J Korean Acad Nurs. 2009 Feb;39(1):136-144. Korean.
Published online Feb 28, 2009.
Copyright © 2009 Korean Society of Nursing Science
Original Article

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

Rhayun Song,1 Sukhee Ahn,1 Hee Young So,1 In Sook Park,1 Hyun Li Kim,1 Kyung Ok Joo,2 and Jong Sung Kim3
    • 1Professor, Department of Nursing, Chungnam National University, Daejeon, Korea.
    • 2Researcher, Research Institute of Nursing Science, Chungnam National University, Daejeon, Korea.
    • 3Professor, Department of Family Medicine, Chungnam National University, Daejeon, Korea.
Received November 06, 2008; Accepted January 23, 2009.

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
Postmenopausal period; Women; Tai Chi; Cardiovascular disease; Quality of life

Tables

Table 1
General Characteristics of Participants

Table 2
Homogeneity Test of Study Variables at the Baseline

Table 3
Group Comparisons on Cardiovascular Risk Factors at the Posttest

Table 4
Group Comparisons on Quality of Life and Sub-dimensions at the Posttest

Notes

This study was financially supported by the research fund of Chungnam National University in 2007.

References

    1. Asbury EA, Chandrruangphen P, Collins P. The importance of continued exercise participation in quality of life and psychological well-being in previously inactive postmenopausal women: A pilot study. Menopause 2006;13:561–567.
    1. Asikainen TM, Kukkonen-Harjula K, Miilunpalo S. Exercise for health for early postmenopausal women: A systematic review of randomized controlled trials. Sports Medicine 2004;34:753–778.
    1. Audette JF, Jin YS, Newcomer R, Stein L, Duncan G, Frontera WR. Tai Chi versus brisk walking in elderly women. Age and Ageing 2006;35:388–393.
    1. Avis NE, Assmann SF, Kravitz HM, Ganz PA, Ory M. 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 2004;13:933–946.
    1. Chen KM, Chen WT, Wang JJ, Huang MF. Frail elders' views of Tai Chi. Journal of Nursing Research 2005;13:11–20.
    1. Cohen J. In: Statistical power analysis for the behavioral sciences. 2nd ed. Mahwah: Lawrence Erlbaum Associates; 1988.
    1. D'Agostino RB Sr, Vasan RS, Pencina MJ, Wolf PA, Cobain M, Massaro JM, et al. General cardiovascular risk profile for use in primary care: The Framingham Heart Study. Circulation 2008;117:743–753.
    1. Innes KE, Selfe TK, Taylor AG. Menopause, the metabolic syndrome, and mind-body therapies. Menopause 2008;15:1005–1013.
    1. Jung J, Kim N. Risk factors, subjective symptoms, knowledge of coronary artery disease and preventive health practices in postmenopausal women. Korean Journal of Women Health Nursing 2006;12:29–36.
    1. Kim CJ, Kim TH, Rhu WS, Ryoo UH. Influence of menopause on high density lipoprotein-cholesterol and lipids. Journal of Korean Medical Science 2000;15:380–386.
    1. Ko GT, Tsang PC, Chan HC. A 10-week Tai-Chi program improved the blood pressure, lipid profile and SF-36 scores in Hong Kong Chinese women. Medical Science Monitoring 2006;12:CR196–CR199.
    1. Konradi DB, Lyon BL. Measuring adherence to a self-care fitness walking routine. Journal of Community Health Nursing 2000;17:159–169.
    1. Lam P. Tai chi for osteoporosis program. Osteoporosis Australia 2006. 2006 [Retrieved March 20, 2006].
    1. Lan C, Chen SY, Lai JS. The exercise intensity of Tai Chi Chuan. Medical Sports Science 2008;52:12–19.
    1. Lan C, Su TC, Chen SY, Lai JS. Effect of T'ai chi chuan training on cardiovascular risk factors in dyslipidemic patients. Journal of Alternative and Complementary Medicine 2008;14:813–819.
    1. Lee EN. The effects of Tai chi exercise program on blood pressure, total cholesterol and cortisol level in patients with essentialhypertension. Journal of Korean Academy of Nursing 2004;34:829–837.
    1. Lee LY, Lee DT, Woo J. 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 2007;16:1580–1582.
    1. Liu X, Miller YD, Burton NW, Brown WJ. 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. 2008
      Published Online First: October 16, 2008 doi:10.1136/bjsm.2008.051144. Accessed at http://bjsm.bmj.com.
    1. Mosca L, Banka CL, Benjamin EJ, Berra K, Bushnell C, Dolor RJ, et al. Evidence-based guidelines for cardiovascular disease prevention in women: 2007 update. Circulation 2007;115:1481–1501.
    1. Murrell P, Todd CJ, Martin A, Walton J, Lips P, Reeve J. 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 2001;12:672–679.
    1. Mustian KM, Katula JA, Gill DL, Roscoe JA, Lang D, Murphy K. Tai Chi Chuan, health-related quality of life and self-esteem: A randomized trial with breast cancer survivors. Supportive Care in Cancer 2004;12:871–876.
    1. Annual report on the cause of death statistics. National Statistical Office. 2008 [Retrieved October 5, 2008].
    1. Schwarz S, Völzke H, Alte D, Schwahn C, Grabe HJ, Hoffmann W, et al. Menopause and determinants of quality of life in women at mid-life and beyond: The study of health in pomerania (SHIP). Menopause 2007;14:123–134.
    1. Shakir YA, Samsioe G, Nyberg P, Lidfeldt J, Nerbrand C. 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 2006;55:1060–1066.
    1. Song R, Lee EO, Bae SC, Ahn YH, Lam P, Lee IO. 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 2007;14:13–25.
    1. Suk Danik J, Rifai N, Buring JE, Ridker PM. Lipoprotein(a), measured with an assay independent of apolipoprotein(a) isoform size, and risk of future cardiovascular events among initially healthy women. JAMA 2006;296:1363–1370.
    1. Thomas GN, Hong AW, Tomlinson B, Lau E, Lam CW, Sanderson JE, et al. 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) 2005;63:663–669.
    1. Trost SG, Owen N, Bauman AE, Sallis JF, Brown W. Correlates of adults' participation in physical activity: Review and update. Medicine and Science in Sports and Exercise 2002;34:1996–2001.
    1. Tsai JC, Wang WH, Chan P, Lin LJ, Wang CH, Tomlinson B, et al. 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 2003;9:747–754.
    1. Verhagen AP, Immink M, van der Meulen A, Bierma-Zeinstra SM. The efficacy of Tai Chi Chuan in older adults: A systematic review. Family Practice 2004;21:107–113.
    1. Wang C, Collet JP, Lau J. The effect of Tai Chi on health outcomes in patients with chronic conditions: A systematic review. Archives of Internal Medicine 2004;164:493–501.
    1. Yeo JH. Influencing factors on quality of life in pre and postmenopausal women. Journal of Korean Academy of Nursing 2004;34:1334–1342.

Metrics
Share
Tables

1 / 4

PERMALINK