Traditional Chinese Practice, A Promising Integrative Intervention for Chronic Non-Infectious Disease Management

Na Wang1, Yan Guo2
1Chinese PLA General Hospital, Beijing, China
2China Academy of Chinese Medical Sciences, Beijing, China

Tóm tắt

The number of people with chronic diseases rises rapidly in recent years worldwide. Except for drug medication, mind-body exercises are indispensable for chronic disease management. Traditional Chinese practice (TCP), as an integrative intervention, is known as an effective means to keep in good health and fitness, as well as help regulate emotion. This paper introduces the domestic and overseas studies on effectiveness of TCP for chronic diseases, and explores the key action links from three aspects, including functional training of multiple-joint guided by consciousness, relieving psychological risk factors, improving respiratory and digestive function, blood and lymph circulation through respiratory training, and regulation of nerve, metabolic, and immune system. Finally, the authors discussed how to integrate TCP in the chronic disease management, and put forward that the practice methods and evaluation standard should be assessed academically.

Tài liệu tham khảo

Li T, Ma XJ. Translation progress of tai chi in spread to the West and the improvement of Chinese culture soft power. Jiangxi Soc Sci (Chin) 2017;37:242–249. Ding M, Wang CY, Dong XS, Yi XR. The effects of Qigong on type 2 diabetes mellitus: a systematic review and meta-analysis. Evid Based Complement Alternat Med 3;2018:8182938. doi: 10.1155/2018/8182938. Zhang YT, Zhu B, Li CS. Impact of tai chi exercise on type 2 diabetes patients—a mata analysis. Bull Sport Sci Technol (Chin) 2016;24:135–136. Deng YF, Chen JX. Rehabilitative effects of Baduanjin on patients with chronic obstructive pulmonary disease. Chin J Nurs (Chin) 2015;50:1458–1463. Chen MC, Liu HE, Huang H Y, Chiou AF. The effect of a simple traditional exercise programme (Baduanjin exercise) on sleep quality of older adults: a randomized controlled trial. Int J Nurs Stud 2012;49:265–273. Yu ML. Effect of Baduanjin on phase II rehabilitation in coronary heart disease patients with chronic heart failure: a randomized controlled trial [dissertation]. Beijing: Beijing University of Chinese Medicine; 2018. Hartley L, Lee MS, Kwong JS, Flowers N, Todkill D, Ernst E, et al. Qigong for the primary prevention of cardiovascular disease. Cochrane Database Syst Rev 2015;11:CD010390. Wei HY, Jin YH, Gu XL, Zhang FZ, Xie YL, Tang Q, et al. Efficacy of tai chi on patients with heart failure: a systematic review. Chin J Evid-Based Med (Chin) 2017;17:677–684. Pan L, Yan JH, Guo YZ, Yan J. Effects of tai chi training on exercise capacity and quality of life in patients with chronic heart failure: a meta-analysis. Eur J Heart Fail 2013;15:316–323. Sun J, Buys N. Community-based mind-body meditative tai chi program and its effects on improvement of blood pressure, weight, renal function, serum lipoprotein, and quality of life in Chinese adults With hypertension. Am J Cardiol 2015;116:1076–1081. Yang Y, Li XY, Gong L, Zhu YL, Hao YL. Tai chi for improvement of motor function, balance and gait in Parkinson's disease: a systematic review and metaanalysis. PLoS One 2014;9:e102942. Wang CC, Schmid CH, Rones R, Kalish R, Yinh J, Goldenberg DL, et al. A randomized trial of tai chi for fibromyalgia. N Engl J Med 2010;363:743–754. Li F, Harmer P, Fitzgerald K, Eckstrom E, Stock R, Galver J, et al. Tai chi and postural stability in patients with Parkinson's disease. N Engl J Med 2012;366:511–519. Zheng G, Huang M, Liu F, Li S, Tao J, Chen L. Tai chi chuan for the primary prevention of stroke in middleaged and elderly adults: a systematic review. Evid Based Complement Alternat Med 2015;2015:742152. doi: 10.1155/2015/742152. Epub 2015 Feb15. Taylor SL, Shekelle PG, Miake-Lye IM, Beroes JM, Shanman RM, Solloway MR, et al. An evidence map of the effect of tai chi on health outcomes. Syst Rev 2016;5:126. Patricia H, Bruce McFarlane. Health benefits of tai chi—What is the evidence? Canad Family Physic 2016;62:881–890. Gu KP, Hu GX. Effects of tai chi and Baduanjin on linpids in elderly people in the community. Chin Rur Health Serv Administr (Chin) 2014;34:1027–1028. Wayne PM, HausdorffJM, Lough M, Gow BJ, Lipsitz L, Novak V, et al. Tai chi training may reduce dual task gait variability, a potential mediator of fall risk, in healthy older adults: cross-sectional and randomized trial studies. Front Hum Neurosci 2015;9:332. Wayne PM, Kiel DP, Buring JE, Connors EM, Bonato P, Yeh GY, et al. Impact of tai chi exercise on multiple fracturerelated risk factors in post-menopausal osteopenic women: a pilot pragmatic, randomized trial. BMC Complement Altern Med 2012;12:1472–6882. Yvonne WY, Allen D, Andrew MH. The effects of Qigong on reducing stress and anxiety and enhancing body-mind wellbeing. Mindfulness 2012;3:51–59. Wang F, Lee EK, Wu T, Benson H, Fricchione G, Wang W, et al. The effects of tai chi on depression, anxiety, and psychological well-being: a systematic review and metaanalysis. Int J Behav Med 2014;21:605–617. Chan AW, Lee A, Lee DT, Suen LK, Tam WW, Chair SY, et al. The sustaining effects of tai chi Qigong on physiological health for COPD patients: a randomized controlled trial. Complement Ther Med 2013;21:585–594. Putiri AL, Lovejoy JC, Gillham S, Sasagawa M, Bradley R, Sun GC. Psychological effects of Yi Ren Medical Qigong and progressive resistance training in adults with type 2 diabetes mellitus: a randomized controlled pilot study. Altern Ther Health Med 2012;18:30–34. Chan AW, Lee A, Lee DT, Suen LK, Tam WW, Chair SY, et al. The sustaining effects of tai chi Qigong on physiological health for COPD patients: a randomized controlled trial. Complement Ther Med 2013;21:585–594. Sun HM. Beneficial influence on the breeding and growth of intestinal flora through gymnastic qigong-baduanjin exercise in the aged. Chin J Sports Med (Chin) 2012;31:973–977. Wei GX, Li YF, Yue XL, Ma X, Chang YK, Yi LY, et al. Tai chi chuan modulates heart rate variability during abdominal breathing in elderly adults. Psych J 2016;5:69–77. Walsh JN, Manor B, HausdorffJ, Novak V, Lipsitz L, Gow B, et al. Impact of short and long-term tai chi mind-body exercise training on cognitive function in healthy adults: results from a hybrid observational study and randomized trial. Glob Adv Health Med 2015;4(4):38–48. Freire MD, Alves C. Therapeutic Chinese exercises (Qigong) in the treatment of type 2 diabetes mellitus: a systematic review. Diabetes Metab Syndr 2013;7:56–59. Yu X, Chau JPC, Huo L. The effectiveness of traditional Chinese medicine-based lifestyle interventions on biomedical, psychosocial, and behavioral outcomes in individuals with type 2 diabetes: A systematic review with meta-analysis. Int J Nurs Stud 2018;80:165–180. Yeh SH, Chuang H, Lin LW, Hsiao CY, Eng HL. Regular tai chi chuan exercise enhances functional mobility and CD4CD25 regulatory T cells. Br J Sports Med 2006;40:239–243. Geib RW, Li H, Waite GN. A pilot study on the effect of tai chi exercise on peripheral blood cytokines associated with nociceptive pain in healthy volunteers. Biomed Sci Instrum 2014;50:125–131. Zeng Y, Luo T, Xie H, Huang M, Cheng AS. Health benefits of Qigong or tai chi for cancer patients: a systematic review and meta-analyses. Complement Ther Med 2014;22:173–186.