1Department of Traditional Chinese Medicine, E-Da Hospital, Kaohsiung, Taiwan
2Department of Traditional Chinese Medicine, E-Da Cancer Hospital, Kaohsiung, Taiwan
3School of Chinese Medicine for Post Baccalaureate, I-Shou University, Kaohsiung, Taiwan
4Department of Nursing, E-Da Cancer Hospital, Kaohsiung, Taiwan
5Community Health Promotion Section, E-Da Dachang Hospital, Kaohsiung, Taiwan
【Summary】
Objectives: Recent research have demonstrated that the development of dementia, Alzheimer’s disease and cerebrovascular disease in the elderly is associated with blood pressure variability (BPV). It is proposed that higher BPV is risk factor for above disease. Previous meta-analysis study proposed that Baduanjin exercise is beneficial for visit-to-visit blood pressure regulation. However, the research for the effect of seated-version Baduanjin for the wheelchair dependence older people on day-to-day BPV was deficient. The aim of this study is to investigate the efficacy of modified seated version Baduanjin on day-to-day BPV.
Methods: Baduanjin practice was implemented as a 33-minute regular physical exercise held twice weekly within 4 months. Disabled residents lived in the nursing home were divided into active participants group (n=12) and inactive participants group (n=11) according to the attendance in this study. Systolic blood pressure (SBP), diastolic blood pressure (DBP) and daily room temperature were measured every morning and monthly coefficient of variation of SBP (SBP-CoV) and DBP (DBP-CoV) were calculated for each resident from November 2017 to March 2018.
Results: The generalized estimating equation model revealed a significant reduction of SBP-CoV in the third month among active participants group (regression coefficient of group by time interaction B=-2.748, 95% CI: [-0.406 to -5.09], p=0.021) and sustained to the forth month (regression coefficient of group by time interaction B=-2.872, 95% CI: [-0.498 to -5.247], p=0.018). There is no significant change in diastolic blood pressure fluctuations. The significant increase of SBP-CoV in inactive participants in the third month was observed, which was thought due to cold weather. (regression coefficient B=1.858, 95% CI: [0.166 to 3.550], p=0.031).
Conclusions: The preliminary result of our study was that regular seatedversion Baduanjin exercise could significantly reduce the systolic blood pressure fluctuation in the elders.
【Keywords】Badunjin; Blood Pressure Fluctuation; Aging; Disability; The Programs to Prevent or Delay Disability
243.2 坐式八段锦对於护理之家失能住民每日血压波动之前驱性研究
