心臓病＃太極拳＃心身のリラクゼーションや呼吸法を整える＃2020年7月25日＃すぎおかクリニック院長＃杉岡

■心臓疾患と心理的負担と太極拳

狭心症や心筋梗塞、心不全などの病気をおこすと、その後の生活に不安を抱えることはよくあることです。

それがストレスになり、不安や抑うつ障害へと進んでいく人も見受けられます。

実際のところ、冠動脈疾患や心不全患者さんの2割が抑うつ症状を抱えているとも言われています。

いっぽうで太極拳は、心身のリラクゼーションや呼吸法を整えることで、精神状態に良い作用を及ぼう可能性があると言われています。

米アリゾナ大学のRuth Taylor-Piliae氏らは、冠動脈疾患、心不全、高血圧、脳卒中の既往がある肩を対象に太極拳の効果を研究しました。

「Tai Chi exercise for psychological well-being among adults with cardiovascular disease: A systematic review and meta-analys」 

https://pubmed.ncbi.nlm.nih.gov/32515204/

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Abstract

Background: Regular exercise is beneficial for adults with cardiovascular disease to improve psychological well-being. Tai Chi is a mind-body exercise thought to promote psychological well-being.

Aim: Examine the efficacy of Tai Chi in improving psychological well-being among persons with cardiovascular disease.

Methods: An electronic literature search of 10 databases (AMED, CINAHL, Embase, OpenGrey, PsycARTICLES, PsycINFO, PubMed, Scopus, SPORTDiscus, and Web of Science) was conducted.

Clinical trials that examined one or more aspect of psychological well-being, incorporated a Tai Chi intervention among cardiovascular disease participants, and were published in English or German languages were included. Comprehensive Meta-Analysis version 2.0 software (Biostat, Inc.) was used to calculate the effect sizes (i.e. Hedges' g) and the 95% confidence intervals using random effects models.

Results:

A total of 15 studies met the inclusion criteria, enrolling 1853 participants (mean age = 66 years old, 44% women). 

Outcomes included: quality of life (QOL), stress, anxiety, depression, and psychological distress. 

When Tai Chi was compared with controls, significantly better general QOL (Hedges' g 0.96; p=0.02, I2=94.99%), mental health QOL (Hedges' g=0.20; p=0.01, I2=15.93) and physical health QOL (Hedges' g=0.40; p=0.00, I2=0%); with less depression (Hedges' g=0.69; p=0.00, I2=86.64%) and psychological distress (Hedges' g=0.58; p=0.00, I2=0%) were found.

Conclusions:

Few Tai Chi studies have been conducted during the past decade examining psychological well-being among older adults with cardiovascular disease. 

Further research is needed with more rigorous study designs, adequate Tai Chi exercise doses, and carefully chosen outcome measures that assess the mechanisms as well as the effects of Tai Chi. 

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その結果、太極拳は全体として、精神的苦痛と抑うつ症状の低減に関連していることが判明したのです。

気分の落ち込みを感じているような心臓病の患者さんは、是非太極拳にチャレンジしてみることをおすすめします。

 

当院は心臓血管病などの循環器疾患や高血圧、糖尿病などの生活習慣病に力を入れています。

動脈硬化を予防したい方、または心臓病を発症したあとの再発予防のかたなどが船橋市、鎌ケ谷市、習志野市,、市川市、千葉市を始め多くの方に来院頂いています。

https://sugioka-clinic.jp/blog/%E5%BF%83%E8%87%93%E7%97%85%E3%81%A8%E5%A4%AA%E6%A5%B5%E6%8B%B3/