title: Tai chi chuan for the primary prevention of stroke in middle-aged and elderly adults: a systematic review.
abstract: Background. Stroke is a major healthcare problem with serious long-term disability and is one of the leading causes of death in the world. Prevention of stroke is considered an important strategy. Methods. Seven electronic databases were searched. Results. 36 eligible studies with a total of 2393 participants were identified. Primary outcome measures, TCC exercise combined with other intervention had a significant effect on decreasing the incidence of nonfatal stroke (n = 185, RR = 0.11, 95% CI 0.01 to 0.85, P = 0.03) and CCD (n = 125, RR = 0.33, 95% CI 0.11 to 0.96, P = 0.04). For the risk factors of stroke, pooled analysis demonstrated that TCC exercise was associated with lower body weight, BMI, FBG level, and decreasing SBP, DBP, plasma TC, and LDL-C level regardless of the intervention period less than half a year or more than one year and significantly raised HDL-C level in comparison to nonintervention. Compared with other treatments, TCC intervention on the basis of the same other treatments in patients with chronic disease also showed the beneficial effect on lowering blood pressure. Conclusion. The present systematic review indicates that TCC exercise is beneficially associated with the primary prevention of stroke in middle-aged and elderly adults by inversing the high risk factors of stroke.
authors.affiliation: College of Rehabilitation Medicine, Fujian University of Traditional Chinese Medicine, No. 1 Huatuo Road, Shangjie University Town, Fuzhou 350108, China.
authors.forename: Guohua
authors.initials: G
authors.lastname: Zheng
authors.affiliation: College of Rehabilitation Medicine, Fujian University of Traditional Chinese Medicine, No. 1 Huatuo Road, Shangjie University Town, Fuzhou 350108, China.
authors.forename: Maomao
authors.identifier: 0000-0003-1373-7186
authors.initials: M
authors.lastname: Huang
authors.affiliation: College of Rehabilitation Medicine, Fujian University of Traditional Chinese Medicine, No. 1 Huatuo Road, Shangjie University Town, Fuzhou 350108, China.
authors.forename: Feiwen
authors.initials: F
authors.lastname: Liu
authors.affiliation: College of Rehabilitation Medicine, Fujian University of Traditional Chinese Medicine, No. 1 Huatuo Road, Shangjie University Town, Fuzhou 350108, China.
authors.forename: Shuzhen
authors.initials: S
authors.lastname: Li
authors.affiliation: College of Rehabilitation Medicine, Fujian University of Traditional Chinese Medicine, No. 1 Huatuo Road, Shangjie University Town, Fuzhou 350108, China.
authors.forename: Jing
authors.initials: J
authors.lastname: Tao
authors.affiliation: Fujian University of Traditional Chinese Medicine, No. 1 Huatuo Road, Shangjie University Town, Fuzhou 350108, China.
authors.forename: Lidian
authors.initials: L
authors.lastname: Chen