WEI Hongyue 1# , JIN Yinghui 2# , GU Xiaoling 1 , ZHANG Fengzhe 3 , XIE Yulu 4 , TANG Qi 5 , SUN Wenxi 6
  • 1. The First Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, 300000, P.R.China;
  • 2. The Nursing School, Tianjin University of Traditional Chinese Medicine, Tianjin, 300000, P.R.China;
  • 3. The Stomatological Hospital of Tianjin Medical University, Tianjin, 300000, P.R.China;
  • 4. The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400000, P.R.China;
  • 5. Tianjin Hospital, Tianjin, 300000, P.R.China;
  • 6. The Cancer Hospital of Tianjin Medical University, Tianjin, 300000, P.R.China;
GU Xiaoling, Email: guxiaoling0711@163.com
Tai Chi; Heart failure; Systematic review; Meta-analysis; Randomized controlled trial; Minnesota living with heart failure questionnaire; The six minute walk test
10.7507/1672-2531.201612037
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ObjectiveTo systematically review the efficacy of Tai Chi on patients with heart failure.MethodsDatabases including CNKI, VIP, WanFang Data, Web of Science, PubMed, EMbase and The Cochrane Library (Issue 8, 2016) were searched from inception to August, 2016 to collect randomized controlled trials (RCTs) of Tai Chi for heart failure patients. Two reviewers independently screened literature, extracted data, and assessed the risk of bias of included studies. Then meta-analysis was performed using RevMan 5.3 software.ResultsA total of 10 RCTs involving 689 patients were included. The results of meta-analysis showed that, compared with the control group, the heart failure patients in Tai Chi group had better score of minnesotaliving with heart failure questionnaire (MLHFQ) (MD=–9.37, 95%CI –13.09 to –5.65, P<0.000 01), longer six minute walk test (6MWT) (MD=40.37, 95%CI 9.48 to 71.27, P=0.01), higher left ventricular ejectionfractions (LVEF) (MD=7.89, 95%CI 3.01 to 12.77, P=0.002) and lower level of BNP (brain natriuretic peptide) (MD=–10.75, 95%CI –13.20 to –8.30, P<0.000 01); however, as to the maximal oxygen consumption (VO2max) (MD=0.29, 95%CI –1.223 to 1.81, P=0.71), systolic pressure (SBP) (MD=–2.81, 95%CI –8.52 to 2.90, P=0.33) and diastolic pressure (DBP) (MD=0.37, 95%CI –3.73 to 4.48, P=0.86), there were no significant differences between both groups.ConclusionThe current evidence shows that Tai Chi is feasible for patients with heart failure as it has positive effects on life quality, physiological functions. Due to the limited quality and quantity of included studies, the above conclusion should be validated by more high quality studies.

Citation： WEI Hongyue, JIN Yinghui, GU Xiaoling, ZHANG Fengzhe, XIE Yulu, TANG Qi, SUN Wenxi. Efficacy of Tai Chi on patients with heart failure: a systematic review. Chinese Journal of Evidence-Based Medicine, 2017, 17(6): 677-684. doi: 10.7507/1672-2531.201612037 Copy

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