太極拳運動訓練對改善老年高血壓個案之健康狀況成效

張瓊丹; 陳靜敏; 鄭綺; 林貴福

doi:10.6127/JEPF.2005.02.09

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P103 - 118

医药卫生 > 预防保健与卫生学
医药卫生 > 社会医学
社会科学 > 体育学

DOI： 10.6127/JEPF

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太极拳运动训练对改善老年高血压个案之健康状况成效

Effect of Tai-Chi Chuan Exercise Training on Health Status in Hypertensive Elderly

张琼丹(Chiung-Dan Chang) ；陈静敏(Chin-Min Chen) ；郑绮(Chi Cheng) ；林贵福(Kuei-Fu Lin)

运动生理暨体能学报； 2辑 (2005 / 04 / 20) ， P103 - 118

繁体中文 DOI： 10.6127/JEPF.2005.02.09

太极拳运动训练；高血压；健康状况； Tai-Chi Chuan exercise training ； Hypertension ； Health status

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摘要 │ 参考文献 (55) │ 被引用文献 (2) │ 国际计量

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The purpose of this study was to explore the effects of Tai-Chi Chuan exercise training on the health status in hypertension elderly. The quasi-experimental design was utilized. Hypertensive subject who were sixty-five years old and over were recruited from two veterans homes in Taipei county and were divided into two groups: the experimental group (n=14) and the control group (n=25). The elderly in experimental group took the regular Tai-Chi Chuan exercise training for ten weeks, and the control group continued their usual lifestyles during the study period. The demographic data and health status of the two groups were collected through the structured questionnaire; and health fitness status of these two groups were measured before and after ten weeks. The results were analysis with statistics software (SPSS 10.0).
There was no significant difference between the two groups in their age, family history, religious, systolic blood pressure, body mass index, muscular strength, flexibility, cardiorespiratory endurance and perceived health status. The age of the elderly in this study was between 68-95 years old. The majority of the elderly were without hypertension family history. However, elderly in experimental group were better than their counterparts in the educational level and marital status. After 10 weeks, the experimental group's mean body mass index was 2.37kg/m^2 less than the control one. In 1600m walking test, the experimental group was 258.16 second faster than the control group in term of cardiorespiratory endurance. A significant improvement in average systolic blood pressure control before and after Tai-Chi Chuan exercise training was found in the experimental group. Repeat Measures ANOVA found that there were both groups improvement in systolic blood pressure and a significant difference in BMI between groups. There was a significant difference in the improvement of diastolic blood pressure between 2 groups; however, the average improvement of diastolic blood pressure of the control group shown better may be due to the diastolic blood pressure of the experimental group was already lowever than the control one in pretest. There was a negative correlation between age and the improvement of muscular strength. Base on the results of the study, it could improve the elderly cases with hypertension in some parts of the health status by Tai-Chi Chuan exercise training. And it could be the reference for nursing staffs to design the health improvement and exercise service for the elderly.

参考文献 ( 55 ) 〈TOP〉

American College of Sports Medicine(1993).Physical activity, physical fitness and hypertension, position stand.Medicine and Science in Sports and Exercise,25(10),i-x.
Borg, G. V.(1982).Psychophysical bases of perceived exertion.Medicine and Science in Sports and Exercise,14(5),337-381.
Bovens, A. M.,VanBank, M. A.,Vrenchen, J. G.,Wijnen, J. A.,Saris, W. H.,Verstappen, F. T.(1993).Physical activity, fitness, and slected risk factors for CHD in active men and women.Medicine and Science in Sports and Exercise,25(5),572-576.
Channer, K. S.,Barrow, D.,Barrow, R.,Osborne, M.,Ives, G.(1996).Changes in haemodynamic parameters following Tai Chi Chuan and aerobic exercise in patients recovering from acute myocardial infarction.Postgraduate Medical Journal,72,347-351.
Cleroux, J.,Peronnet, F.,Champlain, J.(1987).Effect of exercise training on plasma catecholamines and blood pressure in labile hypertensive subjects.European Journal of Applied Physiology,56,550-554.

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