Effects of Tai chi exercises on adults with metabolic syndrome: a systematic review protocol

Background: Metabolic syndrome is a cluster of metabolic disturbances that increases the likelihood of developing cardiovascular diseases, type 2 diabetes mellitus, and mortality. The economic burden of metabolic syndrome in individuals with hypertension is projected to rise by 179% by 2020 (Wille et al., 2011). Although pharmacological and non-pharmacological management options including herbal medicine and lifestyle and dietary modifications appear to be effective, the numerous potential adverse effects may deter its use (Mallappa et al., 2012). Aim: This systematic review aims to present the best available research evidence related to the effectiveness of Tai Chi Exercises on community-dwelling adults with metabolic syndrome. The specific review questions to be addressed include the effectiveness of Tai Chi exercises on physiological and psychosocial outcomes among community-dwelling adults with metabolic syndrome; and the effectiveness of different types, duration, and frequency of Tai Chi exercises on client outcomes. Methods: All published and unpublished studies in both English and Chinese will be searched using a three-stage approach. The English databases to be searched include MEDLINE, CINAHL, Allied and Complementary Medicine, British Nursing Index, EBSCOhost, EMBASE, Health and Medical Complete, Health Sciences, ProQuest, PsycINFO, PsycArticles, Science Citation Index, Science Direct, Scopus, and SPORTDiscus. The Chinese databases to be searched include China Journal Net, Chinese Biomedical Literature Database, MyRead, Taiwan Electronic Periodical Services, and WanFang Data. Two reviewers will independently review the articles and chose those to be included based on the inclusion and exclusion criteria. The methodological quality of included studies will be assessed and details of all included studies will be extracted by two reviewers. If appropriate, quantitative results of comparable studies will be pooled in statistical meta-analysis. Narrative summary will be provided when statistical pooling is not possible. Conclusion: This systematic review protocol describes the methods and steps necessary to conduct a systematic review on the effectiveness of Tai Chi Exercises on client outcomes. The review will provide useful guidance for healthcare providers to choose the most suitable and effective alternative intervention for the community-dwelling adults with metabolic syndrome

Psychometric properties of the translated tai chi exercise self-efficacy scale for Chinese adults with coronary heart disease or risk factors

Tai Chi is an effective exercise option for individuals with coronary heart disease or its associated risk factors. An accurate and systematic assessment of a Mandarin-speaking adults’ self-efficacy in maintaining Tai Chi exercise is lacking. Mandarin Chinese has the most speakers worldwide. This study aimed to translate the Tai Chi Exercise Self-Efficacy scale and examine its psychometric properties. The 14-item Tai Chi Exercise Self-Efficacy scale was translated from English into Mandarin Chinese using a forward-translation, back-translation, committee approach, and pre-test procedure. Participants with coronary heart disease or risk factors (n = 140) enrolled in a cross-sectional study for scale validation. Confirmatory factor analysis indicated a good fit of the two-factor structure (Tai Chi exercise self-efficacy barriers and performance) to this sample. The translated scale demonstrated high internal consistency, with a Cronbach’s α value of 0.97, and good test-retest reliability, with an intra-class correlation coefficient of 0.86 (p < 0.01). Participants with prior Tai Chi experience reported significantly higher scores than those without (p < 0.001), supporting known-group validity. A significant correlation was observed between the translated scale and total exercise per week (r = 0.37, p < 0.01), providing evidence of concurrent validity. The Mandarin Chinese version of the Tai Chi Exercise Self-Efficacy scale is a valid and reliable scale for Chinese adults with coronary heart disease or risk factors. © 2021 by the author. Licensee MDPI, Basel, Switzerland.Open access journalThis item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at [email protected]

A randomised controlled trial evaluating the impact of targeted Vitamin D supplementation on endothelial function in type 2 diabetes mellitus: The DIMENSION trial

10.1177/1479164115621667Diabetes and Vascular Disease Research133192 - 20

Phase II trial of docetaxel in Asian patients with inoperable stage III non-small cell lung cancer

Acta Oncologica392225-229ACTO