Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
권호 표지
DOI QR코드

DOI QR Code

Effects of Tai Chi Exercise on Cardiovascular Risk Factors and Quality of life in Post-menopausal Women

타이치 운동이 폐경기 여성의 심혈관 위험도와 삶의 질에 미치는 효과

  • Song, Rha-Yun (Department of Nursing, Chungnam National University) ;
  • Ahn, Suk-Hee (Department of Nursing, Chungnam National University) ;
  • So, Hee-Young (Department of Nursing, Chungnam National University) ;
  • Park, In-Sook (Department of Nursing, Chungnam National University) ;
  • Kim, Hyun-Li (Department of Nursing, Chungnam National University) ;
  • Joo, Kyung-Ok (Research Institute of Nursing Science, Chungnam National University) ;
  • Kim, Jong-Sung (Department of Family Medicine, Chungnam National University)
  • 송라윤 (충남대학교 간호학과) ;
  • 안숙희 (충남대학교 간호학과) ;
  • 소희영 (충남대학교 간호학과) ;
  • 박인숙 (충남대학교 간호학과) ;
  • 김현리 (충남대학교 간호학과) ;
  • 주경옥 (충남대학교 간호과학연구소) ;
  • 김종성 (충남대학교 의과대학 가정의학과)
  • Published : 2009.02.28
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: Natural menopause resulting in the decline in endogenous estrogen concentrations is responsible for an increased risk of coronary heart disease in postmenopausal women. The purpose of the study was to examine the effects of a 6-month Tai Chi exercise program on cardiovascular risk factors and quality of life in post-menopausal women. Methods: A quasi-experimental design with pretest and posttest measures was used. The participants in the study, 29 women in the Tai Chi group and 31 in the control group, were enrolled for 6 months. Results: After 6 months of Tai Chi exercise, total cholesterol (M=213 to 185), LDL-cholesterol (M=135 to 128), and their 10 yr cardiovascular disease risk (M=2.62 to 2.27) had improved significantly for the Tai Chi participants compared to the control group. Total scores for quality of life along with the sub-dimensions of health perception and mental functioning were also significantly higher in the Tai Chi participants. Conclusion: Tai Chi exercise favorably affected cardiovascular health and quality of life in post-menopausal women after 6 months. Additional rigorous studies are needed to examine long term effects on the prevention of cardiovascular disease in this population.

Keywords

References

  1. Asbury, E. A., Chandrruangphen, P., & Collins, P. (2006). The importance of continued exercise participation in quality of life and psychological well-being in previously inactive postmenopausal women: A pilot study. Menopause, 13, 561-567 https://doi.org/10.1097/01.gme.0000196812.96128.e8
  2. Asikainen, T. M., Kukkonen-Harjula, K., & Miilunpalo, S. (2004). Exercise for health for early postmenopausal women: A systematic review of randomized controlled trials. Sports Medicine, 34, 753-778 https://doi.org/10.2165/00007256-200434110-00004
  3. Audette, J. F., Jin, Y. S., Newcomer, R., Stein, L., Duncan, G., & Frontera, W. R. (2006). Tai Chi versus brisk walking in elderly women. Age and Ageing, 35, 388-393 https://doi.org/10.1093/ageing/afl006
  4. Avis, N. E., Assmann, S. F., Kravitz, H. M., Ganz, P. A., & Ory, M. (2004). Quality of life in diverse groups of mid-life women: Assessing the influence of menopause, health status and psychosocial and demographic factors. Quality of Life Research, 13, 933-946 https://doi.org/10.1023/B:QURE.0000025582.91310.9f
  5. Chen, K. M., Chen, W. T., Wang, J. J., & Huang, M. F. (2005). Frail elders' views of Tai Chi. Journal of Nursing Research, 13, 11-20 https://doi.org/10.1097/01.JNR.0000387521.13233.32
  6. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Mahwah: Lawrence Erlbaum Associates
  7. D'Agostino, R. B. Sr., 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 https://doi.org/10.1161/CIRCULATIONAHA.107.699579
  8. Innes, K. E., Selfe, T. K., & Taylor, A. G. (2008). Menopause, the metabolic syndrome, and mind-body therapies. Menopause, 15, 1005-1013 https://doi.org/10.1097/01.gme.0b013e318166904e
  9. Jung, J., & Kim, N. (2006). Risk factors, subjective symptoms, knowledge of coronary artery disease and preventive health practices in postmenopausal women. Korean Journal of Women Health Nursing, 12, 29-36
  10. Kim, C. J., Kim, T. H., Rhu, W. S., & Ryoo, U. H. (2000). Influence of menopause on high density lipoprotein-cholesterol and lipids. Journal of Korean Medical Science, 15, 380-386
  11. Ko, G. T., Tsang, P. C., & Chan, H. C. (2006). A 10-week Tai-Chi program improved the blood pressure, lipid profile and SF-36 scores in Hong Kong Chinese women. Medical Science Monitoring, 12, CR196-CR199
  12. Konradi, D. B., & Lyon, B. L. (2000). Measuring adherence to a selfcare fitness walking routine. Journal of Community Health Nursing, 17, 159-169
  13. Lam, P. (2006). Tai chi for osteoporosis program. Osteoporosis Australia 2006. Retrieved March 20, 2006, from http://www.taichiproductions.com./secureshop/product.php?ProductID=232
  14. Lan, C., Chen, S. Y., & Lai, J. S. (2008). The exercise intensity of Tai Chi Chuan. Medical Sports Science, 52, 12-19 https://doi.org/10.1159/000134225
  15. 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 https://doi.org/10.1089/acm.2008.0143
  16. Lee, E. N. (2004). The effects of Tai chi exercise program on blood pressure, total cholesterol and cortisol level in patients with essential hypertension. Journal of Korean Academy of Nursing, 34, 829-837
  17. Lee, L. Y., Lee, D. T., & Woo, J. (2007). Effect of Tai Chi on state self-esteem and health-related quality of life in older Chinese residential care home residents. Journal of Clinical Nursing, 16, 1580-1582 https://doi.org/10.1111/j.1365-2702.2007.02061.x
  18. 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, Published Online First: October 16, 2008 doi:10.1136/bjsm.2008.051144. Accessed at http://bjsm.bmj.com
  19. Mosca, L., Banka, C. L., Benjamin, E. J., Berra, K., Bushnell, C., Dolor, R. J., et al. (2007). Evidence-based guidelines for cardiovascular disease prevention in women: 2007 update. Circulation, 115, 1481-1501 https://doi.org/10.1016/j.jacc.2007.02.020
  20. Murrell, P., Todd, C. J., Martin, A., Walton, J., Lips, P., & Reeve, J. (2001). Postal administration compared with nurse-supported administration of the QUALEFFO-41 in a population sample: Comparison of results and assessment of psychometric properties. Osteoporosis International, 12, 672-679 https://doi.org/10.1007/s001980170067
  21. Mustian, K. M., Katula, J. A., Gill, D. L., Roscoe, J. A., Lang, D., & Murphy, K. (2004). Tai Chi Chuan, health-related quality of life and self-esteem: A randomized trial with breast cancer survivors. Supportive Care in Cancer, 12, 871-876 https://doi.org/10.1007/s00520-004-0682-6
  22. National Statistical Office. (2008). Annual report on the cause of death statistics. Retrieved October 5, 2008, from http://www.kihasa.re.kr/html/jsp/info/info_03_view.jsp?currPage=5&d1=1&d2=1&d3=1&seq=3&sg=
  23. Schwarz, S., Volzke, H., Alte, D., Schwahn, C., Grabe, H. J., Hoffmann, W., et al. (2007). Menopause and determinants of quality of life in women at mid-life and beyond: The study of health in pomerania (SHIP). Menopause, 14, 123-134 https://doi.org/10.1097/01.gme.0000227860.58097.e9
  24. Shakir, Y. A., Samsioe, G., Nyberg, P., Lidfeldt, J., & Nerbrand, C. (2006). Does the hormonal situation modify lipid effects by lifestyle factors in middle-aged women? Results from a population-based study of Swedish women: The women's health in the Lund area study. Metabolism Clinical and Experimental, 55, 1060-1066 https://doi.org/10.1016/j.metabol.2006.03.018
  25. Song, R., Lee, E. O., Bae, S. C., Ahn, Y. H., Lam, P., & Lee, I. O. (2007). Effects of Tai Chi self help program on glucose control, cardiovascular risks, and quality of life in Type 2 diabetic patients. Journal of Muscle and Joint Health, 14, 13-25
  26. Suk Danik, J., Rifai, N., Buring, J. E., & Ridker, P. M. (2006). Lipoprotein(a), measured with an assay independent of apolipoprotein(a) isoform size, and risk of future cardiovascular events among initially healthy women. JAMA, 296, 1363-1370 https://doi.org/10.1001/jama.296.11.1363
  27. 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 (Oxf), 63, 663-669 https://doi.org/10.1111/j.1365-2265.2005.02398.x
  28. Trost, S. G., Owen, N., Bauman, A. E., Sallis, J. F., & Brown, W. (2002). Correlates of adults' participation in physical activity:Review and update. Medicine and Science in Sports and Exercise, 34, 1996-2001 https://doi.org/10.1097/00005768-200212000-00020
  29. 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 Complimentary Medicine, 9, 747-754 https://doi.org/10.1089/107555303322524599
  30. Verhagen, A. P., Immink, M., van der Meulen, A., & Bierma-Zeinstra, S. M. (2004). The efficacy of Tai Chi Chuan in older adults: A systematic review. Family Practice, 21, 107-113 https://doi.org/10.1093/fampra/cmh122
  31. 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 of Internal Medicine, 164, 493-501 https://doi.org/10.1001/archinte.164.5.493
  32. Yeo, J. H. (2004). Influencing factors on quality of life in pre and postmenopausal women. Journal of Korean Academy of Nursing, 34, 1334-1342

Cited by

  1. 여성수도자와 기혼여성의 폐경에 대한 태도와 갱년기 증상 vol.16, pp.2, 2009, https://doi.org/10.4069/kjwhn.2010.16.2.186
  2. 소득수준에 따른 성인여성의 심혈관계 건강상태와 건강행위 vol.40, pp.6, 2009, https://doi.org/10.4040/jkan.2010.40.6.831
  3. Tai Chi research review vol.17, pp.3, 2011, https://doi.org/10.1016/j.ctcp.2010.10.002
  4. 간호사 경력이 있는 Tai Chi 강사의 교육경험 vol.20, pp.1, 2009, https://doi.org/10.5953/jmjh.2013.20.1.10
  5. 관상동맥질환자를 위한 타이치 적용 심장재활 프로그램이 심혈관 위험요소, 심혈관질환 재발 위험도 및 건강 관련 삶의 질에 미치는 효과 vol.25, pp.5, 2013, https://doi.org/10.7475/kjan.2013.25.5.515
  6. 대사증후군 환자에게 적용한 12주간의 타이치 운동이 자율신경계 활성도와 대사증후군 위험요인에 미치는 효과에 대한 예비 실험연구 vol.23, pp.1, 2009, https://doi.org/10.5953/jmjh.2016.23.1.1
  7. A Pilot Study of APN-led Self-management Program to Improve Cardiovascular Health Status among Korean Women with Risk Factors vol.28, pp.2, 2016, https://doi.org/10.7475/kjan.2016.28.2.237
  8. Factors Affecting Health Related Quality of Life in Korean Perimenopausal Women Using Hierarchical Regression Analysis vol.13, pp.3, 2017, https://doi.org/10.5392/ijoc.2017.13.3.065
  9. Self-Rated Health Status Based on the Type of Health Insurance: A Socioeconomic Perspective vol.58, pp.None, 2009, https://doi.org/10.1177/00469580211028171