Effects of Standard Tai Chi on Exercise Capacity and Mental Health in Exercise-Deprived Overweight/Obese Adults and Assessment of Participant Adherence  

作　　者：TAO Zhu XU Zi-ming GUO Yan YU Hui-yong 

机构地区：[1]General Department,Xiyuan Hospital Affiliated to China Academy of Chinese Medical Sciences,Beijing 100091,China [2]Chinese Journal of Integrated Traditional and Western Medicine Press,Beijing 100091,China [3]Infectious Diseases Department,Third Affiliated Hospital,Beijing University of Chinese Medicine,Beijing 100029,China

出　　处：《Chinese Journal of Integrative Medicine》2024年第12期1068-1079,共12页中国结合医学杂志（英文版）

基　　金：Supported by Hospital Capability Enhancement Project of Xiyuan Hospital of China Academy of Chinese Medical Sciences(No.XYZX0404-03)。

摘　　要：Objective:To explore the effects of Tai Chi on body mass index(BMI),exercise capacity,and mental health of overweight/obese adults,and investigate factors influencing adherence to enhance adherence of Tai Chi as a sustainable exercise method.Methods:A randomized,controlled,exploratory clinical trial was conducted paired with a qualitative study of adherence management.A total of 20 overweight/obese participants were randomly assigned to a standard Tai Chi group(experimental)and a simplified Tai Chi group(control)for an 8-week intervention,10 patients in each group,with a 12-month follow-up.BMI was calculated and exercise capacity including an isokinetic muscle strength and balance ability test were evaluated.Mental health was assessed using the General Well-Being Schedule(GWB),Pittsburgh Sleep Quality Index(PSQI),and Coping Self Efficacy Scale(CSES)at baseline,4th week,and 8th week,respectively.The qualitative research included open-interviews with Tai Chi practitioners and semi-structured interviews with subjects.Results:The intervention was conducted in Haidian Park,Beijing,China from October 6,2022,to January 1,2023,without dropouts.After an 8-week intervention,the participants in the experimental group exhibited a significant decrease in BMI(P<0.05).Both groups demonstrated significant improvements in exercise capacity(P<0.05).The experimental group exhibited a significant enhancement in the GWB,PSQI and CSES(P<0.05).Only GWB had significant difference in the control group(P<0.05).The experimental group surpassed the control group in GWB and CSES(P<0.05).The adherence rate was 87.5%in the experimental group and 57.9%in the control group after8 weeks intervention.Analysis on adherence identified 15 themes,the top 3 themes mentioned were as follows:mind-body effects,online and on-site guidance,training schedule(for subjects);mind-body effects,difficulties in practicing,and understanding of Tai Chi(for practitioners).Conclusions:Both interventions were effective in improving exercise capacity.Standard Tai Chi,in

关 键 词：STai Chi OVERWEIGHT obesity exercise capacity mental health ADHERENCE interview 

分 类 号：R589.2[医药卫生—内分泌]