) were lowered.

Conclusions

These data demonstrate a rejuvenation role of Tai Chi in improving the age-related decline of the cerebrovascular function.

Trial registration

Chinese Clinical Trial Registry (ChiCTR1900025187)
Literature
1.
go back to reference Kowal P, Goodkind D, He W: An Aging World: 2015. In: International Population Reports US Government Printing Office, Washington DC. 2016. Kowal P, Goodkind D, He W: An Aging World: 2015. In: International Population Reports US Government Printing Office, Washington DC. 2016.
2.
go back to reference Seals DR, Justice JN, LaRocca TJ. Physiological geroscience: targeting function to increase healthspan and achieve optimal longevity. J Physiol. 2016;594(8):2001–24.CrossRef Seals DR, Justice JN, LaRocca TJ. Physiological geroscience: targeting function to increase healthspan and achieve optimal longevity. J Physiol. 2016;594(8):2001–24.CrossRef
3.
go back to reference Campisi J, Kapahi P, Lithgow GJ, Melov S, Newman JC, Verdin E. From discoveries in ageing research to therapeutics for healthy ageing. Nature. 2019;571(7764):183–92.CrossRef Campisi J, Kapahi P, Lithgow GJ, Melov S, Newman JC, Verdin E. From discoveries in ageing research to therapeutics for healthy ageing. Nature. 2019;571(7764):183–92.CrossRef
4.
go back to reference Cosco TD, Howse K, Brayne C. Healthy ageing, resilience and wellbeing. Epidemiol Psychiatr Sci. 2017;26(6):579–83.CrossRef Cosco TD, Howse K, Brayne C. Healthy ageing, resilience and wellbeing. Epidemiol Psychiatr Sci. 2017;26(6):579–83.CrossRef
5.
go back to reference Portegies ML, Koudstaal PJ, Ikram MA. Cerebrovascular disease. Handb Clin Neurol. 2016;138:239–61.CrossRef Portegies ML, Koudstaal PJ, Ikram MA. Cerebrovascular disease. Handb Clin Neurol. 2016;138:239–61.CrossRef
6.
go back to reference Kummer BR, Diaz I, Wu X, Aaroe AE, Chen ML, Iadecola C, Kamel H, Navi BB. Associations between cerebrovascular risk factors and parkinson disease. Ann Neurol. 2019;86(4):572–81.CrossRef Kummer BR, Diaz I, Wu X, Aaroe AE, Chen ML, Iadecola C, Kamel H, Navi BB. Associations between cerebrovascular risk factors and parkinson disease. Ann Neurol. 2019;86(4):572–81.CrossRef
7.
go back to reference Lendahl U, Nilsson P, Betsholtz C. Emerging links between cerebrovascular and neurodegenerative diseases-a special role for pericytes. EMBO Rep. 2019;20(11):e48070.CrossRef Lendahl U, Nilsson P, Betsholtz C. Emerging links between cerebrovascular and neurodegenerative diseases-a special role for pericytes. EMBO Rep. 2019;20(11):e48070.CrossRef
8.
go back to reference Buchman AS, Leurgans SE, Nag S, Bennett DA, Schneider JA. Cerebrovascular disease pathology and parkinsonian signs in old age. Stroke. 2011;42(11):3183–9.CrossRef Buchman AS, Leurgans SE, Nag S, Bennett DA, Schneider JA. Cerebrovascular disease pathology and parkinsonian signs in old age. Stroke. 2011;42(11):3183–9.CrossRef
9.
go back to reference Jakovljevic DG. Physical activity and cardiovascular aging: Physiological and molecular insights. Exp Gerontol. 2018;109:67–74.CrossRef Jakovljevic DG. Physical activity and cardiovascular aging: Physiological and molecular insights. Exp Gerontol. 2018;109:67–74.CrossRef
10.
go back to reference Petrie JR, Guzik TJ, Touyz RM. Diabetes, Hypertension, and Cardiovascular Disease: Clinical Insights and Vascular Mechanisms. Can J Cardiol. 2018;34(5):575–84.CrossRef Petrie JR, Guzik TJ, Touyz RM. Diabetes, Hypertension, and Cardiovascular Disease: Clinical Insights and Vascular Mechanisms. Can J Cardiol. 2018;34(5):575–84.CrossRef
11.
go back to reference Ahlskog JE, Geda YE, Graff-Radford NR, Petersen RC. Physical exercise as a preventive or disease-modifying treatment of dementia and brain aging. Mayo Clin Proc. 2011;86(9):876–84.CrossRef Ahlskog JE, Geda YE, Graff-Radford NR, Petersen RC. Physical exercise as a preventive or disease-modifying treatment of dementia and brain aging. Mayo Clin Proc. 2011;86(9):876–84.CrossRef
12.
go back to reference Wang Y, Li M, Dong F, Zhang J, Zhang F. Physical exercise-induced protection on ischemic cardiovascular and cerebrovascular diseases. Int J Clin Exp Med. 2015;8(11):19859–66.PubMedPubMedCentral Wang Y, Li M, Dong F, Zhang J, Zhang F. Physical exercise-induced protection on ischemic cardiovascular and cerebrovascular diseases. Int J Clin Exp Med. 2015;8(11):19859–66.PubMedPubMedCentral
13.
go back to reference Solloway MR, Taylor SL, Shekelle PG, Miake-Lye IM, Beroes JM, Shanman RM, Hempel S. An evidence map of the effect of Tai Chi on health outcomes. Syst Rev. 2016;5(1):126.CrossRef Solloway MR, Taylor SL, Shekelle PG, Miake-Lye IM, Beroes JM, Shanman RM, Hempel S. An evidence map of the effect of Tai Chi on health outcomes. Syst Rev. 2016;5(1):126.CrossRef
14.
go back to reference Lim KH, Pysklywec A, Plante M, Demers L. The effectiveness of Tai Chi for short-term cognitive function improvement in the early stages of dementia in the older adults: a systematic literature review. Clin Interv Aging. 2019;14:827–39.CrossRef Lim KH, Pysklywec A, Plante M, Demers L. The effectiveness of Tai Chi for short-term cognitive function improvement in the early stages of dementia in the older adults: a systematic literature review. Clin Interv Aging. 2019;14:827–39.CrossRef
15.
go back to reference Song R, Grabowska W, Park M, Osypiuk K, Vergara-Diaz GP, Bonato P, Hausdorff JM, Fox M, Sudarsky LR, Macklin E, et al. The impact of Tai Chi and Qigong mind-body exercises on motor and non-motor function and quality of life in Parkinson’s disease: A systematic review and meta-analysis. Parkinsonism Relat Disord. 2017;41:3–13.CrossRef Song R, Grabowska W, Park M, Osypiuk K, Vergara-Diaz GP, Bonato P, Hausdorff JM, Fox M, Sudarsky LR, Macklin E, et al. The impact of Tai Chi and Qigong mind-body exercises on motor and non-motor function and quality of life in Parkinson’s disease: A systematic review and meta-analysis. Parkinsonism Relat Disord. 2017;41:3–13.CrossRef
16.
go back to reference Gu Q, Wu SJ, Zheng Y, Zhang Y, Liu C, Hou JC, Zhang K, Fang XM. Tai Chi Exercise for Patients with Chronic Heart Failure: A Meta-analysis of Randomized Controlled Trials. Am J Phys Med Rehabil. 2017;96(10):706–16.CrossRef Gu Q, Wu SJ, Zheng Y, Zhang Y, Liu C, Hou JC, Zhang K, Fang XM. Tai Chi Exercise for Patients with Chronic Heart Failure: A Meta-analysis of Randomized Controlled Trials. Am J Phys Med Rehabil. 2017;96(10):706–16.CrossRef
17.
go back to reference Li F, Harmer P, Fitzgerald K, Eckstrom E, Stock R, Galver J, Maddalozzo G, Batya SS. Tai chi and postural stability in patients with Parkinson’s disease. N Engl J Med. 2012;366(6):511–9.CrossRef Li F, Harmer P, Fitzgerald K, Eckstrom E, Stock R, Galver J, Maddalozzo G, Batya SS. Tai chi and postural stability in patients with Parkinson’s disease. N Engl J Med. 2012;366(6):511–9.CrossRef
18.
go back to reference Lomas-Vega R, Obrero-Gaitan E, Molina-Ortega FJ, Del-Pino-Casado R. Tai Chi for Risk of Falls. A Meta-analysis. J Am Geriatr Soc. 2017;65(9):2037–43.CrossRef Lomas-Vega R, Obrero-Gaitan E, Molina-Ortega FJ, Del-Pino-Casado R. Tai Chi for Risk of Falls. A Meta-analysis. J Am Geriatr Soc. 2017;65(9):2037–43.CrossRef
19.
go back to reference Klein PJ. Tai Chi Chuan in the management of Parkinson’s disease and Alzheimer’s disease. Med Sport Sci. 2008;52:173–81.CrossRef Klein PJ. Tai Chi Chuan in the management of Parkinson’s disease and Alzheimer’s disease. Med Sport Sci. 2008;52:173–81.CrossRef
20.
go back to reference Beard JR, Officer A, de Carvalho IA, Sadana R, Pot AM, Michel JP, Lloyd-Sherlock P, Epping-Jordan JE, Peeters G, Mahanani WR, et al. The World report on ageing and health: a policy framework for healthy ageing. Lancet. 2016;387(10033):2145–54.CrossRef Beard JR, Officer A, de Carvalho IA, Sadana R, Pot AM, Michel JP, Lloyd-Sherlock P, Epping-Jordan JE, Peeters G, Mahanani WR, et al. The World report on ageing and health: a policy framework for healthy ageing. Lancet. 2016;387(10033):2145–54.CrossRef
21.
go back to reference Yang T, Sun Y, Lu Z, Leak RK, Zhang F. The impact of cerebrovascular aging on vascular cognitive impairment and dementia. Ageing Res Rev. 2017;34:15–29.CrossRef Yang T, Sun Y, Lu Z, Leak RK, Zhang F. The impact of cerebrovascular aging on vascular cognitive impairment and dementia. Ageing Res Rev. 2017;34:15–29.CrossRef
22.
go back to reference Wu C, Honarmand AR, Schnell S, Kuhn R, Schoeneman SE, Ansari SA, Carr J, Markl M, Shaibani A. Age-Related Changes of Normal Cerebral and Cardiac Blood Flow in Children and Adults Aged 7 Months to 61 Years. J Am Heart Assoc 2016, 5(1). Wu C, Honarmand AR, Schnell S, Kuhn R, Schoeneman SE, Ansari SA, Carr J, Markl M, Shaibani A. Age-Related Changes of Normal Cerebral and Cardiac Blood Flow in Children and Adults Aged 7 Months to 61 Years. J Am Heart Assoc 2016, 5(1).
23.
go back to reference Amin-Hanjani S, Du X, Pandey DK, Thulborn KR, Charbel FT. Effect of age and vascular anatomy on blood flow in major cerebral vessels. J Cereb Blood Flow Metab. 2015;35(2):312–8.CrossRef Amin-Hanjani S, Du X, Pandey DK, Thulborn KR, Charbel FT. Effect of age and vascular anatomy on blood flow in major cerebral vessels. J Cereb Blood Flow Metab. 2015;35(2):312–8.CrossRef
24.
go back to reference Huston P, McFarlane B. Health benefits of tai chi: What is the evidence? Can Fam Physician. 2016;62(11):881–90.PubMed Huston P, McFarlane B. Health benefits of tai chi: What is the evidence? Can Fam Physician. 2016;62(11):881–90.PubMed
25.
go back to reference Love MF, Sharrief A, Chaoul A, Savitz S, Beauchamp JES. Mind-Body Interventions, Psychological Stressors, and Quality of Life in Stroke Survivors. Stroke. 2019;50(2):434–40.CrossRef Love MF, Sharrief A, Chaoul A, Savitz S, Beauchamp JES. Mind-Body Interventions, Psychological Stressors, and Quality of Life in Stroke Survivors. Stroke. 2019;50(2):434–40.CrossRef
26.
go back to reference Hwang I, Song R, Ahn S, Lee MA, Wayne PM, Sohn MK. Exploring the Adaptability of Tai Chi to Stroke Rehabilitation. Rehabil Nurs. 2019;44(4):221–9.CrossRef Hwang I, Song R, Ahn S, Lee MA, Wayne PM, Sohn MK. Exploring the Adaptability of Tai Chi to Stroke Rehabilitation. Rehabil Nurs. 2019;44(4):221–9.CrossRef
27.
go back to reference Zheng G, Xiong Z, Zheng X, Li J, Duan T, Qi D, Ling K, Chen L. Subjective perceived impact of Tai Chi training on physical and mental health among community older adults at risk for ischemic stroke: a qualitative study. BMC Complement Altern Med. 2017;17(1):221.CrossRef Zheng G, Xiong Z, Zheng X, Li J, Duan T, Qi D, Ling K, Chen L. Subjective perceived impact of Tai Chi training on physical and mental health among community older adults at risk for ischemic stroke: a qualitative study. BMC Complement Altern Med. 2017;17(1):221.CrossRef
28.
go back to reference Lauche R, Peng W, Ferguson C, Cramer H, Frawley J, Adams J, Sibbritt D: Efficacy of Tai Chi and qigong for the prevention of stroke and stroke risk factors: A systematic review with meta-analysis. Medicine (Baltimore) 2017, 96(45):e8517. Lauche R, Peng W, Ferguson C, Cramer H, Frawley J, Adams J, Sibbritt D: Efficacy of Tai Chi and qigong for the prevention of stroke and stroke risk factors: A systematic review with meta-analysis. Medicine (Baltimore) 2017, 96(45):e8517.
Metadata
Title
Tai Chi exercise improves age‐associated decline in cerebrovascular function: a cross‐sectional study
Authors
Lili Li
Jingjing Wang
Shaoying Guo
Yangqi Xing
Xiongwen Ke
Yinghao Chen
Yuan He
Shun Wang
Jiayu Wang
Xinwu Cui
Zhihua Wang
Lixu Tang
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Geriatrics / Issue 1/2021
Electronic ISSN: 1471-2318
DOI
https://doi.org/10.1186/s12877-021-02196-9

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